NRP 531 FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ diastolic pressure.
Answer: elastic recoil, or resting, pressure that blood exerts constantly
between each contraction
◍ How do we limit distractions in the OR?.
Answer: No non-essential conversationsTurn off all technology No
non-essential personnel
◍ Religion.
Answer: refers to an organized system of beliefs as a shared experience that
can assist in meeting one's individual spiritual needs
◍ proficient.
Answer: adding to time and experience; understanding the patient situation
as a whole - rather than as individual parts and applying long term goals.
◍ subjective data.
Answer: what the person says during the health history; data based on
patient feelings or perspective (patient's pain level)- symptoms
◍ ABCDEF method for skin assessment.
Answer: Asymmetry Border irregularityColor variationDiameter greater
than 6mmElevation or evolutionFunny looking
◍ What specialty is most prone to wrong site surgery?What is the universal
protocol used to prevent this?.
Answer: Orthopedics (anatomic symmetry = laterality errors) Pre-procedure
verification, mark site, perform timeout
◍ novice nurse.
Answer: has no experience with a specified patient population and uses rules
, to guide performance- operates from a set of defined, structured rules- may
be able to effectively collect data (given adequate practice), but then they
may treat all data the same- where we all start
◍ How is the navy a high-risk system with low error rates? How does this
compare to the medical system?.
Answer: High-quality communication under very stressful
conditionsHigh-risk system with high error rates
◍ transduction (phase 1).
Answer: Occurs in response to noxious stimuli -> chemical mediators
trigger neurotransmitters-> neurotransmitters transmit along AFFERENT
nerve fibers to the dorsal horn -> second sets of NTs carry pain signals
◍ cyanosis.
Answer: bluish discoloration of the skin- late hypoxia sign
◍ blood pressure.
Answer: force of blood pushing against side of vessel wall
◍ pressure ulcer stages.
Answer: Stage 1: non-blanchable rednessStage 2: partial thickness loss
Stage 3: full thickness loss, w/o undermining, see fatStage 4: 3+
undermining, see tendon, muscle
◍ duration of percussion.
Answer: length of time sound lingers
◍ aging pain considerations.
Answer: no evidence exists to suggest that older individuals perceive pain to
a lesser degree or sensitivity- pain is not a normal process of aging!;
indicates pathology or injury*dementia does not impact ability to feel pain,
only self-reporting tools
◍ complex regional pain syndrome (CPRS).
Answer: chronic progressive nerve condition- innocuous stimulus (light
brush of a cotton ball can cause severe, intense pain)
, ◍ BP is determine by:.
Answer: cardiac output, peripheral vascular resistance, volume of circulation
blood, elasticity of vessel walls
◍ epidermis.
Answer: outer layer of skin 0.05 to 0.1mm thick; avascular- regenerates with
new skin cells every 28 days for protection- basal cell layer forms new skin
cells- outer horny cell layer of dead keratinized cellsmelanocytes and
keratinocytes
◍ 37C =.
Answer: 98.6F- normal body temperature
◍ visceral pain.
Answer: originates from larger internal organs due to direct injury or
stretching of the organ- dull, deep, squeezing, or cramping- vomiting,
nausea, pallor, and diaphoresis
◍ According to the surgical safety checklist, what is done before induction of
anesthesia?.
Answer: Patient verifies identity, consent, procedure, site (MARK) Verify
allergies, airway difficulty, aspiration risk, and >500mL blood loss risk
(have blood ready)Check equipment and medications
◍ feedback mechanism.
Answer: how the body maintains steady temperature- regulated in
hypothalamus- balances heat production with heat loss
◍ where do we want to take temperature on babies?.
Answer: axillary temp
◍ What is included in Situation?What is included in Background?What is
included in Assessment?What is included in Recommendations?.
Answer: Name, age, physician, diagnosisHistory, home meds, allergiesMeds
given, vitals, IVs, labs, stable vs. unstablePlan, consults, patient updates
◍ breakthrough pain.
WITH CORRECT ANSWERS GRADED A+
◍ diastolic pressure.
Answer: elastic recoil, or resting, pressure that blood exerts constantly
between each contraction
◍ How do we limit distractions in the OR?.
Answer: No non-essential conversationsTurn off all technology No
non-essential personnel
◍ Religion.
Answer: refers to an organized system of beliefs as a shared experience that
can assist in meeting one's individual spiritual needs
◍ proficient.
Answer: adding to time and experience; understanding the patient situation
as a whole - rather than as individual parts and applying long term goals.
◍ subjective data.
Answer: what the person says during the health history; data based on
patient feelings or perspective (patient's pain level)- symptoms
◍ ABCDEF method for skin assessment.
Answer: Asymmetry Border irregularityColor variationDiameter greater
than 6mmElevation or evolutionFunny looking
◍ What specialty is most prone to wrong site surgery?What is the universal
protocol used to prevent this?.
Answer: Orthopedics (anatomic symmetry = laterality errors) Pre-procedure
verification, mark site, perform timeout
◍ novice nurse.
Answer: has no experience with a specified patient population and uses rules
, to guide performance- operates from a set of defined, structured rules- may
be able to effectively collect data (given adequate practice), but then they
may treat all data the same- where we all start
◍ How is the navy a high-risk system with low error rates? How does this
compare to the medical system?.
Answer: High-quality communication under very stressful
conditionsHigh-risk system with high error rates
◍ transduction (phase 1).
Answer: Occurs in response to noxious stimuli -> chemical mediators
trigger neurotransmitters-> neurotransmitters transmit along AFFERENT
nerve fibers to the dorsal horn -> second sets of NTs carry pain signals
◍ cyanosis.
Answer: bluish discoloration of the skin- late hypoxia sign
◍ blood pressure.
Answer: force of blood pushing against side of vessel wall
◍ pressure ulcer stages.
Answer: Stage 1: non-blanchable rednessStage 2: partial thickness loss
Stage 3: full thickness loss, w/o undermining, see fatStage 4: 3+
undermining, see tendon, muscle
◍ duration of percussion.
Answer: length of time sound lingers
◍ aging pain considerations.
Answer: no evidence exists to suggest that older individuals perceive pain to
a lesser degree or sensitivity- pain is not a normal process of aging!;
indicates pathology or injury*dementia does not impact ability to feel pain,
only self-reporting tools
◍ complex regional pain syndrome (CPRS).
Answer: chronic progressive nerve condition- innocuous stimulus (light
brush of a cotton ball can cause severe, intense pain)
, ◍ BP is determine by:.
Answer: cardiac output, peripheral vascular resistance, volume of circulation
blood, elasticity of vessel walls
◍ epidermis.
Answer: outer layer of skin 0.05 to 0.1mm thick; avascular- regenerates with
new skin cells every 28 days for protection- basal cell layer forms new skin
cells- outer horny cell layer of dead keratinized cellsmelanocytes and
keratinocytes
◍ 37C =.
Answer: 98.6F- normal body temperature
◍ visceral pain.
Answer: originates from larger internal organs due to direct injury or
stretching of the organ- dull, deep, squeezing, or cramping- vomiting,
nausea, pallor, and diaphoresis
◍ According to the surgical safety checklist, what is done before induction of
anesthesia?.
Answer: Patient verifies identity, consent, procedure, site (MARK) Verify
allergies, airway difficulty, aspiration risk, and >500mL blood loss risk
(have blood ready)Check equipment and medications
◍ feedback mechanism.
Answer: how the body maintains steady temperature- regulated in
hypothalamus- balances heat production with heat loss
◍ where do we want to take temperature on babies?.
Answer: axillary temp
◍ What is included in Situation?What is included in Background?What is
included in Assessment?What is included in Recommendations?.
Answer: Name, age, physician, diagnosisHistory, home meds, allergiesMeds
given, vitals, IVs, labs, stable vs. unstablePlan, consults, patient updates
◍ breakthrough pain.
