NSG 316 FINAL EXAM 2026-2027 SPRING
PRACTICE QUESTIONS AND ANSWERS
GRADED A+
Which of these are components of a functional assessment? (Select all that apply)
a. vision and hearing
b. mobility
c. continence
d. nutrition
e. ADL-IADL
Answer: all of them :)
A functional assessment also includes mental status, affect, home environment, and
social support!
What is the key to understanding cultural diversity?
Being self-aware and having knowledge of one's own culture
FICA is an assessment tool used to determine a patient's spiritual history. What
does FICA stand for?
F = faith
I = importance/influence
C = community
A = address/action
,What components should be assessed and asked about when completing a cultural
assessment?
Heritage, health practices, communication, family roles & social orientation,
nutrition, pregnancy, spirituality/religion, death, and role of health providers
What are the four sources of pain? (Provide some examples for each)
1. Visceral pain = large interior organs (e.g., appendicitis, gallstones)
2. Deep somatic pain = blood vessels, joints, tendons, muscles, and bone injury
(e.g., sprain, broken bone)
3. Cutaneous pain = skin surface and subcutaneous tissues (e.g., paper cut)
4. Referred pain = felt at a particular site but originates from another location (e.g.,
left arm hurting during an MI although the issue is with the heart)
A patient is crying and says, "Please get me something to relieve this pain." What
should the nurse do next?
a. Verify that the patient has an order for pain medications and administer order as
directed
b. Assess the level of pain and ask patient what usually works for his or her pain,
administer pain medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and then
reassess pain
d. Reposition the patient, then reassess the pain after intervention
Answer: B
,Answers A, C, and D are incorrect because pain management should be
collaborative, and the patient is not part of the decision making process in these
answers.
Pain is always ____?
Subjective!
A patient with a severe muscle cramp tells the nurse, "The pain is a little better
when I massage the muscle or apply a cold pack." Which criterion of the PQRST
method of pain assessment is addressed in the patient's statement?
a. Severity Scale
b. Quality/Quantity
c. Region/Radiation
d. Provocation/Palliation
Answer: d
PQRST is a pain assessment scale; it stands for Provocation/Palliation,
Quality/Quantity, Region/Radiation, Severity Scale, and Timing. Because the
patient is describing methods that provide comfort and relieve the pain, it indicates
that the patient is addressing Provocation/Palliation. If the patient reports about
severity of pain on a scale of 0 to 10, then it indicates that the patient is addressing
Severity. When addressing the Quality/Quantity of the pain, the patient describes
the pain felt. If the patient reports about the site of pain, then the patient is
addressing Region/Radiation.
, Stages of Edema
1+ mild, slight indentation, no perceptible swelling
2+ moderate, indentation subsides rapidly (seconds)
3+ deep, indentation remains for short time (minutes), appears swollen
4+ very deep, indentation lasts long time (hours), appears very swollen
Skin assessment for a head-to-toe assessment
1. Check skin for temperature w/ back of hands and inspect
- skin is warm, dry, intact, color is consistent throughout, no lesins, scars, tattoos
noted on exposed skin
2. Skin turgor - appropriate B/L, no tenting noted
3. Upper body edema
4. Radial pulses - strong, palpable, equal, and approximately 2+
5. Capillary refill -
<2 sec B/L
Test for CN V
CN V (trigeminal) - clench jaw, use cotton ball to touch different areas of the face
while patient has eyes closed
Test for CN VII
CN VII (facial) - raise eyebrows, close eyes, puff out cheeks, smile, frown
PRACTICE QUESTIONS AND ANSWERS
GRADED A+
Which of these are components of a functional assessment? (Select all that apply)
a. vision and hearing
b. mobility
c. continence
d. nutrition
e. ADL-IADL
Answer: all of them :)
A functional assessment also includes mental status, affect, home environment, and
social support!
What is the key to understanding cultural diversity?
Being self-aware and having knowledge of one's own culture
FICA is an assessment tool used to determine a patient's spiritual history. What
does FICA stand for?
F = faith
I = importance/influence
C = community
A = address/action
,What components should be assessed and asked about when completing a cultural
assessment?
Heritage, health practices, communication, family roles & social orientation,
nutrition, pregnancy, spirituality/religion, death, and role of health providers
What are the four sources of pain? (Provide some examples for each)
1. Visceral pain = large interior organs (e.g., appendicitis, gallstones)
2. Deep somatic pain = blood vessels, joints, tendons, muscles, and bone injury
(e.g., sprain, broken bone)
3. Cutaneous pain = skin surface and subcutaneous tissues (e.g., paper cut)
4. Referred pain = felt at a particular site but originates from another location (e.g.,
left arm hurting during an MI although the issue is with the heart)
A patient is crying and says, "Please get me something to relieve this pain." What
should the nurse do next?
a. Verify that the patient has an order for pain medications and administer order as
directed
b. Assess the level of pain and ask patient what usually works for his or her pain,
administer pain medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and then
reassess pain
d. Reposition the patient, then reassess the pain after intervention
Answer: B
,Answers A, C, and D are incorrect because pain management should be
collaborative, and the patient is not part of the decision making process in these
answers.
Pain is always ____?
Subjective!
A patient with a severe muscle cramp tells the nurse, "The pain is a little better
when I massage the muscle or apply a cold pack." Which criterion of the PQRST
method of pain assessment is addressed in the patient's statement?
a. Severity Scale
b. Quality/Quantity
c. Region/Radiation
d. Provocation/Palliation
Answer: d
PQRST is a pain assessment scale; it stands for Provocation/Palliation,
Quality/Quantity, Region/Radiation, Severity Scale, and Timing. Because the
patient is describing methods that provide comfort and relieve the pain, it indicates
that the patient is addressing Provocation/Palliation. If the patient reports about
severity of pain on a scale of 0 to 10, then it indicates that the patient is addressing
Severity. When addressing the Quality/Quantity of the pain, the patient describes
the pain felt. If the patient reports about the site of pain, then the patient is
addressing Region/Radiation.
, Stages of Edema
1+ mild, slight indentation, no perceptible swelling
2+ moderate, indentation subsides rapidly (seconds)
3+ deep, indentation remains for short time (minutes), appears swollen
4+ very deep, indentation lasts long time (hours), appears very swollen
Skin assessment for a head-to-toe assessment
1. Check skin for temperature w/ back of hands and inspect
- skin is warm, dry, intact, color is consistent throughout, no lesins, scars, tattoos
noted on exposed skin
2. Skin turgor - appropriate B/L, no tenting noted
3. Upper body edema
4. Radial pulses - strong, palpable, equal, and approximately 2+
5. Capillary refill -
<2 sec B/L
Test for CN V
CN V (trigeminal) - clench jaw, use cotton ball to touch different areas of the face
while patient has eyes closed
Test for CN VII
CN VII (facial) - raise eyebrows, close eyes, puff out cheeks, smile, frown
