NUR 220 FINAL EXAM REVIEW UPDATED
ACTUAL Questions and CORRECT Answers
Sleep Assessment Sleep patterns, duration, disturbances, naps
Sleep Interventions Maintain routine, reduce noise/light, limit
caffeine, promote relaxation (music, warm bath)
Interfering factors for Sleep Pain, anxiety, illness, meds, environment
Pain Assessment PQRST (Provokes, Quality, Region, Severity, Time)
Acute Pain Sudden, short-term
Chronic Pain >6 months, persistent
Non-pharm management of Pain Heat/cold, massage, relaxation/distraction
PCA (Patient-Controlled Analgesia) Only patient presses button, monitor RR
(respiratory depression risk), 2 RN verify
Ventilation Air moving in and out of the lungs
Perfusion Oxygen delivered to the tissues
Diffusion Exchange of oxygen and CO2 between the heart
and lungs
, Surfactant Keeps alveoli open
Oxygen devices Nasal cannula (1-6 L), Simple mask, Non-
rebreather (highest O2)
COPD care Low O2 (2-3 L NC), tripod position, pursed-lip
breathing, avoid high oxygen (suppresses drive)
Atelectasis teaching Incentive spirometer, deep breathing/coughing,
early ambulation
Cardiac Output (CO) CO = HR × Stroke Volume
Low CO signs and symptoms Hypotension, weak pulses, confusion, decreased
urine output
Heart Failure Right Side Edema, JVD, weight gain. Think right - round belly
Heart Failure Left Side Crackles, SOB, pulmonary edema. Think left -
lungs
FVE (Fluid Volume Excess) Edema, crackles, weight gain
FVD (Fluid Volume Deficit) Dry skin, hypotension, tachycardia
IV Fluids Isotonic 0.9% normal saline, lactated ringer
ACTUAL Questions and CORRECT Answers
Sleep Assessment Sleep patterns, duration, disturbances, naps
Sleep Interventions Maintain routine, reduce noise/light, limit
caffeine, promote relaxation (music, warm bath)
Interfering factors for Sleep Pain, anxiety, illness, meds, environment
Pain Assessment PQRST (Provokes, Quality, Region, Severity, Time)
Acute Pain Sudden, short-term
Chronic Pain >6 months, persistent
Non-pharm management of Pain Heat/cold, massage, relaxation/distraction
PCA (Patient-Controlled Analgesia) Only patient presses button, monitor RR
(respiratory depression risk), 2 RN verify
Ventilation Air moving in and out of the lungs
Perfusion Oxygen delivered to the tissues
Diffusion Exchange of oxygen and CO2 between the heart
and lungs
, Surfactant Keeps alveoli open
Oxygen devices Nasal cannula (1-6 L), Simple mask, Non-
rebreather (highest O2)
COPD care Low O2 (2-3 L NC), tripod position, pursed-lip
breathing, avoid high oxygen (suppresses drive)
Atelectasis teaching Incentive spirometer, deep breathing/coughing,
early ambulation
Cardiac Output (CO) CO = HR × Stroke Volume
Low CO signs and symptoms Hypotension, weak pulses, confusion, decreased
urine output
Heart Failure Right Side Edema, JVD, weight gain. Think right - round belly
Heart Failure Left Side Crackles, SOB, pulmonary edema. Think left -
lungs
FVE (Fluid Volume Excess) Edema, crackles, weight gain
FVD (Fluid Volume Deficit) Dry skin, hypotension, tachycardia
IV Fluids Isotonic 0.9% normal saline, lactated ringer
