ETELPMOC • 3 MAXE
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Fundamentals of Nursing — Exam 3
CO M P L E T E CO M P R E H E N S I V E R E V I E W — PA I N , S L E E P, P E R I O P E R AT I V E , W O U N D C A R E &
D O CU M E N TAT I O N
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 3
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Exam 3 — Pain, Perioperative & Wound TOTAL QUESTIONS Complete Study Guide — All Topics
Care
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / True-False — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive Exam 3 covers pain management (acute vs. chronic, HILDA assessment, gate control theory,
pharmacological interventions), sleep stages (NREM 1-3, REM), perioperative nursing (pre/intra/postoperative phases,
circulating/scrub nurse roles), wound healing (phases, drainage types, CDC classification, dehiscence/evisceration), pressure
injuries, documentation (EHR, SBAR, SOAP, IDEAL discharge), and nutrition/mobility.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 3 core concepts.
SECTION I — PAIN MANAGEMENT, SLEEP & PERIOPERATIVE NURSING Part A
1. Acute pain is best defined as:
A. Pain lasting longer than 6 months.
B. Intense pain of short duration, usually less than 6 months.
C. Pain that is always mild.
D. Pain that only occurs after surgery.
CORRECT ANSWER B — Intense and of short duration, usually less than 6 months.
RATIONALE Acute pain is typically sudden onset, associated with tissue injury, and resolves as healing occurs. Chronic
pain persists beyond 6 months. Fatigue, sleep disturbances, and depression have a synergistic relationship
with pain, amplifying pain perception.
, 2. The HILDA pain assessment guide stands for:
A. Heat, Ice, Location, Duration, Assessment.
B. How does pain feel, Intensity, Location, Duration, Aggravating factors.
C. History, Inspection, Listening, Documentation, Action.
D. Heat, Intensity, Location, Duration, Alleviating factors.
CORRECT ANSWER B — How does pain feel, Intensity (0-10), Location, Duration, Aggravating factors.
RATIONALE HILDA guides comprehensive pain assessment: H-How does the pain feel? I-Intensity (0-10 scale), L-Location,
D-Duration, A-Aggravating factors. The Numeric Rating Scale and Wong-Baker FACES scale are commonly
used pain scales.
3. REM sleep is characterized by:
A. Very light sleep, only a few minutes long, easily awakened.
B. Deeper sleep lasting 10-20 minutes with increased relaxation.
C. Slow wave/delta sleep providing psychological rest.
D. Vivid dreaming occurring about 90 minutes after falling asleep, recurring every 90 minutes, average length 20
minutes.
CORRECT ANSWER D — Vivid dreaming, begins ~90 min after falling asleep, recurs every 90 min, ~20 min duration.
RATIONALE Sleep stages: NREM Stage 1—very light, few minutes, easily awakened, vitals/metabolism decreasing. NREM
Stage 2—deeper, 10-20 min, more stimulation needed to awaken. NREM Stage 3—slow wave/delta sleep,
psychological rest. REM—vivid dreaming, ~90 min after sleep onset, recurring cyclically.
4. The three perioperative phases in correct order are:
A. Intraoperative, Postoperative, Preoperative.
B. Preoperative, Intraoperative, Postoperative.
C. Postoperative, Preoperative, Intraoperative.
D. Preoperative, Postoperative, Intraoperative.
CORRECT ANSWER B — Preoperative, Intraoperative, Postoperative.
RATIONALE Preoperative: physical/psychological preparation before surgery. Intraoperative: from OR bed transfer to
PACU transfer. Postoperative: immediate post-surgery through rehabilitation/recuperation. Informed consent
requires full understanding of risks, benefits, and alternatives.
5. The circulating nurse is responsible for:
A. Handling sterile equipment and supplies during surgery.
B. Coordinating care before/during/after surgery, verifying consent forms, providing emotional support, ensuring client
safety/positioning/monitoring, and enforcing policies including the time out.
C. Only administering anesthesia.
D. Only documenting the procedure.
CORRECT ANSWER B — Coordinating care, verifying consent, emotional support, safety/positioning/monitoring,
enforcing policies.
RATIONALE The circulating nurse is non-sterile and manages the OR environment. The scrub nurse (A) wears sterile attire
and handles sterile equipment/supplies. Surgical risk factors include age, nutrition, obesity, and infections.
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Fundamentals of Nursing — Exam 3
CO M P L E T E CO M P R E H E N S I V E R E V I E W — PA I N , S L E E P, P E R I O P E R AT I V E , W O U N D C A R E &
D O CU M E N TAT I O N
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 3
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Exam 3 — Pain, Perioperative & Wound TOTAL QUESTIONS Complete Study Guide — All Topics
Care
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / True-False — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive Exam 3 covers pain management (acute vs. chronic, HILDA assessment, gate control theory,
pharmacological interventions), sleep stages (NREM 1-3, REM), perioperative nursing (pre/intra/postoperative phases,
circulating/scrub nurse roles), wound healing (phases, drainage types, CDC classification, dehiscence/evisceration), pressure
injuries, documentation (EHR, SBAR, SOAP, IDEAL discharge), and nutrition/mobility.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 3 core concepts.
SECTION I — PAIN MANAGEMENT, SLEEP & PERIOPERATIVE NURSING Part A
1. Acute pain is best defined as:
A. Pain lasting longer than 6 months.
B. Intense pain of short duration, usually less than 6 months.
C. Pain that is always mild.
D. Pain that only occurs after surgery.
CORRECT ANSWER B — Intense and of short duration, usually less than 6 months.
RATIONALE Acute pain is typically sudden onset, associated with tissue injury, and resolves as healing occurs. Chronic
pain persists beyond 6 months. Fatigue, sleep disturbances, and depression have a synergistic relationship
with pain, amplifying pain perception.
, 2. The HILDA pain assessment guide stands for:
A. Heat, Ice, Location, Duration, Assessment.
B. How does pain feel, Intensity, Location, Duration, Aggravating factors.
C. History, Inspection, Listening, Documentation, Action.
D. Heat, Intensity, Location, Duration, Alleviating factors.
CORRECT ANSWER B — How does pain feel, Intensity (0-10), Location, Duration, Aggravating factors.
RATIONALE HILDA guides comprehensive pain assessment: H-How does the pain feel? I-Intensity (0-10 scale), L-Location,
D-Duration, A-Aggravating factors. The Numeric Rating Scale and Wong-Baker FACES scale are commonly
used pain scales.
3. REM sleep is characterized by:
A. Very light sleep, only a few minutes long, easily awakened.
B. Deeper sleep lasting 10-20 minutes with increased relaxation.
C. Slow wave/delta sleep providing psychological rest.
D. Vivid dreaming occurring about 90 minutes after falling asleep, recurring every 90 minutes, average length 20
minutes.
CORRECT ANSWER D — Vivid dreaming, begins ~90 min after falling asleep, recurs every 90 min, ~20 min duration.
RATIONALE Sleep stages: NREM Stage 1—very light, few minutes, easily awakened, vitals/metabolism decreasing. NREM
Stage 2—deeper, 10-20 min, more stimulation needed to awaken. NREM Stage 3—slow wave/delta sleep,
psychological rest. REM—vivid dreaming, ~90 min after sleep onset, recurring cyclically.
4. The three perioperative phases in correct order are:
A. Intraoperative, Postoperative, Preoperative.
B. Preoperative, Intraoperative, Postoperative.
C. Postoperative, Preoperative, Intraoperative.
D. Preoperative, Postoperative, Intraoperative.
CORRECT ANSWER B — Preoperative, Intraoperative, Postoperative.
RATIONALE Preoperative: physical/psychological preparation before surgery. Intraoperative: from OR bed transfer to
PACU transfer. Postoperative: immediate post-surgery through rehabilitation/recuperation. Informed consent
requires full understanding of risks, benefits, and alternatives.
5. The circulating nurse is responsible for:
A. Handling sterile equipment and supplies during surgery.
B. Coordinating care before/during/after surgery, verifying consent forms, providing emotional support, ensuring client
safety/positioning/monitoring, and enforcing policies including the time out.
C. Only administering anesthesia.
D. Only documenting the procedure.
CORRECT ANSWER B — Coordinating care, verifying consent, emotional support, safety/positioning/monitoring,
enforcing policies.
RATIONALE The circulating nurse is non-sterile and manages the OR environment. The scrub nurse (A) wears sterile attire
and handles sterile equipment/supplies. Surgical risk factors include age, nutrition, obesity, and infections.
