NURS 365 NURSING SCIENCE (2025-
2026) EXAM 3 STUDY GUIDE, (with
all information you need to pass)
FALL SERIES VIRGINIA
COMMONWEALTH UNIVERSITY
,Test 3: Breakdown of test questions
● Please note this is not an all-inclusive list of test items
● Test 3 is not cumulative. However, some concepts will from the early modules will be applied on this test (e.g.
patient teaching principles and postoperative care).
● Test 3 has 50 questions. Most items are multiple choice, but a few items may be multiple answer (select all that
apply).
● The time limit is 75 minutes.
● Partial credit is not awarded for select all that apply/multiple response items.
o Note: “Select all that apply”/multiple response questions may have 2 or more correct answers. It is
possible for all of the options to be correct for these types of questions.
● Generic names and pharmacotherapeutic class will be provided for medications
Unit 10 Pulmonary: 18 questions
● Pneumonia
o Clinical manifestations
Sudden onset of fever
Shaking chills
SOB = quick and shallow breathing
Nasal flaring
Cough productive of purulent sputum
Pleuritic chest pain
Adventitious breath sound
o Priorities for nursing care
vaccines= prevention
Prevention for at risk patients
● Elevate head of bed 30 -45 degrees for pt with feeding tubes
● Aspirations precautions
● Assist immobile patients with turning and deep breathing
Acute interventions
● Specimens collection
● Respiratory assessment
● Pulse ox
, ● O2 therapy
● Hydration
● Nutritional support
● Breathing exercises
● Early ambulation
o Medications (general principles—antibiotics, expectorants, antipyretics, pain)
antibiotics
expectorants
antipyretics = fever present
● Tuberculosis
o Interpretation of tuberculin skin testing
>5mm= immunocompromised pt people with close personal contact to infected person
>10mm= recent immigrants from area with increased TB incidence, IV drug users, residents or
employees or prisons,SNFs, Homeless shelters
>15mm= no known risk factors
o Adherence to therapy
teach pt symptoms of recurrence
drug therapy used to prevent or treat active disease
noncompliance is major factor in multidrug resistance and treatment failures
o Preventing spread of infection at
home:
● well ventilates
● sleep alone= spend tinme outside
● minimize public setting
● teach pt to cover nose and mouth when coughing or sneezing
● hand washing
●
hospital
● private room
● negative pressure airflow of 6-12 exchanges per hour
● High efficiency particulate air masks
● pt should wear mask as well
2026) EXAM 3 STUDY GUIDE, (with
all information you need to pass)
FALL SERIES VIRGINIA
COMMONWEALTH UNIVERSITY
,Test 3: Breakdown of test questions
● Please note this is not an all-inclusive list of test items
● Test 3 is not cumulative. However, some concepts will from the early modules will be applied on this test (e.g.
patient teaching principles and postoperative care).
● Test 3 has 50 questions. Most items are multiple choice, but a few items may be multiple answer (select all that
apply).
● The time limit is 75 minutes.
● Partial credit is not awarded for select all that apply/multiple response items.
o Note: “Select all that apply”/multiple response questions may have 2 or more correct answers. It is
possible for all of the options to be correct for these types of questions.
● Generic names and pharmacotherapeutic class will be provided for medications
Unit 10 Pulmonary: 18 questions
● Pneumonia
o Clinical manifestations
Sudden onset of fever
Shaking chills
SOB = quick and shallow breathing
Nasal flaring
Cough productive of purulent sputum
Pleuritic chest pain
Adventitious breath sound
o Priorities for nursing care
vaccines= prevention
Prevention for at risk patients
● Elevate head of bed 30 -45 degrees for pt with feeding tubes
● Aspirations precautions
● Assist immobile patients with turning and deep breathing
Acute interventions
● Specimens collection
● Respiratory assessment
● Pulse ox
, ● O2 therapy
● Hydration
● Nutritional support
● Breathing exercises
● Early ambulation
o Medications (general principles—antibiotics, expectorants, antipyretics, pain)
antibiotics
expectorants
antipyretics = fever present
● Tuberculosis
o Interpretation of tuberculin skin testing
>5mm= immunocompromised pt people with close personal contact to infected person
>10mm= recent immigrants from area with increased TB incidence, IV drug users, residents or
employees or prisons,SNFs, Homeless shelters
>15mm= no known risk factors
o Adherence to therapy
teach pt symptoms of recurrence
drug therapy used to prevent or treat active disease
noncompliance is major factor in multidrug resistance and treatment failures
o Preventing spread of infection at
home:
● well ventilates
● sleep alone= spend tinme outside
● minimize public setting
● teach pt to cover nose and mouth when coughing or sneezing
● hand washing
●
hospital
● private room
● negative pressure airflow of 6-12 exchanges per hour
● High efficiency particulate air masks
● pt should wear mask as well
