Advanced Med-Surg Principles Jersey
College Exam 1 Exam Q & As (Verified
Answers) 2026 graded A+
What during labor increases the risk of neonate aquiring acute encephalitis? - CORRECT ANSWERS
active herpes simplex virus-2
How do you administer meds? - CORRECT ANSWERS starting with the lowest
dose and titrating up slowly
What is pain is associated with? - CORRECT ANSWERS actual or potential tissue
damage
When pain stimulates the sympathetic nervous system, what does it result in? - CORRECT ANSWERS
- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - CORRECT ANSWERS adrenal
medulla
Where are steroid hormones (cortisol & aldosterone) released from? - CORRECT ANSWERS
adrenal cortex
What does unrelieved pain lead to? - CORRECT ANSWERS - increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
,What initiates inflammation, contributes to tissue sweeling, and pain? - CORRECT ANSWERS
Prostaglandins
What can nerve root injury lead to? - CORRECT ANSWERS allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? - CORRECT ANSWERS Prostaglandin
Pain is? - CORRECT ANSWERS whatever the patient says it is
What is the single most reliable indicator of pain? - CORRECT ANSWERS the
patient's self-report
How do NSAID's preimarily produce pain relief? - CORRECT ANSWERS by
preventing prostaglandin formation
What does acetaminphen not have? - CORRECT ANSWERS any inflammatory
properties
What do you manage nociceptive pain with? - CORRECT ANSWERS - local
anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - CORRECT ANSWERS
no pain
,What does the Wong-Baker FACES pain scale consist of? - CORRECT ANSWERS
cartoon faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? - CORRECT ANSWERS no
pain to the worst pain, the patient marks a spot somewhere in between indicating their pain level
What pain scale helps indiviuals describe the intensity of pain? - CORRECT ANSWERS
verbal descriptor scale
What does a comprehensive pain assessment consist of? - CORRECT ANSWERS -
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - CORRECT ANSWERS
thrombocytopenic
What type of effect do topical agents produce? - CORRECT ANSWERS local
What type of effect do transdermal agents produce? - CORRECT ANSWERS drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients? - CORRECT ANSWERS
provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain? - CORRECT ANSWERS
provide analgesics, never wait for chronic pain to reoccur
, What is provided for mild to moderate pain? - CORRECT ANSWERS aspirin or
acetaminaphen
What is provided for moderate pain? - CORRECT ANSWERS NSAID's
What is provided for severe pain? - CORRECT ANSWERS morphine
Why would you wake patients who have chronic pain or who have moderate to severe pain folowing
surgery? - CORRECT ANSWERS to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - CORRECT ANSWERS
hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - CORRECT ANSWERS
4,000 mg/day
What can NSAID's meds result in? - CORRECT ANSWERS - gastric ulcers
- contribute to CV events (MI or stroke)
What can the use of NSAID's lead to in patients with volume depletion or who take it for chronic pain? -
CORRECT ANSWERS acute renal failure
What undesirable effects do opioids produce? - CORRECT ANSWERS -
constipation
- nausea
- pupil constriction
- respiratory distress
College Exam 1 Exam Q & As (Verified
Answers) 2026 graded A+
What during labor increases the risk of neonate aquiring acute encephalitis? - CORRECT ANSWERS
active herpes simplex virus-2
How do you administer meds? - CORRECT ANSWERS starting with the lowest
dose and titrating up slowly
What is pain is associated with? - CORRECT ANSWERS actual or potential tissue
damage
When pain stimulates the sympathetic nervous system, what does it result in? - CORRECT ANSWERS
- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - CORRECT ANSWERS adrenal
medulla
Where are steroid hormones (cortisol & aldosterone) released from? - CORRECT ANSWERS
adrenal cortex
What does unrelieved pain lead to? - CORRECT ANSWERS - increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
,What initiates inflammation, contributes to tissue sweeling, and pain? - CORRECT ANSWERS
Prostaglandins
What can nerve root injury lead to? - CORRECT ANSWERS allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? - CORRECT ANSWERS Prostaglandin
Pain is? - CORRECT ANSWERS whatever the patient says it is
What is the single most reliable indicator of pain? - CORRECT ANSWERS the
patient's self-report
How do NSAID's preimarily produce pain relief? - CORRECT ANSWERS by
preventing prostaglandin formation
What does acetaminphen not have? - CORRECT ANSWERS any inflammatory
properties
What do you manage nociceptive pain with? - CORRECT ANSWERS - local
anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - CORRECT ANSWERS
no pain
,What does the Wong-Baker FACES pain scale consist of? - CORRECT ANSWERS
cartoon faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? - CORRECT ANSWERS no
pain to the worst pain, the patient marks a spot somewhere in between indicating their pain level
What pain scale helps indiviuals describe the intensity of pain? - CORRECT ANSWERS
verbal descriptor scale
What does a comprehensive pain assessment consist of? - CORRECT ANSWERS -
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - CORRECT ANSWERS
thrombocytopenic
What type of effect do topical agents produce? - CORRECT ANSWERS local
What type of effect do transdermal agents produce? - CORRECT ANSWERS drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients? - CORRECT ANSWERS
provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain? - CORRECT ANSWERS
provide analgesics, never wait for chronic pain to reoccur
, What is provided for mild to moderate pain? - CORRECT ANSWERS aspirin or
acetaminaphen
What is provided for moderate pain? - CORRECT ANSWERS NSAID's
What is provided for severe pain? - CORRECT ANSWERS morphine
Why would you wake patients who have chronic pain or who have moderate to severe pain folowing
surgery? - CORRECT ANSWERS to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - CORRECT ANSWERS
hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - CORRECT ANSWERS
4,000 mg/day
What can NSAID's meds result in? - CORRECT ANSWERS - gastric ulcers
- contribute to CV events (MI or stroke)
What can the use of NSAID's lead to in patients with volume depletion or who take it for chronic pain? -
CORRECT ANSWERS acute renal failure
What undesirable effects do opioids produce? - CORRECT ANSWERS -
constipation
- nausea
- pupil constriction
- respiratory distress
