Advanced Med-Surg Principles Jersey
College Exam 1
(2025-2026)
Question and Answers
Expert Verified
(With A+ Grades Guarantee)
,What during labor increases the risk of neonate aquiring active herpes simplex virus-2
acute encephalitis?
How do you administer meds? starting with the lowest dose and titrating up slowly
What is pain is associated with? actual or potential tissue damage
When pain stimulates the sympathetic nervous system, - increase in BP
what does it result in? - increase in HR
- increase in RR
Where are catecholamines released from? adrenal medulla
Where are steroid hormones (cortisol & aldosterone) adrenal cortex
released from?
What does unrelieved pain lead to? - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, Prostaglandins
and pain?
What can nerve root injury lead to? allodynia (pain that is associated with non-noxious stimuli)
What is needed for renal blood flow? Prostaglandin
Pain is? whatever the patient says it is
What is the single most reliable indicator of pain? the patient's self-report
How do NSAID's preimarily produce pain relief? by preventing prostaglandin formation
What does acetaminphen not have? any inflammatory properties
What do you manage nociceptive pain with? - local anesthetics
- non-opioids
- opioids
, What does 0 on the 0 - 10 numeric pain rating scale no pain
indicate?
What does the Wong-Baker FACES pain scale consist of? cartoon faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? 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 verbal descriptor scale
pain?
What does a comprehensive pain assessment consist of? - duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med thrombocytopenic
administration?
What type of effect do topical agents produce? local
What type of effect do transdermal agents produce? drug absorption into the systemic circulation
What would help reduce complications related to pain for provide a PCA
patients?
How do we administer around the clock pain relief for post- provide analgesics, never wait for chronic pain to reoccur
op and chronic pain?
What is provided for mild to moderate pain? aspirin or acetaminaphen
What is provided for moderate pain? NSAID's
What is provided for severe pain? morphine
Why would you wake patients who have chronic pain or to administer prescribed analgcsics
who have moderate to severe pain folowing surgery?
What can excessive use of acetaminophen cause? hepatoxicity
College Exam 1
(2025-2026)
Question and Answers
Expert Verified
(With A+ Grades Guarantee)
,What during labor increases the risk of neonate aquiring active herpes simplex virus-2
acute encephalitis?
How do you administer meds? starting with the lowest dose and titrating up slowly
What is pain is associated with? actual or potential tissue damage
When pain stimulates the sympathetic nervous system, - increase in BP
what does it result in? - increase in HR
- increase in RR
Where are catecholamines released from? adrenal medulla
Where are steroid hormones (cortisol & aldosterone) adrenal cortex
released from?
What does unrelieved pain lead to? - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, Prostaglandins
and pain?
What can nerve root injury lead to? allodynia (pain that is associated with non-noxious stimuli)
What is needed for renal blood flow? Prostaglandin
Pain is? whatever the patient says it is
What is the single most reliable indicator of pain? the patient's self-report
How do NSAID's preimarily produce pain relief? by preventing prostaglandin formation
What does acetaminphen not have? any inflammatory properties
What do you manage nociceptive pain with? - local anesthetics
- non-opioids
- opioids
, What does 0 on the 0 - 10 numeric pain rating scale no pain
indicate?
What does the Wong-Baker FACES pain scale consist of? cartoon faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? 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 verbal descriptor scale
pain?
What does a comprehensive pain assessment consist of? - duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med thrombocytopenic
administration?
What type of effect do topical agents produce? local
What type of effect do transdermal agents produce? drug absorption into the systemic circulation
What would help reduce complications related to pain for provide a PCA
patients?
How do we administer around the clock pain relief for post- provide analgesics, never wait for chronic pain to reoccur
op and chronic pain?
What is provided for mild to moderate pain? aspirin or acetaminaphen
What is provided for moderate pain? NSAID's
What is provided for severe pain? morphine
Why would you wake patients who have chronic pain or to administer prescribed analgcsics
who have moderate to severe pain folowing surgery?
What can excessive use of acetaminophen cause? hepatoxicity
