Medical-Surgical Nursing Exam 1 Jersey
College Questions with Complete
Solutions (Latest 2025)
Strategies for reducing fever/hyperthermia treatment -
Correct Answers ✅-removing all bedding over the patient
(with the possible exception of a light sheet, towel, or small
drape)
-administering acetaminophen as prescribed
-giving cool sponge baths and allowing an electric fan to blow
over the patient to increase surface cooling
-using a hypothermia blanket
-frequent temperature monitoring to assess the patient's
response to the therapy and to prevent an excessive
decrease in temperature and shivering
Early indicators of increasing ICP - Correct Answers ✅-
change in LOC
-agitation
-slowing of speech
-and delay in response to verbal suggestions are other early
indicators
GLASGOW COMA SCALE - Eye Opening - Correct Answers
✅4 spontaneous
3 to voice
2 to pain
1 none
, Medical-Surgical Nursing Exam 1 Jersey
College Questions with Complete
Solutions (Latest 2025)
GLASGOW COMA SCALE -Best Verbal Response - Correct
Answers ✅5 oriented
4 confused
3 inappropriate words
2 incomprehensible sounds
1 none
GLASGOW COMA SCALE - Best Motor Response - Correct
Answers ✅6 obeys commands
5 localizes pain
4 withdraws
3 flexion
2 extension
1 none
How should the patient who is unconscious have their
temperature taken? - Correct Answers ✅Rectally or
tympanic. NEVER BY MOUTH.
List interventions to decrease ventilator-associated
pneumonia. (4) - Correct Answers ✅-mouth care with
antiseptic such as chlorhexidine
College Questions with Complete
Solutions (Latest 2025)
Strategies for reducing fever/hyperthermia treatment -
Correct Answers ✅-removing all bedding over the patient
(with the possible exception of a light sheet, towel, or small
drape)
-administering acetaminophen as prescribed
-giving cool sponge baths and allowing an electric fan to blow
over the patient to increase surface cooling
-using a hypothermia blanket
-frequent temperature monitoring to assess the patient's
response to the therapy and to prevent an excessive
decrease in temperature and shivering
Early indicators of increasing ICP - Correct Answers ✅-
change in LOC
-agitation
-slowing of speech
-and delay in response to verbal suggestions are other early
indicators
GLASGOW COMA SCALE - Eye Opening - Correct Answers
✅4 spontaneous
3 to voice
2 to pain
1 none
, Medical-Surgical Nursing Exam 1 Jersey
College Questions with Complete
Solutions (Latest 2025)
GLASGOW COMA SCALE -Best Verbal Response - Correct
Answers ✅5 oriented
4 confused
3 inappropriate words
2 incomprehensible sounds
1 none
GLASGOW COMA SCALE - Best Motor Response - Correct
Answers ✅6 obeys commands
5 localizes pain
4 withdraws
3 flexion
2 extension
1 none
How should the patient who is unconscious have their
temperature taken? - Correct Answers ✅Rectally or
tympanic. NEVER BY MOUTH.
List interventions to decrease ventilator-associated
pneumonia. (4) - Correct Answers ✅-mouth care with
antiseptic such as chlorhexidine
