2025 ADVANCED MED-SURG PRINCIPLES JERSEY COLLEGE EXAM 1
UPDATED EXAM | QUESTIONS AND ANSWERS | 100% VERIFIED
ANSWERS | COMPREHENSIVE EXAM GRADED A
1. What during labor increases the risk of neonate aquiring acute encephali- tis? ANSWER>> active herpes simplex
virus-2
2. How do you administer meds? ANSWER>> starting with the lowest dose and titrating up slowly
3. What is pain is associated with? ANSWER>> actual or potential tissue damage
4. When pain stimulates the sympathetic nervous system, what does it result in? ANSWER>> - increase in BP
- increase in HR
- increase in RR
5. Where are catecholamines released from? ANSWER>> adrenal medulla
6. Where are steroid hormones (cortisol & aldosterone) released from? ANSWER>> adren- al cortex
7. What does unrelieved pain lead to? ANSWER>> - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
8. What initiates inflammation, contributes to tissue sweeling, and pain? ANSWER>> -
Prostaglandins
9. What can nerve root injury lead to? ANSWER>> allodynia (pain that is associated with non-noxious stimuli)
10. What is needed for renal blood flow? ANSWER>> Prostaglandin
11. Pain is? ANSWER>> whatever the patient says it is
12. What is the single most reliable indicator of pain? ANSWER>> the patient's self-report
13. How do NSAID's preimarily produce pain relief? ANSWER>> by preventing prostaglandin formation
,14. What does acetaminphen not have? ANSWER>> any inflammatory properties
15. What do you manage nociceptive pain with? ANSWER>> - local anesthetics
,- non-opioids
- opioids
16. What does 0 on the 0 - 10 numeric pain rating scale indicate? ANSWER>> no pain
17. What does the Wong-Baker FACES pain scale consist of? ANSWER>> cartoon faces that the patient (ages 3 and up)
selects to report thier pain level
18. What does the visual analog 10cm scale represent? ANSWER>> no pain to the worst pain, the patient marks a
spot somewhere in between indicating their pain level
19. What pain scale helps indiviuals describe the intensity of pain? ANSWER>> verbal descriptor scale
20. What does a comprehensive pain assessment consist of? ANSWER>> - duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
21. What patients do we avoid the rectal route for med administration? ANSWER>> throm- bocytopenic
22. What type of effect do topical agents produce? ANSWER>> local
23. What type of effect do transdermal agents produce? ANSWER>> drug absorption into the systemic
circulation
24. What would help reduce complications related to pain for patients? ANSWER>> pro- vide a PCA
25. How do we administer around the clock pain relief for post-op and chronic pain? ANSWER>> provide
analgesics, never wait for chronic pain to reoccur
26. What is provided for mild to moderate pain? ANSWER>> aspirin or acetaminaphen
27. What is provided for moderate pain? ANSWER>> NSAID's
28. What is provided for severe pain? ANSWER>> morphine
29. Why would you wake patients who have chronic pain or who have moder- ate to severe pain folowing surgery?
ANSWER>> to administer prescribed analgcsics
30. What can excessive use of acetaminophen cause? ANSWER>> hepatoxicity
31. What does of acetaminophen could lead to hepatoxicity? ANSWER>> 4,000 mg/day
, 32. What can NSAID's meds result in? ANSWER>> - gastric ulcers
- contribute to CV events (MI or stroke)
33. What can the use of NSAID's lead to in patients with volume depletion or who take it for chronic pain? ANSWER>>
acute renal failure
34. What undesirable effects do opioids produce? ANSWER>> - constipation
- nausea
- pupil constriction
- respiratory distress
35. Physical dependence and tolerance are not the same as what? ANSWER>> addiction
36. Why do you never apply heat over a transdermal patch? ANSWER>> it could increase absorption and result in
lethal complications
37. How should you manage neuropathic pain? ANSWER>> with adjuvant meds such as antidepressants or
anticonvulsants
38. What should not be used in a clincial practice that it would violate the nurse-patient relationship?
ANSWER>> placebos
39. What are some non-pharmacologic pain management strategies? ANSWER>> - physi- cal modalities
- mind-body methods
- biologic and energy-based therapies
40. What are the clinical manifestations of hyponatremia? ANSWER>> - headaches
- seizures
- lethargy
- tachycardia
- decreased BP
- thready pulse
- hyperactive bowel sounds
UPDATED EXAM | QUESTIONS AND ANSWERS | 100% VERIFIED
ANSWERS | COMPREHENSIVE EXAM GRADED A
1. What during labor increases the risk of neonate aquiring acute encephali- tis? ANSWER>> active herpes simplex
virus-2
2. How do you administer meds? ANSWER>> starting with the lowest dose and titrating up slowly
3. What is pain is associated with? ANSWER>> actual or potential tissue damage
4. When pain stimulates the sympathetic nervous system, what does it result in? ANSWER>> - increase in BP
- increase in HR
- increase in RR
5. Where are catecholamines released from? ANSWER>> adrenal medulla
6. Where are steroid hormones (cortisol & aldosterone) released from? ANSWER>> adren- al cortex
7. What does unrelieved pain lead to? ANSWER>> - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
8. What initiates inflammation, contributes to tissue sweeling, and pain? ANSWER>> -
Prostaglandins
9. What can nerve root injury lead to? ANSWER>> allodynia (pain that is associated with non-noxious stimuli)
10. What is needed for renal blood flow? ANSWER>> Prostaglandin
11. Pain is? ANSWER>> whatever the patient says it is
12. What is the single most reliable indicator of pain? ANSWER>> the patient's self-report
13. How do NSAID's preimarily produce pain relief? ANSWER>> by preventing prostaglandin formation
,14. What does acetaminphen not have? ANSWER>> any inflammatory properties
15. What do you manage nociceptive pain with? ANSWER>> - local anesthetics
,- non-opioids
- opioids
16. What does 0 on the 0 - 10 numeric pain rating scale indicate? ANSWER>> no pain
17. What does the Wong-Baker FACES pain scale consist of? ANSWER>> cartoon faces that the patient (ages 3 and up)
selects to report thier pain level
18. What does the visual analog 10cm scale represent? ANSWER>> no pain to the worst pain, the patient marks a
spot somewhere in between indicating their pain level
19. What pain scale helps indiviuals describe the intensity of pain? ANSWER>> verbal descriptor scale
20. What does a comprehensive pain assessment consist of? ANSWER>> - duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
21. What patients do we avoid the rectal route for med administration? ANSWER>> throm- bocytopenic
22. What type of effect do topical agents produce? ANSWER>> local
23. What type of effect do transdermal agents produce? ANSWER>> drug absorption into the systemic
circulation
24. What would help reduce complications related to pain for patients? ANSWER>> pro- vide a PCA
25. How do we administer around the clock pain relief for post-op and chronic pain? ANSWER>> provide
analgesics, never wait for chronic pain to reoccur
26. What is provided for mild to moderate pain? ANSWER>> aspirin or acetaminaphen
27. What is provided for moderate pain? ANSWER>> NSAID's
28. What is provided for severe pain? ANSWER>> morphine
29. Why would you wake patients who have chronic pain or who have moder- ate to severe pain folowing surgery?
ANSWER>> to administer prescribed analgcsics
30. What can excessive use of acetaminophen cause? ANSWER>> hepatoxicity
31. What does of acetaminophen could lead to hepatoxicity? ANSWER>> 4,000 mg/day
, 32. What can NSAID's meds result in? ANSWER>> - gastric ulcers
- contribute to CV events (MI or stroke)
33. What can the use of NSAID's lead to in patients with volume depletion or who take it for chronic pain? ANSWER>>
acute renal failure
34. What undesirable effects do opioids produce? ANSWER>> - constipation
- nausea
- pupil constriction
- respiratory distress
35. Physical dependence and tolerance are not the same as what? ANSWER>> addiction
36. Why do you never apply heat over a transdermal patch? ANSWER>> it could increase absorption and result in
lethal complications
37. How should you manage neuropathic pain? ANSWER>> with adjuvant meds such as antidepressants or
anticonvulsants
38. What should not be used in a clincial practice that it would violate the nurse-patient relationship?
ANSWER>> placebos
39. What are some non-pharmacologic pain management strategies? ANSWER>> - physi- cal modalities
- mind-body methods
- biologic and energy-based therapies
40. What are the clinical manifestations of hyponatremia? ANSWER>> - headaches
- seizures
- lethargy
- tachycardia
- decreased BP
- thready pulse
- hyperactive bowel sounds
