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