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ADVANCED MED SURG HESI EXAM
2025 QUESTIONS AND ANSWERS.
1. What six factors should the nurse include when assessing the
pain experience? - correct answer - Location
Intensity
Comfort measures
Quality
Chronology
Subjective view of pain
2. What mechanism is involved in the reduction of pain through
the administration of NSAIDS? - correct answer - NSAIDS act
via a peripheral mechanism at a level of damaged tissue by
inhibiting prostagladin synthesis and other chemical mediators
involved in pain transmission
3. If narcotic agonist/antagonist drugs are administered to a client
already taking narcotic drugs, what may be the result? - correct
answer - Initiation of withdrawal syndrome
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4. What is the antidote for narcotic induced respiratory
depression? - correct answer - Narcan
5. What is the first sign of tolerance to pain analgesics? - correct
answer - Decreased duration of drug effectiveness
6. Which route of administration for pain medication has the
quickest onset and the shortest duration? - correct answer -
Intravenous push or bolus
7. List the six modalities that are considered non invasive,
nonpharmacologic pain relief measures - correct answer -
Heat/cold pack
TENS
Massage
Distraction
Relaxation
Biofeedback
8. List four side effects of narcotic medication - correct answer -
Nausea/Vomiting
Constipation
CNS depression
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Respiratory depression
9. HH 40 - correct answer - Do not take away coping style used in
a crisis state
-Denial is a very useful and needed tool for some at the initial
stage. Support, do not challenge, unless it hinders or blocks
treatment. endangering the patient
10. Identify the five stages of grief associated with dying -
correct answer - Denial
Anger
Bargaining
Depression
Acceptance
11. A client has been told of a positive breast biopsy report. She
asks no questions and leaves the health care providers office.
She is overheard calling her husband, "The doctor did not find
anything". What coping style is operating at this stage of grief?
- correct answer - Denial
12. Your client, an incest survivor, is speaking of her deceased
father, the perpetrator, "He was a wonderful man, so good and
ADVANCED MED SURG HESI EXAM
2025 QUESTIONS AND ANSWERS.
1. What six factors should the nurse include when assessing the
pain experience? - correct answer - Location
Intensity
Comfort measures
Quality
Chronology
Subjective view of pain
2. What mechanism is involved in the reduction of pain through
the administration of NSAIDS? - correct answer - NSAIDS act
via a peripheral mechanism at a level of damaged tissue by
inhibiting prostagladin synthesis and other chemical mediators
involved in pain transmission
3. If narcotic agonist/antagonist drugs are administered to a client
already taking narcotic drugs, what may be the result? - correct
answer - Initiation of withdrawal syndrome
, Page | 2
4. What is the antidote for narcotic induced respiratory
depression? - correct answer - Narcan
5. What is the first sign of tolerance to pain analgesics? - correct
answer - Decreased duration of drug effectiveness
6. Which route of administration for pain medication has the
quickest onset and the shortest duration? - correct answer -
Intravenous push or bolus
7. List the six modalities that are considered non invasive,
nonpharmacologic pain relief measures - correct answer -
Heat/cold pack
TENS
Massage
Distraction
Relaxation
Biofeedback
8. List four side effects of narcotic medication - correct answer -
Nausea/Vomiting
Constipation
CNS depression
, Page | 3
Respiratory depression
9. HH 40 - correct answer - Do not take away coping style used in
a crisis state
-Denial is a very useful and needed tool for some at the initial
stage. Support, do not challenge, unless it hinders or blocks
treatment. endangering the patient
10. Identify the five stages of grief associated with dying -
correct answer - Denial
Anger
Bargaining
Depression
Acceptance
11. A client has been told of a positive breast biopsy report. She
asks no questions and leaves the health care providers office.
She is overheard calling her husband, "The doctor did not find
anything". What coping style is operating at this stage of grief?
- correct answer - Denial
12. Your client, an incest survivor, is speaking of her deceased
father, the perpetrator, "He was a wonderful man, so good and
