1|Page
ADVANCED MED-SURG PRINCIPLES EXAM 1 JERSEY
COLLEGE|| ACCURATE AND FREQUENTLY ASKED
QUESTIONS AND 100% CORRECT ANSWERS||
LATEST AND COMPLETE UPDATE WITH VERIFIED
SOLUTIONS GRADED A+|| SURE PASS!!
What during labor increases the risk of neonate aquiring acute encephalitis? -
ANSWER: active herpes simplex virus-2
How do you administer meds? - ANSWER: starting with the lowest dose and
titrating up slowly
What is pain is associated with? - ANSWER: actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in? -
ANSWER: - increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - ANSWER: adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - ANSWER:
adrenal cortex
What does unrelieved pain lead to? - ANSWER: - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
,2|Page
What initiates inflammation, contributes to tissue sweeling, and pain? -
ANSWER: Prostaglandins
What can nerve root injury lead to? - ANSWER: allodynia (pain that is associated
with non-noxious stimuli)
What is needed for renal blood flow? - ANSWER: Prostaglandin
Pain is? - ANSWER: whatever the patient says it is
What is the single most reliable indicator of pain? - ANSWER: the patient's self-
report
How do NSAID's preimarily produce pain relief? - ANSWER: by preventing
prostaglandin formation
What does acetaminphen not have? - ANSWER: any inflammatory properties
What do you manage nociceptive pain with? - ANSWER: - local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - ANSWER: no pain
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
,3|Page
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
What pain scale helps indiviuals describe the intensity of pain? - ANSWER:
verbal descriptor scale
What does a comprehensive pain assessment consist of? - ANSWER: - duration
(when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - ANSWER:
thrombocytopenic
What type of effect do topical agents produce? - ANSWER: local
What type of effect do transdermal agents produce? - ANSWER: drug absorption
into the systemic circulation
What would help reduce complications related to pain for patients? - ANSWER:
provide a PCA
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
, 4|Page
What is provided for mild to moderate pain? - ANSWER: aspirin or
acetaminaphen
What is provided for moderate pain? - ANSWER: NSAID's
What is provided for severe pain? - ANSWER: morphine
Why would you wake patients who have chronic pain or who have moderate to
severe pain folowing surgery? - ANSWER: to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - ANSWER: hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - ANSWER: 4,000
mg/day
What can NSAID's meds result in? - 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? - ANSWER: acute renal failure
What undesirable effects do opioids produce? - ANSWER: - constipation
- nausea
- pupil constriction
- respiratory distress
ADVANCED MED-SURG PRINCIPLES EXAM 1 JERSEY
COLLEGE|| ACCURATE AND FREQUENTLY ASKED
QUESTIONS AND 100% CORRECT ANSWERS||
LATEST AND COMPLETE UPDATE WITH VERIFIED
SOLUTIONS GRADED A+|| SURE PASS!!
What during labor increases the risk of neonate aquiring acute encephalitis? -
ANSWER: active herpes simplex virus-2
How do you administer meds? - ANSWER: starting with the lowest dose and
titrating up slowly
What is pain is associated with? - ANSWER: actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in? -
ANSWER: - increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - ANSWER: adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - ANSWER:
adrenal cortex
What does unrelieved pain lead to? - ANSWER: - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
,2|Page
What initiates inflammation, contributes to tissue sweeling, and pain? -
ANSWER: Prostaglandins
What can nerve root injury lead to? - ANSWER: allodynia (pain that is associated
with non-noxious stimuli)
What is needed for renal blood flow? - ANSWER: Prostaglandin
Pain is? - ANSWER: whatever the patient says it is
What is the single most reliable indicator of pain? - ANSWER: the patient's self-
report
How do NSAID's preimarily produce pain relief? - ANSWER: by preventing
prostaglandin formation
What does acetaminphen not have? - ANSWER: any inflammatory properties
What do you manage nociceptive pain with? - ANSWER: - local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - ANSWER: no pain
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
,3|Page
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
What pain scale helps indiviuals describe the intensity of pain? - ANSWER:
verbal descriptor scale
What does a comprehensive pain assessment consist of? - ANSWER: - duration
(when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - ANSWER:
thrombocytopenic
What type of effect do topical agents produce? - ANSWER: local
What type of effect do transdermal agents produce? - ANSWER: drug absorption
into the systemic circulation
What would help reduce complications related to pain for patients? - ANSWER:
provide a PCA
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
, 4|Page
What is provided for mild to moderate pain? - ANSWER: aspirin or
acetaminaphen
What is provided for moderate pain? - ANSWER: NSAID's
What is provided for severe pain? - ANSWER: morphine
Why would you wake patients who have chronic pain or who have moderate to
severe pain folowing surgery? - ANSWER: to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - ANSWER: hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - ANSWER: 4,000
mg/day
What can NSAID's meds result in? - 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? - ANSWER: acute renal failure
What undesirable effects do opioids produce? - ANSWER: - constipation
- nausea
- pupil constriction
- respiratory distress
