Advanced Med-Surg Principles Jersey College Exam 1 Latest 2024
Actual Exam Questions with Correct Verified Answers.
1. What during labor in- active herpes simplex virus-2
creases the risk of
neonate aquiring acute
encephalitis?
2. How do you administer starting with the lowest dose and titrating up
meds? slowly
3. What is pain is associat- actual or potential tissue damage
ed with?
4. When pain stimulates - increase in BP
the sympathetic nervous - increase in HR
system, what does it re- - increase in RR
sult in?
5. Where are cate- adrenal medulla
cholamines released
from?
6. Where are steroid hor- adrenal cortex
mones (cortisol & aldos-
terone) released from?
7. What does unrelieved - increases glucagon production
pain lead to? - decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
8. What initiates inflamma- Prostaglandins
tion, contributes to tis-
sue sweeling, and pain?
9. What can nerve root in- allodynia (pain that is associated with non-nox-
jury lead to? ious stimuli)
10. What is needed for renal Prostaglandin
blood flow?
11. Pain is? whatever the patient says it is
, Advanced Med-Surg Principles Jersey College Exam 1
12. What is the single the patient's self-report
most reliable indicator of
pain?
13. How do NSAID's preimar- by preventing prostaglandin formation
ily produce pain relief?
14. What does acetamin- any inflammatory properties
phen not have?
15. What do you manage no- - local anesthetics
ciceptive pain with? - non-opioids
- opioids
16. What does 0 on the 0 - 10 no pain
numeric pain rating scale
indicate?
17. What does the cartoon faces that the patient (ages 3 and up)
Wong-Baker FACES pain selects to report thier pain level
scale consist of?
18. What does the visual no pain to the worst pain, the patient marks a spot
analog 10cm scale repre- somewhere in between indicating their pain level
sent?
19. What pain scale helps in- verbal descriptor scale
diviuals describe the in-
tensity of pain?
20. What does a comprehen- - duration (when it started/lasted)
sive pain assessment - type (intensity/assoc factors/influencing fators)
consist of? - location
21. What patients do we thrombocytopenic
avoid the rectal route for
med administration?
22. local
, Advanced Med-Surg Principles Jersey College Exam 1
What type of effect do
topical agents produce?
23. What type of effect do drug absorption into the systemic circulation
transdermal agents pro-
duce?
24. What would help reduce provide a PCA
complications related to
pain for patients?
25. How do we administer provide analgesics, never wait for chronic pain to
around the clock pain reoccur
relief for post-op and
chronic pain?
26. What is provided for mild aspirin or acetaminaphen
to moderate pain?
27. What is provided for NSAID's
moderate pain?
28. What is provided for se- morphine
vere pain?
29. Why would you wake pa- to administer prescribed analgcsics
tients who have chronic
pain or who have moder-
ate to severe pain folow-
ing surgery?
30. What can excessive hepatoxicity
use of acetaminophen
cause?
31. What does of aceta- 4,000 mg/day
minophen could lead to
hepatoxicity?
32.
, Advanced Med-Surg Principles Jersey College Exam 1
What can NSAID's meds - gastric ulcers
result in? - contribute to CV events (MI or stroke)
33. What can the use of acute renal failure
NSAID's lead to in pa-
tients with volume deple-
tion or who take it for
chronic pain?
34. What undesirable effects - constipation
do opioids produce? - nausea
- pupil constriction
- respiratory distress
35. Physical dependence addiction
and tolerance are not the
same as what?
36. Why do you never apply it could increase absorption and result in lethal
heat over a transdermal complications
patch?
37. How should you manage with adjuvant meds such as antidepressants or
neuropathic pain? anticonvulsants
38. What should not be placebos
used in a clincial prac-
tice that it would vio-
late the nurse-patient re-
lationship?
39. What are some non-phar- - physical modalities
macologic pain manage- - mind-body methods
ment strategies? - biologic and energy-based therapies
40. What are the clinical - headaches
manifestations of hy- - seizures
ponatremia? - lethargy
- tachycardia
- decreased BP
Actual Exam Questions with Correct Verified Answers.
1. What during labor in- active herpes simplex virus-2
creases the risk of
neonate aquiring acute
encephalitis?
2. How do you administer starting with the lowest dose and titrating up
meds? slowly
3. What is pain is associat- actual or potential tissue damage
ed with?
4. When pain stimulates - increase in BP
the sympathetic nervous - increase in HR
system, what does it re- - increase in RR
sult in?
5. Where are cate- adrenal medulla
cholamines released
from?
6. Where are steroid hor- adrenal cortex
mones (cortisol & aldos-
terone) released from?
7. What does unrelieved - increases glucagon production
pain lead to? - decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
8. What initiates inflamma- Prostaglandins
tion, contributes to tis-
sue sweeling, and pain?
9. What can nerve root in- allodynia (pain that is associated with non-nox-
jury lead to? ious stimuli)
10. What is needed for renal Prostaglandin
blood flow?
11. Pain is? whatever the patient says it is
, Advanced Med-Surg Principles Jersey College Exam 1
12. What is the single the patient's self-report
most reliable indicator of
pain?
13. How do NSAID's preimar- by preventing prostaglandin formation
ily produce pain relief?
14. What does acetamin- any inflammatory properties
phen not have?
15. What do you manage no- - local anesthetics
ciceptive pain with? - non-opioids
- opioids
16. What does 0 on the 0 - 10 no pain
numeric pain rating scale
indicate?
17. What does the cartoon faces that the patient (ages 3 and up)
Wong-Baker FACES pain selects to report thier pain level
scale consist of?
18. What does the visual no pain to the worst pain, the patient marks a spot
analog 10cm scale repre- somewhere in between indicating their pain level
sent?
19. What pain scale helps in- verbal descriptor scale
diviuals describe the in-
tensity of pain?
20. What does a comprehen- - duration (when it started/lasted)
sive pain assessment - type (intensity/assoc factors/influencing fators)
consist of? - location
21. What patients do we thrombocytopenic
avoid the rectal route for
med administration?
22. local
, Advanced Med-Surg Principles Jersey College Exam 1
What type of effect do
topical agents produce?
23. What type of effect do drug absorption into the systemic circulation
transdermal agents pro-
duce?
24. What would help reduce provide a PCA
complications related to
pain for patients?
25. How do we administer provide analgesics, never wait for chronic pain to
around the clock pain reoccur
relief for post-op and
chronic pain?
26. What is provided for mild aspirin or acetaminaphen
to moderate pain?
27. What is provided for NSAID's
moderate pain?
28. What is provided for se- morphine
vere pain?
29. Why would you wake pa- to administer prescribed analgcsics
tients who have chronic
pain or who have moder-
ate to severe pain folow-
ing surgery?
30. What can excessive hepatoxicity
use of acetaminophen
cause?
31. What does of aceta- 4,000 mg/day
minophen could lead to
hepatoxicity?
32.
, Advanced Med-Surg Principles Jersey College Exam 1
What can NSAID's meds - gastric ulcers
result in? - contribute to CV events (MI or stroke)
33. What can the use of acute renal failure
NSAID's lead to in pa-
tients with volume deple-
tion or who take it for
chronic pain?
34. What undesirable effects - constipation
do opioids produce? - nausea
- pupil constriction
- respiratory distress
35. Physical dependence addiction
and tolerance are not the
same as what?
36. Why do you never apply it could increase absorption and result in lethal
heat over a transdermal complications
patch?
37. How should you manage with adjuvant meds such as antidepressants or
neuropathic pain? anticonvulsants
38. What should not be placebos
used in a clincial prac-
tice that it would vio-
late the nurse-patient re-
lationship?
39. What are some non-phar- - physical modalities
macologic pain manage- - mind-body methods
ment strategies? - biologic and energy-based therapies
40. What are the clinical - headaches
manifestations of hy- - seizures
ponatremia? - lethargy
- tachycardia
- decreased BP
