Advanced Med-Surg Principles Jersey College Exam 1 Questions And Correct Verified Answers

ADVANCED MED-SURG PRINCIPLES
JERSEY COLLEGE EXAM 1 QUESTIONS
AND CORRECT VERIFIED ANSWERS
WhatA2duringA2laborA2increasesA2theA2riskA2ofA2neonateA2aquiringA2acuteA2encephalitis?
A2-A2Ans--activeA2herpesA2simplexA2virus-2


HowA2doA2youA2administerA2meds?A2-A2Ans--
startingA2withA2theA2lowestA2doseA2andA2titratingA2upA2slowly

WhatA2isA2painA2isA2associatedA2with?A2-A2Ans--actualA2orA2potentialA2tissueA2damage

WhenA2painA2stimulatesA2theA2sympatheticA2nervousA2system,A2whatA2doesA2itA2resultA2in
?A2-A2Ans---A2increaseA2inA2BP
-A2increaseA2inA2HR
-A2increaseA2inA2RR

WhereA2areA2catecholaminesA2releasedA2from?A2-A2Ans--adrenalA2medulla

WhereA2areA2steroidA2hormonesA2(cortisolA2&A2aldosterone)A2releasedA2from?A2-A2Ans--
adrenalA2cortex

WhatA2doesA2unrelievedA2painA2leadA2to?A2-A2Ans---A2increasesA2glucagonA2production
-A2decreasesA2insulinA2secretion
-A2depressA2immuneA2function
-A2canA2leadA2toA2addictiveA2behaviors

WhatA2initiatesA2inflammation,A2contributesA2toA2tissueA2sweeling,A2andA2pain?A2-A2Ans--
Prostaglandins

WhatA2canA2nerveA2rootA2injuryA2leadA2to?A2-A2Ans--
allodyniaA2(painA2thatA2isA2associatedA2withA2non-noxiousA2stimuli)

WhatA2isA2neededA2forA2renalA2bloodA2flow?A2-A2Ans--Prostaglandin

PainA2is?A2-A2Ans--whateverA2theA2patientA2saysA2itA2is

WhatA2isA2theA2singleA2mostA2reliableA2indicatorA2ofA2pain?A2-A2Ans--theA2patient'sA2self-
report

HowA2doA2NSAID'sA2preimarilyA2produceA2painA2relief?A2-A2Ans--
byA2preventingA2prostaglandinA2formation

WhatA2doesA2acetaminphenA2notA2have?A2-A2Ans--anyA2inflammatoryA2properties

,WhatA2doA2youA2manageA2nociceptiveA2painA2with?A2-A2Ans---A2localA2anesthetics
-A2non-opioids
-A2opioids

WhatA2doesA20A2onA2theA20A2-A210A2numericA2painA2ratingA2scaleA2indicate?A2-A2Ans--
noA2pain

WhatA2doesA2theA2Wong-BakerA2FACESA2painA2scaleA2consistA2of?A2-A2Ans--
cartoonA2facesA2thatA2theA2patientA2(agesA23A2andA2up)A2selectsA2toA2reportA2thierA2painA2l
evel

WhatA2doesA2theA2visualA2analogA210cmA2scaleA2represent?A2-A2Ans--
noA2painA2toA2theA2worstA2pain,A2theA2patientA2marksA2aA2spotA2somewhereA2inA2betweenA
2indicatingA2theirA2painA2level


WhatA2painA2scaleA2helpsA2indiviualsA2describeA2theA2intensityA2ofA2pain?A2-A2Ans--
verbalA2descriptorA2scale

WhatA2doesA2aA2comprehensiveA2painA2assessmentA2consistA2of?A2-A2Ans---
A2durationA2(whenA2itA2started/lasted)
-A2typeA2(intensity/assocA2factors/influencingA2fators)
-A2location

WhatA2patientsA2doA2weA2avoidA2theA2rectalA2routeA2forA2medA2administration?A2-A2Ans--
thrombocytopenic

WhatA2typeA2ofA2effectA2doA2topicalA2agentsA2produce?A2-A2Ans--local

WhatA2typeA2ofA2effectA2doA2transdermalA2agentsA2produce?A2-A2Ans--
drugA2absorptionA2intoA2theA2systemicA2circulation

WhatA2wouldA2helpA2reduceA2complicationsA2relatedA2toA2painA2forA2patients?A2-A2Ans--
provideA2aA2PCA

HowA2doA2weA2administerA2aroundA2theA2clockA2painA2reliefA2forA2post-
opA2andA2chronicA2pain?A2-A2Ans--
provideA2analgesics,A2neverA2waitA2forA2chronicA2painA2toA2reoccur

WhatA2isA2providedA2forA2mildA2toA2moderateA2pain?A2-A2Ans--aspirinA2orA2acetaminaphen

WhatA2isA2providedA2forA2moderateA2pain?A2-A2Ans--NSAID's

WhatA2isA2providedA2forA2severeA2pain?A2-A2Ans--morphine

,WhyA2wouldA2youA2wakeA2patientsA2whoA2haveA2chronicA2painA2orA2whoA2haveA2moderate
A2toA2severeA2painA2folowingA2surgery?A2-A2Ans--toA2administerA2prescribedA2analgcsics


WhatA2canA2excessiveA2useA2ofA2acetaminophenA2cause?A2-A2Ans--hepatoxicity

WhatA2doesA2ofA2acetaminophenA2couldA2leadA2toA2hepatoxicity?A2-A2Ans--4,000A2mg/day

WhatA2canA2NSAID'sA2medsA2resultA2in?A2-A2Ans---A2gastricA2ulcers
-A2contributeA2toA2CVA2eventsA2(MIA2orA2stroke)

WhatA2canA2theA2useA2ofA2NSAID'sA2leadA2toA2inA2patientsA2withA2volumeA2depletionA2orA2
whoA2takeA2itA2forA2chronicA2pain?A2-A2Ans--acuteA2renalA2failure

WhatA2undesirableA2effectsA2doA2opioidsA2produce?A2-A2Ans---A2constipation
-A2nausea
-A2pupilA2constriction
-A2respiratoryA2distress

PhysicalA2dependenceA2andA2toleranceA2areA2notA2theA2sameA2asA2what?A2-A2Ans--
addiction

WhyA2doA2youA2neverA2applyA2heatA2overA2aA2transdermalA2patch?A2-A2Ans--
itA2couldA2increaseA2absorptionA2andA2resultA2inA2lethalA2complications

HowA2shouldA2youA2manageA2neuropathicA2pain?A2-A2Ans--
withA2adjuvantA2medsA2suchA2asA2antidepressantsA2orA2anticonvulsants

WhatA2shouldA2notA2beA2usedA2inA2aA2clincialA2practiceA2thatA2itA2wouldA2violateA2theA2nurs
e-patientA2relationship?A2-A2Ans--placebos

WhatA2areA2someA2non-pharmacologicA2painA2managementA2strategies?A2-A2Ans---
A2physicalA2modalities
-A2mind-bodyA2methods
-A2biologicA2andA2energy-basedA2therapies

WhatA2areA2theA2clinicalA2manifestationsA2ofA2hyponatremia?A2-A2Ans---A2headaches
-A2seizures
-A2lethargy
-A2tachycardia
-A2decreasedA2BP
-A2threadyA2pulse
-A2hyperactiveA2bowelA2sounds
-A2abdominalA2cramps

WhatA2areA2signsA2ofA2hypoxia?A2-A2Ans---A2restlessness
-A2confusion

, -A2pallor
-A2tachycardia
-A2tachypnea

WhatA2canA2vagalA2stimulationA2beA2causedA2by?A2-A2Ans---A2vomiting
-A2suctioning
-A2severeA2pain
allA2resultingA2inA2bradycardia

WhatA2isA2aA2lossA2ofA2transparencyA2ofA2theA2eyeA2lens,A2resultsA2inA2blurryA2vision,A2decr
easedA2visualA2acuity,A2andA2sensitivityA2toA2glare?A2-A2Ans--aA2cataract

WhatA2areA2someA2riskA2reductionsA2forA2catarats?A2-A2Ans---A2reducingA2weight
-A2smokingA2cessation
-A2optimizingA2bloodA2sugars
-A2usingA2sunglassesA2whenA2outdoors

WhatA2areA2S/
SA2ofA2anA2endopthalmitisA2(infection)A2thatA2canA2occurA2afterA2cataratA2surgery?A2-
A2Ans---A2markedA2byA2pain
-A2decreasingA2vision
-A2eyelidA2redness
-A2eyelidA2edema
-A2yellowish/greenA2dischargeA2fromA2theA2eye

ViralA2conjunctivitisA2is?A2-A2Ans--highlyA2contageous

WhatA2areA2S/SA2ofA2viralA2conjunctivitis?A2-A2Ans---
A2markedA2byA2conjunctivalA2hyperemia
-A2lidA2edema
-A2ptosis
-A2foreignA2bodyA2sensation
-A2wateryA2discharge

WhatA2cranialA2nerveA2hasA2nerveA2fibersA2fromA2theA2rightA2andA2leftA2eyeA2thatA2crossA2o
verA2beforeA2sendingA2impulsesA2toA2theA2occipitalA2lobe?A2-A2Ans--
CranialA2nerveA2IIA2(opticA2nerve)

WhatA2increasesA2theA2riskA2forA2retinalA2arteryA2orA2veinA2occlusionA2andA2lossA2ofA2visio
n?A2-A2Ans---A2diabetes
-A2glaucoma
-A2aging
-A2HTN
-A2atherosclerosis

WhatA2resultsA2inA2blurredA2distantA2visionA2-A2Ans--myopiaA2(nearsightedness)