ASCORERS STUVIA
MED-SURG EXAM 1 GALEN CH. 5, 9, 13-15, 36, 37 HIGHLY TESTED
QUESTIONS WITH CORRECT ANSWERS ALREADY GRADED A+ & VERIFIED
***ANSWERS IN NON - BOLD***
1. pain is treated inadequately in almost all healthcare settings. populations at
highest risk in med-surg nursing are what groups?: older adults, substance use
disorder,
primary language differs
2. the physiological impact that unrelieved pain can cause to the body.: 1.
Decreased GI motility/immune response
2. higher risk of dev. of chronic pain
3. Increased HR/BP/O2 demand
4. Immobility, delays healing
5. prolongs stress response
3. the quality of life that unrelieved pain can cause to the body.: 1. anxiety, depression,
hopelessness, fear, anger, sleepless
2. interferes with ADLs
3. impairs family, work, social relationships
4. the financial impact that unrelieved pain can cause to the body.: 1. costs
americans billions of $ per year
2. leads to lost income/productivity
3. increase length of hospital stay
5. Acute pain characteristics?: 1. short duration (<3mo.), well-defined cause
2. decrease w/ healing, usually reversible
3. initially serves biological purpose, when prolonged serves no purpose
4. may come with anxiety/restlessness
5. if unrelieved, can increase morbidity, mortality, & prolongs hospital stay
6. Persistent (Chronic) characteristics?: 1. lasts >3 mo, may or may not have well-
defined cause
2. begins gradually, persists & no useful purpose
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, ASCORERS STUVIA
3. can come with depression, fatigue, financial burden on fam, friends, healthcare
system, impact quality of life of family/friends
7. localized pain?: confined to one area, well defined (ex:
pain is in leg and that's the only spot I feel pain)
8. nociceptive (normal pain processing): results from skin, organ damage or
inflammation and can be somatic or visceral
(ex: skin, SQ, skeletal)
9. neuropathic (abnormal pain processing): nervous system with or without tis- sue
damage, often from nerve damage
(ex: phantom limb pain, postherpetic neuralgia pain)
10.Somatic pain physiological structure?: 1. cutaneous or superficial
2. originates in the skin, skeletal, SQ tissues
3. deep somatic: bone, muscle, blood vessels, connective tissues
2/
, ASCORERS STUVIA
11.somatic pain characteristics?: cutaneous/superficial: well localized, sharp,
throbbing
Deep: dull, aching, cramping
12.visceral pain physiological structure: organs & linings of body cavities
13.characteristics of visceral pain?: poorly localized
diffuse, deep cramping or pressure
sharp, stabbing sensation
14.neuropathic pain physiological structures?: 1. PNS or CNS
3. nerve fibers, spinal cord, & higher CNS
15.neuropathic pain characteristics?: poorly localized,
shooting, burning, fiery, shocklike,
tingling, painful, numbness
16.when pain receptors in tissues are activated this is known as what?: so- matic
pain
17.When pain is related to internal organs in the midline of the body.: visceral pain
18.what is the best indicator of pt's true pain level?: self report (what pt says)
19. what pain scale would you use for a pt who is alert and oriented?: -
wong-baker faces, 0-10 scale
20.what pain scale would you use for a pt in ICU, autistic children?: FLACC pain
scale
21.what are some questions we should ask when assessing pain in our pt?: O- onset
(began when?)
L- location (where?)
D- duration (how long? reoccurring?)
C- characteristics (describe)
A- alleviating or aggravating factors (what makes it better/worse?) R-
radiation/region
T- timing
S- severity (how bad is it?)
3/
, ASCORERS STUVIA
22.radiating pain: starts at origin, extends to other locations (ex:
sciatic, pinched nerve in back, pain radiates down leg)
23.referred pain: felt in location other than where pain originates
(ex: heart has a clot/MI but you don't feel the pain in the chest, maybe you feel it in the jaw
or leg, etc)
24.Projected pain: diffuse around site of origin, is not well localized
(ex: abd maybe hurting but we can't tell which organ could be causing this)
4/
MED-SURG EXAM 1 GALEN CH. 5, 9, 13-15, 36, 37 HIGHLY TESTED
QUESTIONS WITH CORRECT ANSWERS ALREADY GRADED A+ & VERIFIED
***ANSWERS IN NON - BOLD***
1. pain is treated inadequately in almost all healthcare settings. populations at
highest risk in med-surg nursing are what groups?: older adults, substance use
disorder,
primary language differs
2. the physiological impact that unrelieved pain can cause to the body.: 1.
Decreased GI motility/immune response
2. higher risk of dev. of chronic pain
3. Increased HR/BP/O2 demand
4. Immobility, delays healing
5. prolongs stress response
3. the quality of life that unrelieved pain can cause to the body.: 1. anxiety, depression,
hopelessness, fear, anger, sleepless
2. interferes with ADLs
3. impairs family, work, social relationships
4. the financial impact that unrelieved pain can cause to the body.: 1. costs
americans billions of $ per year
2. leads to lost income/productivity
3. increase length of hospital stay
5. Acute pain characteristics?: 1. short duration (<3mo.), well-defined cause
2. decrease w/ healing, usually reversible
3. initially serves biological purpose, when prolonged serves no purpose
4. may come with anxiety/restlessness
5. if unrelieved, can increase morbidity, mortality, & prolongs hospital stay
6. Persistent (Chronic) characteristics?: 1. lasts >3 mo, may or may not have well-
defined cause
2. begins gradually, persists & no useful purpose
1/
, ASCORERS STUVIA
3. can come with depression, fatigue, financial burden on fam, friends, healthcare
system, impact quality of life of family/friends
7. localized pain?: confined to one area, well defined (ex:
pain is in leg and that's the only spot I feel pain)
8. nociceptive (normal pain processing): results from skin, organ damage or
inflammation and can be somatic or visceral
(ex: skin, SQ, skeletal)
9. neuropathic (abnormal pain processing): nervous system with or without tis- sue
damage, often from nerve damage
(ex: phantom limb pain, postherpetic neuralgia pain)
10.Somatic pain physiological structure?: 1. cutaneous or superficial
2. originates in the skin, skeletal, SQ tissues
3. deep somatic: bone, muscle, blood vessels, connective tissues
2/
, ASCORERS STUVIA
11.somatic pain characteristics?: cutaneous/superficial: well localized, sharp,
throbbing
Deep: dull, aching, cramping
12.visceral pain physiological structure: organs & linings of body cavities
13.characteristics of visceral pain?: poorly localized
diffuse, deep cramping or pressure
sharp, stabbing sensation
14.neuropathic pain physiological structures?: 1. PNS or CNS
3. nerve fibers, spinal cord, & higher CNS
15.neuropathic pain characteristics?: poorly localized,
shooting, burning, fiery, shocklike,
tingling, painful, numbness
16.when pain receptors in tissues are activated this is known as what?: so- matic
pain
17.When pain is related to internal organs in the midline of the body.: visceral pain
18.what is the best indicator of pt's true pain level?: self report (what pt says)
19. what pain scale would you use for a pt who is alert and oriented?: -
wong-baker faces, 0-10 scale
20.what pain scale would you use for a pt in ICU, autistic children?: FLACC pain
scale
21.what are some questions we should ask when assessing pain in our pt?: O- onset
(began when?)
L- location (where?)
D- duration (how long? reoccurring?)
C- characteristics (describe)
A- alleviating or aggravating factors (what makes it better/worse?) R-
radiation/region
T- timing
S- severity (how bad is it?)
3/
, ASCORERS STUVIA
22.radiating pain: starts at origin, extends to other locations (ex:
sciatic, pinched nerve in back, pain radiates down leg)
23.referred pain: felt in location other than where pain originates
(ex: heart has a clot/MI but you don't feel the pain in the chest, maybe you feel it in the jaw
or leg, etc)
24.Projected pain: diffuse around site of origin, is not well localized
(ex: abd maybe hurting but we can't tell which organ could be causing this)
4/
