©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
Advanced Med-Surg Principles Jersey College
Exam 1 Practice Questions and Answers
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
1
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
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
2
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
- 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
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
3
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
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
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
4
JERSEY COLLEGE
Advanced Med-Surg Principles Jersey College
Exam 1 Practice Questions and Answers
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
1
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
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
2
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
- 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
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
3
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
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
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
4
