MS1 MIDTERM EXAM QUESTIONS AND
ANSWERS 2025
What constitutes acute pain? - ANSWER: <6 months, abrupt, short-term
(injury, sx).
What is chronic pain? - ANSWER >6 months (CA).
When is pain reassessed, and what information is documented? - ANSWER
Always document the patient's answer to medication 30 minutes after it is
administered.
What is pain to the patient? - ANSWER PT'S PAIN IS AS THEY SAY!
What is somatic pain? - ANSWER coming from muscle, bone, joints, skin, or
tissue
What is visceral pain? - ANSWER: Organ Pain
Pain evaluation OPQRST: Identify onset and provoking/precipitating elements.
Considerations include quality, range/radiation, severity, and time.
What are some nursing strategies for pain management? - ANSWER: Perform
pain assessments, establish management goals, and address physical needs for
patients.
- Manage anxiety - Be aware of potential negative side effects
-give the ordered medications
NSAIDs should be used with caution, as they can cause bleeding and bruises.
What should you always keep on hand? - Answer Narcan for OD.
What should patients who have recently undergone cardiac surgery not take? -
ANSWER NSAIDS
, What is POSS? - ANSWER: Passero-opioid induced sedation scale
What is S on the POSS scale? - ANSWER sleep, easily aroused
What is 1 on the POSS scale? - ANSWER: awake and alert
What is 2 on the POSS scale? - Answer: somewhat tired, easily aroused.
What is 3 on the POSS scale? - ANSWER often tired; goes off to sleep during
the conversation.
*UNACCEPTABLE*
What is 4 on the POSS scale? - Answer: somnolent, with limited to no answer
to verbal or physical stimuli (*unacceptable*).
How is POSS rated? - ANSWER 3 or lower is allowed.
Who is the universal donor? - ANSWER O-
Who is the universal recipient? - ANSWER AB+
Who can A get blood from? - Answer A or O.
Who can B get blood from? - ANSWERS B AND O
Who can AB receive from? - ANSWER ALL
What is the s/s of a transfusion reaction? - Respond to SOB, wheezing, flushing,
fever, chills, HA, chest discomfort, rash, anxiety, and pain at the infusion site.
What is a blood transfusion made of? - ANSWER: consent and baseline vitals.
- Type and cross - 2 nurse checks at bedside -18-20 gauge (18 preferable).
- RN must monitor for the first 15 minutes. - Only 2 bags of blood can be
infused through a single set of tubing. - Type and screen (valid for 72 hours).
Start blood collection within 30 minutes of receiving it from the blood bank and
by 4 hours.
ANSWERS 2025
What constitutes acute pain? - ANSWER: <6 months, abrupt, short-term
(injury, sx).
What is chronic pain? - ANSWER >6 months (CA).
When is pain reassessed, and what information is documented? - ANSWER
Always document the patient's answer to medication 30 minutes after it is
administered.
What is pain to the patient? - ANSWER PT'S PAIN IS AS THEY SAY!
What is somatic pain? - ANSWER coming from muscle, bone, joints, skin, or
tissue
What is visceral pain? - ANSWER: Organ Pain
Pain evaluation OPQRST: Identify onset and provoking/precipitating elements.
Considerations include quality, range/radiation, severity, and time.
What are some nursing strategies for pain management? - ANSWER: Perform
pain assessments, establish management goals, and address physical needs for
patients.
- Manage anxiety - Be aware of potential negative side effects
-give the ordered medications
NSAIDs should be used with caution, as they can cause bleeding and bruises.
What should you always keep on hand? - Answer Narcan for OD.
What should patients who have recently undergone cardiac surgery not take? -
ANSWER NSAIDS
, What is POSS? - ANSWER: Passero-opioid induced sedation scale
What is S on the POSS scale? - ANSWER sleep, easily aroused
What is 1 on the POSS scale? - ANSWER: awake and alert
What is 2 on the POSS scale? - Answer: somewhat tired, easily aroused.
What is 3 on the POSS scale? - ANSWER often tired; goes off to sleep during
the conversation.
*UNACCEPTABLE*
What is 4 on the POSS scale? - Answer: somnolent, with limited to no answer
to verbal or physical stimuli (*unacceptable*).
How is POSS rated? - ANSWER 3 or lower is allowed.
Who is the universal donor? - ANSWER O-
Who is the universal recipient? - ANSWER AB+
Who can A get blood from? - Answer A or O.
Who can B get blood from? - ANSWERS B AND O
Who can AB receive from? - ANSWER ALL
What is the s/s of a transfusion reaction? - Respond to SOB, wheezing, flushing,
fever, chills, HA, chest discomfort, rash, anxiety, and pain at the infusion site.
What is a blood transfusion made of? - ANSWER: consent and baseline vitals.
- Type and cross - 2 nurse checks at bedside -18-20 gauge (18 preferable).
- RN must monitor for the first 15 minutes. - Only 2 bags of blood can be
infused through a single set of tubing. - Type and screen (valid for 72 hours).
Start blood collection within 30 minutes of receiving it from the blood bank and
by 4 hours.
