NSG 555 QUIZ 1 MODULE 1 LATEST EXAM
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+
when should advance care planning be introduced - CORRECT ANSWER ✔✔-
initial history for all patients. should be revisited annually
new model of palliative care - CORRECT ANSWER ✔✔- •Replace a dichotomous
"either-or" model of cure versus palliation.
•Focus on integrating palliative strategies early and concurrently with disease-
modifying treatments.
DPOA vs health care proxy - CORRECT ANSWER ✔✔- DPOA can make all
decisions related to care.
HC proxies cannot override a living will or CPR directive and are not authorized to
make decisions other than those directly related to healthcare.
pathophysiology of pain - CORRECT ANSWER ✔✔- nociceptive
(somatic/visceral)--most common--normal function of CNS
or neuropathic
or idiopathic (no disease but may have psych elements and still needs treated)
nociceptive pain pathophys - CORRECT ANSWER ✔✔- nociceptors respond to
noxious stimuli
1|Page
, transmit message through peripheral nerve to spinal cord to cerebral cortex to
interperate message then motor response or other is initiated (pull hand away, etc)
somatic (soft tissue/muskuloskeletal)
or
visceral (internal organs
somatic pain s/s vs visceral s/s - CORRECT ANSWER ✔✔- dull, sharp, ache,
crush, heavy
vs
poorly localized, not attributed to involved organ. dull, crampy, deep
neuropathic pain - CORRECT ANSWER ✔✔- due to injury to peripheral nerve,
spinal cord or nervous system or brain. result from injury-->anatomic and
neurochemical changes in neurons. can cause chronic pain or reduced function.
PQRST of pain - CORRECT ANSWER ✔✔- provocative/palliative
Quality
Region
Severity
Timing
3 step pain ladder from WHO - CORRECT ANSWER ✔✔- Step 1: use nonopioids
and adjuvants ( NSAID, TCS, SSRI, anticonvulsant)
Step 2: mixed opiate like codeine apap, tramadol in combo with step 1 or alone
step 3: pure opioids
2|Page
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+
when should advance care planning be introduced - CORRECT ANSWER ✔✔-
initial history for all patients. should be revisited annually
new model of palliative care - CORRECT ANSWER ✔✔- •Replace a dichotomous
"either-or" model of cure versus palliation.
•Focus on integrating palliative strategies early and concurrently with disease-
modifying treatments.
DPOA vs health care proxy - CORRECT ANSWER ✔✔- DPOA can make all
decisions related to care.
HC proxies cannot override a living will or CPR directive and are not authorized to
make decisions other than those directly related to healthcare.
pathophysiology of pain - CORRECT ANSWER ✔✔- nociceptive
(somatic/visceral)--most common--normal function of CNS
or neuropathic
or idiopathic (no disease but may have psych elements and still needs treated)
nociceptive pain pathophys - CORRECT ANSWER ✔✔- nociceptors respond to
noxious stimuli
1|Page
, transmit message through peripheral nerve to spinal cord to cerebral cortex to
interperate message then motor response or other is initiated (pull hand away, etc)
somatic (soft tissue/muskuloskeletal)
or
visceral (internal organs
somatic pain s/s vs visceral s/s - CORRECT ANSWER ✔✔- dull, sharp, ache,
crush, heavy
vs
poorly localized, not attributed to involved organ. dull, crampy, deep
neuropathic pain - CORRECT ANSWER ✔✔- due to injury to peripheral nerve,
spinal cord or nervous system or brain. result from injury-->anatomic and
neurochemical changes in neurons. can cause chronic pain or reduced function.
PQRST of pain - CORRECT ANSWER ✔✔- provocative/palliative
Quality
Region
Severity
Timing
3 step pain ladder from WHO - CORRECT ANSWER ✔✔- Step 1: use nonopioids
and adjuvants ( NSAID, TCS, SSRI, anticonvulsant)
Step 2: mixed opiate like codeine apap, tramadol in combo with step 1 or alone
step 3: pure opioids
2|Page
