Advanced Med-Surg Principles Exam 1 | Jersey College 2025/2026

ADVANCED MED-SURG
PRINCIPLES JERSEY COLLEGE
EXAM 1
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Course: Advanced Med-Surg Principles
Jersey College Exam 1

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,Question 1
What during labor increases the risk of neonate aquiring acute encephalitis?

Correct Answer
active herpes simplex virus-2


Question 2
How do you administer meds?

Correct Answer
starting with the lowest dose and titrating up slowly


Question 3
What is pain is associated with?

Correct Answer
actual or potential tissue damage


Question 4
When pain stimulates the sympathetic nervous system, what does it result in?

Correct Answer
- increase in BP
- increase in HR
- increase in RR


Question 5
Where are catecholamines released from?

Correct Answer
adrenal medulla


Question 6
Where are steroid hormones (cortisol & aldosterone) released from?

Correct Answer
adrenal cortex


Question 7
What does unrelieved pain lead to?

Correct Answer
- increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors




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,Question 8
What initiates inflammation, contributes to tissue sweeling, and pain?

Correct Answer
Prostaglandins


Question 9
What can nerve root injury lead to?

Correct Answer
allodynia (pain that is associated with non-noxious stimuli)


Question 10
What is needed for renal blood flow?

Correct Answer
Prostaglandin


Question 11
Pain is?

Correct Answer
whatever the patient says it is


Question 12
What is the single most reliable indicator of pain?

Correct Answer
the patient's self-report


Question 13
How do NSAID's preimarily produce pain relief?

Correct Answer
by preventing prostaglandin formation


Question 14
What does acetaminphen not have?

Correct Answer
any inflammatory properties


Question 15
What do you manage nociceptive pain with?

Correct Answer
- local anesthetics
- non-opioids
- opioids


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, Question 16
What does 0 on the 0 - 10 numeric pain rating scale indicate?

Correct Answer
no pain


Question 17
What does the Wong-Baker FACES pain scale consist of?

Correct Answer
cartoon faces that the patient (ages 3 and up) selects to report thier pain level


Question 18
What does the visual analog 10cm scale represent?

Correct Answer
no pain to the worst pain, the patient marks a spot somewhere in between indicating their pain level


Question 19
What pain scale helps indiviuals describe the intensity of pain?

Correct Answer
verbal descriptor scale


Question 20
What does a comprehensive pain assessment consist of?

Correct Answer
- duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location


Question 21
What patients do we avoid the rectal route for med administration?

Correct Answer
thrombocytopenic


Question 22
What type of effect do topical agents produce?

Correct Answer
local


Question 23
What type of effect do transdermal agents produce?

Correct Answer
drug absorption into the systemic circulation


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