ADVANCED MED SURG PRINCIPLES
COMPETENCY REVIEW 2026 MOCK TEST
COMPLETE KEY INSIGHTS
◉ 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
- 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
- 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
◉ 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
COMPETENCY REVIEW 2026 MOCK TEST
COMPLETE KEY INSIGHTS
◉ 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
- 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
- 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
◉ 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
