Advanced Med-Surg Principles Jersey
College Exam 1 Questions with Complete
Solutions, A+
What during labor increases the risk of neonate aquiring acute encephalitis? -
Correct Solution active herpes simplex virus-2
How do you administer meds? - Correct Solution starting with the lowest dose
and titrating up slowly
What is pain is associated with? - Correct Solution actual or potential tissue
damage
When pain stimulates the sympathetic nervous system, what does it result in? -
Correct Solution - increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - Correct Solution adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - Correct
Solution adrenal cortex
What does unrelieved pain lead to? - Correct Solution - increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
,What initiates inflammation, contributes to tissue sweeling, and pain? - Correct
Solution Prostaglandins
What can nerve root injury lead to? - Correct Solution allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? - Correct Solution Prostaglandin
Pain is? - Correct Solution whatever the patient says it is
What is the single most reliable indicator of pain? - Correct Solution the
patient's self-report
How do NSAID's preimarily produce pain relief? - Correct Solution by
preventing prostaglandin formation
What does acetaminphen not have? - Correct Solution any inflammatory
properties
What do you manage nociceptive pain with? - Correct Solution - local
anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - Correct Solution
no pain
What does the Wong-Baker FACES pain scale consist of? - Correct Solution
cartoon faces that the patient (ages 3 and up) selects to report thier pain level
,What does the visual analog 10cm scale represent? - Correct Solution 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? - Correct
Solution verbal descriptor scale
What does a comprehensive pain assessment consist of? - Correct Solution -
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - Correct
Solution thrombocytopenic
What type of effect do topical agents produce? - Correct Solution local
What type of effect do transdermal agents produce? - Correct Solution drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients? - Correct
Solution provide a PCA
How do we administer around the clock pain relief for post-op and chronic
pain? - Correct Solution provide analgesics, never wait for chronic pain to
reoccur
What is provided for mild to moderate pain? - Correct Solution aspirin or
acetaminaphen
What is provided for moderate pain? - Correct Solution NSAID's
, What is provided for severe pain? - Correct Solution morphine
Why would you wake patients who have chronic pain or who have moderate to
severe pain folowing surgery? - Correct Solution to administer prescribed
analgcsics
What can excessive use of acetaminophen cause? - Correct Solution
hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - Correct Solution
4,000 mg/day
What can NSAID's meds result in? - Correct Solution - gastric ulcers
- contribute to CV events (MI or stroke)
What can the use of NSAID's lead to in patients with volume depletion or who
take it for chronic pain? - Correct Solution acute renal failure
What undesirable effects do opioids produce? - Correct Solution - constipation
- nausea
- pupil constriction
- respiratory distress
Physical dependence and tolerance are not the same as what? - Correct Solution
addiction
Why do you never apply heat over a transdermal patch? - Correct Solution it
could increase absorption and result in lethal complications
College Exam 1 Questions with Complete
Solutions, A+
What during labor increases the risk of neonate aquiring acute encephalitis? -
Correct Solution active herpes simplex virus-2
How do you administer meds? - Correct Solution starting with the lowest dose
and titrating up slowly
What is pain is associated with? - Correct Solution actual or potential tissue
damage
When pain stimulates the sympathetic nervous system, what does it result in? -
Correct Solution - increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - Correct Solution adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - Correct
Solution adrenal cortex
What does unrelieved pain lead to? - Correct Solution - increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
,What initiates inflammation, contributes to tissue sweeling, and pain? - Correct
Solution Prostaglandins
What can nerve root injury lead to? - Correct Solution allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? - Correct Solution Prostaglandin
Pain is? - Correct Solution whatever the patient says it is
What is the single most reliable indicator of pain? - Correct Solution the
patient's self-report
How do NSAID's preimarily produce pain relief? - Correct Solution by
preventing prostaglandin formation
What does acetaminphen not have? - Correct Solution any inflammatory
properties
What do you manage nociceptive pain with? - Correct Solution - local
anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - Correct Solution
no pain
What does the Wong-Baker FACES pain scale consist of? - Correct Solution
cartoon faces that the patient (ages 3 and up) selects to report thier pain level
,What does the visual analog 10cm scale represent? - Correct Solution 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? - Correct
Solution verbal descriptor scale
What does a comprehensive pain assessment consist of? - Correct Solution -
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - Correct
Solution thrombocytopenic
What type of effect do topical agents produce? - Correct Solution local
What type of effect do transdermal agents produce? - Correct Solution drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients? - Correct
Solution provide a PCA
How do we administer around the clock pain relief for post-op and chronic
pain? - Correct Solution provide analgesics, never wait for chronic pain to
reoccur
What is provided for mild to moderate pain? - Correct Solution aspirin or
acetaminaphen
What is provided for moderate pain? - Correct Solution NSAID's
, What is provided for severe pain? - Correct Solution morphine
Why would you wake patients who have chronic pain or who have moderate to
severe pain folowing surgery? - Correct Solution to administer prescribed
analgcsics
What can excessive use of acetaminophen cause? - Correct Solution
hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - Correct Solution
4,000 mg/day
What can NSAID's meds result in? - Correct Solution - gastric ulcers
- contribute to CV events (MI or stroke)
What can the use of NSAID's lead to in patients with volume depletion or who
take it for chronic pain? - Correct Solution acute renal failure
What undesirable effects do opioids produce? - Correct Solution - constipation
- nausea
- pupil constriction
- respiratory distress
Physical dependence and tolerance are not the same as what? - Correct Solution
addiction
Why do you never apply heat over a transdermal patch? - Correct Solution it
could increase absorption and result in lethal complications
