Advanced Med-Surg Principles Jersey College Exam 1
Questions With Solutions2025\2026
.
1. What .during .labor .increases .the .risk .of .neonate .aquiring .acute .encephali- .tis?: .active
.herpes .simplex .virus-2
2. How . do . you . administer . meds?: . starting . with . the . lowest . dose . and . titrating . up . slowly
3. What .is .pain .is .associated .with?: .actual .or .potential .tissue .damage
4. When .pain .stimulates .the .sympathetic .nervous .system, .what .does .it .result .in?: .- . increase . in . BP
- increase .in .HR
- increase .in .RR
5. Where . are . catecholamines . released . from?: . adrenal . medulla
6. Where .are .steroid .hormones .(cortisol .& .aldosterone) .released .from?: .adren- .al .cortex
7. What .does .unrelieved .pain .lead .to?: .- .increases .glucagon .production
- decreases . insulin . secretion
- depress .immune .function
- can .lead .to .addictive .behaviors
8. What .initiates .inflammation, .contributes .to .tissue .sweeling, .and .pain?: .-
Prostaglandins
9. What . can . nerve . root . injury . lead . to?: . allodynia . (pain . that . is . associated . with . non-
noxious .stimuli)
10. What .is .needed .for .renal .blood .flow?: .Prostaglandin
11. Pain .is?: .whatever .the .patient .says .it .is
12. What .is .the .single .most .reliable .indicator .of .pain?: .the .patient's .self-report
13. How .do .NSAID's .preimarily .produce .pain .relief?: .by .preventing .prostaglandin .formation
14. What .does .acetaminphen .not .have?: .any .inflammatory .properties
.
,15. What .do .you .manage .nociceptive .pain .with?: .- .local .anesthetics
.
,- non-opioids
- opioids
16. What .does .0 .on .the .0 .- .10 .numeric .pain .rating .scale .indicate?: .no .pain
17. What .does .the .Wong-Baker .FACES .pain .scale .consist .of?: .cartoon .faces .that .the .patient
.(ages .3 . and . up) . selects . to . report . thier . pain . level
18. What . does . the . visual . analog . 10cm . scale . represent?: .no . pain . to . the . worst . pain, . the
. patient .marks .a . spot .somewhere .in .between .indicating .their .pain .level
19. What . pain . scale . helps . indiviuals . describe . the . intensity . of . pain?: . verbal . descriptor . scale
20. What . does . a . comprehensive . pain . assessment . consist . of?: . - . duration . (when . it . started/lasted)
- type .(intensity/assoc .factors/influencing .fators)
- location
21. What .patients .do .we .avoid .the .rectal .route .for .med .administration?: .throm- . bocytopenic
22. What .type .of .effect .do .topical .agents .produce?: .local
23. What .type .of .effect .do .transdermal .agents .produce?: .drug .absorption .into .the
.systemic .circulation
24. What .would .help .reduce .complications .related .to .pain .for .patients?: .pro- . vide . a . PCA
25. How .do .we .administer .around .the .clock .pain .relief .for .post-op .and .chronic .pain?:
.provide .analgesics, . never . wait . for . chronic . pain . to . reoccur
26. What . is . provided . for . mild . to . moderate . pain?: . aspirin . or . acetaminaphen
27. What .is .provided .for .moderate .pain?: .NSAID's
28. What .is .provided .for .severe .pain?: .morphine
29. Why .would .you .wake .patients .who .have .chronic .pain .or .who .have .moder- .ate .to .severe
.pain .folowing . surgery?: . to . administer . prescribed . analgcsics
30. What .can .excessive .use .of .acetaminophen .cause?: .hepatoxicity
31. What .does .of . acetaminophen . could . lead . to . hepatoxicity?: . 4,000 . mg/day
.
, 32. What . can . NSAID's . meds . result . in?: . - . gastric . ulcers
- contribute .to .CV .events .(MI .or .stroke)
33. What .can .the .use .of .NSAID's .lead .to .in .patients .with .volume .depletion .or .who .take .it .for
.chronic .pain?: .acute .renal .failure
34. What .undesirable .effects .do .opioids .produce?: .- .constipation
- nausea
- pupil .constriction
- respiratory .distress
35. Physical .dependence .and .tolerance .are .not .the .same .as .what?: .addiction
36. Why .do .you .never .apply .heat .over .a .transdermal .patch?: .it .could .increase .absorption
.and .result .in .lethal .complications
37. How . should . you . manage . neuropathic . pain?: . with . adjuvant . meds . such . as
. antidepressants .or .anticonvulsants
38. What .should .not .be .used .in .a .clincial .practice .that .it .would .violate .the .nurse-
patient .relationship?: .placebos
39. What .are . some .non-pharmacologic . pain . management .strategies?: .- . physi- . cal . modalities
- mind-body . methods
- biologic . and . energy-based . therapies
40. What .are .the .clinical .manifestations .of .hyponatremia?: .- .headaches
- seizures
- lethargy
- tachycardia
- decreased .BP
- thready .pulse
- hyperactive .bowel .sounds
.
Questions With Solutions2025\2026
.
1. What .during .labor .increases .the .risk .of .neonate .aquiring .acute .encephali- .tis?: .active
.herpes .simplex .virus-2
2. How . do . you . administer . meds?: . starting . with . the . lowest . dose . and . titrating . up . slowly
3. What .is .pain .is .associated .with?: .actual .or .potential .tissue .damage
4. When .pain .stimulates .the .sympathetic .nervous .system, .what .does .it .result .in?: .- . increase . in . BP
- increase .in .HR
- increase .in .RR
5. Where . are . catecholamines . released . from?: . adrenal . medulla
6. Where .are .steroid .hormones .(cortisol .& .aldosterone) .released .from?: .adren- .al .cortex
7. What .does .unrelieved .pain .lead .to?: .- .increases .glucagon .production
- decreases . insulin . secretion
- depress .immune .function
- can .lead .to .addictive .behaviors
8. What .initiates .inflammation, .contributes .to .tissue .sweeling, .and .pain?: .-
Prostaglandins
9. What . can . nerve . root . injury . lead . to?: . allodynia . (pain . that . is . associated . with . non-
noxious .stimuli)
10. What .is .needed .for .renal .blood .flow?: .Prostaglandin
11. Pain .is?: .whatever .the .patient .says .it .is
12. What .is .the .single .most .reliable .indicator .of .pain?: .the .patient's .self-report
13. How .do .NSAID's .preimarily .produce .pain .relief?: .by .preventing .prostaglandin .formation
14. What .does .acetaminphen .not .have?: .any .inflammatory .properties
.
,15. What .do .you .manage .nociceptive .pain .with?: .- .local .anesthetics
.
,- non-opioids
- opioids
16. What .does .0 .on .the .0 .- .10 .numeric .pain .rating .scale .indicate?: .no .pain
17. What .does .the .Wong-Baker .FACES .pain .scale .consist .of?: .cartoon .faces .that .the .patient
.(ages .3 . and . up) . selects . to . report . thier . pain . level
18. What . does . the . visual . analog . 10cm . scale . represent?: .no . pain . to . the . worst . pain, . the
. patient .marks .a . spot .somewhere .in .between .indicating .their .pain .level
19. What . pain . scale . helps . indiviuals . describe . the . intensity . of . pain?: . verbal . descriptor . scale
20. What . does . a . comprehensive . pain . assessment . consist . of?: . - . duration . (when . it . started/lasted)
- type .(intensity/assoc .factors/influencing .fators)
- location
21. What .patients .do .we .avoid .the .rectal .route .for .med .administration?: .throm- . bocytopenic
22. What .type .of .effect .do .topical .agents .produce?: .local
23. What .type .of .effect .do .transdermal .agents .produce?: .drug .absorption .into .the
.systemic .circulation
24. What .would .help .reduce .complications .related .to .pain .for .patients?: .pro- . vide . a . PCA
25. How .do .we .administer .around .the .clock .pain .relief .for .post-op .and .chronic .pain?:
.provide .analgesics, . never . wait . for . chronic . pain . to . reoccur
26. What . is . provided . for . mild . to . moderate . pain?: . aspirin . or . acetaminaphen
27. What .is .provided .for .moderate .pain?: .NSAID's
28. What .is .provided .for .severe .pain?: .morphine
29. Why .would .you .wake .patients .who .have .chronic .pain .or .who .have .moder- .ate .to .severe
.pain .folowing . surgery?: . to . administer . prescribed . analgcsics
30. What .can .excessive .use .of .acetaminophen .cause?: .hepatoxicity
31. What .does .of . acetaminophen . could . lead . to . hepatoxicity?: . 4,000 . mg/day
.
, 32. What . can . NSAID's . meds . result . in?: . - . gastric . ulcers
- contribute .to .CV .events .(MI .or .stroke)
33. What .can .the .use .of .NSAID's .lead .to .in .patients .with .volume .depletion .or .who .take .it .for
.chronic .pain?: .acute .renal .failure
34. What .undesirable .effects .do .opioids .produce?: .- .constipation
- nausea
- pupil .constriction
- respiratory .distress
35. Physical .dependence .and .tolerance .are .not .the .same .as .what?: .addiction
36. Why .do .you .never .apply .heat .over .a .transdermal .patch?: .it .could .increase .absorption
.and .result .in .lethal .complications
37. How . should . you . manage . neuropathic . pain?: . with . adjuvant . meds . such . as
. antidepressants .or .anticonvulsants
38. What .should .not .be .used .in .a .clincial .practice .that .it .would .violate .the .nurse-
patient .relationship?: .placebos
39. What .are . some .non-pharmacologic . pain . management .strategies?: .- . physi- . cal . modalities
- mind-body . methods
- biologic . and . energy-based . therapies
40. What .are .the .clinical .manifestations .of .hyponatremia?: .- .headaches
- seizures
- lethargy
- tachycardia
- decreased .BP
- thready .pulse
- hyperactive .bowel .sounds
.
