MEDICAL-SURGICAL NURSING EXAM 1 JERSEY COLLEGE
QUESTIONS WITH CORRECT ANSWERS 2025/2026
-removing all bedding over the patient (with the possible exception of a light sheet, towel, or
small drape)
-administering acetaminophen as prescribed
-giving cool sponge baths and allowing an electric fan to blow over the patient to increase
surface cooling
-using a hypothermia blanket
-frequent temperature monitoring to assess the patient's response to the therapy and to
prevent an excessive decrease in temperature and shivering - CORRECT ANSWER -Strategies for
reducing fever/hyperthermia treatment
-change in LOC
-agitation
-slowing of speech
-and delay in response to verbal suggestions are other early indicators - CORRECT ANSWER -
Early indicators of increasing ICP
4 spontaneous
3 to voice
2 to pain
1 none - CORRECT ANSWER -GLASGOW COMA SCALE - Eye Opening
5 oriented
4 confused
3 inappropriate words
2 incomprehensible sounds
, 1 none - CORRECT ANSWER -GLASGOW COMA SCALE -Best Verbal Response
6 obeys commands
5 localizes pain
4 withdraws
3 flexion
2 extension
1 none - CORRECT ANSWER -GLASGOW COMA SCALE - Best Motor Response
Rectally or tympanic. NEVER BY MOUTH. - CORRECT ANSWER -How should the patient who is
unconscious have their temperature taken?
-mouth care with antiseptic such as chlorhexidine
-tongue scraper
-electrical toothbrush
-pharmacologic moisturizers - CORRECT ANSWER -List interventions to decrease ventilator-
associated pneumonia. (4)
-incontinence
-inadequate dietary intake
-pressure on bony prominences
-edema - CORRECT ANSWER -Factors that contribute to impaired skin integrity (4)
increased ICP - CORRECT ANSWER -slow bounding pulse and respiratory irregularities suggest
what?
QUESTIONS WITH CORRECT ANSWERS 2025/2026
-removing all bedding over the patient (with the possible exception of a light sheet, towel, or
small drape)
-administering acetaminophen as prescribed
-giving cool sponge baths and allowing an electric fan to blow over the patient to increase
surface cooling
-using a hypothermia blanket
-frequent temperature monitoring to assess the patient's response to the therapy and to
prevent an excessive decrease in temperature and shivering - CORRECT ANSWER -Strategies for
reducing fever/hyperthermia treatment
-change in LOC
-agitation
-slowing of speech
-and delay in response to verbal suggestions are other early indicators - CORRECT ANSWER -
Early indicators of increasing ICP
4 spontaneous
3 to voice
2 to pain
1 none - CORRECT ANSWER -GLASGOW COMA SCALE - Eye Opening
5 oriented
4 confused
3 inappropriate words
2 incomprehensible sounds
, 1 none - CORRECT ANSWER -GLASGOW COMA SCALE -Best Verbal Response
6 obeys commands
5 localizes pain
4 withdraws
3 flexion
2 extension
1 none - CORRECT ANSWER -GLASGOW COMA SCALE - Best Motor Response
Rectally or tympanic. NEVER BY MOUTH. - CORRECT ANSWER -How should the patient who is
unconscious have their temperature taken?
-mouth care with antiseptic such as chlorhexidine
-tongue scraper
-electrical toothbrush
-pharmacologic moisturizers - CORRECT ANSWER -List interventions to decrease ventilator-
associated pneumonia. (4)
-incontinence
-inadequate dietary intake
-pressure on bony prominences
-edema - CORRECT ANSWER -Factors that contribute to impaired skin integrity (4)
increased ICP - CORRECT ANSWER -slow bounding pulse and respiratory irregularities suggest
what?
