ADVANCED MED-SURG
PRINCIPLES JERSEY COLLEGE
EXAM 1EXAM QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% UPDATED
What during labor increases the risk of neonate aquiring acute encephalitis? - CORRECT
REPLY -active herpes simplex virus-2
How do you administer meds? - CORRECT REPLY -starting with the lowest dose and
titrating up slowly
What is pain is associated with? - CORRECT REPLY -actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in? -
CORRECT REPLY -- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - CORRECT REPLY -adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - CORRECT
REPLY -adrenal cortex
,What does unrelieved pain lead to? - CORRECT REPLY -- increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain? - CORRECT
REPLY -Prostaglandins
What can nerve root injury lead to? - CORRECT REPLY -allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? - CORRECT REPLY -Prostaglandin
Pain is? - CORRECT REPLY -whatever the patient says it is
What is the single most reliable indicator of pain? - CORRECT REPLY -the patient's
self-report
How do NSAID's preimarily produce pain relief? - CORRECT REPLY -by preventing
prostaglandin formation
What does acetaminphen not have? - CORRECT REPLY -any inflammatory properties
What do you manage nociceptive pain with? - CORRECT REPLY -- local anesthetics
,- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - CORRECT REPLY -no
pain
What does the Wong-Baker FACES pain scale consist of? - CORRECT REPLY -cartoon
faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? - CORRECT REPLY -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 REPLY -
verbal descriptor scale
What does a comprehensive pain assessment consist of? - CORRECT REPLY --
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - CORRECT
REPLY -thrombocytopenic
What type of effect do topical agents produce? - CORRECT REPLY -local
, What type of effect do transdermal agents produce? - CORRECT REPLY -drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients? - CORRECT
REPLY -provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain? -
CORRECT REPLY -provide analgesics, never wait for chronic pain to reoccur
What is provided for mild to moderate pain? - CORRECT REPLY -aspirin or
acetaminaphen
What is provided for moderate pain? - CORRECT REPLY -NSAID's
What is provided for severe pain? - CORRECT REPLY -morphine
Why would you wake patients who have chronic pain or who have moderate to severe pain
folowing surgery? - CORRECT REPLY -to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - CORRECT REPLY -hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - CORRECT REPLY -4,000
mg/day
What can NSAID's meds result in? - CORRECT REPLY -- gastric ulcers
PRINCIPLES JERSEY COLLEGE
EXAM 1EXAM QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% UPDATED
What during labor increases the risk of neonate aquiring acute encephalitis? - CORRECT
REPLY -active herpes simplex virus-2
How do you administer meds? - CORRECT REPLY -starting with the lowest dose and
titrating up slowly
What is pain is associated with? - CORRECT REPLY -actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in? -
CORRECT REPLY -- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - CORRECT REPLY -adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - CORRECT
REPLY -adrenal cortex
,What does unrelieved pain lead to? - CORRECT REPLY -- increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain? - CORRECT
REPLY -Prostaglandins
What can nerve root injury lead to? - CORRECT REPLY -allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? - CORRECT REPLY -Prostaglandin
Pain is? - CORRECT REPLY -whatever the patient says it is
What is the single most reliable indicator of pain? - CORRECT REPLY -the patient's
self-report
How do NSAID's preimarily produce pain relief? - CORRECT REPLY -by preventing
prostaglandin formation
What does acetaminphen not have? - CORRECT REPLY -any inflammatory properties
What do you manage nociceptive pain with? - CORRECT REPLY -- local anesthetics
,- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - CORRECT REPLY -no
pain
What does the Wong-Baker FACES pain scale consist of? - CORRECT REPLY -cartoon
faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? - CORRECT REPLY -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 REPLY -
verbal descriptor scale
What does a comprehensive pain assessment consist of? - CORRECT REPLY --
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? - CORRECT
REPLY -thrombocytopenic
What type of effect do topical agents produce? - CORRECT REPLY -local
, What type of effect do transdermal agents produce? - CORRECT REPLY -drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients? - CORRECT
REPLY -provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain? -
CORRECT REPLY -provide analgesics, never wait for chronic pain to reoccur
What is provided for mild to moderate pain? - CORRECT REPLY -aspirin or
acetaminaphen
What is provided for moderate pain? - CORRECT REPLY -NSAID's
What is provided for severe pain? - CORRECT REPLY -morphine
Why would you wake patients who have chronic pain or who have moderate to severe pain
folowing surgery? - CORRECT REPLY -to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - CORRECT REPLY -hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - CORRECT REPLY -4,000
mg/day
What can NSAID's meds result in? - CORRECT REPLY -- gastric ulcers
