JERSEY COLLEGE MEDSURG 1 RN FINAL
EXAM 2026 QUESTIONS AND ANSWERS
GRADED A+
provide PCA (patient controlled analgesia)
Provide ____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain.
around the clock
Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen
given for mild to moderate pain
NSAIDS
given for moderate pain
opioid analgesics (Morphine)
given for severe pain
,rectal route
Avoid which medication administration route for patients who are
thrombocytopenic?
Acetaminophen
Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
NSAIDS
analgesic that could result in gastric ulcers or contribute to cardiovascular events
such as MI or stroke
NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or
who take it for chronic pain
prostaglandin
needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression
undesirable side effects of opioids
,could increase absorption and result in lethal complications
Never apply heat over transdermal patches. Why?
antidepressants or anticonvulsants
adjuvant medications used to manage neuropathic pain
metabolic alkalosis
Vomiting can lead to what acid-base imbalance
metabolic acidosis
Diarrhea can lead to what acid-base imbalance
calcium
Mineral that helps to regulate muscle contraction and relaxation
high in calcium and low in phosphorus
In the setting of hypoparathyroidism, provide a diet that is high in _______ and
low in __________.
, osmotic pressure
Chloride works with sodium to determine _______________.
hypochloremic metabolic alkalosis
If chloride levels drop, bicarbonate is retained and results in
_______________________________.
action potentials
weakness or excitability
Changes in electrolytes impair _________________ resulting in ________ or
____________.
fluid volume deficit (FVD)
Small shifts in intravascular volume in children increases their risk for
__________________.
albumin
Proteins like _______ create an oncotic pressure.
oncotic pressure
________________ pulls fluid from the interstitial compartment into the
intravascular compartment to maintain volume.
EXAM 2026 QUESTIONS AND ANSWERS
GRADED A+
provide PCA (patient controlled analgesia)
Provide ____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain.
around the clock
Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen
given for mild to moderate pain
NSAIDS
given for moderate pain
opioid analgesics (Morphine)
given for severe pain
,rectal route
Avoid which medication administration route for patients who are
thrombocytopenic?
Acetaminophen
Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
NSAIDS
analgesic that could result in gastric ulcers or contribute to cardiovascular events
such as MI or stroke
NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or
who take it for chronic pain
prostaglandin
needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression
undesirable side effects of opioids
,could increase absorption and result in lethal complications
Never apply heat over transdermal patches. Why?
antidepressants or anticonvulsants
adjuvant medications used to manage neuropathic pain
metabolic alkalosis
Vomiting can lead to what acid-base imbalance
metabolic acidosis
Diarrhea can lead to what acid-base imbalance
calcium
Mineral that helps to regulate muscle contraction and relaxation
high in calcium and low in phosphorus
In the setting of hypoparathyroidism, provide a diet that is high in _______ and
low in __________.
, osmotic pressure
Chloride works with sodium to determine _______________.
hypochloremic metabolic alkalosis
If chloride levels drop, bicarbonate is retained and results in
_______________________________.
action potentials
weakness or excitability
Changes in electrolytes impair _________________ resulting in ________ or
____________.
fluid volume deficit (FVD)
Small shifts in intravascular volume in children increases their risk for
__________________.
albumin
Proteins like _______ create an oncotic pressure.
oncotic pressure
________________ pulls fluid from the interstitial compartment into the
intravascular compartment to maintain volume.
