Advanced Pathophysiology HESI RN Exam 4
( Latest ) Actual Questions and Answers 100%
Correct
1. Acute pain:
Answer:
signal to the person of a harmful stimulus
2. Chronic pain:
Answer:
Persistence of pain of unknown cause or unusual response to therapy.
3. Acute pain may be:
Answer:
(a) somatic (superficial)
(b) visceral (internal)
(c) referred (present in an area distant from its origin).
4. Somatic pain arises from:
Answer:
connective tissue, muscle, bone, and skin and issharp and localized.
5. Visceral pain is from:
Answer:
internal organs and is transmitted by sympatheticafferents and is poorly
localized.
6. Referred pain usually arises from the viscera and terminates:
Answer:
in an area ofthe spinal cord that is conjoined with fibers originating in the skin and
other areasand thereby produces the perception of pain at the referred site.
,7. that is conjoined with fibers originating in the skin and other areas and
thereby produces:
8. the perception of pain at the referred site.:
9. Physiologic responses to acute pain include:
Answer:
increased heart rate, respira-tory rate, and blood pressure; pallor or flushing;
dilated pupils; and diaphoresis. Blood glucose level is elevated; gastric secretion
and motility are decreased; andblood flow to the viscera and skin is decreased.
10. Chronic pain generally lasts:
Answer:
at least 3 months and may be persistent. forexample, low back pain myofascial
pain syndromes, chronic postoperative pain,and chronic pain associated with
cancer.
11. Neuropathic pain is usually:
Answer:
chronic. abnormal peripheral and central painprocessing.
12. Types of neuropathic pain include:
Answer:
results from nerve trauma or disease, and leads to deafferentation pain
sympathetically maintained pain, central post-stroke pain, phantom limb pain and
complex regional pain syndrome.
13. Newborns and young children have the anatomic and functional abilityto
perceive pain.:
14. Repeated pain experienced by infants may have prolonged effects on:
Answer:
, - brain neurodevelopment and motor and cognitive function.
15. Older individuals may or may not have an increased pain threshold.:
16. In all age groups:
Answer:
women appear to be more sensitive to pain than are men.
17. Pain in older adults is influenced by:
Answer:
liver and renal function, includingalterations in the metabolism of drugs and
metabolites.
18. What is a protective and complex phenomenon composed of sensory ex-
periences (time, space, intensity), emotion, cognition, and motivation?:
Answer:
Pain
19. Portion of the nervous system responsible for sensation and perception of pain
can be divided into 3 areas:
Answer:
A: Afferent pathways B interpretive centersin the brainstem, midbrain &
diencephalon C: descending pathways from the brainto the dorsal horn of spinal
cord.
20. Nociceptors are pain receptors that detect a wide range of stimuli and
respond to:
Answer:
Chemical, mechanical, and thermal stimulation
21. The afferent system is:
Answer:
Composed of nociceptors the dorsal horn of the spinal column (second-order
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