Medical-Surgical Nursing I (RN) – Final Examination
(Jersey College)
weight, smoking, sex practices, diet - Answer--List four modifiable
risk factors. (general health promotion)
age, genetics, sex - Answer--List three non-modifiable risk factors.
(general health promotion)
cultural assessment - Answer--What type of assessment should the
nurse preform prior to initiating health teaching?
physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above -
Answer--Maslow's Hierarchy of Needs
--priorities?
--what order?
,Healthy People 2020 - Answer--Organization that identifies health
promotion and disease prevention goals and lists strategies along
with resources in an attempt to improve the nation's health
The Institute of Medicine's report on the Future of Nursing -
Answer--Organization that recommends ways to strengthen the
practice of nursing in order to improve health care.
The National Patient Safety Goals - Answer--The Joint Commission
lists the top patient safety concerns and includes medication safety,
infection prevention, surgery-related mistakes, patient identification
and improving staff communication. What is this list called?
Nurse Practice Acts - Answer--This governs nursing practice and is a
law that is put into place to protect the public - nurses must follow
and comply with their state's regulations
QSEN - Quality and Safety Education for Nurses Institute -
Answer--Institute that seeks to strengthen the knowledge, skills, and
attitudes of nurses in providing continuous quality improvement in
health care
whatever the patient says it is - Answer--What is pain?
actual or potential tissue damage - Answer--Pain is associated with
__________________________________.
the patient's self report - Answer--The single most reliable indicator of
pain is _______.
blood pressure, heart rate, and respirations - Answer--Pain stimulates
the sympathetic nervous system and could result in an increase in
___________, ___________, and ____________.
,increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - Answer--physiologic effects of
unrelieved pain (4)
prostaglandins - Answer--initiate inflammation and contribute to
tissue swelling and pain
NSAIDS - Answer--______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - Answer--_____________ does not have
anti-inflammatory properties.
tissue damage - Answer--______________ stimulates the
inflammatory response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - Answer--manage
nociceptive pain with?
allodynia - Answer--pain that is associated with a noxious stimulus
nerve route injury - Answer--________________ could lead to
allodynia.
timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
, intensity - how bad does it hurt
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - Answer--What does a
comprehensive pain assessment include?
visual analog scale - Answer--10cm line that represents no pain to
worst pain on each end of the line and the patient places a mark
somewhere between the two ends depending on the severity of pain
numeric rating scale - Answer--ranges from 0 to 10 with 0
representing no pain
Wong-Baker FACES Scale (ages 3+) - Answer--consists of cartoon
faces that the patient selects to report their pain
verbal descriptor scale - Answer--uses words to help individuals
describe the intensity of their pain
Wong-Baker FACES Scale - Answer--should never be used by the
provider to match the patient's facial expression
produce a local effect - Answer--effect produced by topical analgesics
produces drug absorption into the systemic circulaiton -
Answer--effect produced by transdermal route of analgesics
provide PCA (patient controlled analgesia) - Answer--Provide
____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain.
(Jersey College)
weight, smoking, sex practices, diet - Answer--List four modifiable
risk factors. (general health promotion)
age, genetics, sex - Answer--List three non-modifiable risk factors.
(general health promotion)
cultural assessment - Answer--What type of assessment should the
nurse preform prior to initiating health teaching?
physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above -
Answer--Maslow's Hierarchy of Needs
--priorities?
--what order?
,Healthy People 2020 - Answer--Organization that identifies health
promotion and disease prevention goals and lists strategies along
with resources in an attempt to improve the nation's health
The Institute of Medicine's report on the Future of Nursing -
Answer--Organization that recommends ways to strengthen the
practice of nursing in order to improve health care.
The National Patient Safety Goals - Answer--The Joint Commission
lists the top patient safety concerns and includes medication safety,
infection prevention, surgery-related mistakes, patient identification
and improving staff communication. What is this list called?
Nurse Practice Acts - Answer--This governs nursing practice and is a
law that is put into place to protect the public - nurses must follow
and comply with their state's regulations
QSEN - Quality and Safety Education for Nurses Institute -
Answer--Institute that seeks to strengthen the knowledge, skills, and
attitudes of nurses in providing continuous quality improvement in
health care
whatever the patient says it is - Answer--What is pain?
actual or potential tissue damage - Answer--Pain is associated with
__________________________________.
the patient's self report - Answer--The single most reliable indicator of
pain is _______.
blood pressure, heart rate, and respirations - Answer--Pain stimulates
the sympathetic nervous system and could result in an increase in
___________, ___________, and ____________.
,increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - Answer--physiologic effects of
unrelieved pain (4)
prostaglandins - Answer--initiate inflammation and contribute to
tissue swelling and pain
NSAIDS - Answer--______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - Answer--_____________ does not have
anti-inflammatory properties.
tissue damage - Answer--______________ stimulates the
inflammatory response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - Answer--manage
nociceptive pain with?
allodynia - Answer--pain that is associated with a noxious stimulus
nerve route injury - Answer--________________ could lead to
allodynia.
timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
, intensity - how bad does it hurt
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - Answer--What does a
comprehensive pain assessment include?
visual analog scale - Answer--10cm line that represents no pain to
worst pain on each end of the line and the patient places a mark
somewhere between the two ends depending on the severity of pain
numeric rating scale - Answer--ranges from 0 to 10 with 0
representing no pain
Wong-Baker FACES Scale (ages 3+) - Answer--consists of cartoon
faces that the patient selects to report their pain
verbal descriptor scale - Answer--uses words to help individuals
describe the intensity of their pain
Wong-Baker FACES Scale - Answer--should never be used by the
provider to match the patient's facial expression
produce a local effect - Answer--effect produced by topical analgesics
produces drug absorption into the systemic circulaiton -
Answer--effect produced by transdermal route of analgesics
provide PCA (patient controlled analgesia) - Answer--Provide
____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain.
