Jersey College MedSurg 1 RN FINAL
EXAM QUESTIONS AND ALL
CORRECT ANSWERS.
List four modifiable risk factors. (general health promotion) - Answer weight, smoking, sex
practices, diet
List three non-modifiable risk factors. (general health promotion) - Answer age, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? - Answer
cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - Answer 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
Organization that identifies health promotion and disease prevention goals and lists strategies
along with resources in an attempt to improve the nation's health - Answer Healthy People
2020
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care. - Answer The Institute of Medicine's report on the Future of Nursing
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? - Answer The National Patient Safety Goals
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 - Answer Nurse Practice Acts
,Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care - Answer QSEN - Quality and Safety
Education for Nurses Institute
What is pain? - Answer whatever the patient says it is
Pain is associated with __________________________________. - Answer actual or
potential tissue damage
The single most reliable indicator of pain is _______. - Answer the patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase in ___________,
___________, and ____________. - Answer blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4) - Answer increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - Answer prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - Answer
NSAIDS
_____________ does not have anti-inflammatory properties. - Answer Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
Answer tissue damage
manage nociceptive pain with? - Answer local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - Answer allodynia
________________ could lead to allodynia. - Answer nerve route injury
What does a comprehensive pain assessment include? - Answer 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
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 - Answer visual
analog scale
ranges from 0 to 10 with 0 representing no pain - Answer numeric rating scale
consists of cartoon faces that the patient selects to report their pain - Answer Wong-Baker
FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - Answer verbal descriptor
scale
should never be used by the provider to match the patient's facial expression - Answer
Wong-Baker FACES Scale
effect produced by topical analgesics - Answer produce a local effect
effect produced by transdermal route of analgesics - Answer produces drug absorption into
the systemic circulaiton
, Provide ____________ to help reduce complications related to pain. Used in postoperative
patients as a preventative measure for pain. - Answer provide PCA (patient controlled
analgesia)
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain, never
wait for chronic pain to reoccur. - Answer around the clock
given for mild to moderate pain - Answer aspirin or acetaminophen
given for moderate pain - Answer NSAIDS
given for severe pain - Answer opioid analgesics (Morphine)
Avoid which medication administration route for patients who are thrombocytopenic? - Answer
rectal route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. - Answer
Acetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular events such as MI or
stroke - Answer NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or who take it
for chronic pain - Answer NSAIDS
needed for renal blood flow - Answer prostaglandin
undesirable side effects of opioids - Answer constipation, nausea, pupil constriction, and
respiratory depression
Never apply heat over transdermal patches. Why? - Answer could increase absorption and
result in lethal complications
adjuvant medications used to manage neuropathic pain - Answer antidepressants or
anticonvulsants
Vomiting can lead to what acid-base imbalance - Answer metabolic alkalosis
EXAM QUESTIONS AND ALL
CORRECT ANSWERS.
List four modifiable risk factors. (general health promotion) - Answer weight, smoking, sex
practices, diet
List three non-modifiable risk factors. (general health promotion) - Answer age, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? - Answer
cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - Answer 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
Organization that identifies health promotion and disease prevention goals and lists strategies
along with resources in an attempt to improve the nation's health - Answer Healthy People
2020
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care. - Answer The Institute of Medicine's report on the Future of Nursing
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? - Answer The National Patient Safety Goals
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 - Answer Nurse Practice Acts
,Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care - Answer QSEN - Quality and Safety
Education for Nurses Institute
What is pain? - Answer whatever the patient says it is
Pain is associated with __________________________________. - Answer actual or
potential tissue damage
The single most reliable indicator of pain is _______. - Answer the patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase in ___________,
___________, and ____________. - Answer blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4) - Answer increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - Answer prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - Answer
NSAIDS
_____________ does not have anti-inflammatory properties. - Answer Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
Answer tissue damage
manage nociceptive pain with? - Answer local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - Answer allodynia
________________ could lead to allodynia. - Answer nerve route injury
What does a comprehensive pain assessment include? - Answer 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
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 - Answer visual
analog scale
ranges from 0 to 10 with 0 representing no pain - Answer numeric rating scale
consists of cartoon faces that the patient selects to report their pain - Answer Wong-Baker
FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - Answer verbal descriptor
scale
should never be used by the provider to match the patient's facial expression - Answer
Wong-Baker FACES Scale
effect produced by topical analgesics - Answer produce a local effect
effect produced by transdermal route of analgesics - Answer produces drug absorption into
the systemic circulaiton
, Provide ____________ to help reduce complications related to pain. Used in postoperative
patients as a preventative measure for pain. - Answer provide PCA (patient controlled
analgesia)
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain, never
wait for chronic pain to reoccur. - Answer around the clock
given for mild to moderate pain - Answer aspirin or acetaminophen
given for moderate pain - Answer NSAIDS
given for severe pain - Answer opioid analgesics (Morphine)
Avoid which medication administration route for patients who are thrombocytopenic? - Answer
rectal route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. - Answer
Acetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular events such as MI or
stroke - Answer NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or who take it
for chronic pain - Answer NSAIDS
needed for renal blood flow - Answer prostaglandin
undesirable side effects of opioids - Answer constipation, nausea, pupil constriction, and
respiratory depression
Never apply heat over transdermal patches. Why? - Answer could increase absorption and
result in lethal complications
adjuvant medications used to manage neuropathic pain - Answer antidepressants or
anticonvulsants
Vomiting can lead to what acid-base imbalance - Answer metabolic alkalosis
