Jersey College MedSurg 1 RN FINAL
EXAM Questions and All Correct
Answers.
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.
around the clock - Answer Provide administration of analgesics __(frequency)__ for chronic
and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - Answer given for mild to moderate pain
NSAIDS - Answer given for moderate pain
opioid analgesics (Morphine) - Answer given for severe pain
rectal route - Answer Avoid which medication administration route for patients who are
thrombocytopenic?
Acetaminophen - Answer Use of this analgesic could result in hepatoxicity and should not
exceed 4,000mg/day.
NSAIDS - Answer analgesic that could result in gastric ulcers or contribute to cardiovascular
events such as MI or stroke
NSAIDS - Answer analgesic that could lead to acute renal failure in patients with volume
depletion or who take it for chronic pain
prostaglandin - Answer needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression - Answer undesirable
side effects of opioids
could increase absorption and result in lethal complications - Answer Never apply heat over
transdermal patches. Why?
antidepressants or anticonvulsants - Answer adjuvant medications used to manage
neuropathic pain
metabolic alkalosis - Answer Vomiting can lead to what acid-base imbalance
EXAM Questions and All Correct
Answers.
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.
around the clock - Answer Provide administration of analgesics __(frequency)__ for chronic
and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - Answer given for mild to moderate pain
NSAIDS - Answer given for moderate pain
opioid analgesics (Morphine) - Answer given for severe pain
rectal route - Answer Avoid which medication administration route for patients who are
thrombocytopenic?
Acetaminophen - Answer Use of this analgesic could result in hepatoxicity and should not
exceed 4,000mg/day.
NSAIDS - Answer analgesic that could result in gastric ulcers or contribute to cardiovascular
events such as MI or stroke
NSAIDS - Answer analgesic that could lead to acute renal failure in patients with volume
depletion or who take it for chronic pain
prostaglandin - Answer needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression - Answer undesirable
side effects of opioids
could increase absorption and result in lethal complications - Answer Never apply heat over
transdermal patches. Why?
antidepressants or anticonvulsants - Answer adjuvant medications used to manage
neuropathic pain
metabolic alkalosis - Answer Vomiting can lead to what acid-base imbalance
