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Comprehensive Medical-Surgical Nursing Study Guide for RN
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THIS EXAM INCLUDES:
• Complete Jersey College MedSurg 1 RN Final Exam Practice Questions
• Verified Correct Answers with Detailed Rationales
• Comprehensive Medical-Surgical Nursing Review
• Latest 2026–2027 RN Exam Preparation Material
• NCLEX-Style Practice & Critical Thinking Questions
• Cardiovascular, Respiratory, Neurological & Gastrointestinal Disorders
• Fluid & Electrolyte Balance and Acid–Base Disorders
• Diabetes, Endocrine & Renal System Nursing Care
,MedSurg 1 RN Final Exam
1. A nurse is planning health promotion teaching. Which of the
following is a modifiable risk factor?
• A. Age
• B. Genetics
• C. Sex
• D. Smoking
2. A nurse is assessing a patient's risk factors for chronic disease.
Which of the following is a non-modifiable risk factor?
• A. Diet
• B. Weight
• C. Smoking practices
• D. Age
3. Before initiating health teaching, which type of assessment should
the nurse perform first?
• A. Physical assessment
• B. Pain assessment
• C. Genetic assessment
• D. Cultural assessment
4. A nurse is prioritizing care for a patient. According to Maslow's
hierarchy of needs, which level must be addressed first?
• A. Self-actualization
• B. Esteem and self-respect
• C. Belongingness and affection
• D. Physiological integrity
,5. Which organization identifies health promotion and disease
prevention goals to improve the nation's health?
• A. The Joint Commission
• B. Institute of Medicine
• C. Healthy People 2020
• D. QSEN Institute
6. Which organization's report recommends ways to strengthen
nursing practice to improve healthcare?
• A. The Joint Commission
• B. The Institute of Medicine's report on the Future of Nursing
• C. Healthy People 2020
• D. National Patient Safety Goals
7. The Joint Commission lists top patient safety concerns including
medication safety, infection prevention, and patient identification.
What is this list called?
• A. QSEN competencies
• B. Nurse Practice Acts
• C. Healthy People 2020 objectives
• D. The National Patient Safety Goals
8. Which law governs nursing practice and is put in place to protect
the public?
• A. QSEN
• B. The Joint Commission standards
• C. Nurse Practice Acts
• D. The Future of Nursing report
, 9. Which institute seeks to strengthen nurses' knowledge, skills, and
attitudes in providing continuous quality improvement?
• A. The Joint Commission
• B. Institute of Medicine
• C. National League for Nursing
• D. QSEN (Quality and Safety Education for Nurses Institute)
10. According to the provided material, what is pain defined as?
• A. What the vital signs indicate
• B. What the nurse observes
• C. What the imaging shows
• D. Whatever the patient says it is
11. Pain is associated with which of the following?
• A. Emotional distress only
• B. Chronic fatigue
• C. Actual or potential tissue damage
• D. Increased appetite
12. What is the single most reliable indicator of pain?
• A. Changes in vital signs
• B. Patient's facial expression
• C. Tissue damage assessment
• D. The patient's self-report
13. Pain stimulates the sympathetic nervous system, which can result
in an increase in which of the following?
• A. Temperature, respirations, and oxygen saturation
• B. Urinary output, bowel sounds, and skin turgor