JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM WITH COMPLETE SOLUTIONS.

JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM WITH COMPLETE
SOLUTIONS.

Question 1
Which of the following is considered a modifiable risk factor for chronic disease, according to
general health promotion principles?
A) Age
B) Genetics
C) Sex
D) Diet
E) Family history
Correct Answer: D) Diet
Rationale: Modifiable risk factors are those that can be changed or controlled by an
individual's lifestyle choices, such as weight, smoking, diet, and exercise habits.

Question 2
Which factor is considered non-modifiable when assessing a patient's risk for various diseases?
A) Weight
B) Smoking status
C) Age
D) Sex practices
E) Diet
Correct Answer: C) Age
Rationale: Non-modifiable risk factors are those that cannot be changed, such as age,
genetics, and biological sex.

Question 3
A nurse is preparing to initiate a health teaching session for a patient from a different cultural
background. What is the priority assessment to perform first?
A) Physical assessment to determine baseline physiological status.
B) Cultural assessment to understand the patient's beliefs and values regarding health.
C) Pain assessment using the appropriate pain scale.
D) Spiritual assessment to identify religious practices.
E) Review of the patient's medication list for interactions.

,Correct Answer: B) Cultural assessment to understand the patient's beliefs and values
regarding health.
Rationale: A cultural assessment should be performed prior to initiating health teaching to
ensure the teaching plan is culturally relevant, respectful, and effective.

Question 4
According to Maslow's Hierarchy of Needs, which level of human needs is the highest priority
for the nurse to meet when a patient has a severe, life-threatening injury?
A) Esteem and self-respect
B) Belongingness and affection
C) Safety and security
D) Self-actualization
E) Physiological integrity
Correct Answer: E) Physiological integrity
Rationale: Maslow's Hierarchy establishes that physiological needs (air, water, food,
warmth, rest, etc.) and life-threatening issues are the absolute priority and must be met
first.

Question 5
In prioritizing patient care using Maslow's Hierarchy, the correct ascending order of needs that
must be met is:
A) Safety, Physiological, Belonging, Esteem, Self-actualization
B) Physiological, Safety, Belonging, Esteem, Self-actualization
C) Belonging, Esteem, Physiological, Safety, Self-actualization
D) Self-actualization, Esteem, Belonging, Safety, Physiological
E) Physiological, Esteem, Safety, Belonging, Self-actualization
Correct Answer: B) Physiological, Safety, Belonging, Esteem, Self-actualization
Rationale: The confirmed order of needs that must be met is physiological integrity, safety
and security, belongingness and affection, esteem and self-respect, and finally, self-
actualization.

Question 6
Which organization provides a national framework detailing health promotion and disease

,prevention goals and lists strategies along with resources in an attempt to improve the nation's
health?
A) The Joint Commission
B) The Institute of Medicine (IOM)
C) Healthy People 2020 (or current version)
D) Quality and Safety Education for Nurses (QSEN)
E) National League for Nursing (NLN)
Correct Answer: C) Healthy People 2020 (or current version)
Rationale: Healthy People 2020 (or the current version, Healthy People 2030) is the
organization that identifies health promotion and disease prevention goals and lists
strategies along with resources in an attempt to improve the nation's health.

Question 7
Which report or organization recommends ways to strengthen the practice of nursing, often
focusing on increasing nurse education levels and leadership roles, in order to improve health
care?
A) The National Patient Safety Goals
B) The Institute of Medicine's report on the Future of Nursing
C) Nurse Practice Acts
D) Healthy People 2020
E) The Centers for Disease Control and Prevention (CDC)
Correct Answer: B) The Institute of Medicine's report on the Future of Nursing
Rationale: The Institute of Medicine's report on the Future of Nursing recommends ways to
strengthen the practice of nursing in order to improve health care.

Question 8
The Joint Commission’s list of top patient safety concerns, which includes medication safety,
infection prevention, surgery-related mistakes, patient identification, and improving staff
communication, is known as the:
A) QSEN Competencies
B) HIPAA Regulations
C) Nurse Practice Act Mandates

, D) The National Patient Safety Goals
E) Standard Precautions
Correct Answer: D) The National Patient Safety Goals
Rationale: The Joint Commission lists the top patient safety concerns and includes the items
listed. This list is called The National Patient Safety Goals.

Question 9
The law that governs professional nursing practice and is put into place to protect the public,
requiring nurses to follow and comply with their state's regulations, is known as the:
A) National Patient Safety Goals
B) Health Insurance Portability and Accountability Act (HIPAA)
C) Quality and Safety Education for Nurses (QSEN)
D) Nurse Practice Acts
E) Affordable Care Act (ACA)
Correct Answer: D) Nurse Practice Acts
Rationale: Nurse Practice Acts govern nursing practice and are state laws put into place to
protect the public; nurses must follow and comply with their state's regulations.

Question 10
Which institute seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care?
A) American Nurses Association (ANA)
B) Quality and Safety Education for Nurses Institute (QSEN)
C) Centers for Medicare & Medicaid Services (CMS)
D) National Patient Safety Goals (NPSG)
E) National League for Nursing (NLN)
Correct Answer: B) Quality and Safety Education for Nurses Institute (QSEN)
Rationale: QSEN—Quality and Safety Education for Nurses Institute—seeks to strengthen
the knowledge, skills, and attitudes of nurses in providing continuous quality improvement
in health care.

Question 11
According to the accepted definition in health care, the best description of pain is: