1|Page
JERSEY COLLEGE MED-SURG 1 RN FINAL EXAM
QUESTIONS AND 100% CORRECT ANSWERS |UPDATED
2025/2026| GRADED A+
weight, smoking, sex practices, diet - ANSWER: modifiable risk factors
age, genetics, sex - ANSWER: non-modifiable risk factors
Type of assessment the nurse should perform prior to initiating health teaching. -
ANSWER: cultural assessment
Physiologic needs and life threatening issues are a priority; confirm that these
needs are met in the order listed. - ANSWER: Maslow's Hierarchy of Needs
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: 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. - ANSWER: National Patient Safety Goals
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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
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. - ANSWER: QSEN
Whatever the patient says it is. - ANSWER: pain
Pain is associated with actual or potential tissue damage. - ANSWER: tissue
damage
The patient's self report. - ANSWER: single most reliable indicator of pain
Pain stimulates the sympathetic nervous system and could result in an increase in
blood pressure, heart rate, and respirations. - ANSWER: sympathetic nervous
system
Increases glucagon production, decreases insulin secretion, depresses immune
function, can lead to addictive behaviors. - ANSWER: physiologic effects of
unrelieved pain
Initiate inflammation and contribute to tissue swelling and pain. - ANSWER:
prostaglandins
Primarily produce pain relief by preventing prostaglandin formation. - ANSWER:
NSAIDS
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Does not have anti-inflammatory properties. - ANSWER: Acetaminophen
Tissue damage stimulates the inflammatory response and puts the patient at risk for
pain. - ANSWER: inflammatory response
Manage with local anesthetics, non-opioids or opioids. - ANSWER: nociceptive
pain management
Pain that is associated with a noxious stimulus. - ANSWER: allodynia
Could lead to allodynia. - ANSWER: nerve route injury
Includes timing (onset, duration, frequency), type (intensity, associated factors),
influencing factors, quality, location, and effects on function/daily activities. -
ANSWER: comprehensive pain assessment
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
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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 circulation
to help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain. - ANSWER: provide PCA (patient controlled
analgesia)
administration of analgesics 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 severe pain - ANSWER: opioid analgesics (Morphine)
Avoid which medication administration route for patients who are
thrombocytopenic? - ANSWER: rectal route
needed for renal blood flow - ANSWER: prostaglandin
constipation, nausea, pupil constriction, and respiratory depression - ANSWER:
undesirable side effects of opioids
JERSEY COLLEGE MED-SURG 1 RN FINAL EXAM
QUESTIONS AND 100% CORRECT ANSWERS |UPDATED
2025/2026| GRADED A+
weight, smoking, sex practices, diet - ANSWER: modifiable risk factors
age, genetics, sex - ANSWER: non-modifiable risk factors
Type of assessment the nurse should perform prior to initiating health teaching. -
ANSWER: cultural assessment
Physiologic needs and life threatening issues are a priority; confirm that these
needs are met in the order listed. - ANSWER: Maslow's Hierarchy of Needs
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: 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. - ANSWER: National Patient Safety Goals
,2|Page
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
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. - ANSWER: QSEN
Whatever the patient says it is. - ANSWER: pain
Pain is associated with actual or potential tissue damage. - ANSWER: tissue
damage
The patient's self report. - ANSWER: single most reliable indicator of pain
Pain stimulates the sympathetic nervous system and could result in an increase in
blood pressure, heart rate, and respirations. - ANSWER: sympathetic nervous
system
Increases glucagon production, decreases insulin secretion, depresses immune
function, can lead to addictive behaviors. - ANSWER: physiologic effects of
unrelieved pain
Initiate inflammation and contribute to tissue swelling and pain. - ANSWER:
prostaglandins
Primarily produce pain relief by preventing prostaglandin formation. - ANSWER:
NSAIDS
,3|Page
Does not have anti-inflammatory properties. - ANSWER: Acetaminophen
Tissue damage stimulates the inflammatory response and puts the patient at risk for
pain. - ANSWER: inflammatory response
Manage with local anesthetics, non-opioids or opioids. - ANSWER: nociceptive
pain management
Pain that is associated with a noxious stimulus. - ANSWER: allodynia
Could lead to allodynia. - ANSWER: nerve route injury
Includes timing (onset, duration, frequency), type (intensity, associated factors),
influencing factors, quality, location, and effects on function/daily activities. -
ANSWER: comprehensive pain assessment
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
, 4|Page
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 circulation
to help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain. - ANSWER: provide PCA (patient controlled
analgesia)
administration of analgesics 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 severe pain - ANSWER: opioid analgesics (Morphine)
Avoid which medication administration route for patients who are
thrombocytopenic? - ANSWER: rectal route
needed for renal blood flow - ANSWER: prostaglandin
constipation, nausea, pupil constriction, and respiratory depression - ANSWER:
undesirable side effects of opioids
