Jersey College Medical Surgeon` 1 RN FINAL
EXAM (Newest Version Questions with Answers)
1. Weight, smoking, sex practices, diet - Answer>>-List four modifiable risk factors.
(general health promotion)
2. Age, genetics, sex - Answer>>-List three non-modifiable risk factors. (general
health promotion)
3. 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?
4. 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
5. 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.
6. 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?
7. 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
8. 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
,9. Whatever the patient says it is - Answer>>-What is pain?
10. Actual or potential tissue damage - Answer>>-Pain is associated with
__________________________________.
11. The patient's self report - Answer>>-The single most reliable indicator of pain is
_______.
12. 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
13. Depresses immune function Can lead to addictive behaviors - Answer>>-
physiologic effects of unrelieved pain (4)
14. Prostaglandins - Answer>>-initiate inflammation and contribute to tissue swelling
and pain
15. NSAIDS - Answer>>-______ primarily produce pain relief by preventing
prostaglandin formation.
16. Acetaminophen - Answer>>-_____________ does not have anti-inflammatory
properties.
17. Tissue damage - Answer>>-______________ stimulates the inflammatory
response and puts the patient at risk for pain.
18. Local anesthetics, non-opioids or opioids - Answer>>-manage nociceptive pain
with?
19. Allodynia - Answer>>-pain that is associated with a noxious stimulus
20. Nerve route injury - Answer>>-________________ could lead to allodynia.
Timing:
Onset - when it started
Duration - where it started
Frequency - how often/for how long
21. Type - includes intensity, associated factors
A - what makes it better/worse
Intensity - how bad does it hurt
, Quality - what does it feel like
Location - where does it hurt
22. Effects on function/daily activities - Answer>>-What does a comprehensive pain
assessment include?
23. 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
24. Numeric rating scale - Answer>>-ranges from 0 to 10 with 0 representing no pain
25. Wong-Baker FACES Scale (ages 3+) - Answer>>-consists of cartoon faces that
the patient selects to report their pain
26. Verbal descriptor scale - Answer>>-uses words to help individuals describe the
intensity of their pain
27. Wong-Baker FACES Scale - Answer>>-should never be used by the provider to
match the patient's facial expression
28. Produce a local effect - Answer>>-effect produced by topical analgesics
29. Produces drug absorption into the systemic circulation - Answer>>-effect
produced by transdermal route of analgesics
30. Provide PCA (patient controlled analgesia) - Answer>>-Provide ____________
to help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
31. Around the clock - Answer>>-Provide administration of analgesics
__(frequency)__ for chronic and postoperative pain, never wait for chronic pain to
reoccur.
32. Aspirin or acetaminophen - Answer>>-given for mild to moderate pain
33. NSAIDS - Answer>>-given for moderate pain
34. Opioid analgesics (Morphine) - Answer>>-given for severe pain
35. Rectal route - Answer>>-Avoid which medication administration route for patients
who are thrombocytopenic?
, 36. Acetaminophen - Answer>>-Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
37. NSAIDS - Answer>>-analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
38. NSAIDS - Answer>>-analgesic that could lead to acute renal failure in patients
with volume depletion or who take it for chronic pain
39. Prostaglandin - Answer>>-needed for renal blood flow
40. Constipation, nausea, pupil constriction, and respiratory depression - Answer>>-
undesirable side effects of opioids
41. Could increase absorption and result in lethal complications - Answer>>-Never
apply heat over transdermal patches. Why?
42. Antidepressants or anticonvulsants - Answer>>-adjuvant medications used to
manage neuropathic pain
43. Metabolic alkalosis - Answer>>-Vomiting can lead to what acid-base imbalance
44. Metabolic acidosis - Answer>>-Diarrhea can lead to what acid-base imbalance
45. Calcium - Answer>>-Mineral that helps to regulate muscle contraction and
relaxation
46. High in calcium and low in phosphorus - Answer>>-In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in
__________.
47. Osmotic pressure - Answer>>-Chloride works with sodium to determine
_______________.
48. Hypochloremic metabolic alkalosis - Answer>>-If chloride levels drop,
bicarbonate is retained and results in _______________________________.
49. Action potentials
50. Weakness or excitability - Answer>>-Changes in electrolytes impair
_________________ resulting in ________ or ____________.
51. Fluid volume deficit (FVD) - Answer>>-Small shifts in intravascular volume in
children increases their risk for __________________.
52. Albumin - Answer>>-Proteins like _______ create an oncotic pressure.
EXAM (Newest Version Questions with Answers)
1. Weight, smoking, sex practices, diet - Answer>>-List four modifiable risk factors.
(general health promotion)
2. Age, genetics, sex - Answer>>-List three non-modifiable risk factors. (general
health promotion)
3. 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?
4. 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
5. 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.
6. 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?
7. 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
8. 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
,9. Whatever the patient says it is - Answer>>-What is pain?
10. Actual or potential tissue damage - Answer>>-Pain is associated with
__________________________________.
11. The patient's self report - Answer>>-The single most reliable indicator of pain is
_______.
12. 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
13. Depresses immune function Can lead to addictive behaviors - Answer>>-
physiologic effects of unrelieved pain (4)
14. Prostaglandins - Answer>>-initiate inflammation and contribute to tissue swelling
and pain
15. NSAIDS - Answer>>-______ primarily produce pain relief by preventing
prostaglandin formation.
16. Acetaminophen - Answer>>-_____________ does not have anti-inflammatory
properties.
17. Tissue damage - Answer>>-______________ stimulates the inflammatory
response and puts the patient at risk for pain.
18. Local anesthetics, non-opioids or opioids - Answer>>-manage nociceptive pain
with?
19. Allodynia - Answer>>-pain that is associated with a noxious stimulus
20. Nerve route injury - Answer>>-________________ could lead to allodynia.
Timing:
Onset - when it started
Duration - where it started
Frequency - how often/for how long
21. Type - includes intensity, associated factors
A - what makes it better/worse
Intensity - how bad does it hurt
, Quality - what does it feel like
Location - where does it hurt
22. Effects on function/daily activities - Answer>>-What does a comprehensive pain
assessment include?
23. 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
24. Numeric rating scale - Answer>>-ranges from 0 to 10 with 0 representing no pain
25. Wong-Baker FACES Scale (ages 3+) - Answer>>-consists of cartoon faces that
the patient selects to report their pain
26. Verbal descriptor scale - Answer>>-uses words to help individuals describe the
intensity of their pain
27. Wong-Baker FACES Scale - Answer>>-should never be used by the provider to
match the patient's facial expression
28. Produce a local effect - Answer>>-effect produced by topical analgesics
29. Produces drug absorption into the systemic circulation - Answer>>-effect
produced by transdermal route of analgesics
30. Provide PCA (patient controlled analgesia) - Answer>>-Provide ____________
to help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
31. Around the clock - Answer>>-Provide administration of analgesics
__(frequency)__ for chronic and postoperative pain, never wait for chronic pain to
reoccur.
32. Aspirin or acetaminophen - Answer>>-given for mild to moderate pain
33. NSAIDS - Answer>>-given for moderate pain
34. Opioid analgesics (Morphine) - Answer>>-given for severe pain
35. Rectal route - Answer>>-Avoid which medication administration route for patients
who are thrombocytopenic?
, 36. Acetaminophen - Answer>>-Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
37. NSAIDS - Answer>>-analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
38. NSAIDS - Answer>>-analgesic that could lead to acute renal failure in patients
with volume depletion or who take it for chronic pain
39. Prostaglandin - Answer>>-needed for renal blood flow
40. Constipation, nausea, pupil constriction, and respiratory depression - Answer>>-
undesirable side effects of opioids
41. Could increase absorption and result in lethal complications - Answer>>-Never
apply heat over transdermal patches. Why?
42. Antidepressants or anticonvulsants - Answer>>-adjuvant medications used to
manage neuropathic pain
43. Metabolic alkalosis - Answer>>-Vomiting can lead to what acid-base imbalance
44. Metabolic acidosis - Answer>>-Diarrhea can lead to what acid-base imbalance
45. Calcium - Answer>>-Mineral that helps to regulate muscle contraction and
relaxation
46. High in calcium and low in phosphorus - Answer>>-In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in
__________.
47. Osmotic pressure - Answer>>-Chloride works with sodium to determine
_______________.
48. Hypochloremic metabolic alkalosis - Answer>>-If chloride levels drop,
bicarbonate is retained and results in _______________________________.
49. Action potentials
50. Weakness or excitability - Answer>>-Changes in electrolytes impair
_________________ resulting in ________ or ____________.
51. Fluid volume deficit (FVD) - Answer>>-Small shifts in intravascular volume in
children increases their risk for __________________.
52. Albumin - Answer>>-Proteins like _______ create an oncotic pressure.
