JERSEY COLLEGE MEDSURG 1 EXAM SCRIPT
NEW UPDATE PROCTORED ASSESSMENTS
BUNDLED
◉ 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
NEW UPDATE PROCTORED ASSESSMENTS
BUNDLED
◉ 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
