K
C
LO
YC
JERSEY COLLEGE MED-SURG
D
RN FINAL EXAM REVIEW
U
QUESTIONS AND CORRECT
ST
DETAILED ANSWERS LATEST
UPDATE
,weight, smoking, sex practices, diet - ANS List four modifiable risk factors. (general
health promotion)
age, genetics, sex - ANS List three non-modifiable risk factors. (general health
promotion)
cultural assessment - ANS What type of assessment should the nurse preform prior
to initiating health teaching?
physiological integrity
K
safety and security
belongingness and affection
C
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
LO
-- confirm that these needs are met in the order listed above - ANS Maslow's
Hierarchy of Needs
--priorities?
--what order?
YC
Healthy People 2020 - ANS 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 - ANS Organization that
D
recommends ways to strengthen the practice of nursing in order to improve health care.
U
The National Patient Safety Goals - ANS 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
ST
called?
Nurse Practice Acts - ANS 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 - ANS 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 - ANS What is pain?
,actual or potential tissue damage - ANS Pain is associated with
__________________________________.
the patient's self report - ANS The single most reliable indicator of pain is _______.
blood pressure, heart rate, and respirations - ANS Pain stimulates the sympathetic
nervous system and could result in an increase in ___________, ___________, and
____________.
K
increases glucagon production
decreases insulin secretion
C
depresses immune function
can lead to addictive behaviors - ANS physiologic effects of unrelieved pain (4)
LO
prostaglandins - ANS initiate inflammation and contribute to tissue swelling and pain
NSAIDS - ANS ______ primarily produce pain relief by preventing prostaglandin
formation.
YC
Acetaminophen - ANS _____________ does not have anti-inflammatory properties.
tissue damage - ANS ______________ stimulates the inflammatory response and
puts the patient at risk for pain.
D
local anesthetics, non-opioids or opioids - ANS manage nociceptive pain with?
U
allodynia - ANS pain that is associated with a noxious stimulus
nerve route injury - ANS ________________ could lead to allodynia.
ST
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
effects on function/daily activities - ANS What does a comprehensive pain
assessment include?
visual analog scale - ANS 10cm line that represents no pain to worst pain on each
K
end of the line and the patient places a mark somewhere between the two ends
depending on the severity of pain
C
numeric rating scale - ANS ranges from 0 to 10 with 0 representing no pain
LO
Wong-Baker FACES Scale (ages 3+) - ANS consists of cartoon faces that the patient
selects to report their pain
verbal descriptor scale - ANS uses words to help individuals describe the intensity of
their pain
YC
Wong-Baker FACES Scale - ANS should never be used by the provider to match the
patient's facial expression
produce a local effect - ANS effect produced by topical analgesics
D
produces drug absorption into the systemic circulaiton - ANS effect produced by
U
transdermal route of analgesics
provide PCA (patient controlled analgesia) - ANS Provide ____________ to help
ST
reduce complications related to pain. Used in postoperative patients as a preventative
measure for pain.
around the clock - ANS Provide administration of analgesics __(frequency)__ for
chronic and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANS given for mild to moderate pain
NSAIDS - ANS given for moderate pain
C
LO
YC
JERSEY COLLEGE MED-SURG
D
RN FINAL EXAM REVIEW
U
QUESTIONS AND CORRECT
ST
DETAILED ANSWERS LATEST
UPDATE
,weight, smoking, sex practices, diet - ANS List four modifiable risk factors. (general
health promotion)
age, genetics, sex - ANS List three non-modifiable risk factors. (general health
promotion)
cultural assessment - ANS What type of assessment should the nurse preform prior
to initiating health teaching?
physiological integrity
K
safety and security
belongingness and affection
C
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
LO
-- confirm that these needs are met in the order listed above - ANS Maslow's
Hierarchy of Needs
--priorities?
--what order?
YC
Healthy People 2020 - ANS 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 - ANS Organization that
D
recommends ways to strengthen the practice of nursing in order to improve health care.
U
The National Patient Safety Goals - ANS 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
ST
called?
Nurse Practice Acts - ANS 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 - ANS 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 - ANS What is pain?
,actual or potential tissue damage - ANS Pain is associated with
__________________________________.
the patient's self report - ANS The single most reliable indicator of pain is _______.
blood pressure, heart rate, and respirations - ANS Pain stimulates the sympathetic
nervous system and could result in an increase in ___________, ___________, and
____________.
K
increases glucagon production
decreases insulin secretion
C
depresses immune function
can lead to addictive behaviors - ANS physiologic effects of unrelieved pain (4)
LO
prostaglandins - ANS initiate inflammation and contribute to tissue swelling and pain
NSAIDS - ANS ______ primarily produce pain relief by preventing prostaglandin
formation.
YC
Acetaminophen - ANS _____________ does not have anti-inflammatory properties.
tissue damage - ANS ______________ stimulates the inflammatory response and
puts the patient at risk for pain.
D
local anesthetics, non-opioids or opioids - ANS manage nociceptive pain with?
U
allodynia - ANS pain that is associated with a noxious stimulus
nerve route injury - ANS ________________ could lead to allodynia.
ST
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
effects on function/daily activities - ANS What does a comprehensive pain
assessment include?
visual analog scale - ANS 10cm line that represents no pain to worst pain on each
K
end of the line and the patient places a mark somewhere between the two ends
depending on the severity of pain
C
numeric rating scale - ANS ranges from 0 to 10 with 0 representing no pain
LO
Wong-Baker FACES Scale (ages 3+) - ANS consists of cartoon faces that the patient
selects to report their pain
verbal descriptor scale - ANS uses words to help individuals describe the intensity of
their pain
YC
Wong-Baker FACES Scale - ANS should never be used by the provider to match the
patient's facial expression
produce a local effect - ANS effect produced by topical analgesics
D
produces drug absorption into the systemic circulaiton - ANS effect produced by
U
transdermal route of analgesics
provide PCA (patient controlled analgesia) - ANS Provide ____________ to help
ST
reduce complications related to pain. Used in postoperative patients as a preventative
measure for pain.
around the clock - ANS Provide administration of analgesics __(frequency)__ for
chronic and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANS given for mild to moderate pain
NSAIDS - ANS given for moderate pain
