Jersey College MedSurg 1 RN FINAL EXAM
UPDATED ACTUAL Exam Questions and
CORRECT Answers
weight, smoking, sex practices, diet - CORRECT ANSWER - List four modifiable risk
factors. (general health promotion)
age, genetics, sex - CORRECT ANSWER - List three non-modifiable risk factors. (general
health promotion)
cultural assessment - CORRECT 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 - CORRECT ANSWER -
Maslow's Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - CORRECT 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 - CORRECT ANSWER -
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care.
The National Patient Safety Goals - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - What is pain?
actual or potential tissue damage - CORRECT ANSWER - Pain is associated with
__________________________________.
the patient's self report - CORRECT ANSWER - The single most reliable indicator of pain
is _______.
blood pressure, heart rate, and respirations - CORRECT 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 - CORRECT ANSWER - physiologic effects of unrelieved
pain (4)
prostaglandins - CORRECT ANSWER - initiate inflammation and contribute to tissue
swelling and pain
NSAIDS - CORRECT ANSWER - ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - CORRECT ANSWER - _____________ does not have anti-
inflammatory properties.
tissue damage - CORRECT ANSWER - ______________ stimulates the inflammatory
response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - CORRECT ANSWER - manage nociceptive
pain with?
allodynia - CORRECT ANSWER - pain that is associated with a noxious stimulus
nerve route injury - CORRECT 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
effects on function/daily activities - CORRECT ANSWER - What does a comprehensive
pain assessment include?
visual analog scale - CORRECT 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
numeric rating scale - CORRECT ANSWER - ranges from 0 to 10 with 0 representing no
pain
Wong-Baker FACES Scale (ages 3+) - CORRECT ANSWER - consists of cartoon faces
that the patient selects to report their pain
verbal descriptor scale - CORRECT ANSWER - uses words to help individuals describe
the intensity of their pain
Wong-Baker FACES Scale - CORRECT ANSWER - should never be used by the provider
to match the patient's facial expression
produce a local effect - CORRECT ANSWER - effect produced by topical analgesics
UPDATED ACTUAL Exam Questions and
CORRECT Answers
weight, smoking, sex practices, diet - CORRECT ANSWER - List four modifiable risk
factors. (general health promotion)
age, genetics, sex - CORRECT ANSWER - List three non-modifiable risk factors. (general
health promotion)
cultural assessment - CORRECT 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 - CORRECT ANSWER -
Maslow's Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - CORRECT 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 - CORRECT ANSWER -
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care.
The National Patient Safety Goals - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - What is pain?
actual or potential tissue damage - CORRECT ANSWER - Pain is associated with
__________________________________.
the patient's self report - CORRECT ANSWER - The single most reliable indicator of pain
is _______.
blood pressure, heart rate, and respirations - CORRECT 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 - CORRECT ANSWER - physiologic effects of unrelieved
pain (4)
prostaglandins - CORRECT ANSWER - initiate inflammation and contribute to tissue
swelling and pain
NSAIDS - CORRECT ANSWER - ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - CORRECT ANSWER - _____________ does not have anti-
inflammatory properties.
tissue damage - CORRECT ANSWER - ______________ stimulates the inflammatory
response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - CORRECT ANSWER - manage nociceptive
pain with?
allodynia - CORRECT ANSWER - pain that is associated with a noxious stimulus
nerve route injury - CORRECT 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
effects on function/daily activities - CORRECT ANSWER - What does a comprehensive
pain assessment include?
visual analog scale - CORRECT 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
numeric rating scale - CORRECT ANSWER - ranges from 0 to 10 with 0 representing no
pain
Wong-Baker FACES Scale (ages 3+) - CORRECT ANSWER - consists of cartoon faces
that the patient selects to report their pain
verbal descriptor scale - CORRECT ANSWER - uses words to help individuals describe
the intensity of their pain
Wong-Baker FACES Scale - CORRECT ANSWER - should never be used by the provider
to match the patient's facial expression
produce a local effect - CORRECT ANSWER - effect produced by topical analgesics
