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JERSEY COLLEGE MEDSURG 1 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
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
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 Ans:
Maslow's Hierarchy of Needs
--priorities?
--what order?
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
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The Institute of Medicine's report on the Future of Nursing Ans:
Organization that recommends ways to strengthen the practice of nursing
in order to improve health care.
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 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 ____________.
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors Ans: physiologic effects of unrelieved
pain (4)
prostaglandins Ans: initiate inflammation and contribute to tissue
swelling and pain
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NSAIDS Ans: ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen Ans: _____________ does not have anti-inflammatory
properties.
tissue damage Ans: ______________ stimulates the inflammatory
response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids Ans: manage nociceptive pain
with?
allodynia Ans: pain that is associated with a noxious stimulus
nerve route injury Ans: ________________ 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 Ans: What does a comprehensive pain
assessment include?
visual analog scale Ans: 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
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numeric rating scale Ans: ranges from 0 to 10 with 0 representing no
pain
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
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
produces drug absorption into the systemic circulaiton Ans: effect
produced by transdermal route of analgesics
provide PCA (patient controlled analgesia) Ans: Provide ____________
to help 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
opioid analgesics (Morphine) Ans: given for severe pain
rectal route Ans: Avoid which medication administration route for
patients who are thrombocytopenic?
Acetaminophen Ans: Use of this analgesic could result in hepatoxicity
and should not exceed 4,000mg/day.
NSAIDS Ans: analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
JERSEY COLLEGE MEDSURG 1 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
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
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 Ans:
Maslow's Hierarchy of Needs
--priorities?
--what order?
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
, Page | 2
The Institute of Medicine's report on the Future of Nursing Ans:
Organization that recommends ways to strengthen the practice of nursing
in order to improve health care.
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 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 ____________.
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors Ans: physiologic effects of unrelieved
pain (4)
prostaglandins Ans: initiate inflammation and contribute to tissue
swelling and pain
, Page | 3
NSAIDS Ans: ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen Ans: _____________ does not have anti-inflammatory
properties.
tissue damage Ans: ______________ stimulates the inflammatory
response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids Ans: manage nociceptive pain
with?
allodynia Ans: pain that is associated with a noxious stimulus
nerve route injury Ans: ________________ 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 Ans: What does a comprehensive pain
assessment include?
visual analog scale Ans: 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
, Page | 4
numeric rating scale Ans: ranges from 0 to 10 with 0 representing no
pain
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
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
produces drug absorption into the systemic circulaiton Ans: effect
produced by transdermal route of analgesics
provide PCA (patient controlled analgesia) Ans: Provide ____________
to help 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
opioid analgesics (Morphine) Ans: given for severe pain
rectal route Ans: Avoid which medication administration route for
patients who are thrombocytopenic?
Acetaminophen Ans: Use of this analgesic could result in hepatoxicity
and should not exceed 4,000mg/day.
NSAIDS Ans: analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
