Jersey College MedSurg 1 RN FINAL
EXAM Questions and 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
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
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
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
NSAIDS - ANS✅✅analgesic that could lead to acute renal failure in patients with volume depletion
or who take it for chronic pain
prostaglandin - ANS✅✅needed for renal blood flow
EXAM Questions and 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
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
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
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
NSAIDS - ANS✅✅analgesic that could lead to acute renal failure in patients with volume depletion
or who take it for chronic pain
prostaglandin - ANS✅✅needed for renal blood flow
