JERSEY COLLEGE MEDSURG 1 RN
FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
weight, osmoking, osex opractices, odiet o- o✔✔List ofour omodifiable orisk ofactors.
o(general ohealth opromotion)
age, ogenetics, osex o- o✔✔List othree onon-modifiable orisk ofactors. o(general ohealth
opromotion)
cultural oassessment o- o✔✔What otype oof oassessment oshould othe onurse opreform
oprior oto oinitiating ohealth oteaching?
physiological ointegrity
safety oand osecurity
belongingness oand oaffection
esteem oand oself-respect
self-actualization o
-- ophysiologic oneeds oand olife othreatening oissues oare oa opriority o
-- oconfirm othat othese oneeds oare omet oin othe oorder olisted oabove o- o✔✔Maslow's
oHierarchy oof oNeeds
--priorities?
--what oorder?
Healthy oPeople o2020 o- o✔✔Organization othat oidentifies ohealth opromotion oand
odisease oprevention ogoals oand olists ostrategies oalong owith oresources oin oan oattempt
oto oimprove othe onation's ohealth
The oInstitute oof oMedicine's oreport oon othe oFuture oof oNursing o- o✔✔Organization
othat orecommends oways oto ostrengthen othe opractice oof onursing oin oorder oto oimprove
ohealth ocare.
The oNational oPatient oSafety oGoals o- o✔✔The oJoint oCommission olists othe otop
opatient osafety oconcerns oand oincludes omedication osafety, oinfection oprevention,
osurgery-related omistakes, opatient oidentification oand oimproving ostaff ocommunication.
oWhat ois othis olist ocalled?
,Nurse oPractice oActs o- o✔✔This ogoverns onursing opractice oand ois oa olaw othat ois oput
ointo oplace oto oprotect othe opublic o- onurses omust ofollow oand ocomply owith otheir
ostate's oregulations
QSEN o- oQuality oand oSafety oEducation ofor oNurses oInstitute o- o✔✔Institute othat
oseeks oto ostrengthen othe oknowledge, oskills, oand oattitudes oof onurses oin oproviding
ocontinuous oquality oimprovement oin ohealth ocare
whatever othe opatient osays oit ois o- o✔✔What ois opain?
actual oor opotential otissue odamage o- o✔✔Pain ois oassociated owith
o__________________________________.
the opatient's oself oreport o- o✔✔The osingle omost oreliable oindicator oof opain ois
o_______.
blood opressure, oheart orate, oand orespirations o- o✔✔Pain ostimulates othe osympathetic
onervous osystem oand ocould oresult oin oan oincrease oin o___________, o___________,
oand o____________.
increases oglucagon oproduction
decreases oinsulin osecretion
depresses oimmune ofunction
can olead oto oaddictive obehaviors o- o✔✔physiologic oeffects oof ounrelieved opain o(4)
prostaglandins o- o✔✔initiate oinflammation oand ocontribute oto otissue oswelling oand
opain
NSAIDS o- o✔✔______ oprimarily oproduce opain orelief oby opreventing oprostaglandin
oformation.
Acetaminophen o- o✔✔_____________ odoes onot ohave oanti-inflammatory oproperties.
tissue odamage o- o✔✔______________ ostimulates othe oinflammatory oresponse oand
oputs othe opatient oat orisk ofor opain.
local oanesthetics, onon-opioids oor oopioids o- o✔✔manage onociceptive opain owith?
allodynia o- o✔✔pain othat ois oassociated owith oa onoxious ostimulus
nerve oroute oinjury o- o✔✔________________ ocould olead oto oallodynia.
timing:
onset o- owhen oit ostarted
duration o- owhere oit ostarted
frequency o- ohow ooften/for ohow olong
,type o- oincludes ointensity, oassociated ofactors
influencing ofactors o- owhat omakes oit obetter/worse
intensity o- ohow obad odoes oit ohurt
quality o- owhat odoes oit ofeel olike
location o- owhere odoes oit ohurt
effects oon ofunction/daily oactivities o- o✔✔What odoes oa ocomprehensive opain
oassessment oinclude?
visual oanalog oscale o- o✔✔10cm oline othat orepresents ono opain oto oworst opain oon
oeach oend oof othe oline oand othe opatient oplaces oa omark osomewhere obetween othe
otwo oends odepending oon othe oseverity oof opain
numeric orating oscale o- o✔✔ranges ofrom o0 oto o10 owith o0 orepresenting ono opain
Wong-Baker oFACES oScale o(ages o3+) o- o✔✔consists oof ocartoon ofaces othat othe
opatient oselects oto oreport otheir opain
verbal odescriptor oscale o- o✔✔uses owords oto ohelp oindividuals odescribe othe ointensity
oof otheir opain
Wong-Baker oFACES oScale o- o✔✔should onever obe oused oby othe oprovider oto omatch
othe opatient's ofacial oexpression
produce oa olocal oeffect o- o✔✔effect oproduced oby otopical oanalgesics
produces odrug oabsorption ointo othe osystemic ocirculaiton o- o✔✔effect oproduced oby
otransdermal oroute oof oanalgesics
provide oPCA o(patient ocontrolled oanalgesia) o- o✔✔Provide o____________ oto ohelp
oreduce ocomplications orelated oto opain. oUsed oin opostoperative opatients oas oa
opreventative omeasure ofor opain.
around othe oclock o- o✔✔Provide oadministration oof oanalgesics o__(frequency)__ ofor
ochronic oand opostoperative opain, onever owait ofor ochronic opain oto oreoccur.
aspirin oor oacetaminophen o- o✔✔given ofor omild oto omoderate opain
NSAIDS o- o✔✔given ofor omoderate opain
opioid oanalgesics o(Morphine) o- o✔✔given ofor osevere opain
, rectal oroute o- o✔✔Avoid owhich omedication oadministration oroute ofor opatients owho
oare othrombocytopenic?
Acetaminophen o- o✔✔Use oof othis oanalgesic ocould oresult oin ohepatoxicity oand
oshould onot oexceed o4,000mg/day.
NSAIDS o- o✔✔analgesic othat ocould oresult oin ogastric oulcers oor ocontribute oto
ocardiovascular oevents osuch oas oMI oor ostroke
NSAIDS o- o✔✔analgesic othat ocould olead oto oacute orenal ofailure oin opatients owith
ovolume odepletion oor owho otake oit ofor ochronic opain
prostaglandin o- o✔✔needed ofor orenal oblood oflow
constipation, onausea, opupil oconstriction, oand orespiratory odepression o-
o✔✔undesirable oside oeffects oof oopioids
could oincrease oabsorption oand oresult oin olethal ocomplications o- o✔✔Never oapply
oheat oover otransdermal opatches. oWhy?
antidepressants oor oanticonvulsants o- o✔✔adjuvant omedications oused oto omanage
oneuropathic opain
metabolic oalkalosis o- o✔✔Vomiting ocan olead oto owhat oacid-base oimbalance
metabolic oacidosis o- o✔✔Diarrhea ocan olead oto owhat oacid-base oimbalance
calcium o- o✔✔Mineral othat ohelps oto oregulate omuscle ocontraction oand orelaxation
high oin ocalcium oand olow oin ophosphorus o- o✔✔In othe osetting oof ohypoparathyroidism,
oprovide oa odiet othat ois ohigh oin o_______ oand olow oin o__________.
osmotic opressure o- o✔✔Chloride oworks owith osodium oto odetermine
o_______________.
hypochloremic ometabolic oalkalosis o- o✔✔If ochloride olevels odrop, obicarbonate ois
oretained oand oresults oin o_______________________________.
action opotentials o
weakness oor oexcitability o- o✔✔Changes oin oelectrolytes oimpair o_________________
oresulting oin o________ oor o____________.
fluid ovolume odeficit o(FVD) o- o✔✔Small oshifts oin ointravascular ovolume oin ochildren
oincreases otheir orisk ofor o__________________.
FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
weight, osmoking, osex opractices, odiet o- o✔✔List ofour omodifiable orisk ofactors.
o(general ohealth opromotion)
age, ogenetics, osex o- o✔✔List othree onon-modifiable orisk ofactors. o(general ohealth
opromotion)
cultural oassessment o- o✔✔What otype oof oassessment oshould othe onurse opreform
oprior oto oinitiating ohealth oteaching?
physiological ointegrity
safety oand osecurity
belongingness oand oaffection
esteem oand oself-respect
self-actualization o
-- ophysiologic oneeds oand olife othreatening oissues oare oa opriority o
-- oconfirm othat othese oneeds oare omet oin othe oorder olisted oabove o- o✔✔Maslow's
oHierarchy oof oNeeds
--priorities?
--what oorder?
Healthy oPeople o2020 o- o✔✔Organization othat oidentifies ohealth opromotion oand
odisease oprevention ogoals oand olists ostrategies oalong owith oresources oin oan oattempt
oto oimprove othe onation's ohealth
The oInstitute oof oMedicine's oreport oon othe oFuture oof oNursing o- o✔✔Organization
othat orecommends oways oto ostrengthen othe opractice oof onursing oin oorder oto oimprove
ohealth ocare.
The oNational oPatient oSafety oGoals o- o✔✔The oJoint oCommission olists othe otop
opatient osafety oconcerns oand oincludes omedication osafety, oinfection oprevention,
osurgery-related omistakes, opatient oidentification oand oimproving ostaff ocommunication.
oWhat ois othis olist ocalled?
,Nurse oPractice oActs o- o✔✔This ogoverns onursing opractice oand ois oa olaw othat ois oput
ointo oplace oto oprotect othe opublic o- onurses omust ofollow oand ocomply owith otheir
ostate's oregulations
QSEN o- oQuality oand oSafety oEducation ofor oNurses oInstitute o- o✔✔Institute othat
oseeks oto ostrengthen othe oknowledge, oskills, oand oattitudes oof onurses oin oproviding
ocontinuous oquality oimprovement oin ohealth ocare
whatever othe opatient osays oit ois o- o✔✔What ois opain?
actual oor opotential otissue odamage o- o✔✔Pain ois oassociated owith
o__________________________________.
the opatient's oself oreport o- o✔✔The osingle omost oreliable oindicator oof opain ois
o_______.
blood opressure, oheart orate, oand orespirations o- o✔✔Pain ostimulates othe osympathetic
onervous osystem oand ocould oresult oin oan oincrease oin o___________, o___________,
oand o____________.
increases oglucagon oproduction
decreases oinsulin osecretion
depresses oimmune ofunction
can olead oto oaddictive obehaviors o- o✔✔physiologic oeffects oof ounrelieved opain o(4)
prostaglandins o- o✔✔initiate oinflammation oand ocontribute oto otissue oswelling oand
opain
NSAIDS o- o✔✔______ oprimarily oproduce opain orelief oby opreventing oprostaglandin
oformation.
Acetaminophen o- o✔✔_____________ odoes onot ohave oanti-inflammatory oproperties.
tissue odamage o- o✔✔______________ ostimulates othe oinflammatory oresponse oand
oputs othe opatient oat orisk ofor opain.
local oanesthetics, onon-opioids oor oopioids o- o✔✔manage onociceptive opain owith?
allodynia o- o✔✔pain othat ois oassociated owith oa onoxious ostimulus
nerve oroute oinjury o- o✔✔________________ ocould olead oto oallodynia.
timing:
onset o- owhen oit ostarted
duration o- owhere oit ostarted
frequency o- ohow ooften/for ohow olong
,type o- oincludes ointensity, oassociated ofactors
influencing ofactors o- owhat omakes oit obetter/worse
intensity o- ohow obad odoes oit ohurt
quality o- owhat odoes oit ofeel olike
location o- owhere odoes oit ohurt
effects oon ofunction/daily oactivities o- o✔✔What odoes oa ocomprehensive opain
oassessment oinclude?
visual oanalog oscale o- o✔✔10cm oline othat orepresents ono opain oto oworst opain oon
oeach oend oof othe oline oand othe opatient oplaces oa omark osomewhere obetween othe
otwo oends odepending oon othe oseverity oof opain
numeric orating oscale o- o✔✔ranges ofrom o0 oto o10 owith o0 orepresenting ono opain
Wong-Baker oFACES oScale o(ages o3+) o- o✔✔consists oof ocartoon ofaces othat othe
opatient oselects oto oreport otheir opain
verbal odescriptor oscale o- o✔✔uses owords oto ohelp oindividuals odescribe othe ointensity
oof otheir opain
Wong-Baker oFACES oScale o- o✔✔should onever obe oused oby othe oprovider oto omatch
othe opatient's ofacial oexpression
produce oa olocal oeffect o- o✔✔effect oproduced oby otopical oanalgesics
produces odrug oabsorption ointo othe osystemic ocirculaiton o- o✔✔effect oproduced oby
otransdermal oroute oof oanalgesics
provide oPCA o(patient ocontrolled oanalgesia) o- o✔✔Provide o____________ oto ohelp
oreduce ocomplications orelated oto opain. oUsed oin opostoperative opatients oas oa
opreventative omeasure ofor opain.
around othe oclock o- o✔✔Provide oadministration oof oanalgesics o__(frequency)__ ofor
ochronic oand opostoperative opain, onever owait ofor ochronic opain oto oreoccur.
aspirin oor oacetaminophen o- o✔✔given ofor omild oto omoderate opain
NSAIDS o- o✔✔given ofor omoderate opain
opioid oanalgesics o(Morphine) o- o✔✔given ofor osevere opain
, rectal oroute o- o✔✔Avoid owhich omedication oadministration oroute ofor opatients owho
oare othrombocytopenic?
Acetaminophen o- o✔✔Use oof othis oanalgesic ocould oresult oin ohepatoxicity oand
oshould onot oexceed o4,000mg/day.
NSAIDS o- o✔✔analgesic othat ocould oresult oin ogastric oulcers oor ocontribute oto
ocardiovascular oevents osuch oas oMI oor ostroke
NSAIDS o- o✔✔analgesic othat ocould olead oto oacute orenal ofailure oin opatients owith
ovolume odepletion oor owho otake oit ofor ochronic opain
prostaglandin o- o✔✔needed ofor orenal oblood oflow
constipation, onausea, opupil oconstriction, oand orespiratory odepression o-
o✔✔undesirable oside oeffects oof oopioids
could oincrease oabsorption oand oresult oin olethal ocomplications o- o✔✔Never oapply
oheat oover otransdermal opatches. oWhy?
antidepressants oor oanticonvulsants o- o✔✔adjuvant omedications oused oto omanage
oneuropathic opain
metabolic oalkalosis o- o✔✔Vomiting ocan olead oto owhat oacid-base oimbalance
metabolic oacidosis o- o✔✔Diarrhea ocan olead oto owhat oacid-base oimbalance
calcium o- o✔✔Mineral othat ohelps oto oregulate omuscle ocontraction oand orelaxation
high oin ocalcium oand olow oin ophosphorus o- o✔✔In othe osetting oof ohypoparathyroidism,
oprovide oa odiet othat ois ohigh oin o_______ oand olow oin o__________.
osmotic opressure o- o✔✔Chloride oworks owith osodium oto odetermine
o_______________.
hypochloremic ometabolic oalkalosis o- o✔✔If ochloride olevels odrop, obicarbonate ois
oretained oand oresults oin o_______________________________.
action opotentials o
weakness oor oexcitability o- o✔✔Changes oin oelectrolytes oimpair o_________________
oresulting oin o________ oor o____________.
fluid ovolume odeficit o(FVD) o- o✔✔Small oshifts oin ointravascular ovolume oin ochildren
oincreases otheir orisk ofor o__________________.
