Jersey College MedSurg 1 RN FINAL
EXAM 2025 update|comprehensive
questions and verified answers.
100% Verified by an Expert for
Guaranteed Grade A+!!
List four modifiable risk factors. (general health promotion) - answeight, smoking, sex
practices, diet
List three non-modifiable risk factors. (general health promotion) - ansage, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? -
anscultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - ansphysiological 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
Organization that identifies health promotion and disease prevention goals and lists strategies
along with resources in an attempt to improve the nation's health - ansHealthy People 2020
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care. - ansThe Institute of Medicine's report on the Future of Nursing
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? - ansThe National Patient Safety Goals
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 - ansNurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care - ansQSEN - Quality and Safety Education for
Nurses Institute
What is pain? - answhatever the patient says it is
Pain is associated with __________________________________. - ansactual or potential
tissue damage
The single most reliable indicator of pain is _______. - ansthe patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase in
___________, ___________, and ____________. - ansblood pressure, heart rate, and
respirations
physiologic effects of unrelieved pain (4) - ansincreases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - ansprostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - ansNSAIDS
_____________ does not have anti-inflammatory properties. - ansAcetaminophen
,Jersey College MedSurg 1 RN FINAL
EXAM 2025 update|comprehensive
questions and verified answers.
100% Verified by an Expert for
Guaranteed Grade A+!!
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
anstissue damage
manage nociceptive pain with? - anslocal anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - ansallodynia
________________ could lead to allodynia. - ansnerve route injury
What does a comprehensive pain assessment include? - anstiming:
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
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 - ansvisual analog
scale
ranges from 0 to 10 with 0 representing no pain - ansnumeric rating scale
consists of cartoon faces that the patient selects to report their pain - ansWong-Baker FACES
Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - ansverbal descriptor scale
should never be used by the provider to match the patient's facial expression - ansWong-
Baker FACES Scale
effect produced by topical analgesics - ansproduce a local effect
effect produced by transdermal route of analgesics - ansproduces drug absorption into the
systemic circulaiton
Provide ____________ to help reduce complications related to pain. Used in postoperative
patients as a preventative measure for pain. - ansprovide PCA (patient controlled analgesia)
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain,
never wait for chronic pain to reoccur. - ansaround the clock
given for mild to moderate pain - ansaspirin or acetaminophen
given for moderate pain - ansNSAIDS
given for severe pain - ansopioid analgesics (Morphine)
, Jersey College MedSurg 1 RN FINAL
EXAM 2025 update|comprehensive
questions and verified answers.
100% Verified by an Expert for
Guaranteed Grade A+!!
Avoid which medication administration route for patients who are thrombocytopenic? -
ansrectal route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. -
ansAcetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular events such as MI
or stroke - ansNSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or who take
it for chronic pain - ansNSAIDS
needed for renal blood flow - ansprostaglandin
undesirable side effects of opioids - ansconstipation, nausea, pupil constriction, and
respiratory depression
Never apply heat over transdermal patches. Why? - anscould increase absorption and result in
lethal complications
adjuvant medications used to manage neuropathic pain - ansantidepressants or
anticonvulsants
Vomiting can lead to what acid-base imbalance - ansmetabolic alkalosis
Diarrhea can lead to what acid-base imbalance - ansmetabolic acidosis
Mineral that helps to regulate muscle contraction and relaxation - anscalcium
In the setting of hypoparathyroidism, provide a diet that is high in _______ and low in
__________. - anshigh in calcium and low in phosphorus
Chloride works with sodium to determine _______________. - ansosmotic pressure
If chloride levels drop, bicarbonate is retained and results in
_______________________________. - anshypochloremic metabolic alkalosis
Changes in electrolytes impair _________________ resulting in ________ or ____________.
- ansaction potentials
weakness or excitability
Small shifts in intravascular volume in children increases their risk for
__________________. - ansfluid volume deficit (FVD)
Proteins like _______ create an oncotic pressure. - ansalbumin
________________ pulls fluid from the interstitial compartment into the intravascular
compartment to maintain volume. - ansoncotic pressure
becomes a hypotonic solution as the cells absorb the dextrose - ansD5W
________ should not be given to patients with a head injury. - ansdextrose
This mineral stimulates parathyroid hormone secretion when low. - anslow Magnesium
This mineral helps with carbohydrate and protein metabolism, affects neuromuscular
function, and produces vasodilation. - ansMagnesium
Can be given to relax smooth muscle. Calcium antagonist. - ansMagnesium Sulfate
The antidote for tetany or hypermagnesmia - ansCalcium gluconate
This mineral is required for the formation of ATP and helps to maintain the acid-base
balance. - ansPhosphorus
EXAM 2025 update|comprehensive
questions and verified answers.
100% Verified by an Expert for
Guaranteed Grade A+!!
List four modifiable risk factors. (general health promotion) - answeight, smoking, sex
practices, diet
List three non-modifiable risk factors. (general health promotion) - ansage, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? -
anscultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - ansphysiological 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
Organization that identifies health promotion and disease prevention goals and lists strategies
along with resources in an attempt to improve the nation's health - ansHealthy People 2020
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care. - ansThe Institute of Medicine's report on the Future of Nursing
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? - ansThe National Patient Safety Goals
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 - ansNurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care - ansQSEN - Quality and Safety Education for
Nurses Institute
What is pain? - answhatever the patient says it is
Pain is associated with __________________________________. - ansactual or potential
tissue damage
The single most reliable indicator of pain is _______. - ansthe patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase in
___________, ___________, and ____________. - ansblood pressure, heart rate, and
respirations
physiologic effects of unrelieved pain (4) - ansincreases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - ansprostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - ansNSAIDS
_____________ does not have anti-inflammatory properties. - ansAcetaminophen
,Jersey College MedSurg 1 RN FINAL
EXAM 2025 update|comprehensive
questions and verified answers.
100% Verified by an Expert for
Guaranteed Grade A+!!
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
anstissue damage
manage nociceptive pain with? - anslocal anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - ansallodynia
________________ could lead to allodynia. - ansnerve route injury
What does a comprehensive pain assessment include? - anstiming:
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
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 - ansvisual analog
scale
ranges from 0 to 10 with 0 representing no pain - ansnumeric rating scale
consists of cartoon faces that the patient selects to report their pain - ansWong-Baker FACES
Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - ansverbal descriptor scale
should never be used by the provider to match the patient's facial expression - ansWong-
Baker FACES Scale
effect produced by topical analgesics - ansproduce a local effect
effect produced by transdermal route of analgesics - ansproduces drug absorption into the
systemic circulaiton
Provide ____________ to help reduce complications related to pain. Used in postoperative
patients as a preventative measure for pain. - ansprovide PCA (patient controlled analgesia)
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain,
never wait for chronic pain to reoccur. - ansaround the clock
given for mild to moderate pain - ansaspirin or acetaminophen
given for moderate pain - ansNSAIDS
given for severe pain - ansopioid analgesics (Morphine)
, Jersey College MedSurg 1 RN FINAL
EXAM 2025 update|comprehensive
questions and verified answers.
100% Verified by an Expert for
Guaranteed Grade A+!!
Avoid which medication administration route for patients who are thrombocytopenic? -
ansrectal route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. -
ansAcetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular events such as MI
or stroke - ansNSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or who take
it for chronic pain - ansNSAIDS
needed for renal blood flow - ansprostaglandin
undesirable side effects of opioids - ansconstipation, nausea, pupil constriction, and
respiratory depression
Never apply heat over transdermal patches. Why? - anscould increase absorption and result in
lethal complications
adjuvant medications used to manage neuropathic pain - ansantidepressants or
anticonvulsants
Vomiting can lead to what acid-base imbalance - ansmetabolic alkalosis
Diarrhea can lead to what acid-base imbalance - ansmetabolic acidosis
Mineral that helps to regulate muscle contraction and relaxation - anscalcium
In the setting of hypoparathyroidism, provide a diet that is high in _______ and low in
__________. - anshigh in calcium and low in phosphorus
Chloride works with sodium to determine _______________. - ansosmotic pressure
If chloride levels drop, bicarbonate is retained and results in
_______________________________. - anshypochloremic metabolic alkalosis
Changes in electrolytes impair _________________ resulting in ________ or ____________.
- ansaction potentials
weakness or excitability
Small shifts in intravascular volume in children increases their risk for
__________________. - ansfluid volume deficit (FVD)
Proteins like _______ create an oncotic pressure. - ansalbumin
________________ pulls fluid from the interstitial compartment into the intravascular
compartment to maintain volume. - ansoncotic pressure
becomes a hypotonic solution as the cells absorb the dextrose - ansD5W
________ should not be given to patients with a head injury. - ansdextrose
This mineral stimulates parathyroid hormone secretion when low. - anslow Magnesium
This mineral helps with carbohydrate and protein metabolism, affects neuromuscular
function, and produces vasodilation. - ansMagnesium
Can be given to relax smooth muscle. Calcium antagonist. - ansMagnesium Sulfate
The antidote for tetany or hypermagnesmia - ansCalcium gluconate
This mineral is required for the formation of ATP and helps to maintain the acid-base
balance. - ansPhosphorus
