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MEDSURG 1 RN JERSEY COLLEGE FINAL
EXAM VERIFIED AND REVIEWED 2025
List four modifiable risk factors. (general health promotion)
weight, smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion)
age, genetics, sex
What type of assessment should the nurse preform prior to initiating health
teaching?
cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order?
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
Organization that identifies health promotion and disease prevention goals and
lists strategies along with resources in an attempt to improve the nation's health
Healthy People 2020
Organization that recommends ways to strengthen the practice of nursing in
order to improve health care.
The 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?
The National Patient Safety Goals
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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
Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in
providing continuous quality improvement in health care
QSEN - Quality and Safety Education for Nurses Institute
What is pain?
whatever the patient says it is
Pain is associated with __________________________________.
actual or potential tissue damage
The single most reliable indicator of pain is _______.
the patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase
in ___________, ___________, and ____________.
blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4)
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain
prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation.
NSAIDS
_____________ does not have anti-inflammatory properties.
Acetaminophen
______________ stimulates the inflammatory response and puts the patient at
risk for pain.
tissue damage
manage nociceptive pain with?
local anesthetics, non-opioids or opioids
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pain that is associated with a noxious stimulus
allodynia
________________ could lead to allodynia.
nerve route injury
What does a comprehensive pain assessment include?
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
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
visual analog scale
ranges from 0 to 10 with 0 representing no pain
numeric rating scale
consists of cartoon faces that the patient selects to report their pain
Wong-Baker FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain
verbal descriptor scale
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should never be used by the provider to match the patient's facial expression
Wong-Baker FACES Scale
effect produced by topical analgesics
produce a local effect
effect produced by transdermal route of analgesics
produces drug absorption into the systemic circulaiton
Provide ____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain.
provide PCA (patient controlled analgesia)
Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
around the clock
given for mild to moderate pain
aspirin or acetaminophen
given for moderate pain
NSAIDS
given for severe pain
opioid analgesics (Morphine)
Avoid which medication administration route for patients who are
thrombocytopenic?
rectal route
Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
Acetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular
events such as MI or stroke
NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion
or who take it for chronic pain
NSAIDS
needed for renal blood flow
MEDSURG 1 RN JERSEY COLLEGE FINAL
EXAM VERIFIED AND REVIEWED 2025
List four modifiable risk factors. (general health promotion)
weight, smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion)
age, genetics, sex
What type of assessment should the nurse preform prior to initiating health
teaching?
cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order?
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
Organization that identifies health promotion and disease prevention goals and
lists strategies along with resources in an attempt to improve the nation's health
Healthy People 2020
Organization that recommends ways to strengthen the practice of nursing in
order to improve health care.
The 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?
The National Patient Safety Goals
,2 | Page
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
Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in
providing continuous quality improvement in health care
QSEN - Quality and Safety Education for Nurses Institute
What is pain?
whatever the patient says it is
Pain is associated with __________________________________.
actual or potential tissue damage
The single most reliable indicator of pain is _______.
the patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase
in ___________, ___________, and ____________.
blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4)
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain
prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation.
NSAIDS
_____________ does not have anti-inflammatory properties.
Acetaminophen
______________ stimulates the inflammatory response and puts the patient at
risk for pain.
tissue damage
manage nociceptive pain with?
local anesthetics, non-opioids or opioids
,3 | Page
pain that is associated with a noxious stimulus
allodynia
________________ could lead to allodynia.
nerve route injury
What does a comprehensive pain assessment include?
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
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
visual analog scale
ranges from 0 to 10 with 0 representing no pain
numeric rating scale
consists of cartoon faces that the patient selects to report their pain
Wong-Baker FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain
verbal descriptor scale
, 4 | Page
should never be used by the provider to match the patient's facial expression
Wong-Baker FACES Scale
effect produced by topical analgesics
produce a local effect
effect produced by transdermal route of analgesics
produces drug absorption into the systemic circulaiton
Provide ____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain.
provide PCA (patient controlled analgesia)
Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
around the clock
given for mild to moderate pain
aspirin or acetaminophen
given for moderate pain
NSAIDS
given for severe pain
opioid analgesics (Morphine)
Avoid which medication administration route for patients who are
thrombocytopenic?
rectal route
Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
Acetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular
events such as MI or stroke
NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion
or who take it for chronic pain
NSAIDS
needed for renal blood flow
