JERSEY COLLEGE MEDSURG 1 RN
MIDTERM EXAM QUESTIONS AND
DETAILED ANSWERS. EXPERT
VERIFIED FOR GUARANTEED PASS.
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
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,--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 ____________.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, 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
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
MIDTERM EXAM QUESTIONS AND
DETAILED ANSWERS. EXPERT
VERIFIED FOR GUARANTEED PASS.
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
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,--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 ____________.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, 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
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
