JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
weight, smoking, sex practices, diet - ANSWER: List four modifiable risk factors.
(general health promotion)
age, genetics, sex - ANSWER: List three non-modifiable risk factors. (general health
promotion)
cultural assessment - ANSWER: 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 - ANSWER: Maslow's
Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - ANSWER: 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 - ANSWER: Organization
that recommends ways to strengthen the practice of nursing in order to improve health
care.
The National Patient Safety Goals - ANSWER: 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 - ANSWER: 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 - ANSWER: 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 - ANSWER: What is pain? #$%^&*()
*&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
,JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
actual or potential tissue damage - ANSWER: Pain is associated with
__________________________________.
the patient's self report - ANSWER: The single most reliable indicator of pain is
_______.
blood pressure, heart rate, and respirations - ANSWER: Pain stimulates the
sympathetic nervous system and could result in an increase in ___________,
___________, and ____________.
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - ANSWER: physiologic effects of unrelieved pain (4)
prostaglandins - ANSWER: initiate inflammation and contribute to tissue swelling and
pain
NSAIDS - ANSWER: ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - ANSWER: _____________ does not have anti-inflammatory
properties.
tissue damage - ANSWER: ______________ stimulates the inflammatory response
and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - ANSWER: manage nociceptive pain with?
allodynia - ANSWER: pain that is associated with a noxious stimulus
nerve route injury - ANSWER: ________________ could lead to allodynia.
timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
#$%^&*()
intensity - how bad does it hurt *&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
,JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - ANSWER: What does a comprehensive pain
assessment include?
visual analog scale - ANSWER: 10cm line that represents no pain to worst pain on
each end of the line and the patient places a mark somewhere between the two ends
depending on the severity of pain
numeric rating scale - ANSWER: ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) - ANSWER: consists of cartoon faces that the
patient selects to report their pain
verbal descriptor scale - ANSWER: uses words to help individuals describe the
intensity of their pain
Wong-Baker FACES Scale - ANSWER: should never be used by the provider to
match the patient's facial expression
produce a local effect - ANSWER: effect produced by topical analgesics
produces drug absorption into the systemic circulaiton - ANSWER: effect produced by
transdermal route of analgesics
provide PCA (patient controlled analgesia) - ANSWER: Provide ____________ to
help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
around the clock - ANSWER: Provide administration of analgesics __(frequency)__
for chronic and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANSWER: given for mild to moderate pain
NSAIDS - ANSWER: given for moderate pain
opioid analgesics (Morphine) - ANSWER: given for severe pain
#$%^&*()
rectal route - ANSWER: Avoid which medication administration route for patients who
are thrombocytopenic? *&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
, JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
Acetaminophen - ANSWER: Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
NSAIDS - ANSWER: analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
NSAIDS - ANSWER: analgesic that could lead to acute renal failure in patients with
volume depletion or who take it for chronic pain
prostaglandin - ANSWER: needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression - ANSWER:
undesirable side effects of opioids
could increase absorption and result in lethal complications - ANSWER: Never apply
heat over transdermal patches. Why?
antidepressants or anticonvulsants - ANSWER: adjuvant medications used to
manage neuropathic pain
metabolic alkalosis - ANSWER: Vomiting can lead to what acid-base imbalance
metabolic acidosis - ANSWER: Diarrhea can lead to what acid-base imbalance
calcium - ANSWER: Mineral that helps to regulate muscle contraction and relaxation
high in calcium and low in phosphorus - ANSWER: In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in __________.
osmotic pressure - ANSWER: Chloride works with sodium to determine
_______________.
hypochloremic metabolic alkalosis - ANSWER: If chloride levels drop, bicarbonate is
retained and results in _______________________________.
action potentials
weakness or excitability - ANSWER: Changes in electrolytes impair
_________________ resulting in ________ or ____________.
fluid volume deficit (FVD) - ANSWER: Small shifts in intravascular volume in children #$%^&*()
increases their risk for __________________.
*&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
QUESTIONS WITH COMPLETE SOLUTIONS.
weight, smoking, sex practices, diet - ANSWER: List four modifiable risk factors.
(general health promotion)
age, genetics, sex - ANSWER: List three non-modifiable risk factors. (general health
promotion)
cultural assessment - ANSWER: What type of assessment should the nurse preform
prior to initiating health teaching?
physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above - ANSWER: Maslow's
Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - ANSWER: Organization that identifies health promotion and
disease prevention goals and lists strategies along with resources in an attempt to
improve the nation's health
The Institute of Medicine's report on the Future of Nursing - ANSWER: Organization
that recommends ways to strengthen the practice of nursing in order to improve health
care.
The National Patient Safety Goals - ANSWER: The Joint Commission lists the top
patient safety concerns and includes medication safety, infection prevention, surgery-
related mistakes, patient identification and improving staff communication. What is this
list called?
Nurse Practice Acts - ANSWER: This governs nursing practice and is a law that is put
into place to protect the public - nurses must follow and comply with their state's
regulations
QSEN - Quality and Safety Education for Nurses Institute - ANSWER: Institute that
seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care
whatever the patient says it is - ANSWER: What is pain? #$%^&*()
*&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
,JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
actual or potential tissue damage - ANSWER: Pain is associated with
__________________________________.
the patient's self report - ANSWER: The single most reliable indicator of pain is
_______.
blood pressure, heart rate, and respirations - ANSWER: Pain stimulates the
sympathetic nervous system and could result in an increase in ___________,
___________, and ____________.
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - ANSWER: physiologic effects of unrelieved pain (4)
prostaglandins - ANSWER: initiate inflammation and contribute to tissue swelling and
pain
NSAIDS - ANSWER: ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - ANSWER: _____________ does not have anti-inflammatory
properties.
tissue damage - ANSWER: ______________ stimulates the inflammatory response
and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - ANSWER: manage nociceptive pain with?
allodynia - ANSWER: pain that is associated with a noxious stimulus
nerve route injury - ANSWER: ________________ could lead to allodynia.
timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
#$%^&*()
intensity - how bad does it hurt *&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
,JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - ANSWER: What does a comprehensive pain
assessment include?
visual analog scale - ANSWER: 10cm line that represents no pain to worst pain on
each end of the line and the patient places a mark somewhere between the two ends
depending on the severity of pain
numeric rating scale - ANSWER: ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) - ANSWER: consists of cartoon faces that the
patient selects to report their pain
verbal descriptor scale - ANSWER: uses words to help individuals describe the
intensity of their pain
Wong-Baker FACES Scale - ANSWER: should never be used by the provider to
match the patient's facial expression
produce a local effect - ANSWER: effect produced by topical analgesics
produces drug absorption into the systemic circulaiton - ANSWER: effect produced by
transdermal route of analgesics
provide PCA (patient controlled analgesia) - ANSWER: Provide ____________ to
help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
around the clock - ANSWER: Provide administration of analgesics __(frequency)__
for chronic and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANSWER: given for mild to moderate pain
NSAIDS - ANSWER: given for moderate pain
opioid analgesics (Morphine) - ANSWER: given for severe pain
#$%^&*()
rectal route - ANSWER: Avoid which medication administration route for patients who
are thrombocytopenic? *&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
, JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
Acetaminophen - ANSWER: Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
NSAIDS - ANSWER: analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
NSAIDS - ANSWER: analgesic that could lead to acute renal failure in patients with
volume depletion or who take it for chronic pain
prostaglandin - ANSWER: needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression - ANSWER:
undesirable side effects of opioids
could increase absorption and result in lethal complications - ANSWER: Never apply
heat over transdermal patches. Why?
antidepressants or anticonvulsants - ANSWER: adjuvant medications used to
manage neuropathic pain
metabolic alkalosis - ANSWER: Vomiting can lead to what acid-base imbalance
metabolic acidosis - ANSWER: Diarrhea can lead to what acid-base imbalance
calcium - ANSWER: Mineral that helps to regulate muscle contraction and relaxation
high in calcium and low in phosphorus - ANSWER: In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in __________.
osmotic pressure - ANSWER: Chloride works with sodium to determine
_______________.
hypochloremic metabolic alkalosis - ANSWER: If chloride levels drop, bicarbonate is
retained and results in _______________________________.
action potentials
weakness or excitability - ANSWER: Changes in electrolytes impair
_________________ resulting in ________ or ____________.
fluid volume deficit (FVD) - ANSWER: Small shifts in intravascular volume in children #$%^&*()
increases their risk for __________________.
*&^%$%^
&*(*&^%$
#$%^&*(*
&^%$%^&
*(*&^%$%
^&*()(*&^
