Jersey College MedSurg 1 RN FINAL EXAM 2026
with complete solu"on
List four modifiable risk factors. (general health promo on)
weight, smoking, sex prac ces, diet
List three non-modifiable risk factors. (general health promo on)
age, gene cs, sex
What type of assessment should the nurse preform prior to ini a ng health teaching?
cultural assessment
Maslow's Hierarchy of Needs
--priori es?
--what order?
physiological integrity
safety and security
belongingness and affec on
esteem and self-respect
self-actualiza on
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above
Organiza on that iden fies health promo on and disease preven on goals and lists
strategies along with resources in an a*empt to improve the na on's health
Healthy People 2020
Organiza on that recommends ways to strengthen the prac ce of nursing in order to
improve health care.
The Ins tute of Medicine's report on the Future of Nursing
The Joint Commission lists the top pa ent safety concerns and includes medica on safety,
infec on preven on, surgery-related mistakes, pa ent iden fica on and improving staff
communica on. What is this list called?
The Na onal Pa ent Safety Goals
This governs nursing prac ce and is a law that is put into place to protect the public - nurses
must follow and comply with their state's regula ons
,Nurse Prac ce Acts
Ins tute that seeks to strengthen the knowledge, skills, and a6tudes of nurses in providing
con nuous quality improvement in health care
QSEN - Quality and Safety Educa on for Nurses Ins tute
What is pain?
whatever the pa ent says it is
Pain is associated with __________________________________.
actual or poten al ssue damage
The single most reliable indicator of pain is _______.
the pa ent's self report
Pain s mulates the sympathe c nervous system and could result in an increase in
___________, ___________, and ____________.
blood pressure, heart rate, and respira ons
physiologic effects of unrelieved pain (4)
increases glucagon produc on
decreases insulin secre on
depresses immune func on
can lead to addic ve behaviors
ini ate inflamma on and contribute to ssue swelling and pain
prostaglandins
______ primarily produce pain relief by preven ng prostaglandin forma on.
NSAIDS
_____________ does not have an -inflammatory proper es.
Acetaminophen
______________ s mulates the inflammatory response and puts the pa ent at risk for pain.
ssue damage
manage nocicep ve pain with?
local anesthe cs, non-opioids or opioids
pain that is associated with a noxious s mulus
,allodynia
________________ could lead to allodynia.
nerve route injury
What does a comprehensive pain assessment include?
ming:
onset - when it started
dura on - where it started
frequency - how o@en/for how long
type - includes intensity, associated factors
influencing factors - what makes it be*er/worse
intensity - how bad does it hurt
quality - what does it feel like
loca on - where does it hurt
effects on func on/daily ac vi es
10cm line that represents no pain to worst pain on each end of the line and the pa ent
places a mark somewhere between the two ends depending on the severity of pain
visual analog scale
ranges from 0 to 10 with 0 represen ng no pain
numeric ra ng scale
consists of cartoon faces that the pa ent 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
should never be used by the provider to match the pa ent'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 absorp on into the systemic circulaiton
Provide ____________ to help reduce complica ons related to pain. Used in postopera ve
pa ents as a preventa ve measure for pain.
provide PCA (pa ent controlled analgesia)
Provide administra on of analgesics __(frequency)__ for chronic and postopera ve 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 medica on administra on route for pa ents 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 pa ents with volume deple on or who take
it for chronic pain
NSAIDS
needed for renal blood flow
prostaglandin
undesirable side effects of opioids
cons pa on, nausea, pupil constric on, and respiratory depression
Never apply heat over transdermal patches. Why?
with complete solu"on
List four modifiable risk factors. (general health promo on)
weight, smoking, sex prac ces, diet
List three non-modifiable risk factors. (general health promo on)
age, gene cs, sex
What type of assessment should the nurse preform prior to ini a ng health teaching?
cultural assessment
Maslow's Hierarchy of Needs
--priori es?
--what order?
physiological integrity
safety and security
belongingness and affec on
esteem and self-respect
self-actualiza on
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above
Organiza on that iden fies health promo on and disease preven on goals and lists
strategies along with resources in an a*empt to improve the na on's health
Healthy People 2020
Organiza on that recommends ways to strengthen the prac ce of nursing in order to
improve health care.
The Ins tute of Medicine's report on the Future of Nursing
The Joint Commission lists the top pa ent safety concerns and includes medica on safety,
infec on preven on, surgery-related mistakes, pa ent iden fica on and improving staff
communica on. What is this list called?
The Na onal Pa ent Safety Goals
This governs nursing prac ce and is a law that is put into place to protect the public - nurses
must follow and comply with their state's regula ons
,Nurse Prac ce Acts
Ins tute that seeks to strengthen the knowledge, skills, and a6tudes of nurses in providing
con nuous quality improvement in health care
QSEN - Quality and Safety Educa on for Nurses Ins tute
What is pain?
whatever the pa ent says it is
Pain is associated with __________________________________.
actual or poten al ssue damage
The single most reliable indicator of pain is _______.
the pa ent's self report
Pain s mulates the sympathe c nervous system and could result in an increase in
___________, ___________, and ____________.
blood pressure, heart rate, and respira ons
physiologic effects of unrelieved pain (4)
increases glucagon produc on
decreases insulin secre on
depresses immune func on
can lead to addic ve behaviors
ini ate inflamma on and contribute to ssue swelling and pain
prostaglandins
______ primarily produce pain relief by preven ng prostaglandin forma on.
NSAIDS
_____________ does not have an -inflammatory proper es.
Acetaminophen
______________ s mulates the inflammatory response and puts the pa ent at risk for pain.
ssue damage
manage nocicep ve pain with?
local anesthe cs, non-opioids or opioids
pain that is associated with a noxious s mulus
,allodynia
________________ could lead to allodynia.
nerve route injury
What does a comprehensive pain assessment include?
ming:
onset - when it started
dura on - where it started
frequency - how o@en/for how long
type - includes intensity, associated factors
influencing factors - what makes it be*er/worse
intensity - how bad does it hurt
quality - what does it feel like
loca on - where does it hurt
effects on func on/daily ac vi es
10cm line that represents no pain to worst pain on each end of the line and the pa ent
places a mark somewhere between the two ends depending on the severity of pain
visual analog scale
ranges from 0 to 10 with 0 represen ng no pain
numeric ra ng scale
consists of cartoon faces that the pa ent 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
should never be used by the provider to match the pa ent'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 absorp on into the systemic circulaiton
Provide ____________ to help reduce complica ons related to pain. Used in postopera ve
pa ents as a preventa ve measure for pain.
provide PCA (pa ent controlled analgesia)
Provide administra on of analgesics __(frequency)__ for chronic and postopera ve 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 medica on administra on route for pa ents 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 pa ents with volume deple on or who take
it for chronic pain
NSAIDS
needed for renal blood flow
prostaglandin
undesirable side effects of opioids
cons pa on, nausea, pupil constric on, and respiratory depression
Never apply heat over transdermal patches. Why?
