Jersey College MedSurg 1 RN FINAL EXAM
Jersey College Med-Surg 1 RN Final Exam
questions And Answers with Complete
Solutions 100% UPDATED 2025
weight, smoking, sex practices, diet -Correct Answer ✔List four modifiable risk factors.
(general health promotion)
age, genetics, sex -Correct Answer ✔List three non-modifiable risk factors. (general
health promotion)
cultural assessment -Correct 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 -Correct Answer
✔Maslow's Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 -Correct 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 -Correct Answer
✔Organization that recommends ways to strengthen the practice of nursing in order to
improve health care.
The National Patient Safety Goals -Correct 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 -Correct 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
Jersey College MedSurg 1 RN FINAL EXAM
,Jersey College MedSurg 1 RN FINAL EXAM
QSEN - Quality and Safety Education for Nurses Institute -Correct 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 -Correct Answer ✔What is pain?
actual or potential tissue damage -Correct Answer ✔Pain is associated with
__________________________________.
the patient's self report -Correct Answer ✔The single most reliable indicator of pain is
_______.
blood pressure, heart rate, and respirations -Correct 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 -Correct Answer ✔physiologic effects of unrelieved pain
(4)
prostaglandins -Correct Answer ✔initiate inflammation and contribute to tissue swelling
and pain
NSAIDS -Correct Answer ✔______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen -Correct Answer ✔_____________ does not have anti-inflammatory
properties.
tissue damage -Correct Answer ✔______________ stimulates the inflammatory
response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids -Correct Answer ✔manage nociceptive pain
with?
allodynia -Correct Answer ✔pain that is associated with a noxious stimulus
nerve route injury -Correct Answer ✔________________ could lead to allodynia.
timing:
onset - when it started
duration - where it started
Jersey College MedSurg 1 RN FINAL EXAM
,Jersey College MedSurg 1 RN FINAL EXAM
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 -Correct Answer ✔What does a comprehensive pain
assessment include?
visual analog scale -Correct 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 -Correct Answer ✔ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) -Correct Answer ✔consists of cartoon faces that
the patient selects to report their pain
verbal descriptor scale -Correct Answer ✔uses words to help individuals describe the
intensity of their pain
Wong-Baker FACES Scale -Correct Answer ✔should never be used by the provider to
match the patient's facial expression
produce a local effect -Correct Answer ✔effect produced by topical analgesics
produces drug absorption into the systemic circulaiton -Correct Answer ✔effect
produced by transdermal route of analgesics
provide PCA (patient controlled analgesia) -Correct Answer ✔Provide ____________ to
help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
around the clock -Correct Answer ✔Provide administration of analgesics
__(frequency)__ for chronic and postoperative pain, never wait for chronic pain to
reoccur.
aspirin or acetaminophen -Correct Answer ✔given for mild to moderate pain
Jersey College MedSurg 1 RN FINAL EXAM
, Jersey College MedSurg 1 RN FINAL EXAM
NSAIDS -Correct Answer ✔given for moderate pain
opioid analgesics (Morphine) -Correct Answer ✔given for severe pain
rectal route -Correct Answer ✔Avoid which medication administration route for patients
who are thrombocytopenic?
Acetaminophen -Correct Answer ✔Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
NSAIDS -Correct Answer ✔analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
NSAIDS -Correct Answer ✔analgesic that could lead to acute renal failure in patients
with volume depletion or who take it for chronic pain
prostaglandin -Correct Answer ✔needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression -Correct Answer
✔undesirable side effects of opioids
could increase absorption and result in lethal complications -Correct Answer ✔Never
apply heat over transdermal patches. Why?
antidepressants or anticonvulsants -Correct Answer ✔adjuvant medications used to
manage neuropathic pain
metabolic alkalosis -Correct Answer ✔Vomiting can lead to what acid-base imbalance
metabolic acidosis -Correct Answer ✔Diarrhea can lead to what acid-base imbalance
calcium -Correct Answer ✔Mineral that helps to regulate muscle contraction and
relaxation
high in calcium and low in phosphorus -Correct Answer ✔In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in __________.
osmotic pressure -Correct Answer ✔Chloride works with sodium to determine
_______________.
hypochloremic metabolic alkalosis -Correct Answer ✔If chloride levels drop, bicarbonate
is retained and results in _______________________________.
action potentials
Jersey College MedSurg 1 RN FINAL EXAM
Jersey College Med-Surg 1 RN Final Exam
questions And Answers with Complete
Solutions 100% UPDATED 2025
weight, smoking, sex practices, diet -Correct Answer ✔List four modifiable risk factors.
(general health promotion)
age, genetics, sex -Correct Answer ✔List three non-modifiable risk factors. (general
health promotion)
cultural assessment -Correct 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 -Correct Answer
✔Maslow's Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 -Correct 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 -Correct Answer
✔Organization that recommends ways to strengthen the practice of nursing in order to
improve health care.
The National Patient Safety Goals -Correct 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 -Correct 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
Jersey College MedSurg 1 RN FINAL EXAM
,Jersey College MedSurg 1 RN FINAL EXAM
QSEN - Quality and Safety Education for Nurses Institute -Correct 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 -Correct Answer ✔What is pain?
actual or potential tissue damage -Correct Answer ✔Pain is associated with
__________________________________.
the patient's self report -Correct Answer ✔The single most reliable indicator of pain is
_______.
blood pressure, heart rate, and respirations -Correct 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 -Correct Answer ✔physiologic effects of unrelieved pain
(4)
prostaglandins -Correct Answer ✔initiate inflammation and contribute to tissue swelling
and pain
NSAIDS -Correct Answer ✔______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen -Correct Answer ✔_____________ does not have anti-inflammatory
properties.
tissue damage -Correct Answer ✔______________ stimulates the inflammatory
response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids -Correct Answer ✔manage nociceptive pain
with?
allodynia -Correct Answer ✔pain that is associated with a noxious stimulus
nerve route injury -Correct Answer ✔________________ could lead to allodynia.
timing:
onset - when it started
duration - where it started
Jersey College MedSurg 1 RN FINAL EXAM
,Jersey College MedSurg 1 RN FINAL EXAM
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 -Correct Answer ✔What does a comprehensive pain
assessment include?
visual analog scale -Correct 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 -Correct Answer ✔ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) -Correct Answer ✔consists of cartoon faces that
the patient selects to report their pain
verbal descriptor scale -Correct Answer ✔uses words to help individuals describe the
intensity of their pain
Wong-Baker FACES Scale -Correct Answer ✔should never be used by the provider to
match the patient's facial expression
produce a local effect -Correct Answer ✔effect produced by topical analgesics
produces drug absorption into the systemic circulaiton -Correct Answer ✔effect
produced by transdermal route of analgesics
provide PCA (patient controlled analgesia) -Correct Answer ✔Provide ____________ to
help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
around the clock -Correct Answer ✔Provide administration of analgesics
__(frequency)__ for chronic and postoperative pain, never wait for chronic pain to
reoccur.
aspirin or acetaminophen -Correct Answer ✔given for mild to moderate pain
Jersey College MedSurg 1 RN FINAL EXAM
, Jersey College MedSurg 1 RN FINAL EXAM
NSAIDS -Correct Answer ✔given for moderate pain
opioid analgesics (Morphine) -Correct Answer ✔given for severe pain
rectal route -Correct Answer ✔Avoid which medication administration route for patients
who are thrombocytopenic?
Acetaminophen -Correct Answer ✔Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
NSAIDS -Correct Answer ✔analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
NSAIDS -Correct Answer ✔analgesic that could lead to acute renal failure in patients
with volume depletion or who take it for chronic pain
prostaglandin -Correct Answer ✔needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression -Correct Answer
✔undesirable side effects of opioids
could increase absorption and result in lethal complications -Correct Answer ✔Never
apply heat over transdermal patches. Why?
antidepressants or anticonvulsants -Correct Answer ✔adjuvant medications used to
manage neuropathic pain
metabolic alkalosis -Correct Answer ✔Vomiting can lead to what acid-base imbalance
metabolic acidosis -Correct Answer ✔Diarrhea can lead to what acid-base imbalance
calcium -Correct Answer ✔Mineral that helps to regulate muscle contraction and
relaxation
high in calcium and low in phosphorus -Correct Answer ✔In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in __________.
osmotic pressure -Correct Answer ✔Chloride works with sodium to determine
_______________.
hypochloremic metabolic alkalosis -Correct Answer ✔If chloride levels drop, bicarbonate
is retained and results in _______________________________.
action potentials
Jersey College MedSurg 1 RN FINAL EXAM
