JERSEY COLLEGE MEDSURG 1 RN FINAL
EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2025/2026
QSEN - Quality and Safety Education for Nurses Institute - CORRECT ANSWERS
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 ANSWERS What is pain?
actual or potential tissue damage - CORRECT ANSWERS Pain is associated with
__________________________________.
the patient's self report - CORRECT ANSWERS The single most reliable indicator
of pain is _______.
blood pressure, heart rate, and respirations - CORRECT ANSWERS 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 ANSWERS physiologic effects of
unrelieved pain (4)
prostaglandins - CORRECT ANSWERS initiate inflammation and contribute to
tissue swelling and pain
1
,NSAIDS - CORRECT ANSWERS ______ primarily produce pain relief by
preventing prostaglandin formation.
Acetaminophen - CORRECT ANSWERS _____________ does not have anti-
inflammatory properties.
tissue damage - CORRECT ANSWERS ______________ stimulates the
inflammatory response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - CORRECT ANSWERS manage
nociceptive pain with?
allodynia - CORRECT ANSWERS pain that is associated with a noxious stimulus
nerve route injury - CORRECT ANSWERS ________________ 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 weight, smoking, sex practices, diet - CORRECT
ANSWERS List four modifiable risk factors. (general health promotion)
2
,age, genetics, sex - CORRECT ANSWERS List three non-modifiable risk factors.
(general health promotion)
cultural assessment - CORRECT ANSWERS 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
ANSWERS Maslow's Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - CORRECT ANSWERS 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
ANSWERS Organization that recommends ways to strengthen the practice of
nursing in order to improve health care.
The National Patient Safety Goals - CORRECT ANSWERS The Joint Commission
lists the top patient safety concerns and includes medication safety, infection
3
, prevention, surgery-related mistakes, patient identification and improving staff
communication. What is this list called?
Nurse Practice Acts - CORRECT ANSWERS 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
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - CORRECT ANSWERS What does a
comprehensive pain assessment include?
visual analog scale - CORRECT ANSWERS 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 ANSWERS ranges from 0 to 10 with 0
representing no pain
Wong-Baker FACES Scale (ages 3+) - CORRECT ANSWERS consists of cartoon
faces that the patient selects to report their pain
verbal descriptor scale - CORRECT ANSWERS uses words to help individuals
describe the intensity of their pain
4
EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2025/2026
QSEN - Quality and Safety Education for Nurses Institute - CORRECT ANSWERS
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 ANSWERS What is pain?
actual or potential tissue damage - CORRECT ANSWERS Pain is associated with
__________________________________.
the patient's self report - CORRECT ANSWERS The single most reliable indicator
of pain is _______.
blood pressure, heart rate, and respirations - CORRECT ANSWERS 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 ANSWERS physiologic effects of
unrelieved pain (4)
prostaglandins - CORRECT ANSWERS initiate inflammation and contribute to
tissue swelling and pain
1
,NSAIDS - CORRECT ANSWERS ______ primarily produce pain relief by
preventing prostaglandin formation.
Acetaminophen - CORRECT ANSWERS _____________ does not have anti-
inflammatory properties.
tissue damage - CORRECT ANSWERS ______________ stimulates the
inflammatory response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - CORRECT ANSWERS manage
nociceptive pain with?
allodynia - CORRECT ANSWERS pain that is associated with a noxious stimulus
nerve route injury - CORRECT ANSWERS ________________ 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 weight, smoking, sex practices, diet - CORRECT
ANSWERS List four modifiable risk factors. (general health promotion)
2
,age, genetics, sex - CORRECT ANSWERS List three non-modifiable risk factors.
(general health promotion)
cultural assessment - CORRECT ANSWERS 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
ANSWERS Maslow's Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - CORRECT ANSWERS 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
ANSWERS Organization that recommends ways to strengthen the practice of
nursing in order to improve health care.
The National Patient Safety Goals - CORRECT ANSWERS The Joint Commission
lists the top patient safety concerns and includes medication safety, infection
3
, prevention, surgery-related mistakes, patient identification and improving staff
communication. What is this list called?
Nurse Practice Acts - CORRECT ANSWERS 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
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - CORRECT ANSWERS What does a
comprehensive pain assessment include?
visual analog scale - CORRECT ANSWERS 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 ANSWERS ranges from 0 to 10 with 0
representing no pain
Wong-Baker FACES Scale (ages 3+) - CORRECT ANSWERS consists of cartoon
faces that the patient selects to report their pain
verbal descriptor scale - CORRECT ANSWERS uses words to help individuals
describe the intensity of their pain
4
