Jersey College MedSurg 1 RN FINAL
EXAM 2025 update. comprehensive
questions and verified answers (complete
solutions)
weight, smoking, sex practices, diet - 📌📌- List four modifiable risk factors.
(general health promotion)
age, genetics, sex - 📌📌- List three non-modifiable risk factors. (general health
promotion)
cultural assessment - 📌📌 - 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
📌📌- Maslow's
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above -
Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - 📌📌 - 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 - 📌📌
- Organization
that recommends ways to strengthen the practice of nursing in order to improve
health care.
The National Patient Safety Goals - 📌📌 - 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 - 📌📌 - 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
, 📌📌- What is pain?
whatever the patient says it is -
actual or potential tissue damage - 📌📌- Pain is associated with
__________________________________.
the patient's self report - 📌📌- The single most reliable indicator of pain is
_______.
blood pressure, heart rate, and respirations - 📌📌
- Pain stimulates the
sympathetic nervous system and could result in an increase in ___________,
___________, and ____________.
increases glucagon production
decreases insulin secretion
📌📌- physiologic effects of unrelieved pain (4)
depresses immune function
can lead to addictive behaviors -
prostaglandins - 📌📌- initiate inflammation and contribute to tissue swelling and
pain
NSAIDS - 📌📌- ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - 📌📌- _____________ does not have anti-inflammatory
properties.
tissue damage - 📌📌 - ______________ stimulates the inflammatory response
and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - 📌📌- manage nociceptive pain with?
allodynia -📌📌- pain that is associated with a noxious stimulus
nerve route injury - 📌📌- ________________ 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
, effects on function/daily activities - 📌📌- What does a comprehensive pain
assessment include?
visual analog scale - 📌📌 - 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
📌📌- ranges from 0 to 10 with 0 representing no pain
numeric rating scale -
Wong-Baker FACES Scale (ages 3+) - 📌📌- consists of cartoon faces that the
patient selects to report their pain
verbal descriptor scale - 📌📌- uses words to help individuals describe the
intensity of their pain
Wong-Baker FACES Scale - 📌📌 - should never be used by the provider to
match the patient's facial expression
📌📌- effect produced by topical analgesics
produce a local effect -
produces drug absorption into the systemic circulaiton - 📌📌- effect produced
by transdermal route of analgesics
provide PCA (patient controlled analgesia) - 📌📌- Provide ____________ to
help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
around the clock - 📌📌 - Provide administration of analgesics __(frequency)__
for chronic and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - 📌📌- given for mild to moderate pain
NSAIDS - 📌📌- given for moderate pain
opioid analgesics (Morphine) - 📌📌- given for severe pain
rectal route - 📌📌- Avoid which medication administration route for patients who
are thrombocytopenic?
Acetaminophen - 📌📌 - Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
NSAIDS - 📌📌 - analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
EXAM 2025 update. comprehensive
questions and verified answers (complete
solutions)
weight, smoking, sex practices, diet - 📌📌- List four modifiable risk factors.
(general health promotion)
age, genetics, sex - 📌📌- List three non-modifiable risk factors. (general health
promotion)
cultural assessment - 📌📌 - 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
📌📌- Maslow's
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above -
Hierarchy of Needs
--priorities?
--what order?
Healthy People 2020 - 📌📌 - 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 - 📌📌
- Organization
that recommends ways to strengthen the practice of nursing in order to improve
health care.
The National Patient Safety Goals - 📌📌 - 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 - 📌📌 - 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
, 📌📌- What is pain?
whatever the patient says it is -
actual or potential tissue damage - 📌📌- Pain is associated with
__________________________________.
the patient's self report - 📌📌- The single most reliable indicator of pain is
_______.
blood pressure, heart rate, and respirations - 📌📌
- Pain stimulates the
sympathetic nervous system and could result in an increase in ___________,
___________, and ____________.
increases glucagon production
decreases insulin secretion
📌📌- physiologic effects of unrelieved pain (4)
depresses immune function
can lead to addictive behaviors -
prostaglandins - 📌📌- initiate inflammation and contribute to tissue swelling and
pain
NSAIDS - 📌📌- ______ primarily produce pain relief by preventing
prostaglandin formation.
Acetaminophen - 📌📌- _____________ does not have anti-inflammatory
properties.
tissue damage - 📌📌 - ______________ stimulates the inflammatory response
and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids - 📌📌- manage nociceptive pain with?
allodynia -📌📌- pain that is associated with a noxious stimulus
nerve route injury - 📌📌- ________________ 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
, effects on function/daily activities - 📌📌- What does a comprehensive pain
assessment include?
visual analog scale - 📌📌 - 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
📌📌- ranges from 0 to 10 with 0 representing no pain
numeric rating scale -
Wong-Baker FACES Scale (ages 3+) - 📌📌- consists of cartoon faces that the
patient selects to report their pain
verbal descriptor scale - 📌📌- uses words to help individuals describe the
intensity of their pain
Wong-Baker FACES Scale - 📌📌 - should never be used by the provider to
match the patient's facial expression
📌📌- effect produced by topical analgesics
produce a local effect -
produces drug absorption into the systemic circulaiton - 📌📌- effect produced
by transdermal route of analgesics
provide PCA (patient controlled analgesia) - 📌📌- Provide ____________ to
help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain.
around the clock - 📌📌 - Provide administration of analgesics __(frequency)__
for chronic and postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - 📌📌- given for mild to moderate pain
NSAIDS - 📌📌- given for moderate pain
opioid analgesics (Morphine) - 📌📌- given for severe pain
rectal route - 📌📌- Avoid which medication administration route for patients who
are thrombocytopenic?
Acetaminophen - 📌📌 - Use of this analgesic could result in hepatoxicity and
should not exceed 4,000mg/day.
NSAIDS - 📌📌 - analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
