MEDSURG 1 RN (Jersey College) FINAL EXAM/ACTUAL EXAM
QUESTIONS WITH WELL DETAILED ANSWERS/GRADE A+ ASSURED
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
,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
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
, 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
weakness or excitability - correct answer Changes in electrolytes impair _________________
resulting in ________ or ____________.
fluid volume deficit (FVD) - correct answer Small shifts in intravascular volume in children
increases their risk for __________________.
albumin - correct answer Proteins like _______ create an oncotic pressure.
QUESTIONS WITH WELL DETAILED ANSWERS/GRADE A+ ASSURED
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
,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
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
, 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
weakness or excitability - correct answer Changes in electrolytes impair _________________
resulting in ________ or ____________.
fluid volume deficit (FVD) - correct answer Small shifts in intravascular volume in children
increases their risk for __________________.
albumin - correct answer Proteins like _______ create an oncotic pressure.
