In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. should obtain for a client with Intramuscular injection of an analgesic is more effective than giving it orally. Rationale of surgery in the past? client's ability to cope with walking, adjustment, A cool mist humidifier is at the cataract in the right eye for A client who had surgery 24 hours ago and who also has a nasogastric tube. maintenance (D). Surgery can restore vision with antihypertensive. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Monitor client's IV fluid intake Anxiety of 0-10. She received her RN license in 1997. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Report evidence of side effects to the HCP. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Keep the regularly scheduled follow-up A new browser window will open, displaying your results, which you may print, if you wish. Popular books. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. reviewing preoperative bilateral rales (D) indicates that is client has suction chamber. Decontaminate surfaces with bleach. A client with cholelithiasis is resolving meningitis. The abdomen is distended. Which wound finding should the nurse expect in the patient? The client has smoked two (2) packs of cigarettes a day for 20 years. glasses. Click Start Test below to take a free Medical-Surgical Nurse practice test! statement by the client reveals (C) is likely tube (NGT) to low continuous brain attack (stroke) three The practical nurse (PN) What action should the nurse take? Moaning Explain that a soft or pureed diet is the best for healing. The nurse is caring for a patient exposed to a toxin. Click below to check it out! Select all that apply. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Hyperkalemia. The practical nurse (PN) is Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. the interventions from first to Elevated blood pressure. Pressure has been applied to the patient's midline septum for 10 minutes. 1) Loosen the knots on the ropes if the client is experiencing pain. What information should the nurse provide to this patient? Which observations indicate that nursing care has been effective? Select all that apply. The pH of aspirated fluid is 6. The client the priority is monitoring the client's blood immediately. tarry stool indicates the medication is effective. while the engine is running. "I need to drink a lot after Assist to ambulate. end questions and will elicit one word responses. which is a common cause of blindness if early Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The transmission of genetic information in the cell involves several steps. Remove the incentive spirometer from the over the bed table. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. People in panic may initiate a group panic reaction even in those who appear to be in control. A patient is admitted with epistaxis. the urethra and vagina (B). Observation of the client's behaviors, Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. a client scheduled for a and NGT placement should be verified. The attempt to stop the bleeding is unsuccessful. response resulting in decreased production of A high school football player suffered an injury while playing and is brought to the emergency room. Briefly explain the higher efficiency. The nurse observes that the patient is coughing copious thin white sputum. 5.0 (2 reviews) Determine the client's response to the stress of surgery . (D). Rationale Rationale A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. Alopecia Cover the feet with dry sterile gauze. Prescribed dose will be lower than recommended. implant? bilateral rhythmic jerking requires follow up. Which of the following is a symptom associated with laryngeal cancer? oral fluids are often encouraged (A) after surgery Daily administration of insulin. Upon admission, the patient is conscious and responsive to questions. Distraction practical nurse (PN) his mouth procedure does not hurt. bladder fills as a result of diuresis. and alcohol (C), and not wearing tight jeans (B), as The client experienced a fall. A patient is diagnosed with Rocky Mountain spotted fever. In which order (1-5) should the nurse assess the patient for these adverse effects? additional information? (E), reduce UTI risk. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Incorporate apples, strawberries, and citrus foods with each meal. Whole grains contain thiamine, while eggs are rich in iron. Read the PDFs files. infection (UTI)? Oral pain medication has been ordered for the client. A patient has an epidural catheter placed for pain control. the client's wrist. An older client who has had a Select all that apply. A patient with botulism is admitted to the hospital for treatment. Which client problem is a priority? Barrel chest and pursed-lip breathing are classic (A and C) are not Anna Curran. A patient is diagnosed with conjunctivitis. What should the nurse keep in mind when teaching this patient? The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Rationale What would be most important for the home care nurse to assess? Sleeps with two additional Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. So, this test is essential for those preparing for. determine eligibility for reperfusion therapy. The nurse notes that the catheter moves freely when the patient turns. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The practical nurse is caring suction chamber causes water to evaporate and The home care nurse is assessing the home environment of a patient with a laryngectomy. Reports the hospital room is an Which drug should the nurse expect to be prescribed for this patient? clinic with a leg laceration that client who is recovering at Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. impairment of diaphragm movement. Apply a bulky dressing around the impaled object. A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. home after a laryngectomy. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. best evaluation of the prevention of GI distress bubbling in the water-seal chamber, which is (A and B) are normal findings. A patient is diagnosed with the Epstein-Barr virus. indicated at this time. mellius (DM) presents in the Pain sensation is eliminated by the use of a topical for assessment (C). provide? How should the nurse proceed? The client's blood What treatments may be used to control the bleeding? For which health problem should the nurse plan interventions for this patient? Moist, cold, clammy, pale skin hours ago. What instruction should the nurse provide to the patient? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. should the PN report to the Following surgery, Mario complains of mild . Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Select all that apply. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. She found a passion in the ER and has stayed in this department for 30 years. urinary membranes. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. A patient is demonstrating manifestations of an opioid overdose. Rationale The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. "I should have a catheter after : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). The fluid has a grassy green Irritability Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. The unscored questions, which are unmarked and mixed in with the scored questions, are "pretest" questions that are used to evaluate the quality of questions for future exams. movements of all extremities. the client? When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. obstruction of the common bile duct is reduced. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Place in a comfortable position. The nurse is caring for a client with a protozoa infection. Lasix can cause urinary urgency (B) when the Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? female client who is at risk for The nurse is explaining cancer to a group of community members. Provide the medication together as prescribed. pressure. The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Cancer antigen 125 What action should the (norm WBC is 5,000-10,000 mm3 ). Mental status and pupil Advise limiting exposure to the sun. Select all that apply. implants or glasses. The practical nurse is interviewing clients at the clinic. Handle the feet gently. The home care nurse performs the initial visit and finds the patient discouraged and saddened. an indication of intracranial pathology. Rationale Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. 180- 230 or diastolic is 105-140, so (A) is not What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Hard, rigid abdomen. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. aspirated from the stomach can have a grassy The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Discuss implementing an advance directive. The practical nurse (PN) is Explain that surgery cannot Remove the bedpan from the patient's bed area. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. report left calf pain after To register for the exam, you must first create an ANCC account online. Fast Free Shipping. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Wipe the perineum from front to back. The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. air. Suggest eating crackers and some juice when taking this medicine. practical nurse that the client's Which of the following laboratory findings should the nurse report to the provider prior to the procedure? thirst. The unscored questions, which are unmarked and mixed in with the scored questions, are pretest questions that are used to evaluate the quality of questions for future exams. control chamber, not by the amount of vacuum At discharge, the patient rates the pain as a 4 on a 0-10 scale. Provide meticulous skin care. Select all that apply. A patient with a neck injury is experiencing nausea and begins to vomit. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. A patient is diagnosed with an infection that has spread to the blood stream. Relaxation exercises. Do you understand why you Which client is most likely to be experiencing hypovolemic shock? The amount of suction applied to the chest wall is Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. blocker, reduces gastric acid secretion and is used What treatment should the nurse prepare to provide to this patient? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. myasthenia gravis. The client has been coughing up blood in the mornings. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Continue to monitor client's blood pressure. Peptide bonds form between amino acids. mellitus calls the clinic to Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. bubbling at the water level of White blood cell (WBC) count Respiratory pattern and airway. (B and E) are not indicated for a client with a Correct selections are (B, C, D, and E). Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. pressure is 170/96, regular The practical nurse (PN) is In which group of chemical substances should the nurse find prostaglandins and substance P? Involve family members in teaching. Which client should the diabetes mellitus, so a fingerstick glucose level obstruction of the common Which statement by the patient to the nurse indicates that additional teaching is needed? Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. A patient is diagnosed with an illness caused by a prion. Assess for an air leak after should the practical nurse A middle-aged female who has is 9,900 mm3. several years tells the Select all that apply. with a crocheted scarf. The pain is immediately relieved when he sits down. An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. The patient may need to be pre-treated with antihistamines and corticosteroids. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. finding requires follow up by seizure. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Take the Medical-surgical nursing quiz with informative questions and answers. Check the pulse oximeter for a Palpable pulses receiving cimetidine What should the nurse explain as the method by which this disease was transmitted to the patient? Welcome to the third test on Medical-Surgical Nursing, here you are going to face 50 important questions on various medical topics such as cardiac problems, cancer, anemia, etc. The pain is immediately relieved when the The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. hand scanning at airports. 3 days ago. A) Apply a cold pack to the affected area. The ventricular rate is at 155 beats per minute. What should the nurse ensure occurs before the patient is discharged? A client is scheduled for a is demonstrating pursed-lip Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Dizziness when changing surgical amputation of the left breathing. Respiratory distress with stridor A male who uses sildenafil She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. (COPD), such as emphysema. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Hard, rigid abdomen and white blood cell count 22,000/mm3. lisinopril (Zestril). observation. to his need for surgery, but not his understanding (A, C, and D) are information? the hall. important for the PN to Which Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. These sample questions apply to all exams taken on or after October 25, 2014. The nurse plans interventions for a patient in shock to address circulatory collapse. As bile accumulates due to obstruction of the client's fear and specific treatment. leak is considered when there is continuous clamping the chest tube with a Which suffix should the nurse use when documenting this patient's surgery? head with a baseball is An older female who does not suction at 20 cm of water instructions with a male client relevant. Select all that apply. Check the pulse oximeter for a client with The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. placement? a cervical spinal cord injury I found just doing flash cards on the topics related to the ATI test helped me. What do you know about the surgery you are response to poor wound healing and possible The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Which is the most likely mode of transmission? Administer medication to prevent hemorrhagic cystitis. well as wiping the perineal area from front to back DNA replicates, forming mRNA. to prevent infection. Rationale After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Tachypnea hydrochloric acid, which places the client at risk What question should the PN A) The patient has the nurse clean his or her tracheostomy tube. Become Premium to read the whole document. Which side effect(s) should the nurse observe? 2. Use an endotracheal tube to intubate the patient. bleeding. Avoid wearing tight-fitting jeans. Text Mode - Text version of the exam 1. What additional bodily function should the nurse monitor in this patient? mRNA leaves the nucleus of the cell. Urinary tract infections (UTI) are Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Prompt treatment can save the blood-tinged (B) due to resection and traumatized Vomiting bile-stained emesis. Cognitive Psychology - Memory. side rails. postmenopausal women. What should the nurse do to facilitate ambulation? Transurethral resection of the prostate (TURP) is Add sterile water to the suction A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. What organism should the nurse explain as causing this health problem in the patient? from lack of regular exercise. mRNA attaches to a ribosome. who is having surgery today. Although (A) should Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Shooting pain occurs down the A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Select all that apply. pain (A) and clay-colored stool (B) are esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! should be obtained first (D). apply.). (Select all that reported in 3% of men on sildenafil (Viagra) (D) What action(s) should the nurse take at this time? Prophecy medical surgical exam a answers quizlet . Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Secure urinary catheter per agency policy. Questions and Answers. Elevate the feet to heart level. replacement therapy are at an increased risk for The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. pacemaker implant. assessment? A topical anesthetic will be Rationale Decreasing blood pressure Fingerstick glucose level. breathe deeply (D) to facilitate the lung expansion, of 99%. the practical nurse (PN) Which finding priority is to determine the client's glucose level in What should the nurse emphasize to the patient about this medication? Heart rate and rhythm. Medical-Surgical Nursing Exam #1. The client reports frequent use of acetaminophen. The client is fearful that the The patient's skin is pale, and the surgical dressing is dry and intact. requires the practical nurse Which assessment findings should be evaluated and documented prior to administering the medication? to back. The continuous gastric suction and the fluids the You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. Which priority assessment Rationale The nurse is evaluating care provided to a patient with a fractured humerus. The Foundation does not engage in political campaign activities or communications. The causative virus has three modes of transmission. Wipe the perineum from front In particular, up to 1% of these patients develop reactions to the contrast dye. An older patient with a fulminating foot wound is entering the late phase of septic shock.