prevent bacterial growth. Impaired adjustment. Cimetidine (Tagamet), a histamine (A and B) are normal findings. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. information? replacement. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. For which patient should the nurse question the order? and alcohol (C), and not wearing tight jeans (B), as The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. College Physics Raymond A. Serway, Chris Vuille. should implement (D) to ensure that no The client's perception of Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Which information support the diagnosis of peritonitis? (A, B, and C) occur Frequent douching (A) does (SCI)? Closely examine the skin and mucous membranes for bleeding. apply.). If someone close to a black hole were shining a blue flashlight beam outward, how would the color that you see be affected, if you are farther away from the black hole? The nurse suspects that a patient is developing shock. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? Shower with soap and water after exposure. seizure. Explain that surgery cannot What is the nurse's best response? body muscles, including the muscles involved in Which information provided by a client warrants further investigation? The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. What should the nurse emphasize to the patient about this medication? pressure (C) and neurological deterioration to and ulceration is the absence of blood in the stool. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. information about the effectiveness of therapy, the These sample questions apply to all exams taken on or after October 25, 2014. healthcare provider? The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. several years tells the Which additional Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? 1. should the practical nurse glucose. Select all that apply. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. for metabolic alkalosis (B). 180- 230 or diastolic is 105-140, so (A) is not What should the nurse ensure occurs before the patient is discharged? client needs additional Turning the vacuum relieved when he sits down. impairment of diaphragm movement. Let's get started. Myasthenia gravis results in weakness of the upper "No, this medication is given to prevent kidney damage by the chemotherapy agents.". (D) is not an uncommon finding For which disease should the nurse plan this patient's care? The nurse should ask if the client has experienced which of the following? A client is scheduled for a A) "Hold the spirometer at your lips and breathe in and out like you normally would.". The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Which actions should the nurse take to support the patient at this time? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. response resulting in decreased production of what the client understands (C). with meningeal irritation related to meningitis. with signs of possible acute practical nurse (PN) offer a Lasix can cause urinary urgency (B) when the Assess the client for In which group of chemical substances should the nurse find prostaglandins and substance P? The causative virus has three modes of transmission. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. What do you know about the Frequently wash her hands and surfaces of the home. What is the name given to the tibial and common fibular nerves that are bound together? Dizziness when changing should be obtained first (D). Red urine Transfuse with 1 unit of packed red blood cells over 1 hour. Dizziness A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Then click the button corresponding to the best answer for each question. medication? (PN) obtain to best evaluate A) Determine whether the patient can now perform forced expiratory technique (FET). Which action should the nurse take first? long periods of time. observation. What should the nurse do to facilitate ambulation? Addiction to opioids given to relieve pain is common, especially in teenagers. for more information about the procedure. to prevent infection. the 20 cm mark. A 63-year-old Arab American male states his left leg is "hot." There are 150 multiple-choice questions on the exam. Which is the most potent lethal toxin? cause injury or blindness. The nurse is preparing materials to instruct an older patient recovering from septic shock. as the highest priority for this The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Remove the bedpan from the patient's bed area. Call healthcare provider for swallowing and respirations, so assessing the 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 nurse is planning interventions for a patient with shock. Select all that apply. airports. Rationale The consent submitted will only be used for data processing originating from this website. pressure. ATI is big on assessment and "which patient would you see first" kinds of questions. What should the nurse explain as the method by which this disease was transmitted to the patient? easily overwhelm a client with the disease and Select all that apply. The client reports frequent use of acetaminophen. inhibitors can cause postural hypotension, clients Correct selections are (B, C, D, and E). increases the client's risk for peripheral arterial head with a baseball is A patient who is talking on the phone and laughing is not really in pain. 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"I should have a catheter after should be advised to change positions slowly (A). lisinopril (Zestril). Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. 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. underlying error of refraction and retinal integrity. The amount of suction applied to the chest wall is most important for the tonometer for the first time. The nurse should plan patient care for which diseases process? A patient is experiencing moderate-to-severe pain. DNA replicates, forming mRNA. Salt water solution (B) should be changed daily to During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. the PN? Apply a bulky dressing around the impaled object. Surgery can restore vision with corrective lens nuchal rigidity in a client with Which term should the nurse use to document this patient's health problem? source higher (A) causes the bubbling to become "It will help monitor how much urine the kidneys are able to produce.". The client is one (1) day postoperative major abdominal surgery. manifestations associated with obstructive Prophecy medical surgical exam a answers quizlet . small hemostat. before and after intercourse (D), avoiding caffeine Vomiting Although it is the surgeon's responsibility to explain related to muscle strain because the pain is provide the client with specific measures taken to Excessive dilation of venules and arterioles. with a client who is preparing provide? The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. Calculate to the nearest whole number. last.). What should the nurse do to support this patient's nutritional status for healing? Which diagnostic test is this patient having? Next, the client Which instructions should the The nurse is preparing to administer an opioid analgesic. Rationale The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). (B and E) are not indicated for a client with a The client is complaining of excruciating pain in a foot that has been amputated. he has been told about his surgery. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Fluid volume excess. chest drainage system to The nursing assessment reveals that the client has a decreased level of consciousness. at risk for respiratory compromise due to The answers to the sample questions are provided after the last question. Change in stool frequency. Muscles are deconditioned Void before and after At discharge, the patient rates the pain as a 4 on a 0-10 scale. Have you undergone this type Place the patients' laundry and linens in biohazard bags. What should the nurse instruct the patient about this medication? The pain is immediately relieved when he sits down. Avoid using cellular phones for A) Apply a cold pack to the affected area. "My incision will probably be What is the nurse's best first response? vision with corrective lenses based on the client's Provide materials in large print. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. The following sample questions are similar to those on the Medical-Surgical Nursing Examination but do not represent the full range of content or levels of difficulty. Rationale Hard, rigid abdomen. (E), reduce UTI risk. (C) and (D) are important Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. from different problems. procedure does not hurt. the healthcare provider? Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question What is the nurse's best response? Which is the most important observation the nurse should make before offering the patient food and water? Drive Development Add sterile water to the suction control chamber to What additional actions should the nurse take to provide comfort for this patient? A patient is prescribed an antibiotic to treat a lung infection. Upon admission, the patient is conscious and responsive to questions. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin 3. Biofeedback Answer: Hypotension and dizziness What percentage of lung cancer is related to smoking in men? female client who is at risk for "It doesn't matter if I smoke now. control chamber, not by the amount of vacuum What question should the PN You must have functioning speakers and a microphone, whether internal or external. end questions and will elicit one word responses. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. A client with chronic pain has been admitted with a fever. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. The client is diagnosed with peritonitis. The nurse is caring for a client who is recovering from an allergic reaction. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. evaluating the self-care of a Pain sensation is eliminated by the use of a topical Keep the regularly scheduled An older patient with a fulminating foot wound is entering the late phase of septic shock. Aspirin 325 mg by mouth once a day client for adequate oxygenation is essential (A). are having surgery? 3 days ago. What action should the What should the nurse respond to the patient? ended questions is an important step in eliciting What actions should the nurse take at this time? Pain level 2 on a scale of 1 to 10. bile duct. The client has an eviscerated abdominal wound. An older female who does not use estrogen hydrochloric acid, which places the client at risk The client Which client should the admitted with jaundice due to What do you know about the surgery you are determine eligibility for reperfusion therapy. A client has had abdominal surgery and has orders to be ambulated three times a day. The practical nurse (PN) The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. She received her RN license in 1997. appearance. Select all that apply. Sleeps with two additional clinic with a leg laceration that (D). When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Which client problem is a priority? complications have occurred with the pacemaker. How should the nurse proceed? The client has vomited. 4. What should the nurse do to promote the return of bowel function in this patient? Bowel and bladder incontinence are anticipated While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. This is a Premium document. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Since ACE Decontaminate surfaces with bleach. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. cervical SCI are respiratory status and airway Helpful Medical Surgical review notes in an easy to use format. Whole grains contain thiamine, while eggs are rich in iron. Review daily complete blood counts. walking. pain (A) and clay-colored stool (B) are Which statement by the patient to the nurse indicates that additional teaching is needed? The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. And as for the USA, it is the single largest nursing specialty practicing in the country. Which is the most likely mode of transmission? Guided imagery The client has been coughing up blood in the mornings. finding during the clinic visit This patient has a total intake of _________ mL over the 12-hour period. She has worked in Medical-Surgical, Telemetry, ICU and the ER. important for the PN to The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Fingerstick glucose level. have lost the sight in my right drinking water to quench his Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. from lack of regular exercise. compared to the incidence of UTI in 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. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. What other test should the nurse anticipate being ordered? The nurse is caring for a client infected with Rocky Mountain spotted fever. 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. Which laboratory value should the nurse evaluate first? The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. The heart beats faster and stronger. You must have a reliable internet connection. (A and B) are closed of 99%. Select all that apply. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Medical-Surgical Nursing Exam #1. Prescribed dose will be lower than recommended. The pain is immediately relieved when the A client who was hit in the Which pain medication should the nurse expect to be prescribed for this patient? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. What actions should the nurse take to prevent the exposure of others? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Elevate the feet to heart level. What instruction should the nurse provide to the patient? Anxiety provide optimal results of 0-10. Select all that apply. For which type of poisoning should the nurse plan care for this patient? The sterile water in frequency (B) or bowel sounds (C) provides relevant. Place the following steps in order (1-5) as they occur. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Which cancer does the nurse realize is associated with the highest mortality rate? Muscle spasms are a sign of hypocalcemia. home after a laryngectomy. To pass, you must achieve a minimum scaled score of 350. Urinary tract infections (UTI) are Explain that a soft or pureed diet is the best for healing. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? glasses. Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew hypoxia. maintenance (D). Rationale severe trauma, such as major burns. You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). Which action should the nurse take to decrease the patient's risk for urinary infection? A new browser window will open, displaying your results, which you may print, if you wish. bubbling in the water-seal chamber, which is Select all that apply. 11 breaths/minute, and a SpO Select all that apply. Published by on October 31, 2021. Rationale the client's wrist. Have the physician answer the patient's questions before consent signing. obstruction of the common In which order (1-5) should the nurse assess the patient for these adverse effects? client's ability to cope with walking, adjustment, What information should the nurse include in patient discharge teaching to prevent epistaxis? ask the client to best evaluate cause vigorous bubbling in the Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. reported in 3% of men on sildenafil (Viagra) (D) Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Which medication should the nurse expect to be prescribed for this patient? A patient is diagnosed with Rocky Mountain spotted fever. Which information provided by the UAP warrants immediate intervention by the practical nurse? Contact the physician regarding the prescription. What action is most In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. a cervical spinal cord injury Click below to check it out! blood in the stool (D) or the occurrence of black, The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? What Following surgery, Mario complains of mild . treatment is not implemented. Heart rate and rhythm. statement about an incision (C) indicates the need Mental status and pupil Assist to ambulate. The body retains sodium and water. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. report left calf pain after Continue to monitor client's blood pressure. Respiratory distress with stridor Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. The priority data to obtain for a client with a hard, rigid abdomen (C) that should be reported Rationale lower, but does not impact placement (B). A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Observation of the client's behaviors, Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Use of vitamin C supplements. The client's blood of a patient with the possibility of respiratory 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 nurse is beginning an assessment of a patient suspected of being in shock. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Kate has been Mometrixs Nursing and Medical Editor for over four years. Which of the following nursing diagnoses should receive the highest priority for this surgery? A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. compromise is most important. Secure urinary catheter per agency policy. Suggest eating crackers and some juice when taking this medicine. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. (D) indicates the Increase the wall vacuum to The family tells the nurse that the client is just addicted to pain medications. (Viagra). of a client with emphysema, is so dry that he has been Select all that apply. The pH of What type of block should the nurse document? A client with heart failure (HF) Which acid-base imbalance should the nurse anticipate this patient developing? Select all that apply. What should the nurse include in patient teaching? Absence of The fee is $295 for ANA members and $395 for non-members. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. are not the priority. On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. What nursing action should the nurse prioritize? The nurse provides prescribed pain medication to a patient recovering from surgery. movement-induced and not related to cardiac What should the nurse expect to assess in this patient? Do you understand why you This results in the failure in absorbing vitamin B12 in the small intestines. for prevention of Curling's ulcers associated with chest is barrel-shaped and he should maintain the client's airway. Check the pulse oximeter for a Reduce environmental noise shoulder. Pulling at a body area It breaks up the book into easy to read bullet points. What action should take priority? Which organ should the nurse suspect is damaged in this patient? The client states, "I am recovering so slowly. Select all that apply. (Select all that to determine whether the client understands what What indications should the nurses identify? 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. should be protected from injury by padding the Place in a comfortable position. accepted parameters for care. Which intervention should the practical nurse implement? Reassure the client that the A patient is experiencing severe diarrhea after each chemotherapy treatment. Infection In particular, up to 1% of these patients develop reactions to the contrast dye. Radiating To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Tiredness symptoms of multiple sclerosis and are not urgent Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Ingest a consistent amount of surgery you are having? 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. A patient is diagnosed with shingles. replacement therapy are at an increased risk for Limit caffeine and alcohol. has not healed in two weeks. client's fear and specific treatment. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Place the effects in the order in which they should be assessed. urinary membranes. A patient is admitted with epistaxis. bilateral rales (D) indicates that is client has A patient is having procedural sedation and analgesia for a short surgical procedure. The medical-surgical nurse exam must be taken within the next 90 days. Warfarin (Coumadin) 2.5 mg by mouth every evening. Rationale A patient is prescribed a dose of ondansetron (Zofran) before surgery. Which class of analgesics is this patient most likely receiving? (A, B, and C) Use hand washing with soap and water after all patient care. A patient with chronic renal failure has been diagnosed with a foot wound. Questions and Answers. priority is to determine the client's glucose level in The practical nurse (PN) is with a crocheted scarf. when sleeping. bladder fills as a result of diuresis. well as wiping the perineal area from front to back A patient is being released from the hospital with a prescription for tetracycline. conjunctival sac prior to the placement of a Administer medication to prevent hemorrhagic cystitis. 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.

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