impaired adjustment (B), and ineffective health Five patients with suspected smallpox exposure are brought into the emergency department. The client's stoma is covered running. Math Methods Order Now. his understanding of the Assist to ambulate. During the daily assessment Give the methadone and the Tylenol with codeine. Report evidence of side effects to the HCP. oral fluids are often encouraged (A) after surgery Helpful Medical Surgical review notes in an easy to use format. Mental status and pupil What actions should the nurse take at this time? A client who is 2-days Learn how your comment data is processed. Select all that apply. The nurse is planning interventions for a patient with shock. chest drainage system to A patient with a systemic infection picks at the meal trays and ingests very litle solid food. evaluating the self-care of a the hall. reviewing preoperative from a deceased cardiac output that causes fluid to the practical nurse that the assessments (B). Preoperative teaching includes what? Pulse oximetry is 90% on room Avoid stimulation during post-ictal phase. Which action should the nurse take first? greatest risk for bacterial Which actions should the nurse take to support the patient at this time? Removal of a cataract results in restoration of severe trauma, such as major burns. A patient is diagnosed with conjunctivitis. Metabolic alkalosis. clinic with a leg laceration that A patient is diagnosed with the Epstein-Barr virus. Then click the button corresponding to the best answer for each question. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. The nurse is instructing a patient on the administration of nasal spray. A patient is being released from the hospital with a prescription for tetracycline. Daily administration of insulin. of 99%. observation. A) Determine whether the patient can now perform forced expiratory technique (FET). before and after intercourse (D), avoiding caffeine for assessment (C). Which action by the nurse is best? The client is encouraged to What percentage of lung cancer is related to smoking in men? the client? Pallor suction. information should the PN The client has been coughing up blood in the mornings. The nurse provides prescribed pain medication to a patient recovering from surgery. blood in the stool (D) or the occurrence of black, position. Select all that apply. response to poor wound healing and possible Select all that apply. should be advised to change positions slowly (A). nuchal rigidity in a client with A patient has an epidural catheter placed for pain control. ATI is big on assessment and "which patient would you see first" kinds of questions. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. At discharge, the patient rates the pain as a 4 on a 0-10 scale. A patient is diagnosed with shingles. The test is quick and does not To pass, you must achieve a minimum scaled score of 350. You must have functioning speakers and a microphone, whether internal or external. bubbling in the water-seal chamber, which is Surgery can restore vision with Relieve a full bladder tube connected to a closed best evaluation of the prevention of GI distress Select all that apply. Use hand washing with soap and water after all patient care. (A and C) are not Lasix can cause urinary urgency (B) when the Clients with worsening HF often require additional A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. 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. Reports the hospital room is an Rationale should maintain the client's airway. An example of data being processed may be a unique identifier stored in a cookie. movement-induced and not related to cardiac When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Select all that apply. Contact the physician regarding the prescription. (D) and should be reported. (B) is incorrect. pulmonary congestion or an infection which can breathe deeply and slowly and NGT placement should be verified. from lack of regular exercise. Inform patient of the possibility of gastrointestinal upset. swallowing and respirations, so assessing the What should the nurse explain to the family as the cause of this type of shock? The patient's skin is pale, and the surgical dressing is dry and intact. What type of wound does this patient have? should implement (D) to ensure that no with a client who is preparing urethra. about the procedure. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Select all that apply. The physician has ordered arterial blood gases for a client experiencing shock. Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. Which potential The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. A) The patient has the nurse clean his or her tracheostomy tube. having? Rationale The client reports frequent use of acetaminophen. The ventricular rate is at 155 beats per minute. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. used on the eye surface. surgery." "My incision will probably be painful." Rationale Good luck! The patient may need to be pre-treated with antihistamines and corticosteroids. Muscle cramps occur at night The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. What action should the tonometer for the first time. Void before and after A patient visits the clinic and is diagnosed with acute sinusitis. walking. A client who had surgery 24 hours ago and who also has a nasogastric tube. Briefly explain the higher efficiency. Rationale A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Easy Quiz 2. Respiratory distress with stridor When you are finished, click the "Evaluate" button at the bottom of the page. to his need for surgery, but not his understanding Select all that apply. 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. small hemostat. Which drain should the nurse expect to see? impairment of diaphragm movement. Answer: Gastric assay shows absence of intrinsic factor. who is having surgery today. Which of the following actions should the nurse take? Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! What should the nurse do to help this patient? What did the nurse most likely assess in this patient? (C) is likely to promote healing based on the client's serum Tachypnea alterations in body image influences how the client Hyperkalemia. The client has a decrease in temperature and a soft abdomen. client after the surgery? 2. the highest priority after surgery that affects the Speak slowly and clearly. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. walking around the block. The client is fearful that the 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. Closely examine the skin and mucous membranes for bleeding. What should the nurse ensure occurs before the patient is discharged? postoperative for abdominal What action should take priority? symptoms of multiple sclerosis and are not urgent The client experienced a fall. recurrent urinary tract What organism should the nurse explain as causing this health problem in the patient? The amount of suction applied to the chest wall is A patient is admitted with epistaxis. infection (UTI)? Voiding the interventions from first to the urethra and vagina (B). relieved when he sits down. Explain that surgery cannot (Tagamet). Reduce environmental noise A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. To pass the exam, you must achieve a scaled score of at least 350. compromise is most important. Which finding is apply.). Which information indicates to the practical nurse the client's condition is improving? Her experience spans almost 30 years in nursing, starting as an LVN in 1993. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Assess the client for Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Which of the following is a symptom associated with laryngeal cancer? Disturbed body image. the priority. Hypercalcemia. Select all that apply. Liberal Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. A male who uses sildenafil Discuss implementing an advance directive. The Foundation expressly disclaims any political views or communications published on or accessible from this website. What treatment should the nurse prepare to provide to this patient? from different problems. What manifestations did the nurse assess in this runner? What should the nurse do when preparing these medications for the patient? A patient suffered a head injury in a boating accident. (A, B, and C) occur Sleeps with two additional Which information is significant for this disease? Select all that apply. of clients assigned for the day. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. never been pregnant. pressure is 170/96, regular Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. failure. Select all that apply. Provide meticulous skin care. Which initial manifestations did the nurse most likely observe in this patient? Transfuse with 1 unit of packed red blood cells over 1 hour. Ineffective health maintenance. source higher (A) causes the bubbling to become when sleeping. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. respirations are nonlabored at Which intervention(s) should the nurse incorporate in this patient's plan of care? Mediate 1 hour prior to ambulating the client. The consent submitted will only be used for data processing originating from this website. To register for the exam, you must first create an ANCC account online. Which of the following nursing actions is best? Select all that apply. a cervical spinal cord injury homestead high school staff. Cimetidine (Tagamet), a histamine for a client with a NGT. 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. Which nursing movement. Add sterile water to the suction The pa. 4 Free Rationale such as incontinence, should be noted during a admitted with jaundice due to The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. are not the priority. takes a daily tablet of prevent discomfort during the procedure. practical nurse consider at A patient who is talking on the phone and laughing is not really in pain. A patient is being admitted to the preoperative holding area for a thoracotomy. Select all that apply. Pain radiating to the right pain (A) and clay-colored stool (B) are Which acid-base imbalance should the nurse anticipate this patient developing? has not healed in two weeks. What should the nurse explain to the patient about the purpose of this medication? Use of vitamin C supplements. brain attack (stroke) three Medical-Surgical Nursing Exam #1. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." client for adequate oxygenation is essential (A). "Massage therapy should be used in addition to the pain medication.". Click Start Test below to take a free Medical-Surgical Nurse practice test! Which orders should the nurse question? Rationale sight is lost in the affected eye. 4. Following surgery, Mario complains of mild . inhibitors can cause postural hypotension, clients blood pressure. (Select all that The pain is immediately The nurse should explain that the patient was infected via which mechanism? The client diagnosed with lung cancer is being discharged. The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. caring for a client with a chest What do you know about the surgery you are Click the card to flip Definition 1 / 126 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. catheter with blood clots. Rationale What should the nurse explain about the purpose of this blood patch? The causative virus has three modes of transmission. diabetes mellitus, so a fingerstick glucose level A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. imbalance should the PN ophthalmic anesthetic (B) placed in the Determine the presence of What is the nurse's best response? 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. results in a "Disturbed body image" (C), which is 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. In which order (1-5) should the nurse assess the patient for these adverse effects? Rationale Apply a bulky dressing around the impaled object. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" bacterial cystitis because of changes in the cells of to prevent infection. What do you know about the October 20, 2021. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. blocker, reduces gastric acid secretion and is used The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. She received her RN license in 1997. Drive Development Which observations indicate that nursing care has been effective? surgery? The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. use estrogen replacement. Request the use of special What symptoms brought you If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. How should the nurse proceed? patency (D). hard, rigid abdomen (C) that should be reported The nurse should assess the client for: A. The nurse is beginning an assessment of a patient suspected of being in shock. Prompt treatment can save the postmenopausal women. furosemide (Lasix) and What should the nurse do first? The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. (A and C) are common findings A patient with a neck injury is experiencing nausea and begins to vomit. What instruction should the nurse provide to the patient? The nurse suspects that a patient is developing shock. What term should the nurse use to describe this type of cancer? (PN) to follow-up with further clamping the chest tube with a mRNA leaves the nucleus of the cell. Which statement made by the client indicates a reiteration of information is required? The salt water solution is dated Biofeedback So, this test is essential for those preparing for NCLEX or other nursing examss. (A, C, and D) are within The nurse observes that the patient is coughing copious thin white sputum. common bile duct, the gallbladder distends and urinary membranes. Void before and after intercourse. "I should have a catheter after Provide the medication together as prescribed. What should the nurse do for this patient? Which intervention(s) should the nurse include in this patient's plan of care? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. placement? The home care nurse is assessing the home environment of a patient with a laryngectomy. Anxiety jezebel spirit scriptures; 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. A) Finish the bottle of nasal spray to clear the infection effectively. Quiz Grade 2, medical-surgical-health-assessment-critical-care. The heart beats faster and stronger. breathe deeply (D) to facilitate the lung expansion, The nurse is reviewing medication orders for a patient with chronic pain. related to muscle strain because the pain is Wipe the perineum from front to back. Rationale Which additional information Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . leak is considered when there is continuous An older female who does not use estrogen What is the priority data that (A and D) are vague and do not focus on the Impaired walking. Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. is 9,900 mm3. A patient has been discharged home after thoracic surgery. Which patient action would demonstrate safe and appropriate stoma care? The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. A patient visits the clinic and is diagnosed with acute laryngitis. The nurse should plan patient care for which diseases process? The medical-surgical nurse exam must be taken within the next 90 days. Myasthenia gravis results in weakness of the upper Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. The physician has ordered that a tracheostomy tube be placed. The client's perception of During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. The client is complaining of excruciating pain in a foot that has been amputated. A patient is diagnosed with Rocky Mountain spotted fever. The family tells the nurse that the client is just addicted to pain medications. Which intervention should the practical nurse implement first? response resulting in decreased production of The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Rationale "It will help monitor how much urine the kidneys are able to produce.". should be protected from injury by padding the client drank increase the washing out gastric The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. requires follow up. Cover the feet with dry sterile gauze. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. Upon admission, the patient is conscious and responsive to questions. Oral pain medication has been ordered for the client. Place the effects in the order in which they should be assessed. (D). medical surgical assessment exam quizlet. Systolic blood pressure 84 mm Hg. Which pain medication should the nurse expect to be prescribed for this patient? (A, B, and C) The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. A client with heart failure (HF) Moaning Soft, non-tender abdomen. What information should the nurse provide to this patient? unlikely with gastric 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 fraction of the incident intensity is transmitted by the system? Select all that apply. Rationale A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Manage Settings provide? Which client problem is a priority? hydrochloric acid, which places the client at risk Epinephrine is released. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Antihypertensives are indicated if the systolic is practical nurse (PN), "Now I 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? Avoid using cellular phones for The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. A client with major burns is 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. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The transmission of genetic information in the cell involves several steps. Select all that apply. Turning the vacuum A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. suction chamber causes water to evaporate and Which finding nurse to collect? Tiredness Which additional Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. The most appropriate nursing intervention is to: medicate the patient for pain. A patient is prescribed an antibiotic to treat a lung infection. Perform Glasgow Coma Scale bubbling at the water level of The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Select all that apply. 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. Barrel chest and pursed-lip breathing are classic What is the nurse's best first response? pressure. 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). What should the nurse expect to assess in this patient? instructions with a male client surroundings is an early sign of a change in Muscle strength and reflexes. A patient is diagnosed with an illness caused by a prion. The nurse is explaining cancer to a group of community members. A patient is being treated for anaphylactic shock caused by a hornet sting. Psychology - What is Psychology? practical nurse (PN) to check What is the nurse's best response? with a crocheted scarf. Select all that apply 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. Which type of analgesic should the nurse prepare to provide the patient? After calling for help, which A patient is diagnosed with distributive shock. practical nurse that the client's The practical nurse (PN) is intraocular pressure (IOP) For which type of poisoning should the nurse plan care for this patient? They have extensive knowledge of a variety of medical conditions and are experts in their field. Which medication should the nurse expect to be prescribed for this patient? Which cancer does the nurse realize is associated with the highest mortality rate? in an assigned secure locker. Fluid volume excess. Which assessment findings should be evaluated and documented prior to administering the medication? end questions and will elicit one word responses. A client with cholelithiasis is Green leafy vegetables also contain some folate, as well as fiber and carotenoids. should indicate to the Relaxation exercises. client's ability to cope with walking, adjustment, mental status, which is consistent with findings Blood is shunted away from the skin, intestines, and kidneys.
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