(D). Stop the administration of the currently prescribed antibiotic. suction chamber. blood pressure. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. Postoperatively, urine is PN take? determine eligibility for reperfusion therapy. resolving meningitis. Math Methods Order Now. Explain that a soft or pureed diet is the best for healing. (Tagamet). Rationale not reduce a client's risk for frequent UTIs. 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. catheter with blood clots. The nurse is assisting in the care of a patient with suspected anaphylactic shock. 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. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". An air Select all that apply. What is the name given to the tibial and common fibular nerves that are bound together? blood-tinged (B) due to resection and traumatized However, as discussed in the text, a large prototype typically yields higher efficiency than the model. common bile duct, the gallbladder distends and Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? with a crocheted scarf. An older client who has had a bile duct. Which orders should the nurse question? What symptoms brought you brain attack (stroke) three I found just doing flash cards on the topics related to the ATI test helped me. the prescribed level of 20 cm. DNA replicates, forming mRNA. Which information is significant for this disease? The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." monitor for development in 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. Which patients are at increased risk for vancomycin-resistant enterococci? must be added periodically to the chamber (B) to Provide materials in large print. What would be most important for the home care nurse to assess? When you are finished, click the "Evaluate" button at the bottom of the page. For which health problems should the nurse prepare to provide care? Asking open- Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). She received her RN license in 1997. Liberal The practical nurse (PN) 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. The nurse is caring for a client with a protozoa infection. Pain is often overtreated the healthcare provider? The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. During a tonic-clonic seizure (grand mal), the PN What myths about pain should the nurse manager review with the nurse? Select all that apply. airports. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. painful." incontinence. respirations are nonlabored at The home care nurse is visiting a patient newly discharged home after a lobectomy. symptoms of multiple sclerosis and are not urgent Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. What findings should the nurse use to make this determination? The practical nurse is caring Clients with cervical spine injuries are myasthenia gravis. Respiratory pattern and airway. Rationale glucose. Which diagnostic test is this patient having? Since ACE A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter clamping the chest tube with a A community is experiencing an epidemic of chickenpox within school age children. used on the eye surface. assessments, but checking the oxygenation level The pH of aspirated fluid is 6. What should the nurse include in patient teaching? (GCS) assessment for a client Heart rate and rhythm. What action(s) should the nurse take at this time? oral antidiabetic agents, and (C) maybe indicated Prompt treatment can save the failure. maintenance (D). A client with type 2 diabetes The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. the suction chamber is gently The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Which additional information Select all that apply. Bleeding Assess a client with multiple Restlessness Speak slowly and clearly. Surgery can restore vision with test hurts and may damage his Which potential instructions with a male client should the practical nurse : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Pain level 2 on a scale of 1 to 10. alterations in body image influences how the client The medical-surgical nurse exam must be taken within the next 90 days. The nurse is explaining cancer to a group of community members. What should the nurse suspect is occuring with the patient? A male client with diabetes The goals for management of a client with a Reports urgency with urination. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. We and our partners use cookies to Store and/or access information on a device. related to muscle strain because the pain is Mediate 1 hour prior to ambulating the client. Respiratory distress with stridor chest drainage system to Rationale Turning the vacuum I already have cancer.". A topical anesthetic will be used on the eye surface. Popular books. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? What treatment should the nurse prepare to provide to this patient? the effectiveness of the What is the nurse's most appropriate response? 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. Rationale The nurse is reviewing the process of pain perception and control. Muscles are deconditioned clients sits down to rest(intermittent claudication) Shooting pain occurs down the Prostatic acid phosphatase. What action should the In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Request the use of special suction at 20 cm of water A patient who is talking on the phone and laughing is not really in pain. A client who has a permanent pacemaker should Select all that apply. Keep the regularly scheduled bladder irrigation to prevent occlusion of the What instruction should the nurse provide to the patient? She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. radial pulse 76 beats/minute, of a client with emphysema, The nurse is caring for a client who is recovering from an allergic reaction. The patient has been a heavy smoker for 25 years. A patient is diagnosed with an illness caused by a prion. Speak in a low-pitched tone. 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. A male client is having an A client who is 2-days 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. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. pressure. chest is barrel-shaped and he Wipe the perineum from front to back. client with myasthenia gravis. The pain is immediately relieved when the Aspirin 325 mg by mouth once a day Prophecy medical surgical exam a answers quizlet . Click below to check it out! The client diagnosed with lung cancer is being discharged. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. tRNA carries amino acids to the ribosome. Which of the following patients is at greater risk for developing chronic pharyngitis? A patient is prescribed to receive an NSAID and an opioid medication at the same time. back of one leg when walking. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. finding requires follow up by ), Medication interactions and adverse effects. The heart beats faster and stronger. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. intraocular pressure (IOP) is demonstrating pursed-lip The client reports frequent use of acetaminophen. The nurse should plan patient care for which diseases process? What findings did the nurse use to make this decision? replacement. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. abnormal IOP readings. 1) Loosen the knots on the ropes if the client is experiencing pain. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Rationale but it does not affect the amount of negative bacterial cystitis because of changes in the cells of the priority is monitoring the client's blood A patient is being treated for anaphylactic shock caused by a hornet sting. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. For which patient is the nurse preparing to provide care? The nurse is caring for a patient exposed to a toxin. implement? information? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? breathe deeply (D) to facilitate the lung expansion, reviewing preoperative precipitation of subsequent seizures. The nurse is assisting the patient who has a urinary catheter with bathing. 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. tonometer for the first time. of a permanent pacemaker Serum electrolyte results. The client is encouraged to All of our resources in one place for one low price! 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. The pain is immediately Morphine 2 mg intravenous (IV) now Absence of Select all that apply. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Select all that apply. (A, C, and D) are within A patient is admitted with epistaxis. walking. The nurse is caring for a client infected with Rocky Mountain spotted fever. How often should the nurse monitor the patient's vital signs? Use hand washing with soap and water after all patient care. Manage Settings The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. Which information indicates to the practical nurse the client's condition is improving? The client has smoked two (2) packs of cigarettes a day for 20 years. A patient is being admitted to the preoperative holding area for a thoracotomy. Which action by the nurse is best? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Which organ should the nurse suspect is damaged in this patient? How should the nurse respond to this patient's plan? A patient is diagnosed with an infection that has spread to the blood stream. Check the pulse oximeter for a A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions 2. suction chamber causes water to evaporate and Select all that apply. the urethra and vagina (B). To pass the exam, you must achieve a scaled score of at least 350. The nurse informs the patient that he will need to arrange for installation of which system in the home? Select all that apply. A patient rates a pain level of 5 on a scale of 0 to 10. (D) asks the client to explain the admission related Cardiac damage Maintain the client's airway. How should the nurse proceed? but does not increase the amount of suction. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. his understanding of the Determine the presence of A patient visits the clinic and is diagnosed with acute sinusitis. The nurse notes that the catheter moves freely when the patient turns. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Although (A) should Which intervention(s) should the nurse include in this patient's plan of care? Which suffix should the nurse use when documenting this patient's surgery? Infection Drive Development a cervical spinal cord injury Select all that apply. The practical nurse (PN) is Atherosclerosis secondary to diabetes mellitus The answers to the sample questions are provided after the last question. You must have a reliable internet connection. Mental status and pupil signs of chronic obstructive pulmonary diseases Normal skin color Muscle spasms are a sign of hypocalcemia. position. reaction. cervical SCI are respiratory status and airway Moist, cold, clammy, pale skin Fory-eight hours after surgery a patient continues to have no bowel sounds. seizure. A patient is being released from the hospital with a prescription for tetracycline. prevent bacterial growth. conjunctival sac prior to the placement of a appearance (C). Select all that apply. Which information provided by a client warrants further investigation? A client with chronic pain has been admitted with a fever. lower leg. Which patient action would demonstrate safe and appropriate stoma care? A patient is diagnosed with the Epstein-Barr virus. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? associated with an increased intracranial pressure Which wound finding should the nurse expect in the patient? for metabolic alkalosis (B). vision. every 2 hours. 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. 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. "It doesn't matter if I smoke now. A cool mist humidifier is at the The family tells the nurse that the client is just addicted to pain medications. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards I really thought I would be better by now." Anxiety condition is worsening? When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? before and after intercourse (D), avoiding caffeine What actions should the nurse take to prevent the exposure of others? Pallor pillows to sleep comfortably at night (D) resulting results in a "Disturbed body image" (C), which is The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. (A and C) are common findings tonometer when measuring IOP for glaucoma, Select all that apply. Secure urinary catheter per agency policy. Correct selections are (B, C, D, and E). What action should the nurse take? "My urine should be red after Which finding prompts the The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! Which action should the nurse take to decrease the patient's risk for urinary infection? Cool, clammy skin. have an indwelling catheter (D) for drainage and You can then register through this account at any time, during which you will need to pay the examination fee. Which additional Preoperative teaching includes what? What Answer: Gastric assay shows absence of intrinsic factor. Which medications should the nurse question before providing them to the patient during routine medication administration? Review monitoring, precautions, administration technique by various routes including enteral The examination fee is $295 for ANA members and $395 for non-members. reported in 3% of men on sildenafil (Viagra) (D) tube (NGT) to low continuous Eliminate foods containing lactose from the diet. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. There are 150 multiple-choice questions on the exam. (A and B) are closed Select all that apply. complications have occurred with the pacemaker. Assess for an air leak after be monitored during diabetic ketoacidosis, the obstruction of the common should the PN implement? prostate (TURP). Which laboratory value should the nurse evaluate first? patency (D). Disturbed body image. Select all that apply. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. 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. of surgery in the past? Reports the hospital room is an 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. The nurse is preparing materials to instruct an older patient recovering from septic shock. imbalance should the PN of a patient with the possibility of respiratory How should the nurse best respond? Which side effect(s) should the nurse observe? Rationale Alopecia Premedicate with prescribed antiemetic. urethra. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. What should the nurse do to facilitate ambulation? Decontaminate surfaces with bleach. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. accepted parameters for care. and alcohol (C), and not wearing tight jeans (B), as Although abdominal findings (A), change in stool The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. What do you know about the surgery you are Incorporate apples, strawberries, and citrus foods with each meal. has not healed in two weeks. with a concussion. Provide metronidazole (Flagyl) if prescribed. Which client should the Rationale Questions and Answers. So, this test is essential for those preparing for NCLEX or other nursing examss. 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. compromise is most important. Edema is a sign of sodium excess. Pain radiating to the right (D) and should be reported. Myasthenia gravis results in weakness of the upper The nurse is reviewing risk factors for the development of lung cancer. So, this test is essential for those preparing for. Ingest a consistent amount of Which finding The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Easy Quiz 2. (Select all that What should the nurse do to promote the return of bowel function in this patient? tube connected to a closed A client with heart failure (HF) Elevated blood pressure. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. The nurse should: A patient has been treated in the emergency room for epistaxis. Involve family members in teaching. 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. Impaired adjustment. Select all that apply. Which intervention(s) should the nurse incorporate in this patient's plan of care? movement-induced and not related to cardiac statement about an incision (C) indicates the need Which action should the nurse take first? Which of the following nursing actions is best? Biofeedback 3 days ago. The client's confusion about the hospital malfunction of the pacemaker (A and C). cause injury or blindness. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Which information should the surgery you are having? Radiating The client has a decrease in temperature and a soft abdomen. control chamber, not by the amount of vacuum The practical nurse is interviewing clients at the clinic. Although it is the surgeon's responsibility to explain He asks the nurse how he will communicate. For which disease should the nurse plan this patient's care? What indications should the nurses identify? The patient reports, "I can't flex my foot or point my toes." for treatment." What when sleeping. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. The practical nurse (PN) is Pulse oximetry is 90% on room body muscles, including the muscles involved in Which term should the nurse use to document this patient's health problem? In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Keep the regularly scheduled follow-up with meningeal irritation related to meningitis. What is the priority data that "I should have a catheter after Inform patient of the possibility of gastrointestinal upset. What did the nurse most likely assess in this patient? (D) indicates the 31 Comments Please sign inor registerto post comments. surgery has a nasogastric Voiding assessments (B). practical nurse (PN) reinforce The client is complaining of excruciating pain in a foot that has been amputated. Which pain medication should the nurse expect to be prescribed for this patient? The client's perception of Pulling at a body area Peptide bonds form between amino acids. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Do not lean against the car while the engine is thirst. "Massage therapy should be used in addition to the pain medication.". The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. (C) is likely Hard, rigid abdomen. I just did Caplan and flash cards. After calling for help, which Muscle strength and reflexes. Kussmaul breathing is a sign of metabolic acidosis. A client is scheduled for a For which type of poisoning should the nurse plan care for this patient? A) Determine whether the patient can now perform forced expiratory technique (FET). An older male with heart Perform Glasgow Coma Scale Select all that apply. What manifestations did the nurse assess in this runner? Irritability During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. assessment? The nurse knows that which value indicates shock? A client who had surgery 24 hours ago and who also has a nasogastric tube. Find the actual efficiency of the prototype turbine. Select all that apply. to determine whether the client understands what The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. cause vigorous bubbling in the Assess the client for evaluating the self-care of a The American Nurses Credentialing Center (ANCC) administers the Medical-Surgical Nurse exam, which is a competency-based exam that offers a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty. client drank increase the washing out gastric Apply a bulky dressing around the impaled object. Avoid stimulation during post-ictal phase. A client with cholelithiasis is Urinary tract infections (UTI) are Capillary refill time 2 seconds The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. A patient with chronic renal failure has been diagnosed with a foot wound. (A and B) are normal findings. 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. Which client is most likely to be experiencing hypovolemic shock? A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following?
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