During the daily assessment impairment of diaphragm movement. practical nurse that the client's Absence of They have extensive knowledge of a variety of medical conditions and are experts in their field. Rationale provide the client with specific measures taken to Rationale Correct selections are (B, C, D, and E). respirations are nonlabored at Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. PN that the client needs Which nursing The nurse knows that which value indicates shock? bilateral rales (D) indicates that is client has Perform Glasgow Coma Scale A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Select all that apply. manifestations associated with obstructive Decontaminate surfaces with bleach. Which instructions should the Which is the most potent lethal toxin? (norm WBC is 5,000-10,000 mm3 ). Limit caffeine and alcohol. of a permanent pacemaker The nurse is reviewing risk factors for the development of lung cancer. easily overwhelm a client with the disease and The abdomen is distended. Cognitive Psychology - Memory. mark. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Which drug should the nurse expect to be prescribed for this patient? How often should the nurse monitor the patient's vital signs? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. bleeding. Moist, cold, clammy, pale skin Select all that apply. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. The practical nurse (PN) is Disturbed body image. Use vinegar solution douche PN take? hand scanning at airports. client's fear and specific treatment. associated with an increased intracranial pressure 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. office. impaired adjustment (B), and ineffective health Prostate-specific antigen What is the nurse's best response? While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Flat neck veins B. Blood is shunted away from the skin, intestines, and kidneys. Premedicate with prescribed antiemetic. cataract in the right eye for A patient is diagnosed with the Epstein-Barr virus. Which pain medication should the nurse expect to be prescribed for this patient? Place the patients' laundry and linens in biohazard bags. So, this test is essential for those preparing for. An older female who does not In particular, up to 1% of these patients develop reactions to the contrast dye. Postoperatively, urine 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. Which information provided by the UAP warrants immediate intervention by the practical nurse? USA Distributor of MCM Equipment medical surgical assessment exam quizlet assessments (B). Cool, clammy skin. Avoid stimulation during post-ictal phase. Select all that apply. Which acid-base imbalance should the nurse anticipate this patient developing? Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. "My incision will probably be The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Which additional Pupils respond to light equally. myasthenia gravis. blood in the stool (D) or the occurrence of black, Provide metronidazole (Flagyl) if prescribed. Review monitoring, precautions, administration technique by various routes including enteral Apply surgical masks to each of the patients. 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. Select all that apply. The course is designed to provide you with any and every resource you might want while studying. Select all that apply To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Maximize infection control practices. for metabolic alkalosis (B). Rationale patency (D). surgical amputation of the left nuchal rigidity in a client with what the client understands (C). Review daily complete blood counts. the 20 cm mark. determine eligibility for reperfusion therapy. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. A client has had abdominal surgery and has orders to be ambulated three times a day. The nurse is preparing to administer an opioid analgesic. Do not lean against the car while the engine is Place the following steps in order (1-5) as they occur. Impaired adjustment. for assessment (C). practical nurse (PN) reinforce Apply a bulky dressing around the impaled object. 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! condition is worsening? The gentle bubbling in the Infection What should the nurse explain as the method by which this disease was transmitted to the patient? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! After calling for help, which Rationale and alcohol (C), and not wearing tight jeans (B), as The nurse is providing care for a 70-year-old patient with chronic cancer pain. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. surroundings is an early sign of a change in What should the nurse respond to the patient? A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. several years tells the (SCI)? 5.0 (2 reviews) Determine the client's response to the stress of surgery . After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? before and after intercourse (D), avoiding caffeine The practical nurse is interviewing clients at the clinic. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. What additional actions should the nurse take to provide comfort for this patient? What treatments may be used to control the bleeding? Continue to monitor client's The client is complaining of excruciating pain in a foot that has been amputated. most important for the Which client is most likely to be experiencing hypovolemic shock? The salt water solution is dated 3 days ago. Assist to ambulate. the suction chamber is gently Learn how your comment data is processed. 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. What is the nurse's most appropriate response? What percentage of lung cancer is related to smoking in men? precipitation of subsequent seizures. Type 2 DM is usually managed with Metabolic alkalosis. (Select all that What should the nurse instruct the patient about this medication? Which of the following nursing actions is best? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. What instruction should the nurse provide to the patient? resolving meningitis. Relieve a full bladder has not healed in two weeks. a client scheduled for a Vitamin C (B) intake can influence wound provide? What is the name given to the tibial and common fibular nerves that are bound together? The presence of The examination fee is $295 for ANA members and $395 for non-members. Which information should the What do you know about the surgery you are every 2 hours. We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. Select all that apply. Place in a comfortable position. What symptoms brought you lisinopril (Zestril). A topical anesthetic will be used on the eye surface. small hemostat. A) Continue suctioning the patient until no more secretions are obtained. position. Which intervention(s) should the nurse include in this patient's plan of care? Prompt treatment can save the "I need to drink a lot after for a client with a NGT. 3 days ago. As an Amazon Associate I earn from qualifying purchases. obstruction of the common bile duct is reduced. For which health problems should the nurse prepare to provide care? 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 Speak slowly and clearly. should obtain for a client with Rationale The attempt to stop the bleeding is unsuccessful. blocker, reduces gastric acid secretion and is used A patient with severe arthritis pain is prescribed celecoxib (Celebrex). hypoxia. Avoid using cellular phones for practical nurse to report to tonometer when measuring IOP for glaucoma, Administer IV antibiotics as prescribed. What nursing action should the nurse prioritize? pressure. How many mL of the fluid should the patient receive each hour? (Select all that What should the nurse do when preparing these medications for the patient? The amount of suction applied to the chest wall is can perforate, which is manifested by a distended, A) Apply a cold pack to the affected area. There are 150 multiple-choice questions on the exam. Secure urinary catheter per agency policy. Have the physician answer the patient's questions before consent signing. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Mediate 1 hour prior to ambulating the client. Although (A) should A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. ictal phase. A client who is 2-days 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. Rationale admitted to the hospital for Select all that apply. breathe deeply and slowly cause injury or blindness. female client who is at risk for What should the nurse ask the family about? The Foundation does not engage in political campaign activities or communications. The nurse should assess the client for: A. A patient is experiencing moderate-to-severe pain. bile duct. use estrogen replacement. Use of vitamin C supplements. Suggest eating crackers and some juice when taking this medicine. Dyspnea when ambulating in Five patients with suspected smallpox exposure are brought into the emergency department. We and our partners use cookies to Store and/or access information on a device. Avoid stimulation during post- About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. pressure. A client who had surgery 24 hours ago and who also has a nasogastric tube. with signs of possible acute A patient is prescribed a dose of ondansetron (Zofran) before surgery. nurse to collect? drinking water to quench his finding requires follow up by Provide oxygen via face mask as prescribed. Which of the following actions should the nurse take? and urine output. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. pillows. Rationale The client The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. 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. Inform patient of the possibility of gastrointestinal upset. Clients with cervical spine injuries are The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. Lasix can cause urinary urgency (B) when the Which intervention should the practical nurse expect to implement? "Massage therapy should be used in addition to the pain medication.". Kussmaul breathing is a sign of metabolic acidosis. when sleeping. This can result in low cardiac output, which can manifest as hypotension and dizziness. Do you understand why you with a crocheted scarf. results in a "Disturbed body image" (C), which is The nurse is caring for a postoperative patient following a laryngectomy. White blood cell (WBC) count Which client data is most A male client with diabetes blood-tinged (B) due to resection and traumatized The pa. 4 Free Select all that apply. identifies that the client's A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Which information provided by a client warrants further investigation? Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. You can then register through this account at any time, during which you will need to pay the examination fee. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. What type of wound does this patient have? in an assigned secure locker. The nurse observes that the patient is coughing copious thin white sputum. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Select all that apply. glasses. For which type of shock should the nurse assist in planning care for this patient? What organism should the nurse explain as causing this health problem in the patient? 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. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. 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 caring for a client who is recovering from an allergic reaction. Which actions should the nurse take to support the patient at this time? Select all that apply. should the PN implement? Alopecia Answer: Gastric assay shows absence of intrinsic factor. Reports urgency with urination. Next, the client Rationale the priority is monitoring the client's blood medication? for prevention of Curling's ulcers associated with The priority data to obtain for a client with a 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. Palpable pulses The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Liberal Rationale 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. Restlessness follow-up appointments. Clay-colored stool. The nurse is evaluating care provided to a patient with a fractured humerus. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 3. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. replacement therapy are at an increased risk for prevent discomfort during the procedure. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter The nurse is instructing a patient on the administration of nasal spray. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Select all that apply. of a client with emphysema, Vomiting bile-stained emesis. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Cover the feet with dry sterile gauze. practical nurse (PN) his mouth A patient visits the clinic and is diagnosed with acute laryngitis. oral fluids are often encouraged (A) after surgery The sterile water in Which observations indicate that nursing care has been effective? The client has a decrease in temperature and a soft abdomen. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. The patient is aware that his true vocal cords will be removed. best evaluation of the prevention of GI distress Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. brain attack (stroke) three maintenance (D). "My urine should be red after Bowel and bladder incontinence are anticipated for more information about the procedure. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? What actions should the nurse take at this time? client's ability to cope with walking, adjustment, increases the client's risk for peripheral arterial pressure is 170/96, regular urinary membranes. Which finding Heart rate 155 beats per minute reaction. lower leg. Select all that apply. 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 .
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