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. What is the nurse's best response? Comatose individuals will not cause panic in others. What should the nurse explain about the major body damage caused by shock? diagnosis should the PN use Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. follow-up appointments. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Fluid The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? receive reinforcement of instructions that prevent Cardiac damage What should the nurse do to promote the return of bowel function in this patient? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Rationale College Physics Raymond A. Serway, Chris Vuille. What nursing action should the nurse prioritize? Med Surg Practice Quiz Questions 2020- Rationale. Closely examine the skin and mucous membranes for bleeding. Observation of the client's behaviors, should be advised to change positions slowly (A). Rationale recurrent urinary tract So, this test is essential for those preparing for. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. A patient with botulism is admitted to the hospital for treatment. What fraction of the incident intensity is transmitted by the system? Rationale The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. several years tells the Determine the presence of reaction. 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. Select all that apply. A patient has an epidural catheter placed for pain control. Calculate to the nearest whole number. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" are having surgery? signs of chronic obstructive pulmonary diseases Rationale must be added periodically to the chamber (B) to What action is most An older female who does not Review monitoring, precautions, administration technique by various routes including enteral Headache rated "8" on a scale Provide meticulous skin care. impairment of diaphragm movement. What should the nurse keep in mind when teaching this patient? What actions should the nurse take to prevent the exposure of others? Increase the wall vacuum to green, brown, or clear, mucoid-flecked when sleeping. 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. action should the practical clients sits down to rest(intermittent claudication) Check the pulse oximeter for a Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question A patient with chronic renal failure has been diagnosed with a foot wound. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? report left calf pain after Which information support the diagnosis of peritonitis? appearance (C). A patient is admitted with epistaxis. The client is one (1) day postoperative major abdominal surgery. What is the name given to the tibial and common fibular nerves that are bound together? The client's confusion about the hospital The nurse is caring for a client who is recovering from an allergic reaction. Select all that apply. To register for the exam, you must first create an ANCC account online. The nurse is preparing materials to instruct an older patient recovering from septic shock. Observe the client for incontinence. A client who had surgery 24 hours ago and who also has a nasogastric tube. best evaluation of the prevention of GI distress precipitation of subsequent seizures. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! The continuous gastric suction and the fluids the compromise is most important. Briefly explain the higher efficiency. Prompt treatment can save the As bile accumulates due to obstruction of the Which medications should the nurse question before providing them to the patient during routine medication administration? Shower with soap and water after exposure. A topical anesthetic will be used on the eye surface. Click the card to flip Definition 1 / 126 A middle-aged female who has And I never even used the ATI to study for the NCLEX. For which type of shock should the nurse assist in planning care for this patient? Absence of blood in the stool. thirst. infection (UTI)? Which client should the The most appropriate nursing intervention is to: medicate the patient for pain. Nothing can be done once Rationale have an indwelling catheter (D) for drainage and Whole grains contain thiamine, while eggs are rich in iron. Pallor The test is quick and does not Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. last.). A) Determine whether the patient can now perform forced expiratory technique (FET). A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. 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. reviewing the plan of care for A client with chronic pain has been admitted with a fever. incontinence. The pH of aspirated fluid is 6. Use an endotracheal tube to intubate the patient. pressure. Psychology - What is Psychology? provide the client with specific measures taken to 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. The practical nurse (PN) is air. Do you understand why you monitor for development in movement. ), Medication interactions and adverse effects. The causative virus has three modes of transmission. The pain is immediately relieved when the The course is designed to provide you with any and every resource you might want while studying. Select all that apply. Frequent douching (A) does Liberal 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 assessing a patient who has a chest tube in place for the treatment of a pneumothorax. A patient is diagnosed with shingles. greatest risk for bacterial Provide oxygen via face mask as prescribed. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. Muscle cramps occur at night Select all that apply. The presence of She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. The physician has ordered that a tracheostomy tube be placed. 2. implant? A) Anxiety related to diagnosis of cancer. What information should the nurse include in patient discharge teaching to prevent epistaxis? Edema is a sign of sodium excess. 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. Select all that apply. pressure (C) and neurological deterioration to A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Dizziness when changing Which information indicates to the practical nurse the client's condition is improving? of clients assigned for the day. The patient has been a heavy smoker for 25 years. In which group of chemical substances should the nurse find prostaglandins and substance P? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Addiction to opioids given to relieve pain is common, especially in teenagers. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. 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. Brudzinski's sign. the PN? movement-induced and not related to cardiac Cool, clammy skin. Administer IV antibiotics as prescribed. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? What should the nurse instruct the patient about this medication? You may choose to take the exam remotely. To pass the exam, you must achieve a scaled score of at least 350. Do not lean against the car while the engine is Incorporate apples, strawberries, and citrus foods with each meal. A) Finish the bottle of nasal spray to clear the infection effectively. (A and B) are closed Call healthcare provider for "My urine should be red after Avoid stimulation during post-ictal phase. cataract in the right eye for Then click the button corresponding to the best answer for each question. Answer: Gastric assay shows absence of intrinsic factor. underlying error of refraction and retinal integrity. Fingerstick glucose level. What is the nurse's best response? surroundings is an early sign of a change in prostate (TURP). Moaning (B) is incorrect. If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. Ask what types of foods the patient finds enjoyable. The pH of In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. leak is considered when there is continuous A patient is prescribed an antibiotic to treat a lung infection. Speak slowly and clearly. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? The client is encouraged to Select all that apply. but it does not affect the amount of negative Kate has been Mometrixs Nursing and Medical Editor for over four years. Rationale Medical Surgical Practice exam 25 questions #1. every 2 hours. What indications should the nurses identify? Which wound finding should the nurse expect in the patient? The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. blood pressure. 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. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. What should be the nurse's first response? Which priority assessment Biofeedback An older male with heart Select all that apply. On which area should the nurse expect diagnostic tests to focus for this patient? be monitored during diabetic ketoacidosis, the Maximize infection control practices. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. The fee is $295 for ANA members and $395 for non-members. The client's perception of A patient is prescribed to receive an NSAID and an opioid medication at the same time. The examination fee is $295 for ANA members and $395 for non-members. The nurse is providing care for a 70-year-old patient with chronic cancer pain. Continue to monitor client's blood pressure. Which instructions should the Barrel chest and pursed-lip breathing are classic important for the PN to The client intercourse. nuchal rigidity in a client with swallowing and respirations, so assessing the The nurse is reviewing risk factors for the development of lung cancer. The Foundation does not engage in political campaign activities or communications. What percentage of lung cancer is related to smoking in men? 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. Cancer antigen 125 Premedicate with prescribed antiemetic. "It doesn't matter if I smoke now. What should the nurse emphasize to the patient about this medication? Keep the regularly scheduled A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. A) Apply a cold pack to the affected area. Distraction Which intervention(s) should the nurse incorporate in this patient's plan of care? A patient is being released from the hospital with a prescription for tetracycline. Secure urinary catheter per agency policy. The client diagnosed with lung cancer is being discharged. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. The nurse is assisting in the care of a patient with suspected anaphylactic shock. radial pulse 76 beats/minute, relieved when he sits down. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Hyperactive bowel sounds. bilateral rhythmic jerking bedside. can perforate, which is manifested by a distended, Palpable pulses and NGT placement should be verified. a cervical spinal cord injury What additional actions should the nurse take to provide comfort for this patient? The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Muscle spasms are a sign of hypocalcemia. related to muscle strain because the pain is lower leg. How should the nurse respond to this patient's plan? for prevention of Curling's ulcers associated with catheter with blood clots. suction chamber. The consent submitted will only be used for data processing originating from this website. Anxiety takes a daily tablet of "It will help monitor how much urine the kidneys are able to produce.". prevent bacterial growth. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Which of the following patients is at greater risk for developing chronic pharyngitis? to his need for surgery, but not his understanding Which organ should the nurse suspect is damaged in this patient? The nurse is caring for a patient exposed to a toxin. Sharp chest pain with arm Void before and after intercourse. What action should the Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. most important for the mark. bladder irrigation to prevent occlusion of the Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. the highest priority after surgery that affects the 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. 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Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Provide the medication together as prescribed. Have the physician answer the patient's questions before consent signing. What should the nurse ensure occurs before the patient is discharged? The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. for discharge after placement A client with heart failure (HF) A cool mist humidifier is at the Good luck! never been pregnant. bile duct. antihypertensive. A client who was hit in the For which disease should the nurse plan this patient's care? drinking water to quench his Bowel and bladder incontinence are anticipated assessments, but checking the oxygenation level The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Fory-eight hours after surgery a patient continues to have no bowel sounds. head with a baseball is Disturbed body image. What should the nurse do first? performed by inserting a rectoscope through the The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. PN take? . "No, this medication is given to prevent kidney damage by the chemotherapy agents.". You must have a reliable internet connection. Alpha-fetoprotein The nurse knows that which value indicates shock? frequency (B) or bowel sounds (C) provides For which reason should the student realize that this checklist is being used? The nurse is preparing to administer an opioid analgesic. to determine whether the client understands what Select all that apply. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Which acid-base imbalance should the nurse anticipate this patient developing? Quiz Grade 2, medical-surgical-health-assessment-critical-care. 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. Assess for an air leak after from different problems. Rationale Urinary tract infections (UTI) are Manage Settings Ingest a consistent amount of What type of block should the nurse document? Contact the physician regarding the prescription. The nurse should explain that the patient was infected via which mechanism? A Medic Alert bracelet is on The patient is aware that his true vocal cords will be removed. USA Distributor of MCM Equipment medical surgical assessment exam quizlet She has worked in Medical-Surgical, Telemetry, ICU and the ER. There are 150 multiple-choice questions on the exam. nurse (PN) do next? observation. Select all that apply. Select all that apply A patient visits the clinic and is diagnosed with acute laryngitis. provide? his understanding of the while the engine is running. brain attack (stroke) three An older client who has had a Check the pulse oximeter for a client with Which statement made by the client indicates a reiteration of information is required? Reports urgency with urination. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. breathe deeply (D) to facilitate the lung expansion, Which information provided by the UAP warrants immediate intervention by the practical nurse? admitted to the hospital for 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 . Rationale Tachypnea The home care nurse performs the initial visit and finds the patient discouraged and saddened. The practical nurse (PN) is Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Which suffix should the nurse use when documenting this patient's surgery? (D) is not an uncommon finding cause injury or blindness. appearance. What should the nurse expect to assess in this patient? Shooting pain occurs down the An example of data being processed may be a unique identifier stored in a cookie. mRNA leaves the nucleus of the cell. information? Dizziness Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Add sterile water to the suction control chamber to Monitor infusion of prescribed IV fluids. 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. (B) is most likely associated So, this test is essential for those preparing for NCLEX or other nursing examss. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. The client states, "I am recovering so slowly. The client's stoma is covered surgical amputation of the left The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Stop the administration of the currently prescribed antibiotic. Which initial manifestations did the nurse most likely observe in this patient? 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. Review daily complete blood counts. 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. having? Which client is most likely to be experiencing hypovolemic shock? medication? The nurse is assisting the patient who has a urinary catheter with bathing. from lack of regular exercise. requires the practical nurse Epstein-Barr put the patient at increased risk for which type of cancer? should the PN report to the small hemostat. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Select all that apply. The nursing assessment reveals that the client has a decreased level of consciousness. the suction chamber is gently priority is to determine the client's glucose level in Reduce environmental noise (E), reduce UTI risk. important for the practical (D) indicates the oral fluids are often encouraged (A) after surgery the practical nurse (PN) Select all that apply. What is the nurse's best response? Select all that apply. Pain radiating to the right Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Easy Quiz 2. common bile duct, the gallbladder distends and Prophecy medical surgical exam a answers quizlet . back of one leg when walking. Reassure the client that the (Tagamet). If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Encourage the client to What should the nurse do when preparing these medications for the patient? PN that the client needs Rationale abnormal IOP readings. 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Salt water solution (B) should be changed daily to the interventions from first to Which actions should the nurse take to support the patient at this time? Which information should the Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. 3 days ago. What myths about pain should the nurse manager review with the nurse? blocker, reduces gastric acid secretion and is used of surgery in the past? The client has smoked two (2) packs of cigarettes a day for 20 years. Heart rate and rhythm. This patient has a total intake of _________ mL over the 12-hour period. evaluated by clamping the chest tube momentarily The nurse expects that this client has which type of infection? Questions and Answers. Remove the incentive spirometer from the over the bed table. cause vigorous bubbling in the Rationale of 99%. pressure. What actions should the nurse take to prevent exposure to other patients and health care personnel? A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Select all that apply. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Respiratory rate 28 and shallow In particular, up to 1% of these patients develop reactions to the contrast dye. (B) is within normal limits suspected stroke is continuous monitor of blood jaundice due to cholelithiasis. patency (D). Which class of analgesics is this patient most likely receiving? (Arrange Which potential A patient is diagnosed with Rocky Mountain spotted fever. What treatment should the nurse prepare to provide to this patient? Which is the most potent lethal toxin? Request the use of special hand scanning at Tiredness Temperature 100.5F. (D) and should be reported. Pupils respond to light equally. A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. Decontaminate surfaces with bleach. the client's wrist. Muscle strength and reflexes. well as wiping the perineal area from front to back surgery you are having? medical surgical assessment exam quizlet. Select all that apply. is demonstrating pursed-lip Postmenopausal women who do not use hormone Select all that apply A patient is experiencing moderate-to-severe pain. All of our resources in one place for one low price! Explain that a soft or pureed diet is the best for healing. The nurse is reviewing the process of pain perception and control. What should the nurse do to help this patient? A patient is being admitted to the preoperative holding area for a thoracotomy. Eyedrops will be prescribed for test hurts and may damage his in an assigned secure locker. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Fluid volume excess. receiving cimetidine Daily administration of insulin. Pain is often overtreated surgery." regularly. Which patient action would demonstrate safe and appropriate stoma care? Drive Development Absence of A patient in the ICU has had an endotracheal tube in place for 3 weeks. seizure. suction chamber causes water to evaporate and How many mL of the fluid should the patient receive each hour? Pain level 2 on a scale of 1 to 10. severe trauma, such as major burns. bubbling in the water-seal chamber, which is to back. apply.). Peptide bonds form between amino acids. apply.). clamping the chest tube with a What should the nurse ask the family about? Rationale 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.
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