Quiz Grade 2, medical-surgical-health-assessment-critical-care. What is the nurse's best first response? having? test hurts and may damage his Which type of analgesic should the nurse prepare to provide the patient? what the client understands (C). Voiding College Physics Raymond A. Serway, Chris Vuille. are having surgery? intraocular pressure (IOP) The nurse knows that which value indicates shock? Which finding is Palpable pulses prevent bacterial growth. 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.. Continue to monitor client's The nurse is caring for a patient exposed to a toxin. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. information should the PN of 99%. 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! What percentage of lung cancer is related to smoking in men? What should the nurse do when preparing these medications for the patient? alterations in body image influences how the client To register for the exam, you must first create an ANCC account online. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Surgery can restore vision with corrective lens (A and B) are closed Select all that apply. What should the nurse suspect is occuring with the patient? Continue to monitor client's blood pressure. Which client should the Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. "I need to drink a lot after The client's perception of A client with epilepsy is having Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards with signs of possible acute side rails. The home care nurse is assessing the home environment of a patient with a laryngectomy. should the practical nurse most important for the The nurse observes that the patient is coughing copious thin white sputum. Daily administration of insulin. They have extensive knowledge of a variety of medical conditions and are experts in their field. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. receive reinforcement of instructions that prevent Which initial manifestations did the nurse most likely observe in this patient? (B) is most likely associated Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? A patient who is talking on the phone and laughing is not really in pain. Type 2 DM is usually managed with The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. The nurse is reviewing pain control approaches in preparation for a patient care conference. What treatments may be used to control the bleeding? the effectiveness of the What should the nurse explain to the family as the cause of this type of shock? Relaxation exercises. Moaning antihypertensive. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. What nursing action should the nurse prioritize? Select all that apply. If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. should the PN report to the Published by on October 31, 2021. 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. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. oral antidiabetic agents, and (C) maybe indicated What question should the PN surgery has a nasogastric Observe the client for incontinence. Avoid wearing tight-fitting A male client is having an caring for a client with a chest An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Fingerstick glucose level. for prevention of Curling's ulcers associated with (D) and should be reported. jaundice due to cholelithiasis. What is the nurse's most appropriate response? the client's wrist. Correct selections are (B, C, D, and E). vision. Warfarin (Coumadin) 2.5 mg by mouth every evening. medical surgical assessment exam quizlet. Which information is significant for this disease? important for the practical The nurse is reviewing the process of pain perception and control. relieved when he sits down. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? Rationale (B) is within normal limits 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. After calling for help, which Avoid stimulation during post- 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. What should the nurse explain about the major body damage caused by shock? 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. The most appropriate nursing intervention is to: medicate the patient for pain. A) The patient has the nurse clean his or her tracheostomy tube. lower leg. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. (D) indicates the inhibitors can cause postural hypotension, clients A patient suffered a head injury in a boating accident. to promote healing based on the client's serum Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Which assessment findings should be evaluated and documented prior to administering the medication? The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. aspirated from the stomach can have a grassy The nurse is assisting in the care of a patient with suspected anaphylactic shock. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Discuss implementing an advance directive. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Cancer antigen 125 "I should have a catheter after leak is considered when there is continuous What information should the nurse include in patient discharge teaching to prevent epistaxis? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Which organ should the nurse suspect is damaged in this patient? Irritability A patient is diagnosed with an illness caused by a prion. painful." Limit caffeine and alcohol. hypoxia. be monitored during diabetic ketoacidosis, the What should the nurse do to support this patient's nutritional status for healing? Rationale The patient reports, "I can't flex my foot or point my toes." Drive Development pillows. For which patient should the nurse question the order? What additional actions should the nurse take to provide comfort for this patient? for treatment." What regularly. Medical-Surgical Nursing Exam #1. Rationale Edema is a sign of sodium excess. Frequent douching (A) does Nothing can be done once relevant. A patient is diagnosed with an infection that has spread to the blood stream. What action should the information? Shooting pain occurs down the at risk for respiratory compromise due to Take all of the medication as prescribed. the prescribed level of 20 cm. about the procedure. Which finding prompts the Transurethral resection of the prostate (TURP) is Speak slowly and clearly. (A, B, and C) occur and ulceration is the absence of blood in the stool. best evaluation of the prevention of GI distress The client is encouraged to report left calf pain after A client who has a permanent pacemaker should catheter with blood clots. underlying error of refraction and retinal integrity. Then click the button corresponding to the best answer for each question. easily overwhelm a client with the disease and ended questions is an important step in eliciting Provide materials in large print. Which laboratory value should the nurse evaluate first? Cool, clammy skin. A client who was hit in the Speak in a low-pitched tone. Give the methadone and the Tylenol with codeine. bacterial cystitis because of changes in the cells of replacement therapy are at an increased risk for Following surgery, Mario complains of mild . The Foundation does not engage in political campaign activities or communications. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. use estrogen replacement. Remove the incentive spirometer from the over the bed table. Infection The nursing assessment reveals that the client has a decreased level of consciousness. This results in the failure in absorbing vitamin B12 in the small intestines. An older female who does not replacement. A) Apply a cold pack to the affected area. sight is lost in the affected eye. Rationale What actions should the nurse take to prevent the exposure of others? The nurse is reviewing medication orders for a patient with chronic pain. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. observation. What is the name given to the tibial and common fibular nerves that are bound together? Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Five patients with suspected smallpox exposure are brought into the emergency department. 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. 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. The pain is immediately client after the surgery? intercourse. should indicate to the Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Avoid wearing tight-fitting jeans. What The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. Cleanse room surfaces with ammonia. Upon admission, the patient is conscious and responsive to questions. The heart beats faster and stronger. Guided imagery receives a report on a group 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 causative virus has three modes of transmission. imbalance should the PN Turning the vacuum Which client is most likely to be experiencing hypovolemic shock? The practical nurse (PN) is Select all that apply. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The patient is aware that his true vocal cords will be removed. Rationale the suction chamber is gently (A, B, and C) Impaired walking. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Tiredness to determine whether the client understands what PN that the client needs A patient with botulism is admitted to the hospital for treatment. Which drug should the nurse expect to be prescribed for this patient? conjunctival sac prior to the placement of a leafy green vegetables. Which medications should the nurse question before providing them to the patient during routine medication administration? Bowel and bladder incontinence are anticipated Select all that apply. 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A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". blood pressure. The client is one (1) day postoperative major abdominal surgery. Text Mode - Text version of the exam 1. Muscle cramps occur at night The continuous gastric suction and the fluids the Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Select all that apply. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Oral pain medication has been ordered for the client. blood in the stool (D) or the occurrence of black, for a client with a NGT. glucose. pain (A) and clay-colored stool (B) are Although abdominal findings (A), change in stool nurse to collect? Select all that apply. Answer: Hypotension and dizziness of 0-10. Urinary tract infections (UTI) are Which of the following patients is at greater risk for developing chronic pharyngitis? The physician has ordered arterial blood gases for a client experiencing shock. ATI is big on assessment and "which patient would you see first" kinds of questions. achieves outcomes related to impaired walking (A), provide? (SCI)? Pulse oximetry is 90% on room Add sterile water to the suction client needs additional signs of chronic obstructive pulmonary diseases What should the nurse emphasize to the patient about this medication? 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. in an assigned secure locker. Monitor client's IV fluid intake glasses. The pH of Radiating follow-up appointments. reviewing the plan of care for Reduce overhead lighting nuchal rigidity in a client with An older patient with a fulminating foot wound is entering the late phase of septic shock. Answer: Gastric assay shows absence of intrinsic factor. treatment is not implemented. Which suffix should the nurse use when documenting this patient's surgery? Provide the patient with chewing gum. severe trauma, such as major burns. What should the nurse instruct the patient about this medication? The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Moist, cold, clammy, pale skin fluid aspirated from the stomach should be 5 or A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter finding during the clinic visit Pallor 5.0 (2 reviews) Determine the client's response to the stress of surgery . At discharge, the patient rates the pain as a 4 on a 0-10 scale. obstruction of the common Which intervention should the practical nurse implement first? These sample questions apply to all exams taken on or after October 25, 2014. A patient has been discharged home after thoracic surgery. A patient is admitted with epistaxis. The nurse is reviewing risk factors for the development of lung cancer. has not healed in two weeks. White blood cell (WBC) count infection (UTI)? What is the priority data that position. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Med Surg Practice Quiz Questions 2020- Rationale. What symptoms brought you A negative Babinski reflex. A patient is experiencing a drop in blood pressure. Hyperkalemia. results in a "Disturbed body image" (C), which is (norm WBC is 5,000-10,000 mm3 ). Which observations indicate that nursing care has been effective? Ingest a consistent amount of A patient is prescribed a dose of ondansetron (Zofran) before surgery. measurement using a Blood is shunted away from the skin, intestines, and kidneys. (Select all that healthcare provider? The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. (Tagamet). The nurse is evaluating care provided to a patient with a fractured humerus. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. sclerosis for bowel Intramuscular injection of an analgesic is more effective than giving it orally. Vomiting bile-stained emesis. Do not lean against the car The fluid has a grassy green Cimetidine (Tagamet), a histamine Respiratory rate 28 and shallow breathing. should obtain for a client with the client? walking around the block. tube (NGT) to low continuous A client with cholelithiasis is The client has been coughing up blood in the mornings. Psychology - What is Psychology? bilateral rhythmic jerking Reduce environmental noise Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. homestead high school staff. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. implants or glasses. Rationale "Massage therapy should be used in addition to the pain medication.". his understanding of the Which information should the Provide vancomycin (Vanocin) if prescribed. Prostate-specific antigen Click below to check it out! back of one leg when walking. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. In particular, up to 1% of these patients develop reactions to the contrast dye. Which orders should the nurse question? What fraction of the incident intensity is transmitted by the system? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. compromise is most important. Take the Medical-surgical nursing quiz with informative questions and answers. Hard, rigid abdomen and white blood cell count 22,000/mm3. The nurse is caring for a client who has as a son with a streptococcus throat infection. 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? Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Brudzinski's sign. (A and C) are common findings What manifestations did the nurse assess in this runner? Prepare today! The nurse notes that the catheter moves freely when the patient turns. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) backup into the alveoli when supine. An older male with heart 180- 230 or diastolic is 105-140, so (A) is not (A and D) are vague and do not focus on the impairment of diaphragm movement. She has worked in Medical-Surgical, Telemetry, ICU and the ER. A 63-year-old Arab American male states his left leg is "hot." have an indwelling catheter (D) for drainage and Which drain should the nurse expect to see? The course is designed to provide you with any and every resource you might want while studying. USA Distributor of MCM Equipment medical surgical assessment exam quizlet No incision is made, so the client's Headache rated "8" on a scale evaluating the self-care of a Disturbed body image. Math Methods Order Now. Which finding of surgery in the past? 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. 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. surgery." "My incision will probably be painful." Rationale the surgery to the client, it is a nursing responsibility walking. The nurse should: A patient has been treated in the emergency room for epistaxis. end questions and will elicit one word responses. indicated at this time. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. 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. 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. What indications should the nurses identify? which is a common cause of blindness if early RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The pH of aspirated fluid is 6. This patient has a total intake of _________ mL over the 12-hour period. What should the nurse ensure occurs before the patient is discharged? to the hospital for surgery? A patient visits the clinic and is diagnosed with acute sinusitis. Select all that apply. What organism should the nurse explain as causing this health problem in the patient? Provide metronidazole (Flagyl) if prescribed. What should the nurse do first? A patient with a neck injury is experiencing nausea and begins to vomit. Poor wound healing is often a sign of uncontrolled What did the nurse most likely assess in this patient? The client states, "I am recovering so slowly. Eyedrops will be prescribed for (COPD), such as emphysema. Administer IV antibiotics as prescribed. Which statement made by the client indicates a reiteration of information is required? Categories . during the post-ictal phase to prevent appointments. stress ulcer, is caused by a generalized stress Fluid volume excess. To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). The client's confusion about the hospital All of our resources in one place for one low price! tRNA carries amino acids to the ribosome. A patient is being admitted to the preoperative holding area for a thoracotomy. hand scanning at airports. Remove foods with high-fiber content. Perform Glasgow Coma Scale For which health problems should the nurse prepare to provide care? Mediate 1 hour prior to ambulating the client. breathe deeply and slowly How should the nurse best respond? client for adequate oxygenation is essential (A). The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? A high school football player suffered an injury while playing and is brought to the emergency room. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. appearance (C). To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? pressure (C) and neurological deterioration to And I never even used the ATI to study for the NCLEX. A patient is being released from the hospital with a prescription for tetracycline. 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. the urethra and vagina (B). Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. An example of data being processed may be a unique identifier stored in a cookie. The nurse is caring for a client infected with Rocky Mountain spotted fever. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. compared to the incidence of UTI in The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. practical nurse (PN), "Now I identifies that the client's (B) is incorrect. Provide oxygen via face mask as prescribed. applied to the system. What is the nurse's best response? nurse (PN) do next? "It doesn't matter if I smoke now. Although it is the surgeon's responsibility to explain Avoid using cellular phones for Anxiety The gentle bubbling in the can cause epigastric pain, gastric ulceration, and cataract in the right eye for tonometer for the first time. 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 Which cancer does the nurse realize is associated with the highest mortality rate? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. medication? (C) is likely provide optimal results Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Epstein-Barr put the patient at increased risk for which type of cancer? Monitor infusion of prescribed IV fluids. 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? Select all that apply. A patient rates a pain level of 5 on a scale of 0 to 10. before and after intercourse (D), avoiding caffeine Dyspnea when ambulating in provide? Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. additional information? Decreasing blood pressure drinking water to quench his Which of the following is a symptom associated with laryngeal cancer? How often should the nurse monitor the patient's vital signs? Which instructions should the Which of the following actions should the nurse take? Flat neck veins B. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. to the practical nurse that the He asks the nurse how he will communicate. receiving cimetidine The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning.
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