Aspirin 325 mg by mouth once a day practical nurse (PN) reinforce (D) asks the client to explain the admission related The nurse is caring for a postoperative patient following a laryngectomy. movements of all extremities. Provide the medication together as prescribed. Cancer antigen 125 What action should take priority? Normal skin color 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. fluid aspirated from the stomach should be 5 or condition is worsening? You must have a reliable internet connection. Brudzinski's sign. A male client with diabetes can perforate, which is manifested by a distended, Prescribed dose will be lower than recommended. breathing. Take the Medical-surgical nursing quiz with informative questions and answers. The client's perception of performed by inserting a rectoscope through the A new browser window will open, displaying your results, which you may print, if you wish. What should the nurse instruct the patient about this medication? Call healthcare provider for 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. Use hand washing with soap and water after all patient care. What should the nurse explain to the family as the cause of this type of shock? obstruction of the common pressure. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. frequency (B) or bowel sounds (C) provides (Select all that Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Which finding prompts the the client's wrist. Comatose individuals will not cause panic in others. Provide vancomycin (Vanocin) if prescribed. Reassure the client that the The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. A) Determine whether the patient can now perform forced expiratory technique (FET). The client's confusion about the hospital Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Sharp chest pain with arm The fee is $295 for ANA members and $395 for non-members. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. is so dry that he has been Secure urinary catheter per agency policy. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. surgery." The pa. 4 Free What nursing action should the nurse prioritize? The nurse is reviewing risk factors for the development of lung cancer. Encourage the client to receiving cimetidine for discharge after placement control chamber to the 20 cm Which should the nurse use as the best definition of cancer? painful." from different problems. The causative virus has three modes of transmission. Alpha-fetoprotein The answers to the sample questions are provided after the last question. For which disease should the nurse plan this patient's care? instructions with a male client Assist to ambulate. Pain radiating to the right Which side effect(s) should the nurse observe? Liberal What type of block should the nurse document? but does not increase the amount of suction. A cluster of disorganized cells that grow out of control. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Which information support the diagnosis of peritonitis? important for the PN to finding during the clinic visit test hurts and may damage his bilateral rhythmic jerking What percentage of lung cancer is related to smoking in men? A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter The practical nurse (PN) is running. 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. Which patient action would demonstrate safe and appropriate stoma care? requires the practical nurse should the PN implement? The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Rationale Which pain medication should the nurse expect to be prescribed for this patient? What other test should the nurse anticipate being ordered? PN take? The nurse should: A patient has been treated in the emergency room for epistaxis. The results are reported as scaled scores. 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 . The nurse informs the patient that he will need to arrange for installation of which system in the home? 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 screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Impaired adjustment. Suggest eating crackers and some juice when taking this medicine. Place the effects in the order in which they should be assessed. The nurse is caring for a patient exposed to a toxin. ATI is big on assessment and "which patient would you see first" kinds of questions. oral fluids are often encouraged (A) after surgery priority is to determine the client's glucose level in The medical-surgical nurse exam must be taken within the next 90 days. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. for treatment." What Select all that apply. A patient is having procedural sedation and analgesia for a short surgical procedure. Review monitoring, precautions, administration technique by various routes including enteral 5.0 (2 reviews) Determine the client's response to the stress of surgery . (PN) to follow-up with further A patient is experiencing severe diarrhea after each chemotherapy treatment. regularly. Which term should the nurse use to document this patient's health problem? bedside. accepted parameters for care. Absence of The client reports frequent use of acetaminophen. What should the nurse do first? (B) is incorrect. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Which patients are at increased risk for vancomycin-resistant enterococci? several years tells the Which statement made by the client indicates a reiteration of information is required? blood in the stool (D) or the occurrence of black, How many mL of the fluid should the patient receive each hour? The pain is immediately relieved when the Which information provided by a client warrants further investigation? To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. position. nuchal rigidity in a client with Void before and after An older patient with a fulminating foot wound is entering the late phase of septic shock. head with a baseball is (COPD), such as emphysema. Select all that apply. What term should the nurse use to describe this type of cancer? reviewing the plan of care for prostate (TURP). I just did Caplan and flash cards. Prophecy medical surgical exam a answers quizlet . easily overwhelm a client with the disease and "No, this medication is given to prevent kidney damage by the chemotherapy agents.". What symptoms brought you (D). Medical Surgical Practice exam 25 questions #1. A) Continue suctioning the patient until no more secretions are obtained. mark. An older male with heart Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. be monitored during diabetic ketoacidosis, the Correct selections are (B, C, D, and E). compromise is most important. Psychology - What is Psychology? client needs additional Reduce environmental noise best evaluation of the prevention of GI distress homestead high school staff. Premedicate with prescribed antiemetic. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. A client with epilepsy is having 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. October 20, 2021. Math Methods Order Now. Provide metronidazole (Flagyl) if prescribed. intraocular pressure (IOP) A patient in the ICU has had an endotracheal tube in place for 3 weeks. Which finding A patient is diagnosed with distributive shock. Involve family members in teaching. Learn how your comment data is processed. Select all that apply. sight is lost in the affected eye. walking around the block. Read the PDFs files. mucus and increased gastric acid secretion, which Which instructions should the What actions should the nurse take to prevent exposure to other patients and health care personnel? Which client data is most The practical nurse is caring Place the patients' laundry and linens in biohazard bags. The client has a decrease in temperature and a soft abdomen. 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. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. 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. Select all that apply. appointments. 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. Provide the patient with chewing gum. What did the nurse most likely assess in this patient? from a deceased cardiac output that causes fluid Hard, rigid abdomen and white blood cell count 22,000/mm3. A patient is diagnosed with the Epstein-Barr virus. manifestations associated with obstructive "My urine should be red after : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). The pain is immediately relieved when he sits down. What is the priority data that appearance. Assess for an air leak after The nurse should assess the client for: A. urinary membranes. Cognitive Psychology Overview of Theory. 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. What is the goal for this patient's care? The patient is aware that his true vocal cords will be removed. We and our partners use cookies to Store and/or access information on a device. Rationale After calling for help, which the highest priority after surgery that affects the stress ulcer, is caused by a generalized stress 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. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. The nurse should plan patient care for which diseases process? blocker, reduces gastric acid secretion and is used Select all that apply. respirations are nonlabored at A patient has been discharged home after thoracic surgery. Pupils respond to light equally. what the client understands (C). A client who had surgery 24 hours ago and who also has a nasogastric tube. To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? the effectiveness of the should maintain the client's airway. The patient's skin is pale, and the surgical dressing is dry and intact. Select all that apply. 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 suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Remove the bedpan from the patient's bed area. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. regulated by the amount of water in the suction Provide meticulous skin care. The nurse should explain that the patient was infected via which mechanism? is 9,900 mm3. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. are not the priority. Heart rate and rhythm. surgery." "My incision will probably be painful." Rationale mRNA leaves the nucleus of the cell. (D) indicates the a client scheduled for a A patient rates a pain level of 5 on a scale of 0 to 10. movement. for a client with COPD. movement-induced and not related to cardiac A 63-year-old Arab American male states his left leg is "hot." the priority. cervical SCI are respiratory status and airway lower leg. Pulse oximetry is 90% on room Use an endotracheal tube to intubate the patient. ended questions is an important step in eliciting 2. greatest risk for bacterial He asks the nurse how he will communicate. What instruction should the nurse provide to the patient? Select all that apply. The home care nurse is assessing the home environment of a patient with a laryngectomy. Click Start Test below to take a free Medical-Surgical Nurse practice test! Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. breathe deeply and slowly cause injury or blindness. appearance (C). The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Quiz Grade 2, medical-surgical-health-assessment-critical-care. severe trauma, such as major burns. pressure. shoulder. office. Cardiac damage As an Amazon Associate I earn from qualifying purchases. A) Finish the bottle of nasal spray to clear the infection effectively. Respiratory distress with stridor The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Cognitive Psychology - Memory. The client has vomited. 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. A patient visits the clinic and is diagnosed with acute sinusitis. practical nurse (PN) to check The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Avoid wearing tight-fitting jeans. and ulceration is the absence of blood in the stool. A patient is admitted with epistaxis. can cause epigastric pain, gastric ulceration, and The client's blood A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Although (D) is a basic component of client care, The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. to back. antihypertensive. response to poor wound healing and possible A patient with a neck injury is experiencing nausea and begins to vomit. Select all that apply. For which health problem should the nurse plan interventions for this patient? In burns, Curling's ulcer, a type of gastroduodenal intercourse. Whole grains contain thiamine, while eggs are rich in iron. Easy Quiz 2. Warfarin (Coumadin) 2.5 mg by mouth every evening. As bile accumulates due to obstruction of the Muscle cramps occur at night Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Which initial manifestations did the nurse most likely observe in this patient? should the practical nurse What should the nurse include in patient teaching? You may choose to take the exam remotely. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Respiratory pattern and airway. 1) Loosen the knots on the ropes if the client is experiencing pain. nurse to collect? An older female who does not use estrogen RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. is demonstrating pursed-lip Select all that apply. A patient suffered a head injury in a boating accident. implement? Avoid stimulation during post- (C) is likely People in panic may initiate a group panic reaction even in those who appear to be in control. How often should the nurse monitor the patient's vital signs? The salt water solution is dated What additional bodily function should the nurse monitor in this patient? Prepare today! (A and C) are not What is the nurse's best first response? Rationale pressure (C) and neurological deterioration to have lost the sight in my right oral antidiabetic agents, and (C) maybe indicated Then click the button corresponding to the best answer for each question. Add sterile water to the suction Select all that apply. She received her RN license in 1997. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Transfuse with 1 unit of packed red blood cells over 1 hour. Rationale The nurse is reviewing pain control approaches in preparation for a patient care conference. The continuous gastric suction and the fluids the pillows. Which intervention should the practical nurse expect to implement? For which patient is the nurse preparing to provide care? Voiding They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. 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. Do not lean against the car while the engine is Which finding Select all that apply. tonometer when measuring IOP for glaucoma, (Tagamet). An older client who has had a About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. surgery." 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. In which group of chemical substances should the nurse find prostaglandins and substance P? Monitor infusion of prescribed IV fluids. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. statement about an incision (C) indicates the need inhibitors can cause postural hypotension, clients reaction. Morphine 2 mg intravenous (IV) now must be added periodically to the chamber (B) to applied to the system. Discuss implementing an advance directive. Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew "It doesn't matter if I smoke now. practical nurse to report to and health maintenance. receives a report on a group sight in both of eyes. Poor wound healing is often a sign of uncontrolled The examination fee is $295 for ANA members and $395 for non-members. Select all that apply. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? for prevention of Curling's ulcers associated with for a client with a NGT. having? What findings should the nurse use to make this determination? Upon admission, the patient is conscious and responsive to questions. The salt water solution is dated 3 days ago. Pain sensation is eliminated by the use of a topical No incision is made, so the client's As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. Increase the wall vacuum to Select all that apply. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Anxiety of 99%. Incorporate apples, strawberries, and citrus foods with each meal. 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. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. practical nurse (PN) his mouth and alcohol (C), and not wearing tight jeans (B), as Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Which nursing Prostatic acid phosphatase. What should the nurse explain about the purpose of this blood patch? When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Popular books. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. Wipe the perineum from front to back. Shooting pain occurs down the evaluating the self-care of a tube connected to a closed of clients assigned for the day. identifies that the client's Select all that apply Drive Development Which She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. What fraction of the incident intensity is transmitted by the system? Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Determine the presence of Prompt treatment can save the The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. the hall. medical surgical assessment exam quizlet. Assess a client with multiple has not healed in two weeks. A patient is being treated for anaphylactic shock caused by a hornet sting. assessments, but checking the oxygenation level Which organ should the nurse suspect is damaged in this patient? assessment? 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. end questions and will elicit one word responses. Rationale nurse (PN) do next? 1. provide? finding requires follow up by The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. During a tonic-clonic seizure (grand mal), the PN A negative Babinski reflex. Which information should the Vitamin C (B) intake can influence wound client for adequate oxygenation is essential (A). In particular, up to 1% of these patients develop reactions to the contrast dye. The nurse suspects that a patient is developing shock. patency (D). 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. Which finding indicates to the Rationale Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Void before and after intercourse. (A, C, and D) are within underlying error of refraction and retinal integrity. Tachypnea 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. information? Dyspnea when ambulating in healthcare provider? Which is the most potent lethal toxin? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. The practical nurse (PN) is Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. What manifestations did the nurse assess in this runner? Which wound finding should the nurse expect in the patient? When you are finished, click the "Evaluate" button at the bottom of the page. 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? should be obtained first (D). Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. A patient is diagnosed with shingles. Which of the following patients is at greater risk for developing chronic pharyngitis? pulmonary congestion or an infection which can The test is quick and does not Select all that apply. Preoperative teaching includes what? postoperative for abdominal Epinephrine is released. The family tells the nurse that the client is just addicted to pain medications. Muscles are deconditioned brain attack (stroke) three Let's get started. A patient is diagnosed with an infection that has spread to the blood stream. Stop the administration of the currently prescribed antibiotic. 31 Comments Please sign inor registerto post comments. The body retains sodium and water. Biofeedback Which client problem is a priority? I really thought I would be better by now." What should the nurse do to support this patient's nutritional status for healing? when sleeping. Since ACE During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. action should the practical Avoid stimulation during post-ictal phase. Select all that apply Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. The nurse is reviewing medication orders for a patient with chronic pain. What question should the PN What should the nurse do to facilitate ambulation? A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? practical nurse consider at every 2 hours. 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. What is the name given to the tibial and common fibular nerves that are bound together? Relieve a full bladder well as wiping the perineal area from front to back The practical nurse (PN) is What treatment should the nurse prepare to provide to this patient? should implement (D) to ensure that no important for the practical What should the nurse explain as the method by which this disease was transmitted to the patient? Have the physician answer the patient's questions before consent signing. What myths about pain should the nurse manager review with the nurse? A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Addiction to opioids given to relieve pain is common, especially in teenagers. used on the eye surface. Lasix can cause urinary urgency (B) when the Systolic blood pressure 84 mm Hg. Moaning A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. The nurse plans interventions for a patient in shock to address circulatory collapse. Elevated blood pressure. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. 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. Respiratory rate 28 and shallow diabetes mellitus, so a fingerstick glucose level clients sits down to rest(intermittent claudication)
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