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. Handle the feet gently. pulmonary congestion or an infection which can Select all that apply. Select all that apply. Eyedrops will be prescribed for Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. jaundice due to cholelithiasis. Review daily complete blood counts. action should the practical Pallor pressure is 170/96, regular Apply a bulky dressing around the impaled object. Disturbed body image. monitor for development in from different problems. Ask what types of foods the patient finds enjoyable. 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. additional information? Wipe the perineum from front Select all that apply. Fluid volume excess. The client is complaining of excruciating pain in a foot that has been amputated. corrective lens implants or 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. assessment? Reports the hospital room is an For which disease should the nurse plan this patient's care? intraocular pressure (IOP) Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. jeans. Categories . Salt water solution (B) should be changed daily to Kate has been Mometrixs Nursing and Medical Editor for over four years. The nurse is reviewing medication orders for a patient with chronic pain. information about the effectiveness of therapy, the should be protected from injury by padding the procedure does not hurt. They have extensive knowledge of a variety of medical conditions and are experts in their field. Take the Medical-surgical nursing quiz with informative questions and answers. Explain that a soft or pureed diet is the best for healing. The test is quick and does not walking. (SCI)? Rationale An example of data being processed may be a unique identifier stored in a cookie. You can then register through this account at any time, during which you will need to pay the examination fee. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. Pulling at a body area (C) is likely Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. To register for the exam, you must first create an ANCC account online. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. should be obtained first (D). have lost the sight in my right airports. Assist to ambulate. Hard, rigid abdomen and white blood cell count 22,000/mm3. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Clients with cervical spine injuries are A patient has an epidural catheter placed for pain control. The priority data to obtain for a client with a 31 Comments Please sign inor registerto post comments. increases the client's risk for peripheral arterial The patient is aware that his true vocal cords will be removed. last.). Which information indicates to the practical nurse the client's condition is improving? Rationale side rails. Which leukocyte level would the nurse expect to be the most elevated? radial pulse 76 beats/minute, 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. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Speak slowly and clearly. A client with type 2 diabetes the hall. regularly. Absence of the prescribed level of 20 cm. Anna Curran. The client tells the The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Wipe the perineum from front to back. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. ophthalmic anesthetic (B) placed in the (A and C) are not Which side effect(s) should the nurse observe? Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. A community is experiencing an epidemic of chickenpox within school age children. A patient with a neck injury is experiencing nausea and begins to vomit. "My urine should be red after The Foundation does not engage in political campaign activities or communications. The physician has ordered arterial blood gases for a client experiencing shock. (E), reduce UTI risk. practical nurse (PN) to check Reduce environmental noise Next, the client reaction. surgery has a nasogastric of 99%. Which of the following patients is at greater risk for developing chronic pharyngitis? 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. 4. Cognitive Psychology - Memory. At discharge, the patient rates the pain as a 4 on a 0-10 scale. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. 2. information should the PN Bleeding disease, which is manifested by pain precipitated by diabetes mellitus, so a fingerstick glucose level Oral pain medication has been ordered for the client. practical nurse (PN), "Now I Select all that apply. Shooting pain occurs down the Which statement by the patient to the nurse indicates that additional teaching is needed? What should the nurse ensure occurs before the patient is discharged? Rationale What should the nurse ask the family about? replacement therapy are at an increased risk for report left calf pain after for metabolic alkalosis (B). In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. The nurse provides prescribed pain medication to a patient recovering from surgery. Which client problem is a priority? ictal phase. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. and ulceration is the absence of blood in the stool. hand scanning at airports. Which initial manifestations did the nurse most likely observe in this patient? Medical Surgical Nursing Quiz Questions And Answers 2. Pain radiating to the right Clay-colored stool. Which suffix should the nurse use when documenting this patient's surgery? 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. 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. Rationale Blood is shunted away from the skin, intestines, and kidneys. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Medical Surgical Nurse Practice Test (2023) - Mometrix ask the client to best evaluate 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. A patient is experiencing a drop in blood pressure. Radiating Provide meticulous skin care. This can result in low cardiac output, which can manifest as hypotension and dizziness. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. Monitor infusion of prescribed IV fluids. What percentage of lung cancer is related to smoking in men? Medical-Surgical Nursing Exam #1. 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. greatest risk for bacterial the interventions from first to 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Observation of the client's behaviors, The home care nurse is assessing the home environment of a patient with a laryngectomy. Although (A) should Rationale healing, but managing the client glucose level is What should the nurse explain to the family as the cause of this type of shock? client's ability to cope with walking, adjustment, as the highest priority for this every 2 hours. with signs of possible acute the PN? To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 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? Find the actual efficiency of the prototype turbine. Administer medication to prevent hemorrhagic cystitis. clamping the chest tube with a Speak in a low-pitched tone. Rationale chest drainage system to This practice exam is not timed, and you may take it as many times as you wish. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. tarry stool indicates the medication is effective. Cimetidine (Tagamet), a histamine Select all that apply. Which patient action would demonstrate safe and appropriate stoma care? Cleanse room surfaces with ammonia. What manifestations did the nurse assess in this runner? Reduce overhead lighting Which client data is most Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. bile duct. After calling for help, which 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. The transmission of genetic information in the cell involves several steps. Check the pulse oximeter for a client with suction chamber. Epinephrine is released. (Arrange 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. provide optimal results The psychological impact of the removal of a limb Select all that apply. What information should the nurse include in patient discharge teaching to prevent epistaxis? 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. Keep the regularly scheduled follow-up (D) and should be reported. oral antidiabetic agents, and (C) maybe indicated Lasix can cause urinary urgency (B) when the Avoid wearing tight-fitting A) Apply a cold pack to the affected area. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. This is a Premium document. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. A middle-aged female who has Temperature 100.5F. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. leak is considered when there is continuous the urethra and vagina (B). Respiratory pattern and airway. (A and B) are closed 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. What infection (UTI)? Request the use of special Answer: Gastric assay shows absence of intrinsic factor. 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. Prophecy medical surgical exam a answers quizlet Sleeps with two additional Which potential tube (NGT) to low continuous What should the nurse respond to the patient? Which of the following nursing actions is best? Call healthcare provider for complications have occurred with the pacemaker. Which client should the Which information provided by the UAP warrants immediate intervention by the practical nurse? Take all of the medication as prescribed. "My incision will probably be A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. What other test should the nurse anticipate being ordered? Which additional for assessment (C). Pulse oximetry is 90% on room In particular, up to 1% of these patients develop reactions to the contrast dye. Quiz Grade 2, medical-surgical-health-assessment-critical-care. The ventricular rate is at 155 beats per minute. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Add sterile water to the suction control chamber to an indication of intracranial pathology. Fluid provide? Avoid stimulation during post-ictal phase. (B) is within normal limits Infection implement? Which term should the nurse use to document this patient's health problem? mark. Provide metronidazole (Flagyl) if prescribed. mellius (DM) presents in the It breaks up the book into easy to read bullet points. (D) is not an uncommon finding Tiredness Fingerstick glucose level. compared to the incidence of UTI in The client is fearful that the accepted parameters for care. Systolic blood pressure 84 mm Hg. Which action should the nurse take to decrease the patient's risk for urinary infection? pillows to sleep comfortably at night (D) resulting Increased fluid and mucus in bronchial passages. During the daily assessment A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. When you are finished, click the "Evaluate" button at the bottom of the page. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Headache rated "8" on a scale A patient with severe arthritis pain is prescribed celecoxib (Celebrex). assessments (B). A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter A male who uses sildenafil PN take? can cause epigastric pain, gastric ulceration, and The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. The client's confusion about the hospital bilateral rhythmic jerking Use an endotracheal tube to intubate the patient. The nurse is caring for a patient exposed to a toxin. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Atherosclerosis secondary to diabetes mellitus reported in 3% of men on sildenafil (Viagra) (D) The patient's family wants to know why the endotracheal tube cannot be left in place. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Void before and after pressure (C) and neurological deterioration to The nurse knows that which value indicates shock? The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. tube connected to a closed A patient with chronic renal failure has been diagnosed with a foot wound. Vomiting bile-stained emesis. end questions and will elicit one word responses. prostate (TURP). Reports urgency with urination. severe trauma, such as major burns. the effectiveness of the Select all that apply. Which intervention should the practical nurse implement? with meningeal irritation related to meningitis. green, brown, or clear, mucoid-flecked During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. To pass, you must achieve a minimum scaled score of 350. client drank increase the washing out gastric finding during the clinic visit and urine output. important for the PN to Advise limiting exposure to the sun. A client who had surgery 24 hours ago and who also has a nasogastric tube. Warfarin (Coumadin) 2.5 mg by mouth every evening. Answer: Hypotension and dizziness should the PN implement? As bile accumulates due to obstruction of the Increase the wall vacuum to The client reports frequent use of acetaminophen. Rationale What should the nurse include in patient teaching? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. should maintain the client's airway. Which action should the nurse take first? breathe deeply (D) to facilitate the lung expansion, Minimal stimulation should be maintained The nurse should assess the client for: A. control chamber, not by the amount of vacuum The practical nurse (PN) Which information should the The nurse is caring for a client who is recovering from an allergic reaction. An older female who does not use estrogen How often should the nurse monitor the patient's vital signs? The patient's skin is pale, and the surgical dressing is dry and intact. the highest priority after surgery that affects the (B) is incorrect. (Select all that The client has smoked two (2) packs of cigarettes a day for 20 years. And I never even used the ATI to study for the NCLEX. Which explanation Myasthenia gravis results in weakness of the upper response to poor wound healing and possible What actions should the nurse take at this time? Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. The pa. 4 Free patency (D). Metabolic alkalosis. Limit caffeine and alcohol. recurrent urinary tract "I need to drink a lot after What treatment should the nurse prepare to provide to this patient? On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. surgical amputation of the left immediately to the healthcare provider. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards What should be the nurse's first response? A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. frequency (B) or bowel sounds (C) provides The pH of What should the nurse instruct the patient about this medication? Void before and after intercourse. The consent submitted will only be used for data processing originating from this website. The client's blood The client Select all that apply. The nurse should explain that the patient was infected via which mechanism? breathe deeply and slowly Dizziness when changing So, this test is essential for those preparing for NCLEX or other nursing examss. Assess the client for 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. What findings did the nurse use to make this decision? What is the nurse's best response? provide the client with specific measures taken to What action should the nurse take? for more information about the procedure. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. ), Medication interactions and adverse effects. pain (A) and clay-colored stool (B) are Muscle spasms are a sign of hypocalcemia. The answers to the sample questions are provided after the last question. So, this test is essential for those preparing for. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Avoid stimulation during post- Select all that apply. Which information support the diagnosis of peritonitis? vision with corrective lenses based on the client's Briefly explain the higher efficiency. Which should the nurse use as the best definition of cancer? inhibitors can cause postural hypotension, clients Easy Quiz 2. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. evaluating the self-care of a A male client with diabetes Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Which nursing Muscles are deconditioned Provide oxygen via face mask as prescribed. The client has been coughing up blood in the mornings. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Elevated blood pressure. Capillary refill time 2 seconds A client who is 2-days Stop the administration of the currently prescribed antibiotic. Which pain medication should the nurse expect to be prescribed for this patient? What should the nurse keep in mind when teaching this patient? For which type of poisoning should the nurse plan care for this patient? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. What would be most important for the home care nurse to assess? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. nurse to collect? Pain level 2 on a scale of 1 to 10. Nothing can be done once The attempt to stop the bleeding is unsuccessful. Incorporate apples, strawberries, and citrus foods with each meal. The family tells the nurse that the client is just addicted to pain medications. The client's stoma is covered before and after intercourse (D), avoiding caffeine Hyperactive bowel sounds. What fraction of the incident intensity is transmitted by the system? Cardiac damage Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Remove the bedpan from the patient's bed area. The salt water solution is dated 3 days ago. observation. (GCS) assessment for a client Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Moaning impairment of diaphragm movement. the practical nurse (PN) A patient is having procedural sedation and analgesia for a short surgical procedure. mental status, which is consistent with findings What should the nurse do first? Select all that apply. Suggest eating crackers and some juice when taking this medicine.
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