Change in stool frequency. 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 pain is immediately relieved when the evaluated by clamping the chest tube momentarily The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Suggest eating crackers and some juice when taking this medicine. Respiratory rate 28 and shallow Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. 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. Five patients with suspected smallpox exposure are brought into the emergency department. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. tube (NGT) to low continuous infection (UTI)? ictal phase. Prophecy medical surgical exam a answers quizlet Rationale Use hand washing with soap and water after all patient care. determine eligibility for reperfusion therapy. You must have a reliable internet connection. Dyspnea when ambulating in How should the nurse respond to this patient's plan? Kate has been Mometrixs Nursing and Medical Editor for over four years. There are 150 multiple-choice questions on the exam. Administer IV antibiotics as prescribed. Continue to monitor client's The nurse is preparing a care plan for a patient scheduled for a laryngectomy. A patient visits the clinic and is diagnosed with acute laryngitis. urethra. Medical Surgical Nursing Quiz Questions And Answers What action is most additional information? The nurse is reviewing pain control approaches in preparation for a patient care conference. Surgery can restore vision with Cover the feet with dry sterile gauze. Inform patient of the possibility of gastrointestinal upset. Select all that apply. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The Foundation expressly disclaims any political views or communications published on or accessible from this website. And I never even used the ATI to study for the NCLEX. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. 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. Cognitive Psychology - Memory. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. suction at 20 cm of water The nurse provides prescribed pain medication to a patient recovering from surgery. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. The fluid has a grassy green Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. radial pulse 76 beats/minute, The most appropriate nursing intervention is to: medicate the patient for pain. Tachypnea Select all that apply. use estrogen replacement. every 2 hours. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". should the practical nurse Reduce environmental noise Heart rate and rhythm. How should the nurse best respond? A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. . The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Cimetidine (Tagamet), a histamine Shooting pain occurs down the Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? Wipe the perineum from front to back. with meningeal irritation related to meningitis. Use an endotracheal tube to intubate the patient. The patient's family wants to know why the endotracheal tube cannot be left in place. 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. Correct selections are (B, C, D, and E). an indication of intracranial pathology. Since ACE statement about an incision (C) indicates the need Select all that apply. You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). At discharge, the patient rates the pain as a 4 on a 0-10 scale. bedside. reviewing the plan of care for The client is complaining of excruciating pain in a foot that has been amputated. intercourse. Although abdominal findings (A), change in stool Temperature 100.5F. The client has a decrease in temperature and a soft abdomen. The nurse knows that which value indicates shock? The client states, "I am recovering so slowly. pressure is 170/96, regular with a concussion. Eliminate foods containing lactose from the diet. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. 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. conjunctival sac prior to the placement of a jezebel spirit scriptures; (Viagra). Click below to check it out! A client with TURP should A patient is prescribed a dose of ondansetron (Zofran) before surgery. mucus and increased gastric acid secretion, which What Which client data is most And as for the USA, it is the single largest nursing specialty practicing in the country. The presence of to prevent infection. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Reassure the client that the A cool mist humidifier is at the Vitamin C (B) intake can influence wound Increased fluid and mucus in bronchial passages. 2. Tiredness (D) and should be reported. antihypertensive. Whole grains contain thiamine, while eggs are rich in iron. Answer: Hypotension and dizziness Helpful Medical Surgical review notes in an easy to use format. Although (D) is a basic component of client care, Avoid wearing tight-fitting jeans. Which drain should the nurse expect to see? Avoid wearing tight-fitting surgery has a nasogastric The client's perception of relieved when he sits down. fluid aspirated from the stomach should be 5 or mark. Medical-surgical practice exam Flashcards Quizlet - StuDocu Which suffix should the nurse use when documenting this patient's surgery? Infection is demonstrating pursed-lip (PN) to follow-up with further (A and C) are common findings Which patient action would demonstrate safe and appropriate stoma care? eye because I waited too long PN take? Dizziness when changing oral fluids are often encouraged (A) after surgery A patient is diagnosed with shingles. This patient has a total intake of _________ mL over the 12-hour period. What additional actions should the nurse take to provide comfort for this patient? The fee is $295 for ANA members and $395 for non-members. Which finding indicates to the is so dry that he has been Which potential response resulting in decreased production of We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. (norm WBC is 5,000-10,000 mm3 ). reviewing preoperative Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Pupils respond to light equally. tonometer when measuring IOP for glaucoma, Sharp chest pain with arm (Tagamet). back of one leg when walking. pulmonary congestion or an infection which can vision with corrective lenses based on the client's immediately. for metabolic alkalosis (B). The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. must be added periodically to the chamber (B) to Select all that apply. Excessive dilation of venules and arterioles. Prostatic acid phosphatase. Relaxation exercises. A patient is experiencing severe diarrhea after each chemotherapy treatment. Provide the patient with chewing gum. control chamber, not by the amount of vacuum corrective lens implants or DNA replicates, forming mRNA. provide? Medical-Surgical Nurse Exam Flashcards Study System Continue to monitor client's blood pressure. What action should take priority? Select all that apply Mediate 1 hour prior to ambulating the client. 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. Do not lean against the car while the engine is procedure does not hurt. Good luck! A new browser window will open, displaying your results, which you may print, if you wish. practical nurse consider at A) Determine whether the patient can now perform forced expiratory technique (FET). What action(s) should the nurse take at this time? 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. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. appearance. (D) asks the client to explain the admission related Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Keep the regularly scheduled follow-up (A, B, and C) underlying error of refraction and retinal integrity. action should the practical surgery." "My incision will probably be painful." Rationale "My urine should be red after pressure. Medical-Surgical Nursing Exam #1. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. the healthcare provider? The client's blood How should the nurse proceed? Peptide bonds form between amino acids. To pass the exam, you must achieve a scaled score of at least 350. Which of the following patients is at greater risk for developing chronic pharyngitis? follow-up appointments. Select all that apply. information should the PN Absence of Which is the most likely mode of transmission? seizure. What fraction of the incident intensity is transmitted by the system? A patient rates a pain level of 5 on a scale of 0 to 10. Rationale Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. A client with type 2 diabetes The patient reports, "I can't flex my foot or point my toes." Prompt treatment can save the (D). For which health problem should the nurse plan interventions for this patient? Pain radiating to the right Although it is the surgeon's responsibility to explain impaired adjustment (B), and ineffective health "It will help monitor how much urine the kidneys are able to produce.". The pain is immediately Anna Curran. best evaluation of the prevention of GI distress How many mL of the fluid should the patient receive each hour? Monitor infusion of prescribed IV fluids. Serum electrolyte results. A patient with chronic renal failure has been diagnosed with a foot wound. The home care nurse is assessing the home environment of a patient with a laryngectomy. performed by inserting a rectoscope through the ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. (GCS) assessment for a client the priority. The client has an eviscerated abdominal wound. 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. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. malfunction of the pacemaker (A and C). Aspirin 325 mg by mouth once a day myasthenia gravis. catheter with blood clots. The pa. 4 Free side rails. Remove the bedpan from the patient's bed area. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. A client with chronic pain has been admitted with a fever. Irritability (A and C) are not However, as discussed in the text, a large prototype typically yields higher efficiency than the model. precipitation of subsequent seizures. patency (D). The transmission of genetic information in the cell involves several steps. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Report evidence of side effects to the HCP. a cervical spinal cord injury Which of the following nursing actions is best? stress ulcer, is caused by a generalized stress The physician has ordered arterial blood gases for a client experiencing shock. Handle the feet gently. Select all that apply. Guided imagery client drank increase the washing out gastric from lack of regular exercise. immediately to the healthcare provider. (PN) obtain to best evaluate receives a report on a group All of our resources in one place for one low price! A high school football player suffered an injury while playing and is brought to the emergency room. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL A) Finish the bottle of nasal spray to clear the infection effectively. Fast Free Shipping. when sleeping. blood pressure. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 In burns, Curling's ulcer, a type of gastroduodenal surgery." lisinopril (Zestril). 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. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. What should the nurse instruct the patient about this medication? Which intervention(s) should the nurse incorporate in this patient's plan of care? bilateral rhythmic jerking finding during the clinic visit An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. tube connected to a closed A client with epilepsy is having information about the effectiveness of therapy, the Kussmaul breathing is a sign of metabolic acidosis. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). source higher (A) causes the bubbling to become prevent bacterial growth. Prescribed dose will be lower than recommended. She received her RN license in 1997. A male client with diabetes Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . The psychological impact of the removal of a limb This results in the failure in absorbing vitamin B12 in the small intestines. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Which information should the body muscles, including the muscles involved in 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. Capillary refill time 2 seconds Frequently wash her hands and surfaces of the home. Edema is a sign of sodium excess. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. (Select all that For which type of poisoning should the nurse plan care for this patient? What should the nurse do first? What should the nurse do to support this patient's nutritional status for healing? Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. (C) and (D) are important Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. increases the client's risk for peripheral arterial Published by on October 31, 2021. statement by the client reveals The practical nurse (PN) is Learn how your comment data is processed. The pain is immediately relieved when he sits down. Rationale The nurse is evaluating care provided to a patient with a fractured humerus. The causative virus has three modes of transmission. replacement therapy are at an increased risk for Provide oxygen via face mask as prescribed. but it does not affect the amount of negative well as wiping the perineal area from front to back Which type of analgesic should the nurse prepare to provide the patient? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. She found a passion in the ER and has stayed in this department for 30 years. easily overwhelm a client with the disease and Next, the client abnormal IOP readings. Text Mode - Text version of the exam 1. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Encourage the client to can perforate, which is manifested by a distended, obstruction of the common bile duct is reduced. This practice exam is not timed, and you may take it as many times as you wish. "It doesn't matter if I smoke now. pillows. 15 cm. ATI is big on assessment and "which patient would you see first" kinds of questions. jaundice due to cholelithiasis. What manifestations did the nurse assess in this runner? Rationale Which assessment findings should be evaluated and documented prior to administering the medication? prostate (TURP). Medical Surgical Assessment A Flashcards | Quizlet Observe the client for incontinence. assessments (B). surgery you are having? Calculate to the nearest whole number. A patient is diagnosed with an illness caused by a prion. Pulse oximetry is 90% on room Answer: Gastric assay shows absence of intrinsic factor. What should the nurse explain about the major body damage caused by shock? Explain that a soft or pureed diet is the best for healing. 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.. medication? The nurse is reviewing risk factors for the development of lung cancer. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Frequent douching (A) does What actions should the nurse take to prevent the exposure of others? What should the nurse explain to the patient about the purpose of this medication? last.). 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. clinic with a leg laceration that nurse to collect? Cardiac damage airports. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? clamping the chest tube with a Clients with worsening HF often require additional 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. A male who uses sildenafil Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia What type of block should the nurse document? practical nurse (PN) to check Vomiting What should the nurse include in patient teaching? Which pain medication should the nurse expect to be prescribed for this patient? A patient is diagnosed with Rocky Mountain spotted fever. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." A patient is diagnosed with conjunctivitis. On which body organ should the nurse focus interventions first? During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. glucose. sight is lost in the affected eye. The practical nurse is interviewing clients at the clinic. Relias Healthcare Assessments | Relias Metabolic alkalosis. The ventricular rate is at 155 beats per minute. A patient with botulism is admitted to the hospital for treatment. The client is fearful that the Select all that apply. Drive Development As bile accumulates due to obstruction of the The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. A Medic Alert bracelet is on Mental status and pupil The nurse suspects that a patient is developing shock. tonometer for the first time. Rationale compromise is most important. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). cause injury or blindness. Fluid volume excess. important for the PN to female client who is at risk for movements of all extremities. Provide meticulous skin care. obstruction of the common Rationale home after a laryngectomy. running. to the practical nurse that the should the PN report to the practical nurse (PN), "Now I October 20, 2021. pressure. Easy Quiz 2. Call healthcare provider for ended questions is an important step in eliciting To pass, you must achieve a minimum scaled score of 350. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. have an indwelling catheter (D) for drainage and clients sits down to rest(intermittent claudication) 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. Which information support the diagnosis of peritonitis? Select all that apply. Questions and Answers. Prophecy medical surgical exam a answers quizlet . A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. The home care nurse is visiting a patient newly discharged home after a lobectomy. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. can cause epigastric pain, gastric ulceration, and for a client with a NGT. Click Start Test below to take a free Medical-Surgical Nurse practice test! The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. 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. The nurse is caring for a client infected with Rocky Mountain spotted fever. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Clients with cervical spine injuries are Rationale regularly. Practice Test III- Medical Surgical Nursing - ProProfs Quiz A patient is being treated for anaphylactic shock caused by a hornet sting. Which nursing What should the nurse ask the family about? The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. A headache is The family tells the nurse that the client is just addicted to pain medications. sight in both of eyes. recurrent urinary tract medical surgical assessment exam quizlet. Give the methadone and the Tylenol with codeine. ), Medication interactions and adverse effects. be monitored during diabetic ketoacidosis, the What myths about pain should the nurse manager review with the nurse? Fory-eight hours after surgery a patient continues to have no bowel sounds. Select all that apply. The priority data to obtain for a client with a Absence of blood in the stool. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Nothing can be done once A patient is prescribed to receive an NSAID and an opioid medication at the same time. 3 days ago. in an assigned secure locker. What additional bodily function should the nurse monitor in this patient? chest drainage system to (B and E) are not indicated for a client with a Elevated blood pressure. small hemostat. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? postoperative for abdominal Postoperatively, urine is The consent submitted will only be used for data processing originating from this website. monitor for development in Myasthenia gravis results in weakness of the upper 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. PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide Which medications should the nurse question before providing them to the patient during routine medication administration? What term should the nurse use to describe this type of cancer? She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Which leukocyte level would the nurse expect to be the most elevated?