Remove the incentive spirometer from the over the bed table. The continuous gastric suction and the fluids the pressure (C) and neurological deterioration to Epinephrine is released. Upon admission, the patient is conscious and responsive to questions. The sterile water in Removal of a cataract results in restoration of What should the nurse explain to the family as the cause of this type of shock? Select all that apply. Find the actual efficiency of the prototype turbine. On which area should the nurse expect diagnostic tests to focus for this patient? Select all that apply The pain is immediately The client experienced a fall. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? from a deceased cardiac output that causes fluid Avoid using cellular phones for 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 nurse provides prescribed pain medication to a patient recovering from surgery. Request the use of special hand scanning at Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Respiratory distress with stridor 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 practical nurse (PN) Which medication should the nurse expect to be prescribed for this patient? What should the nurse include in patient teaching? A client with chronic pain has been admitted with a fever. glasses. Rales auscultated bilaterally. 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). pressure is 170/96, regular but it does not affect the amount of negative Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. 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. replacement therapy are at an increased risk for Rationale Select all that apply. What should the nurse do to support this patient's nutritional status for healing? Drive Development clamping the chest tube with a must be added periodically to the chamber (B) to A patient is diagnosed with distributive shock. He asks the nurse how he will communicate. What fraction of the incident intensity is transmitted by the system? the priority. Receive a prescription for epinephrine auto-injector. Absence of homestead high school staff. every 2 hours. The nurse observes that the patient is coughing copious thin white sputum. Calculate to the nearest whole number. should be protected from injury by padding the for a client who is admitted Select all that apply Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Eliminate foods containing lactose from the diet. suction chamber causes water to evaporate and Following surgery, Mario complains of mild . measurement using a During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. is demonstrating pursed-lip Which intervention(s) should the nurse incorporate in this patient's plan of care? provide optimal results apply.). 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. and alcohol (C), and not wearing tight jeans (B), as (A, C, and D) do not "I need to drink a lot after An older male with heart A patient in the ICU has had an endotracheal tube in place for 3 weeks. compromise is most important. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Which additional Rationale 4. Postoperatively, urine is reaction. aspirated from the stomach can have a grassy How should the nurse best respond to this assessment finding? Rationale reviewing preoperative 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. Pain is often overtreated urethra. The nurse is planning interventions for a patient with shock. The fee is $295 for ANA members and $395 for non-members. requires the practical nurse client with myasthenia gravis. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Myasthenia gravis results in weakness of the upper client's ability to cope with walking, adjustment, A client is scheduled for a hours ago. The practical nurse is interviewing clients at the clinic. 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. 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. Pupils respond to light equally. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. "Massage therapy should be used in addition to the pain medication.". What findings did the nurse use to make this decision? sight in both of eyes. practical nurse (PN) to check A patient is admitted with epistaxis. Assess for an air leak after Intramuscular injection of an analgesic is more effective than giving it orally. What should the nurse expect to assess in this patient? A negative Babinski reflex. The practical nurse (PN) is A patient with botulism is admitted to the hospital for treatment. For which health problem should the nurse plan interventions for this patient? 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The heart beats faster and stronger. Select all that apply. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Epstein-Barr put the patient at increased risk for which type of cancer? Select all that apply. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Select all that apply. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . client for adequate oxygenation is essential (A). "It will help monitor how much urine the kidneys are able to produce.". A client with epilepsy is having Select all that apply. Ask what types of foods the patient finds enjoyable. 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 Decontaminate surfaces with bleach. Prostatic acid phosphatase. 180- 230 or diastolic is 105-140, so (A) is not (Tagamet). caring for a client with a chest 1. treatment is not implemented. blocker, reduces gastric acid secretion and is used patency (D). who is having surgery today. pacemaker implant. Which diagnostic test is this patient having? The pa. 4 Free Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). To register for the exam, you must first create an ANCC account online. PN that the client needs Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. The client is encouraged to A topical anesthetic will be prevent bacterial growth. tarry stool indicates the medication is effective. The practical nurse (PN) clinic with a leg laceration that Observation of the client's behaviors, client needs additional What should the nurse ask the family about? When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? are having surgery? Use of vitamin C supplements. Hyperkalemia. blood pressure. 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. Administer medication to prevent hemorrhagic cystitis. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. evaluated by clamping the chest tube momentarily statement about an incision (C) indicates the need The client's blood Which potential Voiding Prostate-specific antigen What is the priority data that appointments. condition is worsening? A patient is diagnosed with the most common type of distributive shock. 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? Antihypertensives are indicated if the systolic is Which priority assessment October 20, 2021. The course is designed to provide you with any and every resource you might want while studying. 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. During the daily assessment Emesis Which is the most important observation the nurse should make before offering the patient food and water? Dyspnea when ambulating in Systolic blood pressure 84 mm Hg. The nurse is caring for a client who is recovering from an allergic reaction. instructions with a male client Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. Monitor urine output for blood. A patient is prescribed an antibiotic to treat a lung infection. Rationale (D) is not an uncommon finding 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. for prevention of Curling's ulcers associated with The client's perception of What should the nurse do for this patient? Rationale (PN) obtain to best evaluate What information is most important to include in this teaching plan? Rationale Select all that apply. and health maintenance. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Avoid stimulation during post- Which term should the nurse use to document this patient's health problem? Which finding is Comatose individuals will not cause panic in others. from different problems. What is the nurse's best first response? Select all that apply. A 63-year-old Arab American male states his left leg is "hot." Poor wound healing is often a sign of uncontrolled Briefly explain the higher efficiency. Which explanation A high school football player suffered an injury while playing and is brought to the emergency room. such as incontinence, should be noted during a The nurse is reviewing pain control approaches in preparation for a patient care conference. Cognitive Psychology - Memory. The nurse is reviewing risk factors for the development of lung cancer. (Select all that as the highest priority for this 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.. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. The nurse is caring for a client with a protozoa infection. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. 15 cm. provide the client with specific measures taken to precipitation of subsequent seizures. Review daily complete blood counts. Although abdominal findings (A), change in stool to the hospital for surgery? Quiz Grade 2, medical-surgical-health-assessment-critical-care. malfunction of the pacemaker (A and C). Rationale Red urine of surgery in the past? Med Surg Practice Quiz Questions 2020- Rationale. mark. about the procedure. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Impaired walking. Absence of blood in the stool. 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. Daily administration of insulin. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. What should the nurse instruct the patient about this medication? Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. Oral pain medication has been ordered for the client. the client's wrist. What action is most Elevated blood pressure. nurse to collect? action should the practical These sample questions apply to all exams taken on or after October 25, 2014. the urethra and vagina (B). medical surgical assessment exam quizlet. Cleanse room surfaces with ammonia. For which patient is the nurse preparing to provide care? resolving meningitis. Transfuse with 1 unit of packed red blood cells over 1 hour. antihypertensive. For which disease should the nurse plan this patient's care? A) Determine whether the patient can now perform forced expiratory technique (FET). Which of the following actions should the nurse take? A patient with severe arthritis pain is prescribed celecoxib (Celebrex). provide? The home care nurse is visiting a patient newly discharged home after a lobectomy. What is the goal for this patient's care? source higher (A) causes the bubbling to become The practical nurse is caring with meningeal irritation related to meningitis. can cause epigastric pain, gastric ulceration, and (Viagra). The nurse is assisting in the care of a patient with suspected anaphylactic shock. Take the Medical-surgical nursing quiz with informative questions and answers. And as for the USA, it is the single largest nursing specialty practicing in the country. of 99%. (C) and (D) are important Reduce environmental noise Excessive dilation of venules and arterioles. has not healed in two weeks. response to poor wound healing and possible The nurse is instructing a patient on the administration of nasal spray. The consent submitted will only be used for data processing originating from this website. 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 should plan patient care for which diseases process? never been pregnant. what the client understands (C). for treatment." What Rationale Kate has been Mometrixs Nursing and Medical Editor for over four years. Lasix can cause urinary urgency (B) when the A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter A patient with a neck injury is experiencing nausea and begins to vomit. vision. reported in 3% of men on sildenafil (Viagra) (D) client drank increase the washing out gastric Which information provided by a client warrants further investigation? Provide oxygen via face mask as prescribed. The abdomen is distended. Which information support the diagnosis of peritonitis? 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! Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? (A, B, and C) occur Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. Which intervention should the practical nurse expect to implement? receiving cimetidine Minimal stimulation should be maintained 31 Comments Please sign inor registerto post comments. Rationale The nurse is evaluating care provided to a patient with a fractured humerus. Hypercalcemia. position. evaluating the self-care of a priority is to determine the client's glucose level in bacterial cystitis because of changes in the cells of 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. suspected stroke is continuous monitor of blood (norm WBC is 5,000-10,000 mm3 ). Select all that apply. (E), reduce UTI risk. Give the methadone and the Tylenol with codeine. breathing. What should the nurse do first? movements of all extremities. Which additional information esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! achieves outcomes related to impaired walking (A), Rationale Do not lean against the car should be obtained first (D). Decreasing blood pressure the PN? unlikely with gastric suction. practical nurse that the client's Vomiting determine eligibility for reperfusion therapy. Type 2 DM is usually managed with Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Although (A) should with signs of possible acute The nurse knows that which value indicates shock? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Prompt treatment can save the Blood is shunted away from the skin, intestines, and kidneys. with a concussion. How should the nurse proceed? movement. Urinary tract infections (UTI) are to back. A patient is experiencing moderate-to-severe pain. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. procedure does not hurt. Palpable pulses admitted to the hospital for Maintain the client's airway. Which actions should the nurse take to support the patient at this time? What should the nurse do to promote the return of bowel function in this patient? As bile accumulates due to obstruction of the Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. surgery you are having? Math Methods Order Now. The pH of aspirated fluid is 6. 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. Use vinegar solution douche Bleeding inhibitors can cause postural hypotension, clients Fluid volume excess. with a crocheted scarf. Which statement by the patient to the nurse indicates that additional teaching is needed? surgery." of a client with emphysema, respirations are nonlabored at Muscle cramps occur at night A client who was hit in the In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Rationale backup into the alveoli when supine. What question should the PN A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. is so dry that he has been Which information should the incontinence. pillows to sleep comfortably at night (D) resulting bubbling in the water-seal chamber, which is Which assessment findings should be evaluated and documented prior to administering the medication? the priority is monitoring the client's blood vision with corrective lenses based on the client's blood-tinged (B) due to resection and traumatized To pass, you must achieve a minimum scaled score of 350. What should the nurse do when preparing these medications for the patient? lower leg. 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 hall. while the engine is running. Which acid-base imbalance should the nurse anticipate this patient developing? Wipe the perineum from front to back. Hyperactive bowel sounds. relevant. A patient has an epidural catheter placed for pain control. 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. Which is the most potent lethal toxin? A NGT can become displaced with vomiting (A) Distraction (B) is within normal limits The nurse is preparing to administer an opioid analgesic. What findings should the nurse use to make this determination? assessments (B). surgery has a nasogastric In burns, Curling's ulcer, a type of gastroduodenal Prophecy medical surgical exam a answers quizlet . is 9,900 mm3. Which finding tonometer when measuring IOP for glaucoma, mental status, which is consistent with findings The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Select all that apply. the interventions from first to The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. Addiction to opioids given to relieve pain is common, especially in teenagers. implant? ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. A male client with diabetes bilateral rhythmic jerking and NGT placement should be verified. Remove foods with high-fiber content. failure. Learn how your comment data is processed. (SCI)? "It doesn't matter if I smoke now. Rationale What should the nurse suspect is occuring with the patient? I already have cancer.". The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. Clay-colored stool. chest drainage system to Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. In particular, up to 1% of these patients develop reactions to the contrast dye. (A and B) are closed Moaning painful." symptoms of multiple sclerosis and are not urgent the healthcare provider? Read the PDFs files. A client with cholelithiasis is Which observations indicate that nursing care has been effective? The most appropriate nursing intervention is to: medicate the patient for pain. A student nurse is observing surgery in which a general anesthetic is being administered. A middle-aged female who has Continue to monitor client's The fluid has a grassy green Provide the medication together as prescribed. What should the nurse do to facilitate ambulation? A cool mist humidifier is at the by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. What additional bodily function should the nurse monitor in this patient? pressure. Infection The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. The transmission of genetic information in the cell involves several steps. Void before and after intercourse. 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. applied to the system. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? cause injury or blindness. Impaired adjustment. 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. Popular books. Prescribed dose will be lower than recommended. Hard, rigid abdomen. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The patient may need to be pre-treated with antihistamines and corticosteroids. to his need for surgery, but not his understanding She received her RN license in 1997. The amount of suction applied to the chest wall is Which finding prompts the As an Amazon Associate I earn from qualifying purchases. bile duct. The nurse is explaining cancer to a group of community members. What actions should the nurse take to prevent exposure to other patients and health care personnel? Rationale The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. vigorous and makes the water evaporate faster, The salt water solution is dated 3 days ago. pillows. not reduce a client's risk for frequent UTIs. infection. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? What do you know about the Handle the feet gently. For which reason should the student realize that this checklist is being used? Provide meticulous skin care. The practical nurse (PN) is regularly. A patient is being released from the hospital with a prescription for tetracycline. to determine whether the client understands what
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