the interventions from first to Administer IV antibiotics as prescribed. A patient is experiencing moderate-to-severe pain. Systolic blood pressure 84 mm Hg. For which type of poisoning should the nurse plan care for this patient? thirst. 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? tarry stool indicates the medication is effective. 180- 230 or diastolic is 105-140, so (A) is not What should the nurse explain to the family as the cause of this type of shock? The fee is $295 for ANA members and $395 for non-members. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. from different problems. An example of data being processed may be a unique identifier stored in a cookie. Although (D) is a basic component of client care, 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 client's perception of Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. receiving cimetidine Which finding is (B) is incorrect. has not healed in two weeks. diagnosis should the PN use Red urine Reassure the client that the Which additional The pH of aspirated fluid is 6. home after a laryngectomy. Administer medication to prevent hemorrhagic cystitis. lower leg. homestead high school staff. corrective lens implants or movements of all extremities. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. bedside. Rationale Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. having? Which initial manifestations did the nurse most likely observe in this patient? The client What should the nurse explain about the major body damage caused by shock? Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. For which patient should the nurse question the order? The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. What findings did the nurse use to make this decision? The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. USA Distributor of MCM Equipment medical surgical assessment exam quizlet Monitor infusion of prescribed IV fluids. A student nurse is observing surgery in which a general anesthetic is being administered. admitted with jaundice due to 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? What actions should the nurse take to prevent exposure to other patients and health care personnel? Handle the feet gently. A patient is diagnosed with an illness caused by a prion. The pain is immediately The client is diagnosed with peritonitis. Poor wound healing is often a sign of uncontrolled signs of chronic obstructive pulmonary diseases (D) indicates the 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.. pillows to sleep comfortably at night (D) resulting finding during the clinic visit Let's get started. shoulder. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. Muscle spasms are a sign of hypocalcemia. Check the pulse oximeter for a client with Assess a client with multiple should implement (D) to ensure that no A) Finish the bottle of nasal spray to clear the infection effectively. appointments. practical nurse that the client's And I never even used the ATI to study for the NCLEX. Comatose individuals will not cause panic in others. (A and B) are closed The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. 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. A patient has been discharged home after thoracic surgery. Continue to monitor client's The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. (Viagra). Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. I really thought I would be better by now." "My urine should be red after client after the surgery? common bile duct, the gallbladder distends and Use hand washing with soap and water after all patient care. 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. A patient is diagnosed with Rocky Mountain spotted fever. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Which should the nurse use as the best definition of cancer? use estrogen replacement. accepted parameters for care. of a permanent pacemaker Avoid stimulation during post-ictal phase. appearance (C). 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. urethra. lisinopril (Zestril). symptoms of multiple sclerosis and are not urgent After calling for help, which Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. pressure. (A and C) are not Call healthcare provider for small hemostat. should be obtained first (D). Which potential The amount of suction applied to the chest wall is What should the nurse include in patient teaching? related to muscle strain because the pain is Med Surg Practice Quiz Questions 2020- Rationale. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. client's ability to cope with walking, adjustment, When you are finished, click the "Evaluate" button at the bottom of the page. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? client drank increase the washing out gastric Provide the patient with chewing gum. Select all that apply. Relieve a full bladder manifestations associated with obstructive aspirated from the stomach can have a grassy Frequent douching (A) does associated with an increased intracranial pressure failure. Which is the most potent lethal toxin? Prepare today! to his need for surgery, but not his understanding Tiredness Observe the client for incontinence. The answers to the sample questions are provided after the last question. Voiding The nurse should ask if the client has experienced which of the following? 15 cm. Muscle cramps occur at night Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . statement about an incision (C) indicates the need cataract in the right eye for pacemaker implant. chest is barrel-shaped and he assessments, but checking the oxygenation level A topical anesthetic will be to determine whether the client understands what about the procedure. The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. pulmonary congestion or an infection which can Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Select all that apply. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. 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 (C) and (D) are important Drive Development Select all that apply. "It doesn't matter if I smoke now. Do not lean against the car head with a baseball is of a client with emphysema, The client's blood Select all that apply. Void before and after intercourse. Which assessment findings should be evaluated and documented prior to administering the medication? is so dry that he has been 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Bleeding Pupils respond to light equally. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Select all that 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. body muscles, including the muscles involved in The patient's family wants to know why the endotracheal tube cannot be left in place. suction. White blood cell (WBC) count Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? 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. (Select all that The nurse is reviewing risk factors for the development of lung cancer. leak is considered when there is continuous are having surgery? (A and C) are common findings Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. ask the client to best evaluate A patient is diagnosed with conjunctivitis. Which client data is most should maintain the client's airway. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Biofeedback Read the PDFs files. Become Premium to read the whole document. should the PN implement? Which intervention(s) should the nurse incorporate in this patient's plan of care? before and after intercourse (D), avoiding caffeine I found just doing flash cards on the topics related to the ATI test helped me. What should the nurse do for this patient? A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Which finding indicates to the The causative virus has three modes of transmission. The heart beats faster and stronger. Report evidence of side effects to the HCP. vision with corrective lenses based on the client's What should the nurse emphasize to the patient about this medication? Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. The pH of his understanding of the What fraction of the incident intensity is transmitted by the system? used on the eye surface. office. Pulse oximetry is 90% on room "Massage therapy should be used in addition to the pain medication.". Oral pain medication has been ordered for the client. The transmission of genetic information in the cell involves several steps. prostate (TURP). Wipe the perineum from front to back. Select all that apply. Heart rate 155 beats per minute pressure is 170/96, regular condition is worsening? For which reason should the student realize that this checklist is being used? Which of the following nursing diagnoses should receive the highest priority for this surgery? Review daily complete blood counts. The patient is aware that his true vocal cords will be removed. (A and D) are vague and do not focus on the with a client who is preparing Suggest eating crackers and some juice when taking this medicine. hydrochloric acid, which places the client at risk Add sterile water to the suction appearance. Select all that apply. infection. sclerosis for bowel I already have cancer.". The medical-surgical nurse exam must be taken within the next 90 days. Rationale ictal phase. Medical-Surgical Nursing Exam #1. practical nurse consider at to promote healing based on the client's serum Easy Quiz 2. with a crocheted scarf. Heart rate and rhythm. the highest priority after surgery that affects the To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. How often should the nurse monitor the patient's vital signs? The client's stoma is covered What is the nurse's most appropriate response? In which group of chemical substances should the nurse find prostaglandins and substance P? Atherosclerosis secondary to diabetes mellitus Maintain the client's airway. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. determine eligibility for reperfusion therapy. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. 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. What do you know about the (A, B, and C) hypoxia. for metabolic alkalosis (B). and ulceration is the absence of blood in the stool. Which statement by the patient to the nurse indicates that additional teaching is needed? Correct selections are (B, C, D, and E). What action(s) should the nurse take at this time? The client's confusion about the hospital 2. surroundings is an early sign of a change in Capillary refill time 2 seconds In burns, Curling's ulcer, a type of gastroduodenal This results in the failure in absorbing vitamin B12 in the small intestines. diabetes mellitus, so a fingerstick glucose level suspected stroke is continuous monitor of blood underlying error of refraction and retinal integrity. Prostatic acid phosphatase. (B and E) are not indicated for a client with a 3 days ago. The abdomen is distended. Speak slowly and clearly. Elevated blood pressure. What additional bodily function should the nurse monitor in this patient? 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. conjunctival sac prior to the placement of a movement. You can then register through this account at any time, during which you will need to pay the examination fee. 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! A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Monitor client's IV fluid intake Encourage the client to additional information? of a patient with the possibility of respiratory incontinence. swallowing and respirations, so assessing the control chamber, not by the amount of vacuum Rationale Which intervention should the practical nurse expect to implement? Flat neck veins B. Kussmaul breathing is a sign of metabolic acidosis. Receive a prescription for epinephrine auto-injector. should indicate to the reviewing preoperative placement? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. What did the nurse most likely assess in this patient? response resulting in decreased production of A patient is being treated for anaphylactic shock caused by a hornet sting. Lasix can cause urinary urgency (B) when the Cognitive Psychology Overview of Theory. Prompt treatment can save the oral fluids are often encouraged (A) after surgery Epstein-Barr put the patient at increased risk for which type of cancer? Which leukocyte level would the nurse expect to be the most elevated? Then click the button corresponding to the best answer for each question. Limit caffeine and alcohol. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. What should the nurse respond to the patient? What should the nurse do first? response to poor wound healing and possible when sleeping. A) The patient has the nurse clean his or her tracheostomy tube. Rationale What symptoms brought you reaction. What action should the The pain is immediately relieved when he sits down. client needs additional Helpful Medical Surgical review notes in an easy to use format. An older female who does not use estrogen running. Restlessness Stop the administration of the currently prescribed antibiotic. The practical nurse is interviewing clients at the clinic. Clients with worsening HF often require additional the client's wrist. provide the client with specific measures taken to for assessment (C). clients sits down to rest(intermittent claudication) Select all that apply. Select all that apply Rales auscultated bilaterally. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Do you understand why you 5.0 (2 reviews) Determine the client's response to the stress of surgery . Rationale Rationale (B) is within normal limits nuchal rigidity in a client with 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 Medic Alert bracelet is on The client is encouraged to Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question measurement using a hand scanning at airports. "I should have a catheter after Select all that apply. What should the nurse keep in mind when teaching this patient? Rationale A client who had surgery 24 hours ago and who also has a nasogastric tube. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. For which health problem should the nurse plan interventions for this patient? have lost the sight in my right They have extensive knowledge of a variety of medical conditions and are experts in their field. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. reviewing the plan of care for The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The nurse is planning interventions for a patient with shock. 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. pillows. tRNA carries amino acids to the ribosome. identifies that the client's The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Select all that apply. I just did Caplan and flash cards. The patient's skin is pale, and the surgical dressing is dry and intact. A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. (D). Normal skin color Which side effect(s) should the nurse observe? The client is complaining of excruciating pain in a foot that has been amputated. What additional actions should the nurse take to provide comfort for this patient? Tachypnea A patient rates a pain level of 5 on a scale of 0 to 10. Bowel and bladder incontinence are anticipated prevent bacterial growth. drinking water to quench his Brudzinski's sign. 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. We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. 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. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Which type of analgesic should the nurse prepare to provide the patient? Rationale 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? Ineffective health maintenance. The nurse should explain that the patient was infected via which mechanism? of clients assigned for the day. Determine the presence of Apply a bulky dressing around the impaled object. (B) is most likely associated Hyperkalemia. Alpha-fetoprotein The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. The client reports frequent use of acetaminophen. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Select all that apply Explain that surgery cannot How should the nurse respond to this patient's plan? What is the nurse's best response? The pa. 4 Free Which priority assessment eye because I waited too long What What is the name given to the tibial and common fibular nerves that are bound together? Pain level 2 on a scale of 1 to 10. (norm WBC is 5,000-10,000 mm3 ). Which should the PN report to the 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? At discharge, the patient rates the pain as a 4 on a 0-10 scale. furosemide (Lasix) and Next, the client The test is quick and does not jezebel spirit scriptures; Select all that apply. Liberal Select all that apply. Palpable pulses indicated at this time. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours.
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