2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. cataract in the right eye for Select all that apply. 180- 230 or diastolic is 105-140, so (A) is not The client is one (1) day postoperative major abdominal surgery. from a deceased cardiac output that causes fluid intercourse. Although (A) should What treatment should the nurse prepare to provide to this patient? statement by the client reveals have an indwelling catheter (D) for drainage and Monitor urine output for blood. The practical nurse (PN) is For which type of shock should the nurse assist in planning care for this patient? In particular, up to 1% of these patients develop reactions to the contrast dye. movements of all extremities. evaluated by clamping the chest tube momentarily PN take? Which intervention should the practical nurse implement? Select all that apply. A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. Which client is most likely to be experiencing hypovolemic shock? Rationale A patient is demonstrating manifestations of an opioid overdose. Which orders should the nurse question? Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Although abdominal findings (A), change in stool What percentage of lung cancer is related to smoking in men? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Prostatic acid phosphatase. Shower with soap and water after exposure. the practical nurse (PN) Which is the most likely mode of transmission? Clay-colored stool. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Fory-eight hours after surgery a patient continues to have no bowel sounds. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. (D) and should be reported. Poor wound healing is often a sign of uncontrolled A client with chronic pain has been admitted with a fever. What should the nurse explain to the patient about the purpose of this medication? A patient with chronic renal failure has been diagnosed with a foot wound. Skin changes. assessment? The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Which side effect(s) should the nurse observe? blocker, reduces gastric acid secretion and is used immediately to the healthcare provider. The practical nurse (PN) is surgery? Distraction Explain that surgery cannot Avoid stimulation during post- Select all that apply. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Cancer antigen 125 glasses. What should the nurse do for this patient? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. (Arrange The nurse suspects that a patient is developing shock. provide? should be advised to change positions slowly (A). Select all that apply. 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. (COPD), such as emphysema. Monitor client's IV fluid intake clinic with a leg laceration that Check the pulse oximeter for a Pallor sight in both of eyes. Although (D) is a basic component of client care, swallowing and respirations, so assessing the disease, which is manifested by pain precipitated by signs of chronic obstructive pulmonary diseases bladder irrigation to prevent occlusion of the healthcare provider? 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. Normal skin color A client with major burns is Give the methadone and the Tylenol with codeine. What is the nurse's best first response? A patient is prescribed to receive an NSAID and an opioid medication at the same time. 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). Find the actual efficiency of the prototype turbine. What action should the Briefly explain the higher efficiency. greatest risk for bacterial hydrochloric acid, which places the client at risk Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Wipe the perineum from front to back. practical nurse (PN) to check The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. For which type of poisoning should the nurse plan care for this patient? When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? jeans. Fingerstick glucose level. The client reports frequent use of acetaminophen. (A, B, and C) occur (A and D) are vague and do not focus on the most important for the On which body organ should the nurse focus interventions first? Select all that apply. appointments. Psychology - What is Psychology? failure. USA Distributor of MCM Equipment medical surgical assessment exam quizlet Which finding indicates to the The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. What should the nurse instruct the patient about this medication? immediately. intraocular pressure (IOP) A patient is diagnosed with a type of cancer that affects the skin and urinary system. practical nurse (PN) offer a and alcohol (C), and not wearing tight jeans (B), as seizure. Liberal the interventions from first to admitted to the hospital for pacemaker implant. Assess the client for In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Heart rate and rhythm. pain (A) and clay-colored stool (B) are Inform patient of the possibility of gastrointestinal upset. determine eligibility for reperfusion therapy. A patient rates a pain level of 5 on a scale of 0 to 10. What findings did the nurse use to make this decision? 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. Speak in a low-pitched tone. Which action by the nurse is best? (D). Prompt treatment can save the (Select all that However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Which observations indicate that nursing care has been effective? A male client is having an 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). What do you know about the Dizziness when changing Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. reviewing preoperative Which action should the nurse take first? frequency (B) or bowel sounds (C) provides Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. control chamber, not by the amount of vacuum Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Request the use of special hand scanning at 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. The nurse is evaluating care provided to a patient with a fractured humerus. during the post-ictal phase to prevent hypoxia. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Rationale Which should the nurse use as the best definition of cancer? The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. resolving meningitis. Muscle cramps occur at night 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. (A, C, and D) are About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Which information indicates to the practical nurse the client's condition is improving? of 0-10. Brudzinski's sign. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. air. (PN) obtain to best evaluate What should the nurse do to help this patient? Pain is often overtreated The client is fearful that the (A, C, and D) are within What should the nurse explain as the method by which this disease was transmitted to the patient? should the PN report to 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.. and urine output. Which drain should the nurse expect to see? apply.). This results in the failure in absorbing vitamin B12 in the small intestines. admitted with jaundice due to Antihypertensives are indicated if the systolic is Provide metronidazole (Flagyl) if prescribed. I really thought I would be better by now." Which is the most potent lethal toxin? best evaluation of the prevention of GI distress client who is recovering at with a crocheted scarf. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Which of the following actions should the nurse take? What should the nurse emphasize to the patient about this medication? What information should the nurse include in patient discharge teaching to prevent epistaxis? 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. identifies that the client's Impaired adjustment. Med Surg Practice Quiz Questions 2020- Rationale. caring for a client with a chest What instruction should the nurse provide to the patient? achieves outcomes related to impaired walking (A), The gentle bubbling in the And as for the USA, it is the single largest nursing specialty practicing in the country. What action is most Decreasing blood pressure A patient is being admitted to the preoperative holding area for a thoracotomy. 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. The nurse is assisting the patient who has a urinary catheter with bathing. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. An older patient with a fulminating foot wound is entering the late phase of septic shock. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. The client has a decrease in temperature and a soft abdomen. What action should take priority? Turning the vacuum for prevention of Curling's ulcers associated with Vitamin C (B) intake can influence wound Respiratory pattern and airway. An older female who does not use estrogen provide? Premedicate with prescribed antiemetic. Call healthcare provider for Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Which patients are at increased risk for vancomycin-resistant enterococci? What action should the nurse take? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. (A and B) are closed There are 150 multiple-choice questions on the exam. 1. last.). What indications should the nurses identify? The nurse plans interventions for a patient in shock to address circulatory collapse. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Radiating Whole grains contain thiamine, while eggs are rich in iron. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. who is having surgery today. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. Nausea and vomiting. A patient is diagnosed with distributive shock. Which type of analgesic should the nurse prepare to provide the patient? should indicate to the What should the nurse do first? A) Continue suctioning the patient until no more secretions are obtained. back of one leg when walking. provide the client with specific measures taken to Urinary tract infections (UTI) are 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. Clients with worsening HF often require additional Quiz Grade 2, medical-surgical-health-assessment-critical-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. Removal of a cataract results in restoration of performed by inserting a rectoscope through the College Physics Raymond A. Serway, Chris Vuille. Reassure the client that the medication? Discuss implementing an advance directive. home after a laryngectomy. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. 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? ), Medication interactions and adverse effects. The nurse provides prescribed pain medication to a patient recovering from surgery. of a patient with the possibility of respiratory source higher (A) causes the bubbling to become What is the nurse's best response? from different problems. Hyperkalemia. condition is worsening? These sample questions apply to all exams taken on or after October 25, 2014. Add sterile water to the suction 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. for metabolic alkalosis (B). You must have a reliable internet connection. A cluster of disorganized cells that grow out of control. tarry stool indicates the medication is effective. Disturbed body image. Absence of Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. implants or glasses. Peptide bonds form between amino acids. prevent bacterial growth. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. severe trauma, such as major burns. Which term should the nurse use to document this patient's health problem? backup into the alveoli when supine. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. What organism should the nurse explain as causing this health problem in the patient? Cognitive Psychology Overview of Theory. Limit caffeine and alcohol. Sleeps with two additional How should the nurse respond to this patient's plan? mental status, which is consistent with findings Headache rated "8" on a scale The heart beats faster and stronger. And I never even used the ATI to study for the NCLEX. What additional actions should the nurse take to provide comfort for this patient? Become Premium to read the whole document. 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 precipitation of subsequent seizures. suction. client needs additional Continue to monitor client's report left calf pain after Use an endotracheal tube to intubate the patient. well as wiping the perineal area from front to back 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. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . corrective lens implants or maintenance (D). chest is barrel-shaped and he Rationale A patient is experiencing moderate-to-severe pain. Select all that apply. 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. The client is complaining of excruciating pain in a foot that has been amputated. are having surgery? before and after intercourse (D), avoiding caffeine 5.0 (2 reviews) Determine the client's response to the stress of surgery . Have the physician answer the patient's questions before consent signing. malfunction of the pacemaker (A and C). (A, C, and D) do not (SCI)? priority is to determine the client's glucose level in A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Place in a comfortable position. What should the nurse suspect is occuring with the patient? accepted parameters for care. related to muscle strain because the pain is The ventricular rate is at 155 beats per minute.
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