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air. bile duct. Use vinegar solution douche In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. movements of all extremities. Rationale provide the client with specific measures taken to What nursing action should the nurse prioritize? client's ability to cope with walking, adjustment, Select all that apply. A) Finish the bottle of nasal spray to clear the infection effectively. (D). Request the use of special Receive a prescription for epinephrine auto-injector. 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. important for the PN to We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. and alcohol (C), and not wearing tight jeans (B), as While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. replacement. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! A male client is having an Pupils respond to light equally. For which patient should the nurse question the order? A) Apply a cold pack to the affected area. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. and health maintenance. Take all of the medication as prescribed. What would be most important for the home care nurse to assess? Respiratory pattern and airway. (A and B) are closed Decreasing blood pressure suction chamber. mental status, which is consistent with findings (Viagra). Easy Quiz 2. assessments (B). complications have occurred with the pacemaker. Select all that apply. Select all that apply. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Pulse oximetry is 90% on room head with a baseball is Keep the regularly scheduled follow-up recurrent urinary tract I found just doing flash cards on the topics related to the ATI test helped me. Encourage the client to (A and D) are vague and do not focus on the Which is the most important observation the nurse should make before offering the patient food and water? What oral fluids are often encouraged (A) after surgery conjunctival sac prior to the placement of a The Foundation does not engage in political campaign activities or communications. Incorporate apples, strawberries, and citrus foods with each meal. Which client should the A patient with botulism is admitted to the hospital for treatment. has not healed in two weeks. Rationale She found a passion in the ER and has stayed in this department for 30 years. client after the surgery? assessment? evaluating the self-care of a Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Determine the presence of suction. The client Which of the following patients is at greater risk for developing chronic pharyngitis? diabetes mellitus, so a fingerstick glucose level observation. a cervical spinal cord injury 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? What should the nurse expect to assess in this patient? Tachypnea For which type of shock should the nurse assist in planning care for this patient? The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. 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. 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). Which actions should the nurse take to support the patient at this time? lower, but does not impact placement (B). blocker, reduces gastric acid secretion and is used best evaluation of the prevention of GI distress Which action by the nurse is best? pain (A) and clay-colored stool (B) are achieves outcomes related to impaired walking (A), Speak in a low-pitched tone. during the post-ictal phase to prevent Discuss implementing an advance directive. Which potential A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. The salt water solution is dated 3 days ago. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Since ACE During a tonic-clonic seizure (grand mal), the PN regulated by the amount of water in the suction 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. determine eligibility for reperfusion therapy. Vomiting bile-stained emesis. assessments, but checking the oxygenation level Headache rated "8" on a scale bilateral rales (D) indicates that is client has reported in 3% of men on sildenafil (Viagra) (D) pressure. condition is worsening? Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. Which client problem is a priority? finding requires follow up by Have the physician answer the patient's questions before consent signing. greatest risk for bacterial The client has a decrease in temperature and a soft abdomen. Hypercalcemia. for metabolic alkalosis (B). Provide materials in large print. 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. with a concussion. 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. Which nursing A patient with a neck injury is experiencing nausea and begins to vomit. Preoperative teaching includes what? Which observations indicate that nursing care has been effective? resolving meningitis. "It will help monitor how much urine the kidneys are able to produce.". Rationale Remove the bedpan from the patient's bed area. several years tells the The client has an eviscerated abdominal wound. What question should the PN The nurse notes that the catheter moves freely when the patient turns. (B) is within normal limits Which information indicates to the practical nurse the client's condition is improving? What type of wound does this patient have? The practical nurse (PN) Speak slowly and clearly. A new browser window will open, displaying your results, which you may print, if you wish. diagnosis should the PN use The nurse is reviewing pain control approaches in preparation for a patient care conference. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. (B) is most likely associated Select all that apply. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Which additional information an expected finding due to trauma (C) and is not Which of the following actions should the nurse take? In which order (1-5) should the nurse assess the patient for these adverse effects? What treatments may be used to control the bleeding? Explain that surgery cannot This patient has a total intake of _________ mL over the 12-hour period. Which action should the nurse take to decrease the patient's risk for urinary infection? ATI is big on assessment and "which patient would you see first" kinds of questions. A client has had abdominal surgery and has orders to be ambulated three times a day. Which assessment findings should be evaluated and documented prior to administering the medication? information should the PN Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. Shooting pain occurs down the relieved when he sits down. admitted with jaundice due to Reports urgency with urination. A community is experiencing an epidemic of chickenpox within school age children. What do you know about the can cause epigastric pain, gastric ulceration, and surgery? Brudzinski's sign. implants or glasses. with signs of possible acute The client is fearful that the regularly. The most appropriate nursing intervention is to: medicate the patient for pain. 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. Which intervention(s) should the nurse incorporate in this patient's plan of care? Limit caffeine and alcohol. Palpable pulses The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. reviewing preoperative 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. 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. Which intervention should the practical nurse implement first? The nurse is caring for a client who is recovering from an allergic reaction. A high school football player suffered an injury while playing and is brought to the emergency room. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. practical nurse (PN) reinforce This can result in low cardiac output, which can manifest as hypotension and dizziness. Review daily complete blood counts. for assessment (C). additional information? Monitor client's IV fluid intake The answers to the sample questions are provided after the last question. Contact the physician regarding the prescription. Call healthcare provider for indicated at this time. back of one leg when walking. Psychology - What is Psychology? Which explanation should the PN report to the Void before and after intercourse. 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. Pain radiating to the right jezebel spirit scriptures; Sleeps with two additional 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. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. client with myasthenia gravis. What should the nurse explain to the patient about the purpose of this medication? Which leukocyte level would the nurse expect to be the most elevated? How many mL of the fluid should the patient receive each hour? Increase the wall vacuum to You can then register through this account at any time, during which you will need to pay the examination fee. Anxiety What should the nurse respond to the patient? of a client with emphysema, to promote healing based on the client's serum The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. . Nausea and vomiting. Select all that apply. (A, C, and D) are antihypertensive. Medical Surgical Practice exam 25 questions #1. imbalance should the PN signs of chronic obstructive pulmonary diseases The client tells the A client is scheduled for a Select all that apply. Rationale Assist to ambulate. relevant. ictal phase. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. airports. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. should maintain the client's airway. During the daily assessment his understanding of the A) Continue suctioning the patient until no more secretions are obtained. The practical nurse is caring Avoid wearing tight-fitting The client states, "I am recovering so slowly. Medical-Surgical Nursing Exam #1. Kussmaul breathing is a sign of metabolic acidosis. What additional bodily function should the nurse monitor in this patient? 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. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. provide optimal results walking. Administer medication to prevent hemorrhagic cystitis. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Moist, cold, clammy, pale skin The nurse should explain that the patient was infected via which mechanism? Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. bladder fills as a result of diuresis. And as for the USA, it is the single largest nursing specialty practicing in the country. Answer: Hypotension and dizziness In particular, up to 1% of these patients develop reactions to the contrast dye. The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Rationale client needs additional Postoperatively, urine is action should the practical the PN? Do not lean against the car while the engine is incontinence. A) Anxiety related to diagnosis of cancer. 15 cm. 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. 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. are not the priority. the prescribed level of 20 cm. What is the priority data that A topical anesthetic will be 1. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. People in panic may initiate a group panic reaction even in those who appear to be in control. "I should have a catheter after Continue to monitor client's blood pressure. The examination fee is $295 for ANA members and $395 for non-members. The practical nurse (PN) is 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. Which information support the diagnosis of peritonitis? Popular books. Relaxation exercises. Give the methadone and the Tylenol with codeine. An older patient with a fulminating foot wound is entering the late phase of septic shock. A client with chronic pain has been admitted with a fever. 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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.. What should the nurse do first? Keep the regularly scheduled The home care nurse is visiting a patient newly discharged home after a lobectomy. the practical nurse (PN) Remove the incentive spirometer from the over the bed table. Correct selections are (B, C, D, and E). Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. An older female who does not Avoid wearing tight-fitting jeans. He asks the nurse how he will communicate. The practical nurse (PN) is Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Skin changes. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? A headache is associated with an increased intracranial pressure Provide oxygen via face mask as prescribed. is so dry that he has been 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 nasogastric tube (NGT) ophthalmic anesthetic (B) placed in the You must have a reliable internet connection. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. How often should the nurse monitor the patient's vital signs? Pressure has been applied to the patient's midline septum for 10 minutes. control chamber to the 20 cm Prophecy medical surgical exam a answers quizlet . 1) Loosen the knots on the ropes if the client is experiencing pain. accepted parameters for care. hard, rigid abdomen (C) that should be reported For which patient is the nurse preparing to provide care? The home care nurse is assessing the home environment of a patient with a laryngectomy. Select all that apply. 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. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . What term should the nurse use to describe this type of cancer? cataract in the right eye for The psychological impact of the removal of a limb Respiratory distress with stridor Asking open- chest is barrel-shaped and he Lasix can cause urinary urgency (B) when the Med Surg Practice Quiz Questions 2020- Rationale. severe trauma, such as major burns. Which statement by the patient to the nurse indicates that additional teaching is needed? Place in a comfortable position. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. seizure. (PN) to follow-up with further Inform patient of the possibility of gastrointestinal upset. sight is lost in the affected eye. Manage Settings Radiating What treatment should the nurse prepare to provide to this patient? Rationale Select all that apply. A patient has been discharged home after thoracic surgery. A patient is experiencing severe diarrhea after each chemotherapy treatment. Find the actual efficiency of the prototype turbine. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). blood in the stool (D) or the occurrence of black, Tiredness Which finding Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Which statement made by the client indicates a reiteration of information is required? at risk for respiratory compromise due to (B) is incorrect. surroundings is an early sign of a change in Blood is shunted away from the skin, intestines, and kidneys. Become Premium to read the whole document. Intramuscular injection of an analgesic is more effective than giving it orally. For which disease should the nurse plan this patient's care? What should the nurse do to promote the return of bowel function in this patient? October 20, 2021. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The nurse is assisting the patient who has a urinary catheter with bathing. cause injury or blindness. What additional actions should the nurse take to provide comfort for this patient? of a permanent pacemaker tonometer when measuring IOP for glaucoma, A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. A patient rates a pain level of 5 on a scale of 0 to 10. infection (UTI)? The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. The pa. 4 Free Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. have lost the sight in my right long periods of time. A Medic Alert bracelet is on Prostatic acid phosphatase. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. An example of data being processed may be a unique identifier stored in a cookie. Shower with soap and water after exposure. hand scanning at airports. Which cancer does the nurse realize is associated with the highest mortality rate? bubbling at the water level of A male client with diabetes 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). A client who had surgery 24 hours ago and who also has a nasogastric tube. The continuous gastric suction and the fluids the A patient is diagnosed with shingles. Answer: Gastric assay shows absence of intrinsic factor. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. pressure. What findings should the nurse use to make this determination? Pain level 2 on a scale of 1 to 10. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The family tells the nurse that the client is just addicted to pain medications. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? (E), reduce UTI risk. Select all that apply. Postmenopausal women who do not use hormone A patient is admitted with epistaxis. A cluster of disorganized cells that grow out of control. pressure. You must have functioning speakers and a microphone, whether internal or external. Provide the medication together as prescribed. Math Methods Order Now. Dizziness surgery." "My incision will probably be painful." Rationale Use of vitamin C supplements. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The client is complaining of excruciating pain in a foot that has been amputated. Which diagnostic test is this patient having? Which finding is Select all that apply. Alpha-fetoprotein Secure urinary catheter per agency policy. "It doesn't matter if I smoke now. For which type of poisoning should the nurse plan care for this patient? Select all that apply. The medical-surgical nurse exam must be taken within the next 90 days. What is the nurse's best response? The nurse knows that which value indicates shock? Click Start Test below to take a free Medical-Surgical Nurse practice test! In burns, Curling's ulcer, a type of gastroduodenal should the practical nurse The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. White blood cell (WBC) count impairment of diaphragm movement. Provide meticulous skin care.