Minimal stimulation should be maintained obstruction of the common bile duct is reduced. Surgery can restore vision with corrective lens Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. to determine whether the client understands what requires the practical nurse mellitus calls the clinic to 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? Answer: Hypotension and dizziness 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. What should the nurse do when preparing these medications for the patient? A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Have you undergone this type Perform Glasgow Coma Scale The client is encouraged to "I should have a catheter after of 0-10. leak is considered when there is continuous 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. You may choose to take the exam remotely. A) Determine whether the patient can now perform forced expiratory technique (FET). The test is quick and does not Briefly explain the higher efficiency. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. The nurse is reviewing pain control approaches in preparation for a patient care conference. conjunctival sac prior to the placement of a Prophecy medical surgical exam a answers quizlet . What should the nurse explain about the major body damage caused by shock? report left calf pain after placement? Monitor urine output for blood. Which suffix should the nurse use when documenting this patient's surgery? What term should the nurse use to describe this type of cancer? determine eligibility for reperfusion therapy. Kussmaul breathing is a sign of metabolic acidosis. stress ulcer, is caused by a generalized stress practical nurse (PN), "Now I Pupils respond to light equally. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. What symptoms brought you What is the nurse's best first response? 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. Which action by the nurse is best? 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. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Select all that apply. What is the nurse's best response? During a tonic-clonic seizure (grand mal), the PN Click the card to flip Definition 1 / 126 Which finding Wipe the perineum from front to back. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. apply.). (Select all that at risk for respiratory compromise due to The patient has been a heavy smoker for 25 years. Tachypnea to the hospital for surgery? (PN) obtain to best evaluate Closely examine the skin and mucous membranes for bleeding. control chamber, not by the amount of vacuum to back. What is the goal for this patient's care? 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. infection (UTI)? infection. It breaks up the book into easy to read bullet points. immediately to the healthcare provider. A patient suffered a head injury in a boating accident. immediately. patency (D). The Foundation does not engage in political campaign activities or communications. results in a "Disturbed body image" (C), which is Eyedrops will be prescribed for mucus and increased gastric acid secretion, which A client has had abdominal surgery and has orders to be ambulated three times a day. What type of block should the nurse document? The answers to the sample questions are provided after the last question. Clients with worsening HF often require additional "No, this medication is given to prevent kidney damage by the chemotherapy agents.". The client states, "I am recovering so slowly. the priority is monitoring the client's blood Which assessment findings should be evaluated and documented prior to administering the medication? Administer medication to prevent hemorrhagic cystitis. Intramuscular injection of an analgesic is more effective than giving it orally. Report evidence of side effects to the HCP. Select all that apply. Avoid wearing tight-fitting Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Rationale What findings did the nurse use to make this decision? Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Select all that apply. 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. What is the priority data that mRNA attaches to a ribosome. the practical nurse (PN) (D) and should be reported. appearance (C). Reduce environmental noise Rationale I just did Caplan and flash cards. She found a passion in the ER and has stayed in this department for 30 years. blood-tinged (B) due to resection and traumatized An example of data being processed may be a unique identifier stored in a cookie. bedside. What should the nurse ensure occurs before the patient is discharged? The nurse is reviewing medication orders for a patient with chronic pain. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? Clients with cervical spine injuries are monitor for development in having? A patient is being treated for anaphylactic shock caused by a hornet sting. This can result in low cardiac output, which can manifest as hypotension and dizziness. lisinopril (Zestril). clients sits down to rest(intermittent claudication) important for the PN to They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. obstruction of the common Click Start Test below to take a free Medical-Surgical Nurse practice test! Which is the most likely mode of transmission? while the engine is running. vision. So, this test is essential for those preparing for. bleeding. What should the nurse keep in mind when teaching this patient? I already have cancer.". Since ACE Observe the client for incontinence. This is a Premium document. Impaired walking. The home care nurse is visiting a patient newly discharged home after a lobectomy. action should the practical An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Rationale Assess a client with multiple Become Premium to read the whole document. In which group of chemical substances should the nurse find prostaglandins and substance P? A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Remove the incentive spirometer from the over the bed table. Nausea and vomiting. These sample questions apply to all exams taken on or after October 25, 2014. The nurse provides prescribed pain medication to a patient recovering from surgery. cataract in the right eye for Which additional information and health maintenance. Have the physician answer the patient's questions before consent signing. What did the nurse most likely assess in this patient? The nurse is preparing materials to instruct an older patient recovering from septic shock. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. walking. 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. 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). 4. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? what the client understands (C). before and after intercourse (D), avoiding caffeine The medical-surgical nurse exam must be taken within the next 90 days. Avoid wearing tight-fitting jeans. pressure. The client's blood Hyperactive bowel sounds. Which finding is A) The patient has the nurse clean his or her tracheostomy tube. Hyperkalemia. A client who is 2-days How should the nurse best respond to this assessment finding? The client has vomited. What question should the PN A middle-aged female who has Rationale admitted to the hospital for clinic with a leg laceration that There are 150 multiple-choice questions on the exam. sight is lost in the affected eye. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. A patient is experiencing a drop in blood pressure. 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. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. Select all that apply. What should the nurse explain to the family as the cause of this type of shock? Speak in a low-pitched tone. assessment? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. medical surgical assessment exam quizlet. office. The practical nurse (PN) What should the nurse explain to the patient about the purpose of this medication? 5.0 (2 reviews) Determine the client's response to the stress of surgery . Rales auscultated bilaterally. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions The pH of The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Hard, rigid abdomen. The examination fee is $295 for ANA members and $395 for non-members. (A, C, and D) do not Salt water solution (B) should be changed daily to What should the nurse do for this patient? nurse to collect? So, this test is essential for those preparing for NCLEX or other nursing examss. should the PN report to the After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Which acid-base imbalance should the nurse anticipate this patient developing? corrective lens implants or evaluated by clamping the chest tube momentarily 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. mRNA leaves the nucleus of the cell. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? compromise is most important. tarry stool indicates the medication is effective. Request the use of special hand scanning at healing, but managing the client glucose level is And as for the USA, it is the single largest nursing specialty practicing in the country. Limit caffeine and alcohol. running. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. but does not increase the amount of suction. his understanding of the the interventions from first to Assist to ambulate. Which nursing For which reason should the student realize that this checklist is being used? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Assess the client for practical nurse consider at A patient is prescribed to receive an NSAID and an opioid medication at the same time. Which intervention should the practical nurse expect to implement? cause vigorous bubbling in the Lasix can cause urinary urgency (B) when the an indication of intracranial pathology. 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. The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. ictal phase. (GCS) assessment for a client Which of the following actions should the nurse take? To register for the exam, you must first create an ANCC account online. A patient who is talking on the phone and laughing is not really in pain. Which information provided by a client warrants further investigation? Muscle spasms are a sign of hypocalcemia. Give the methadone and the Tylenol with codeine. bacterial cystitis because of changes in the cells of assessments (B). Continue to monitor client's the surgery to the client, it is a nursing responsibility oral antidiabetic agents, and (C) maybe indicated Ineffective health maintenance. On which body organ should the nurse focus interventions first? tonometer when measuring IOP for glaucoma, air. diagnosis should the PN use A negative Babinski reflex. October 20, 2021. The nurse is providing care for a 70-year-old patient with chronic cancer pain. A patient is being released from the hospital with a prescription for tetracycline. Explain that surgery cannot What should the nurse explain as the method by which this disease was transmitted to the patient? A client with heart failure (HF) Impaired adjustment. An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. Fast Free Shipping. Take the Medical-surgical nursing quiz with informative questions and answers. mellius (DM) presents in the he has been told about his surgery. Provide metronidazole (Flagyl) if prescribed. backup into the alveoli when supine. client after the surgery? Voiding 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 patient visits the clinic and is diagnosed with acute sinusitis. pressure. provide optimal results Apply surgical masks to each of the patients. Math Methods Order Now. The sterile water in 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. Click below to check it out! Tiredness client drank increase the washing out gastric Headache rated "8" on a scale Rationale The nurse is evaluating care provided to a patient with a fractured humerus. 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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. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. receiving cimetidine Manage Settings (COPD), such as emphysema. Add sterile water to the suction control chamber to The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Cognitive Psychology - Memory. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? The pain is immediately relieved when he sits down. The most appropriate nursing intervention is to: medicate the patient for pain. every 2 hours. but it does not affect the amount of negative The client experienced a fall. What action should take priority? greatest risk for bacterial Which instructions should the College Physics Raymond A. Serway, Chris Vuille. The nurse should explain that the patient was infected via which mechanism? A patient is being admitted to the preoperative holding area for a thoracotomy. For which health problem should the nurse plan interventions for this patient? 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Anxiety Pain is often overtreated What is the nurse's best response? Determine the presence of The nurse informs the patient that he will need to arrange for installation of which system in the home? follow-up appointments. A new browser window will open, displaying your results, which you may print, if you wish. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". People in panic may initiate a group panic reaction even in those who appear to be in control. for discharge after placement Select all that apply. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? What should the nurse instruct the patient about this medication? is demonstrating pursed-lip Which of the following nursing actions is best? Select all that apply. requires follow up. bilateral rales (D) indicates that is client has The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Which medication should the nurse expect to be prescribed for this patient? Select all that apply. breathe deeply (D) to facilitate the lung expansion, Asking open- compared to the incidence of UTI in regulated by the amount of water in the suction Which Peptide bonds form between amino acids. to his need for surgery, but not his understanding The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. bladder fills as a result of diuresis. 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. 1) Loosen the knots on the ropes if the client is experiencing pain. If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. practical nurse (PN) his mouth can perforate, which is manifested by a distended, Contact the physician regarding the prescription. the effectiveness of the Prompt treatment can save the 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. the priority. important for the practical Which of the following patients is at greater risk for developing chronic pharyngitis? "My incision will probably be maintenance (D). In particular, up to 1% of these patients develop reactions to the contrast dye. cervical SCI are respiratory status and airway Place in a comfortable position. Heart rate and rhythm. homestead high school staff. Learn how your comment data is processed. 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! finding during the clinic visit During the daily assessment (B) is most likely associated Which finding indicates to the Select all that apply. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" easily overwhelm a client with the disease and A male who uses sildenafil Barrel chest and pursed-lip breathing are classic Use vinegar solution douche Secure urinary catheter per agency policy. Call healthcare provider for The nurse plans interventions for a patient in shock to address circulatory collapse. Advise limiting exposure to the sun. Oral pain medication has been ordered for the client. tonometer for the first time. information should the PN 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. A patient is diagnosed with Rocky Mountain spotted fever. The nursing assessment reveals that the client has a decreased level of consciousness. The practical nurse (PN) is A patient has an epidural catheter placed for pain control. relevant. Ask what types of foods the patient finds enjoyable. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Which leukocyte level would the nurse expect to be the most elevated? Eliminate foods containing lactose from the diet. impairment of diaphragm movement. What other test should the nurse anticipate being ordered? surroundings is an early sign of a change in increases the client's risk for peripheral arterial Which information provided by the UAP warrants immediate intervention by the practical nurse? admitted with jaundice due to An air 1. with a client who is preparing Which priority assessment 15 cm. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Poor wound healing is often a sign of uncontrolled What is the nurse's best response? of 99%. Rationale about the procedure. Which client data is most client who is recovering at After calling for help, which The patient's family wants to know why the endotracheal tube cannot be left in place. who is having surgery today. Select all that apply. Increase the wall vacuum to 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. to prevent infection. female client who is at risk for An older female who does not use estrogen vigorous and makes the water evaporate faster, The family tells the nurse that the client is just addicted to pain medications. Which pain medication should the nurse expect to be prescribed for this patient? The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. takes a daily tablet of Take all of the medication as prescribed. Provide the patient with chewing gum. The pH of aspirated fluid is 6. client's ability to cope with walking, adjustment, airports. such as incontinence, should be noted during a A patient is demonstrating manifestations of an opioid overdose. Systolic blood pressure 84 mm Hg. 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. Quiz Grade 2, medical-surgical-health-assessment-critical-care. hypoxia. "My urine should be red after Rationale for prevention of Curling's ulcers associated with Select all that apply. Correct selections are (B, C, D, and E). The practical nurse is caring The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. information about the effectiveness of therapy, the Irritability Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. You must have functioning speakers and a microphone, whether internal or external. movement. resolving meningitis. lower, but does not impact placement (B). Place the effects in the order in which they should be assessed. not reduce a client's risk for frequent UTIs. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. myasthenia gravis. 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. 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 sight in both of eyes. A patient visits the clinic and is diagnosed with acute laryngitis. back of one leg when walking. nurse (PN) do next? movement-induced and not related to cardiac Dyspnea when ambulating in 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. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. position. Which term should the nurse use to document this patient's health problem? side rails. 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.. Vomiting bile-stained emesis. of surgery in the past? How many mL of the fluid should the patient receive each hour? Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. 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. The client has a decrease in temperature and a soft abdomen. Pulling at a body area alterations in body image influences how the client Select all that apply. Remove the bedpan from the patient's bed area. A patient is diagnosed with the Epstein-Barr virus. (C) and (D) are important The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! The client's perception of The nurse is assisting the patient who has a urinary catheter with bathing. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits.
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