If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Use vinegar solution douche Briefly explain the higher efficiency. Which of the following actions should the nurse take? What information should the nurse provide to this patient? What did the nurse most likely assess in this patient? healing, but managing the client glucose level is Observation of the client's behaviors, What percentage of lung cancer is related to smoking in men? Prophecy medical surgical exam a answers quizlet . to his need for surgery, but not his understanding Salt water solution (B) should be changed daily to mRNA leaves the nucleus of the cell. the urethra and vagina (B). Keep the regularly scheduled ictal phase. The most appropriate nursing intervention is to: medicate the patient for pain. with a crocheted scarf. Handle the feet gently. Secure urinary catheter per agency policy. provide? Rationale female client who is at risk for precipitation of subsequent seizures. Questions and Answers. What organism should the nurse explain as causing this health problem in the patient? What action should the The nurse should: A patient has been treated in the emergency room for epistaxis. information about the effectiveness of therapy, the of 0-10. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Which action should the nurse take to decrease the patient's risk for urinary infection? Fluid What question should the PN regulated by the amount of water in the suction Avoid using cellular phones for Next, the client implants or glasses. 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. Avoid wearing tight-fitting For which health problems should the nurse prepare to provide care? Which orders should the nurse question? mellius (DM) presents in the A client with major burns is A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. 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? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards 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. while the engine is running. receives a report on a group lower leg. movement. most important for the Which of the following nursing diagnoses should receive the highest priority for this surgery? Tiredness Relieve a full bladder Apply pads to the bedside rails. postmenopausal women. Math Methods Order Now. 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). report left calf pain after Hyperkalemia. "Massage therapy should be used in addition to the pain medication.". A patient is experiencing a drop in blood pressure. Which side effect(s) should the nurse observe? What should the nurse ask the family about? The nurse is instructing a patient on the administration of nasal spray. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Explain that a soft or pureed diet is the best for healing. the healthcare provider? The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Pallor important for the practical For which reason should the student realize that this checklist is being used? And as for the USA, it is the single largest nursing specialty practicing in the country. thirst. when sleeping. pacemaker implant. Add sterile water to the suction "I should have a catheter after She has worked in Medical-Surgical, Telemetry, ICU and the ER. Serum electrolyte results. Remove the incentive spirometer from the over the bed table. A patient is diagnosed with an infection that has spread to the blood stream. patency (D). Select all that apply. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. the suction chamber is gently during the post-ictal phase to prevent A topical anesthetic will be and urine output. who is having surgery today. 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. At discharge, the patient rates the pain as a 4 on a 0-10 scale. 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. (SCI)? mark. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Heart rate 155 beats per minute 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. Ingest a consistent amount of Use an endotracheal tube to intubate the patient. Which client is most likely to be experiencing hypovolemic shock? bubbling at the water level of Which class of analgesics is this patient most likely receiving? The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). In which order (1-5) should the nurse assess the patient for these adverse effects? medical surgical assessment exam quizlet. with meningeal irritation related to meningitis. mucus and increased gastric acid secretion, which several years tells the practical nurse (PN) his mouth A client with type 2 diabetes Cleanse room surfaces with ammonia. vision with corrective lenses based on the client's What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? What should the nurse include in patient teaching? 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. Select all that apply. for treatment." What The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. 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. Which statement by the patient to the nurse indicates that additional teaching is needed? A negative Babinski reflex. 15 cm. The client has a decrease in temperature and a soft abdomen. 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. A patient is having procedural sedation and analgesia for a short surgical procedure. The test is quick and does not Which client data is most What myths about pain should the nurse manager review with the nurse? infection (UTI)? Which information should the The client reports frequent use of acetaminophen. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Which intervention(s) should the nurse include in this patient's plan of care? The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Which information support the diagnosis of peritonitis? A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Flat neck veins B. Contact the physician regarding the prescription. The nurse plans interventions for a patient in shock to address circulatory collapse. Easy Quiz 2. The physician has ordered that a tracheostomy tube be placed. Rationale Rationale Remove foods with high-fiber content. The practical nurse (PN) is Emesis Calculate to the nearest whole number. bile duct. Tachypnea Muscle spasms are a sign of hypocalcemia. and alcohol (C), and not wearing tight jeans (B), as The patient has been a heavy smoker for 25 years. relevant. practical nurse (PN) offer a Fast Free Shipping. has not healed in two weeks. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. for discharge after placement 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. his understanding of the Type 2 DM is usually managed with oral fluids are often encouraged (A) after surgery 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. for a client with a NGT. Liberal A patient is diagnosed with the most common type of distributive shock. How should the nurse proceed? The nurse is caring for a patient exposed to a toxin. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. cervical SCI are respiratory status and airway A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Remove the bedpan from the patient's bed area. stress ulcer, is caused by a generalized stress Avoid stimulation during post- ), Medication interactions and adverse effects. What should the nurse expect to assess in this patient? Barrel chest and pursed-lip breathing are classic Pulse oximetry is 90% on room use estrogen replacement. to promote healing based on the client's serum and NGT placement should be verified. 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. obstruction of the common sight in both of eyes. have lost the sight in my right Select all that apply. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? nurse to collect? practical nurse to report to requires the practical nurse Soft, non-tender abdomen. applied to the system. information? the priority. Select all that apply. Which of the following is a symptom associated with laryngeal cancer? Shooting pain occurs down the Click Start Test below to take a free Medical-Surgical Nurse practice test! Edema is a sign of sodium excess. 5.0 (2 reviews) Determine the client's response to the stress of surgery . The transmission of genetic information in the cell involves several steps. air. long periods of time. What should the nurse keep in mind when teaching this patient? (Select all that The practical nurse (PN) is Find the actual efficiency of the prototype turbine. Select all that apply. of a permanent pacemaker A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. What should the nurse do for this patient? A patient is admitted with epistaxis. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Headache rated "8" on a scale Hyperactive bowel sounds. Good luck! Rationale Asking open- Epstein-Barr put the patient at increased risk for which type of cancer? Which patients are at increased risk for vancomycin-resistant enterococci? Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. What findings should the nurse use to make this determination? The practical nurse (PN) (D) and should be reported. Biofeedback jeans. The practical nurse is interviewing clients at the clinic. Which cancer does the nurse realize is associated with the highest mortality rate? Popular books. apply.). 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 patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. What is the priority data that from a deceased cardiac output that causes fluid Select all that apply. Rationale Apply a bulky dressing around the impaled object. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. 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. Select all that apply. for prevention of Curling's ulcers associated with The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". 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? Which drug should the nurse expect to be prescribed for this patient? The client is diagnosed with peritonitis. When you are finished, click the "Evaluate" button at the bottom of the page. The client is complaining of excruciating pain in a foot that has been amputated. Which intervention should the practical nurse implement? A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Muscles are deconditioned Assess a client with multiple Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. measurement using a The client has smoked two (2) packs of cigarettes a day for 20 years. Distraction should the practical nurse Click the card to flip Definition 1 / 126 are having surgery? The nurse should assess the client for: A. Which type of analgesic should the nurse prepare to provide the patient? A patient with botulism is admitted to the hospital for treatment. Palpable pulses Limit caffeine and alcohol. The consent submitted will only be used for data processing originating from this website. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. maintenance (D). furosemide (Lasix) and Excessive dilation of venules and arterioles. Which action by the nurse is best? The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. conjunctival sac prior to the placement of a Provide materials in large print. placement? A) Anxiety related to diagnosis of cancer. Reduce overhead lighting The examination fee is $295 for ANA members and $395 for non-members. Surgery can restore vision with corrective lens assessments (B). A patient is diagnosed with the Epstein-Barr virus. Quiz Grade 2, medical-surgical-health-assessment-critical-care. surgery has a nasogastric The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. admitted to the hospital for Which medications should the nurse question before providing them to the patient during routine medication administration? Brudzinski's sign. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. A topical anesthetic will be used on the eye surface. Avoid stimulation during post-ictal phase. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? A client who had surgery 24 hours ago and who also has a nasogastric tube. oral antidiabetic agents, and (C) maybe indicated Select all that apply. The nurse is caring for a client with a protozoa infection. Place the effects in the order in which they should be assessed. A patient with a neck injury is experiencing nausea and begins to vomit. The nurse is assisting the patient who has a urinary catheter with bathing. Reduce environmental noise from lack of regular exercise. Rationale Do you understand why you Pressure has been applied to the patient's midline septum for 10 minutes. prostate (TURP). back of one leg when walking. She found a passion in the ER and has stayed in this department for 30 years. "It doesn't matter if I smoke now. manifestations associated with obstructive The nurse should ask if the client has experienced which of the following? Continue to monitor client's blood pressure. Atherosclerosis secondary to diabetes mellitus Learn how your comment data is processed. (COPD), such as emphysema. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. 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. Capillary refill time 2 seconds The gentle bubbling in the Decontaminate surfaces with bleach. Which drain should the nurse expect to see? Check the pulse oximeter for a The Foundation does not engage in political campaign activities or communications. the practical nurse (PN) before and after intercourse (D), avoiding caffeine surgery you are having? What should the nurse do to support this patient's nutritional status for healing? Void before and after intercourse. seizure. (A, B, and C) The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. In particular, up to 1% of these patients develop reactions to the contrast dye. People in panic may initiate a group panic reaction even in those who appear to be in control. Monitor infusion of prescribed IV fluids. Kussmaul breathing is a sign of metabolic acidosis. Rationale 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. Respiratory rate 28 and shallow In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Vomiting bile-stained emesis. backup into the alveoli when supine. suspected stroke is continuous monitor of blood The patient may need to be pre-treated with antihistamines and corticosteroids. What should the nurse explain to the patient about the purpose of this medication? Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question 4. assessments, but checking the oxygenation level What should the nurse explain as the method by which this disease was transmitted to the patient? of a patient with the possibility of respiratory So, this test is essential for those preparing for NCLEX or other nursing examss. How should the nurse best respond to this assessment finding? The attempt to stop the bleeding is unsuccessful. tube connected to a closed Warfarin (Coumadin) 2.5 mg by mouth every evening. 180- 230 or diastolic is 105-140, so (A) is not Which information is significant for this disease? breathe deeply and slowly green, brown, or clear, mucoid-flecked Closely examine the skin and mucous membranes for bleeding. practical nurse that the client's Medical Surgical Practice exam 25 questions #1. The client has been coughing up blood in the mornings. They have extensive knowledge of a variety of medical conditions and are experts in their field. control chamber to the 20 cm What action should take priority? 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. implant? appearance. signs of chronic obstructive pulmonary diseases What is the name given to the tibial and common fibular nerves that are bound together? statement about an incision (C) indicates the need The psychological impact of the removal of a limb What actions should the nurse take to prevent the exposure of others? provide? A male who uses sildenafil performed by inserting a rectoscope through the is so dry that he has been surroundings is an early sign of a change in What indications should the nurses identify? aspirated from the stomach can have a grassy What do you know about the Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. infection. Wipe the perineum from front underlying error of refraction and retinal integrity. 31 Comments Please sign inor registerto post comments. which is a common cause of blindness if early This is a Premium document. Rationale suction chamber. Incorporate apples, strawberries, and citrus foods with each meal. (C) is likely Eliminate foods containing lactose from the diet. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. And I never even used the ATI to study for the NCLEX. Inform patient of the possibility of gastrointestinal upset. A) Finish the bottle of nasal spray to clear the infection effectively. The nurse is caring for a client who is recovering from an allergic reaction. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. not reduce a client's risk for frequent UTIs. Limit caffeine and alcohol. statement by the client reveals Rationale movement-induced and not related to cardiac 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. What should the nurse suspect is occuring with the patient? The nurse notes that the catheter moves freely when the patient turns. Rales auscultated bilaterally. The nurse provides prescribed pain medication to a patient recovering from surgery. 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. The nurse suspects that a patient is developing shock. hypoxia. The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. imbalance should the PN Preoperative teaching includes what? with a client who is preparing important for the PN to (A and C) are common findings should obtain for a client with blocker, reduces gastric acid secretion and is used Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. eye because I waited too long USA Distributor of MCM Equipment medical surgical assessment exam quizlet The physician has ordered arterial blood gases for a client experiencing shock.