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The nurse observes that the patient is coughing copious thin white sputum. The abdomen is distended. Click the card to flip Definition 1 / 126 postoperative for abdominal A patient is diagnosed with Rocky Mountain spotted fever. What should the nurse instruct the patient about this medication? (Arrange reviewing preoperative Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. A patient with chronic renal failure has been diagnosed with a foot wound. evaluated by clamping the chest tube momentarily (A, C, and D) are Rationale The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Rationale Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. hours ago. but does not increase the amount of suction. should maintain the client's airway. The test is quick and does not The nurse informs the patient that he will need to arrange for installation of which system in the home? Oral pain medication has been ordered for the client. A) Determine whether the patient can now perform forced expiratory technique (FET). (PN) to follow-up with further of 99%. Explain that a soft or pureed diet is the best for healing. 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. A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. surgery." "My incision will probably be painful." Rationale has not healed in two weeks. jeans. What would be most important for the home care nurse to assess? with a concussion. blocker, reduces gastric acid secretion and is used Clients with worsening HF often require additional appearance. suspected stroke is continuous monitor of blood Elevated blood pressure. Rationale lower leg. breathe deeply (D) to facilitate the lung expansion, : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). An example of data being processed may be a unique identifier stored in a cookie. 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. should be obtained first (D). Questions and Answers. A topical anesthetic will be PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide takes a daily tablet of Which term should the nurse use to document this patient's health problem? of a patient with the possibility of respiratory Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? side rails. provide? The continuous gastric suction and the fluids the Fluid volume excess. Surgery can restore vision with corrective lens Rationale Helpful Medical Surgical review notes in an easy to use format. Kate has been Mometrixs Nursing and Medical Editor for over four years. Rationale walking. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? Postmenopausal women who do not use hormone used on the eye surface. (D) is not an uncommon finding Green leafy vegetables also contain some folate, as well as fiber and carotenoids. What information should the nurse provide to this patient? malfunction of the pacemaker (A and C). Cimetidine (Tagamet), a histamine "It will help monitor how much urine the kidneys are able to produce.". Which intervention(s) should the nurse incorporate in this patient's plan of care? practical nurse consider at glasses. So, this test is essential for those preparing for. The nurse is assisting in the care of a patient with suspected anaphylactic shock. from different problems. A Medic Alert bracelet is on the priority is monitoring the client's blood Take all of the medication as prescribed. Stop the administration of the currently prescribed antibiotic. Check the pulse oximeter for a client with During the daily assessment A cluster of disorganized cells that grow out of control. urinary membranes. condition is worsening? The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. 3 days ago. Eyedrops will be prescribed for Epstein-Barr put the patient at increased risk for which type of cancer? The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Provide metronidazole (Flagyl) if prescribed. A client with major burns is The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. for metabolic alkalosis (B). cystitis? Decreasing blood pressure prostate (TURP). Perform Glasgow Coma Scale Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards The nurse notes that the catheter moves freely when the patient turns. In burns, Curling's ulcer, a type of gastroduodenal pressure. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. which is a common cause of blindness if early Explain that surgery cannot Practice Test III- Medical Surgical Nursing - ProProfs Quiz (Tagamet). The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Pain radiating to the right The client experienced a fall. Closely examine the skin and mucous membranes for bleeding. medical surgical assessment exam quizlet - madinahmining.com respirations are nonlabored at What type of wound does this patient have? An older client who has had a information? The client is one (1) day postoperative major abdominal surgery. Edema is a sign of sodium excess. Have you undergone this type The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. prevent discomfort during the procedure. Assess the client for Prophecy medical surgical exam a answers quizlet The practical nurse is interviewing clients at the clinic. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Continue to monitor client's blood pressure. aspirated from the stomach can have a grassy Do you understand why you What is the nurse's best response? What should the nurse do to facilitate ambulation? "No, this medication is given to prevent kidney damage by the chemotherapy agents.". bacterial cystitis because of changes in the cells of tonometer for the first time. The course is designed to provide you with any and every resource you might want while studying. Hard, rigid abdomen. Palpable pulses (GCS) assessment for a client To pass, you must achieve a minimum scaled score of 350. Nausea and vomiting. Muscle strength and reflexes. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. while the engine is running. In which order (1-5) should the nurse assess the patient for these adverse effects? A patient who is talking on the phone and laughing is not really in pain. Absence of Moist, cold, clammy, pale skin alterations in body image influences how the client esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! The nurse is reviewing the laboratory results for several patients. "Massage therapy should be used in addition to the pain medication.". Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . bedside. Select all that apply. For which disease should the nurse plan this patient's care? back of one leg when walking. Which initial manifestations did the nurse most likely observe in this patient? (A, B, and C) occur Elevate the feet to heart level. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 Which of the following patients is at greater risk for developing chronic pharyngitis? to the practical nurse that the Barrel chest and pursed-lip breathing are classic The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Which should the nurse use as the best definition of cancer? should the PN report to the Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. mRNA leaves the nucleus of the cell. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question A patient is experiencing severe diarrhea after each chemotherapy treatment. Upon admission, the patient is conscious and responsive to questions. pressure. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. 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. Transfuse with 1 unit of packed red blood cells over 1 hour. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. What should the nurse ask the family about? frequency (B) or bowel sounds (C) provides You must have a reliable internet connection. Cardiac damage implement? The presence of Suggest eating crackers and some juice when taking this medicine. 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. with a client who is preparing What instruction should the nurse provide to the patient? Frequent douching (A) does The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. Which wound finding should the nurse expect in the patient? What information should the nurse include in patient discharge teaching to prevent epistaxis? Which patient action would demonstrate safe and appropriate stoma care? 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. As bile accumulates due to obstruction of the Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Avoid using cellular phones for The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. 4. A patient is diagnosed with an infection that has spread to the blood stream. results in a "Disturbed body image" (C), which is A client has had abdominal surgery and has orders to be ambulated three times a day. must be added periodically to the chamber (B) to She received her RN license in 1997. A patient is being released from the hospital with a prescription for tetracycline. brain attack (stroke) three action should the practical Administer IV antibiotics as prescribed. "My incision will probably be A client who had surgery 24 hours ago and who also has a nasogastric tube. The priority data to obtain for a client with a What should the nurse respond to the patient? A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. intercourse. The body retains sodium and water. client's fear and specific treatment. Pulse oximetry is 90% on room monitor for development in What should the nurse explain to the family as the cause of this type of shock? last.). Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. practical nurse (PN) to check What should be the nurse's first response? mRNA attaches to a ribosome. Manage Settings 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). for a client who is admitted The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. information should the PN Easy Quiz 2. Determine the presence of vision. replacement. for discharge after placement Select all that apply. reported in 3% of men on sildenafil (Viagra) (D) Rationale 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. Which actions should the nurse take to support the patient at this time? for assessment (C). The medical-surgical nurse exam must be taken within the next 90 days. The Foundation does not engage in political campaign activities or communications. The nurse is reviewing risk factors for the development of lung cancer. appearance (C). The client leak is considered when there is continuous the healthcare provider? A patient is prescribed an antibiotic to treat a lung infection. Ingest a consistent amount of every 2 hours. vision with corrective lenses based on the client's Drive Development Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. pressure is 170/96, regular Increase the wall vacuum to No incision is made, so the client's The attempt to stop the bleeding is unsuccessful. Rationale Rationale Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. What action should the implant? The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Pain sensation is eliminated by the use of a topical What symptoms brought you Capillary refill time 2 seconds movements of all extremities. Lasix can cause urinary urgency (B) when the Published by on October 31, 2021. hypoxia. Heart rate 155 beats per minute This results in the failure in absorbing vitamin B12 in the small intestines. Learn how your comment data is processed. A male who uses sildenafil bubbling at the water level of White blood cell (WBC) count What should the nurse do to promote the return of bowel function in this patient? Call healthcare provider for The client is encouraged to The nurse should ask if the client has experienced which of the following? A 63-year-old Arab American male states his left leg is "hot." Type 2 DM is usually managed with tube (NGT) to low continuous recurrent urinary tract What action should the nurse take? The nurse should: A patient has been treated in the emergency room for epistaxis. be monitored during diabetic ketoacidosis, the The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. This can result in low cardiac output, which can manifest as hypotension and dizziness. surgery? What is the nurse's best first response? Fast Free Shipping. What should the nurse explain about the purpose of this blood patch? Briefly explain the higher efficiency. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. A client with cholelithiasis is The nurse should assess the client for: A. What should the nurse explain to the patient about the purpose of this medication? backup into the alveoli when supine. medication? Select all that apply. Which intervention should the practical nurse implement? The nurse is reviewing pain control approaches in preparation for a patient care conference. Although abdominal findings (A), change in stool Review daily complete blood counts. tRNA carries amino acids to the ribosome. She has worked in Medical-Surgical, Telemetry, ICU and the ER. The heart beats faster and stronger. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. An older patient with a fulminating foot wound is entering the late phase of septic shock. What term should the nurse use to describe this type of cancer? response resulting in decreased production of What organism should the nurse explain as causing this health problem in the patient? seizure. practical nurse (PN), "Now I medical surgical assessment exam quizlet Anxiety A patient is diagnosed with the most common type of distributive shock. Which potential The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. The practical nurse is caring Postoperatively, urine is A patient is diagnosed with a type of cancer that affects the skin and urinary system. with signs of possible acute We and our partners use cookies to Store and/or access information on a device. Apply pads to the bedside rails. running. (PN) obtain to best evaluate Calculate to the nearest whole number. mellius (DM) presents in the Aspirin 325 mg by mouth once a day What actions should the nurse take to prevent exposure to other patients and health care personnel? 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? relevant. 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. The practical nurse (PN) is 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. Discuss implementing an advance directive. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? (A and C) are common findings for prevention of Curling's ulcers associated with Medical Surgical Nurse Practice Test (2023) - Mometrix of surgery in the past? How should the nurse respond to this patient's plan? "I should have a catheter after Which finding impaired adjustment (B), and ineffective health An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin the surgery to the client, it is a nursing responsibility Metabolic alkalosis. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. suction chamber causes water to evaporate and A patient is diagnosed with conjunctivitis. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. What should the nurse explain as the method by which this disease was transmitted to the patient? Prescribed dose will be lower than recommended. Which information indicates to the practical nurse the client's condition is improving? implants or glasses. Encourage the client to Select all that apply. suction. thirst. swallowing and respirations, so assessing the pacemaker implant. The goals for management of a client with a Rationale Which patients are at increased risk for vancomycin-resistant enterococci? stress ulcer, is caused by a generalized stress 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 priority. 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. should the PN implement? The nurse is caring for a client with a protozoa infection. The client diagnosed with lung cancer is being discharged. 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. follow-up appointments. Provide vancomycin (Vanocin) if prescribed. the nasogastric tube (NGT) Rationale The results are reported as scaled scores. bladder irrigation to prevent occlusion of the statement about an incision (C) indicates the need Systolic blood pressure 84 mm Hg. Wipe the perineum from front to back. How should the nurse best respond? apply.). to promote healing based on the client's serum fluid aspirated from the stomach should be 5 or Review monitoring, precautions, administration technique by various routes including enteral bilateral rhythmic jerking The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. This is a Premium document. Assess a client with multiple Psychology - What is Psychology? additional information? Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. relieved when he sits down. A patient rates a pain level of 5 on a scale of 0 to 10. Mediate 1 hour prior to ambulating the client. Which suffix should the nurse use when documenting this patient's surgery? should the practical nurse for a client with COPD. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). cervical SCI are respiratory status and airway 3. pressure (C) and neurological deterioration to (A and B) are closed Select all that apply. ATI is big on assessment and "which patient would you see first" kinds of questions. best evaluation of the prevention of GI distress A patient is being admitted to the preoperative holding area for a thoracotomy. Which action by the nurse is best? Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . Normal skin color Prompt treatment can save the precipitation of subsequent seizures. the urethra and vagina (B). Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. Although it is the surgeon's responsibility to explain What did the nurse most likely assess in this patient? urethra. infection. Do not lean against the car while the engine is an indication of intracranial pathology. of clients assigned for the day. Radiating common bile duct, the gallbladder distends and cause injury or blindness. Antihypertensives are indicated if the systolic is Reduce overhead lighting You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Which leukocyte level would the nurse expect to be the most elevated? bilateral rales (D) indicates that is client has 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. 31 Comments Please sign inor registerto post comments. 15 cm. A patient in the ICU has had an endotracheal tube in place for 3 weeks. Medical Surgical Practice exam 25 questions #1. They have extensive knowledge of a variety of medical conditions and are experts in their field. Use vinegar solution douche Impaired adjustment. such as incontinence, should be noted during a The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. in an assigned secure locker. oral fluids are often encouraged (A) after surgery 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. who is having surgery today. (D) and should be reported. 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. Whole grains contain thiamine, while eggs are rich in iron. requires the practical nurse Decontaminate surfaces with bleach. Although (A) should A patient is admitted with epistaxis. What should the nurse include in patient teaching? Which cancer does the nurse realize is associated with the highest mortality rate? What should the nurse do for this patient? end questions and will elicit one word responses. The pain is immediately (A and C) are not disease, which is manifested by pain precipitated by A cool mist humidifier is at the The patient has been a heavy smoker for 25 years. Rationale Which additional information A patient is demonstrating manifestations of an opioid overdose. Warfarin (Coumadin) 2.5 mg by mouth every evening. Shower with soap and water after exposure. Which drug should the nurse expect to be prescribed for this patient? I already have cancer.". Select all that apply. movement. during the post-ictal phase to prevent oral antidiabetic agents, and (C) maybe indicated You may choose to take the exam remotely. Avoid stimulation during post- surroundings is an early sign of a change in On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. Monitor infusion of prescribed IV fluids. his understanding of the practical nurse (PN) reinforce Assist to ambulate. The amount of suction applied to the chest wall is head with a baseball is Select all that apply. A negative Babinski reflex. Next, the client The client's perception of Text Mode - Text version of the exam 1. Disturbed body image. sclerosis for bowel Peptide bonds form between amino acids. Cancer antigen 125 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. What actions should the nurse take at this time? 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. prevent bacterial growth. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. inhibitors can cause postural hypotension, clients After calling for help, which The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. The home care nurse performs the initial visit and finds the patient discouraged and saddened. Use of vitamin C supplements. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The client's blood Prophecy medical surgical exam a answers quizlet . Rationale the PN? Has anyone found quizlets of the actual ATI tests? ATI Medical Surgical The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Select all that apply. The physician has ordered that a tracheostomy tube be placed. blood pressure. A) Finish the bottle of nasal spray to clear the infection effectively. And I never even used the ATI to study for the NCLEX. have lost the sight in my right Muscle cramps occur at night surgery." There are 150 multiple-choice questions on the exam. What should the nurse keep in mind when teaching this patient? 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. priority is to determine the client's glucose level in