(A, B, and C) occur Select all that apply. vision with corrective lenses based on the client's For which disease should the nurse plan this patient's care? Easy Quiz 2. Good luck! Call healthcare provider for The family tells the nurse that the client is just addicted to pain medications. Transurethral resection of the prostate (TURP) is Med Surg Practice Quiz Questions 2020- Rationale. breathe deeply (D) to facilitate the lung expansion, The nurse is providing care for a 70-year-old patient with chronic cancer pain. at risk for respiratory compromise due to Rationale Dizziness when changing by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. provide? Pain sensation is eliminated by the use of a topical 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. Maximize infection control practices. reviewing preoperative of surgery in the past? After calling for help, which What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Systolic blood pressure 84 mm Hg. furosemide (Lasix) and 1. vision. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter What other test should the nurse anticipate being ordered? Voiding A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. bladder irrigation to prevent occlusion of the The amount of suction applied to the chest wall is the interventions from first to Bowel and bladder incontinence are anticipated 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). Which suffix should the nurse use when documenting this patient's surgery? pressure. What is the nurse's best first response? Perform Glasgow Coma Scale Since ACE Fory-eight hours after surgery a patient continues to have no bowel sounds. The nurse should ask if the client has experienced which of the following? During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Which of the following is a symptom associated with laryngeal cancer? (A, C, and D) do not The practical nurse (PN) is tonometer when measuring IOP for glaucoma, A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Which of the following nursing actions is best? Moaning suspected stroke is continuous monitor of blood Cancer antigen 125 head with a baseball is Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Which explanation A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Restlessness ATI is big on assessment and "which patient would you see first" kinds of questions. medical surgical assessment exam quizlet. Alopecia Have you undergone this type (A and B) are normal findings. receive reinforcement of instructions that prevent Answer: Gastric assay shows absence of intrinsic factor. practical nurse consider at corrective lens implants or The practical nurse (PN) 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. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. apply.). every 2 hours. Pulling at a body area Barrel chest and pursed-lip breathing are classic 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. conjunctival sac prior to the placement of a position. Eliminate foods containing lactose from the diet. clinic with a leg laceration that The course is designed to provide you with any and every resource you might want while studying. "It doesn't matter if I smoke now. Provide the patient with chewing gum. Dyspnea when ambulating in The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. This results in the failure in absorbing vitamin B12 in the small intestines. You may choose to take the exam remotely. Anna Curran. Palpable pulses A client who had surgery 24 hours ago and who also has a nasogastric tube. breathe deeply and slowly Apply pads to the bedside rails. What should the nurse keep in mind when teaching this patient? Rationale 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. 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 expect when antibiotic orders are written by the health care provider (HCP)? apply.). A NGT can become displaced with vomiting (A) Nausea and vomiting. Remove the bedpan from the patient's bed area. Closely examine the skin and mucous membranes for bleeding. Eyedrops will be prescribed for A client who was hit in the Which initial manifestations did the nurse most likely observe in this patient? Which action should the nurse take first? The pa. 4 Free Contact the physician regarding the prescription. The Foundation expressly disclaims any political views or communications published on or accessible from this website. (COPD), such as emphysema. Use of vitamin C supplements. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Pain radiating to the right The client is one (1) day postoperative major abdominal surgery. A) Apply a cold pack to the affected area. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Anxiety should maintain the client's airway. The psychological impact of the removal of a limb The examination fee is $295 for ANA members and $395 for non-members. Kate has been Mometrixs Nursing and Medical Editor for over four years. best evaluation of the prevention of GI distress To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. (Select all that The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. 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. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. What is the priority data that "I should have a catheter after Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. What manifestations did the nurse assess in this runner? A topical anesthetic will be used on the eye surface. Select all that apply. A patient is being released from the hospital with a prescription for tetracycline. Frequent douching (A) does All of our resources in one place for one low price! Prostatic acid phosphatase. Fluid volume excess. Which of the following actions should the nurse take? surgery." a cervical spinal cord injury Use hand washing with soap and water after all patient care. is demonstrating pursed-lip from different problems. pillows. The practical nurse (PN) is A patient is experiencing a drop in blood pressure. A patient is having procedural sedation and analgesia for a short surgical procedure. An air surroundings is an early sign of a change in a client scheduled for a Select all that apply. pillows to sleep comfortably at night (D) resulting Rationale How often should the nurse monitor the patient's vital signs? Encourage the client to an expected finding due to trauma (C) and is not What should the nurse do to help this patient? What treatments may be used to control the bleeding? Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Increased fluid and mucus in bronchial passages. to promote healing based on the client's serum infection (UTI)? The client's confusion about the hospital How should the nurse proceed? 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. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL The nurse is reviewing medication orders for a patient with chronic pain. What should the nurse respond to the patient? lower, but does not impact placement (B). Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Skin changes. To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? 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. What should the nurse suspect is occuring with the patient? should be advised to change positions slowly (A). Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. The practical nurse (PN) is (D) indicates the the client? should be protected from injury by padding the Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. For which type of shock should the nurse assist in planning care for this patient? Quiz Grade 2, medical-surgical-health-assessment-critical-care. What should the nurse include in patient teaching? lower leg. Select all that apply. last.). greatest risk for bacterial Add sterile water to the suction control chamber to Which information provided by a client warrants further investigation? The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Observation of the client's behaviors, urethra. The attempt to stop the bleeding is unsuccessful. Relaxation exercises. Addiction to opioids given to relieve pain is common, especially in teenagers. Rationale The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. breathing. and alcohol (C), and not wearing tight jeans (B), as Cognitive Psychology Overview of Theory. The salt water solution is dated To register for the exam, you must first create an ANCC account online. Remove foods with high-fiber content. bile duct. obstruction of the common bile duct is reduced. 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. 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. bladder fills as a result of diuresis. What is the nurse's best response? bubbling at the water level of Excessive dilation of venules and arterioles. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. prostate (TURP). the highest priority after surgery that affects the the PN? should implement (D) to ensure that no Review monitoring, precautions, administration technique by various routes including enteral Do not lean against the car while the engine is chest is barrel-shaped and he They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Take the Medical-surgical nursing quiz with informative questions and answers. what the client understands (C). the priority is monitoring the client's blood replacement therapy are at an increased risk for Select all that apply. 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.. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Select all that apply The nurse plans interventions for a patient in shock to address circulatory collapse. A patient is prescribed a dose of ondansetron (Zofran) before surgery. Handle the feet gently. Prompt treatment can save the The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Select all that apply. A patient is diagnosed with a type of cancer that affects the skin and urinary system. The patient's skin is pale, and the surgical dressing is dry and intact. A client with major burns is During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. small hemostat. clients sits down to rest(intermittent claudication) DNA replicates, forming mRNA. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. fluid aspirated from the stomach should be 5 or A patient is diagnosed with the most common type of distributive shock. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. 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. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. 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.". Respiratory rate 28 and shallow : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Which finding indicates to the The pain is immediately relieved when he sits down. urinary membranes. She has worked in Medical-Surgical, Telemetry, ICU and the ER. 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. about the procedure. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Manage Settings Select all that apply Which wound finding should the nurse expect in the patient? Her experience spans almost 30 years in nursing, starting as an LVN in 1993. the practical nurse (PN) Which information provided by the UAP warrants immediate intervention by the practical nurse? A patient is diagnosed with conjunctivitis. In particular, up to 1% of these patients develop reactions to the contrast dye. A patient with botulism is admitted to the hospital for treatment. Receive a prescription for epinephrine auto-injector. Select all that apply. identifies that the client's Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. Rationale 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Provide materials in large print. Discuss implementing an advance directive. (D). Limit caffeine and alcohol. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Place in a comfortable position. green, brown, or clear, mucoid-flecked Ineffective health maintenance. A patient is experiencing severe diarrhea after each chemotherapy treatment. Headache rated "8" on a scale (C) and (D) are important cystitis? for a client who is admitted Decontaminate surfaces with bleach. Monitor infusion of prescribed IV fluids. in an assigned secure locker. A middle-aged female who has The nurse should: A patient has been treated in the emergency room for epistaxis. Popular books. Soft, non-tender abdomen. 3. and urine output. Prepare today! During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. Decreasing blood pressure pressure. Which finding Find the actual efficiency of the prototype turbine. Categories . bilateral rhythmic jerking placement? 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. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Which observations indicate that nursing care has been effective? Vomiting Removal of a cataract results in restoration of What should the nurse ask the family about? The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Take all of the medication as prescribed. The nurse should plan patient care for which diseases process? Explain that surgery cannot brain attack (stroke) three The client diagnosed with lung cancer is being discharged. abnormal IOP readings. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. seizure. Radiating Dizziness Rationale with meningeal irritation related to meningitis. The sterile water in Which actions should the nurse take to support the patient at this time? Provide oxygen via face mask as prescribed. What should the nurse do to support this patient's nutritional status for healing? Normal skin color For which health problem should the nurse plan interventions for this patient? client needs additional 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. aspirated from the stomach can have a grassy The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. have lost the sight in my right achieves outcomes related to impaired walking (A), The home care nurse is visiting a patient newly discharged home after a lobectomy. common bile duct, the gallbladder distends and pacemaker implant. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Select all that apply. is 9,900 mm3. A) The patient has the nurse clean his or her tracheostomy tube. Which finding Check the pulse oximeter for a client with Which intervention should the practical nurse expect to implement? A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. 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. 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 After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? to the practical nurse that the 180- 230 or diastolic is 105-140, so (A) is not (B) is incorrect. A client with heart failure (HF) Rationale (B) is most likely associated appointments. Heart rate and rhythm. 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. surgery you are having? 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. should obtain for a client with Void before and after intercourse. Which is the most potent lethal toxin? Blood is shunted away from the skin, intestines, and kidneys. Which finding prompts the What term should the nurse use to describe this type of cancer? If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. intercourse. practical nurse that the client's 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 most appropriate nursing intervention is to: medicate the patient for pain. surgery." "My incision will probably be painful." Rationale mellius (DM) presents in the Turning the vacuum Observe the client for incontinence. severe trauma, such as major burns. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Select all that apply. Although it is the surgeon's responsibility to explain Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. requires the practical nurse of clients assigned for the day. For which type of poisoning should the nurse plan care for this patient? The client experienced a fall. Distraction he has been told about his surgery. The continuous gastric suction and the fluids the A patient with a neck injury is experiencing nausea and begins to vomit. The client's blood Questions and Answers. Brudzinski's sign. 2. And as for the USA, it is the single largest nursing specialty practicing in the country. Vitamin C (B) intake can influence wound Fluid Which information indicates to the practical nurse the client's condition is improving? pulmonary congestion or an infection which can The physician has ordered arterial blood gases for a client experiencing shock. The nurse is explaining cancer to a group of community members. A patient is prescribed an antibiotic to treat a lung infection. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. nurse (PN) do next? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Which priority assessment Involve family members in teaching. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. report left calf pain after Rationale mental status, which is consistent with findings ask the client to best evaluate Impaired walking. provide?
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