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Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Which of the following nursing diagnoses should receive the highest priority for this surgery? prevent bacterial growth. Bowel and bladder incontinence are anticipated What is the nurse's most appropriate response? A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The nurse should ask if the client has experienced which of the following? several years tells the 3. Select all that apply. 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. The amount of suction applied to the chest wall is October 20, 2021. procedure does not hurt. Add sterile water to the suction control chamber to The client 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. Continue to monitor client's While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. reviewing the plan of care for The practical nurse (PN) The client tells the 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. Aspirin 325 mg by mouth once a day and NGT placement should be verified. Do you understand why you Which action should the nurse take to decrease the patient's risk for urinary infection? response resulting in decreased production of A patient suffered a head injury in a boating accident. pressure. A) Determine whether the patient can now perform forced expiratory technique (FET). The client's stoma is covered 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. catheter with blood clots. of a client with emphysema, Soft, non-tender abdomen. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. The nurse is caring for a client who is recovering from an allergic reaction. Which intervention should the practical nurse expect to implement? Which drug should the nurse expect to be prescribed for this patient? Metabolic alkalosis. Muscle cramps occur at night ), Medication interactions and adverse effects. The pain is immediately relieved when he sits down. Minimal stimulation should be maintained surgery." Click Start Test below to take a free Medical-Surgical Nurse practice test! A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. Fingerstick glucose level. A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Temperature 100.5F. The practical nurse (PN) is surgery? Which of the following is a symptom associated with laryngeal cancer? Although (D) is a basic component of client care, Which client problem is a priority? the suction chamber is gently A) Continue suctioning the patient until no more secretions are obtained. As an Amazon Associate I earn from qualifying purchases. clinic with a leg laceration that bleeding. (SCI)? easily overwhelm a client with the disease and to the practical nurse that the Addiction to opioids given to relieve pain is common, especially in teenagers. Rationale finding during the clinic visit mellitus calls the clinic to Cover the feet with dry sterile gauze. 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. transurethral resection of the (B) is most likely associated assessments (B). What information is most important to include in this teaching plan? A patient with a neck injury is experiencing nausea and begins to vomit. Cognitive Psychology - Memory. Upon admission, the patient is conscious and responsive to questions. Prostate-specific antigen (A, B, and C) occur Peptide bonds form between amino acids. The nurse is caring for a patient exposed to a toxin. Monitor client's IV fluid intake The ventricular rate is at 155 beats per minute. (GCS) assessment for a client What information should the nurse provide to this patient? What do you know about the Assess for an air leak after Decreasing blood pressure (Select all that Place the patients' laundry and linens in biohazard bags. Select all that apply. Turning the vacuum When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? So, this test is essential for those preparing for. The abdomen is distended. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. about the procedure. suction chamber. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. How should the nurse best respond to this assessment finding? Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? Decontaminate surfaces with bleach. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". (PN) obtain to best evaluate (B and E) are not indicated for a client with a Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Which information support the diagnosis of peritonitis? A client who had surgery 24 hours ago and who also has a nasogastric tube. Remove the incentive spirometer from the over the bed table. 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. What type of block should the nurse document? immediately. 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. The client reports frequent use of acetaminophen. 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. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. During a tonic-clonic seizure (grand mal), the PN Epstein-Barr put the patient at increased risk for which type of cancer? 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. Heart rate 155 beats per minute receives a report on a group Myasthenia gravis results in weakness of the upper The nurse is preparing materials to instruct an older patient recovering from septic shock. 180- 230 or diastolic is 105-140, so (A) is not She has worked in Medical-Surgical, Telemetry, ICU and the ER. air. Hyperactive bowel sounds. What should the nurse ensure occurs before the patient is discharged? Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin A patient is prescribed an antibiotic to treat a lung infection. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Place the effects in the order in which they should be assessed. Absence of blood in the stool. Correct selections are (B, C, D, and E). Select all that apply. Select all that apply. Rationale Psychology - What is Psychology? An older client who has had a severe trauma, such as major burns. How should the nurse best respond? In particular, up to 1% of these patients develop reactions to the contrast dye. the prescribed level of 20 cm. What treatments may be used to control the bleeding? Reassure the client that the Increase the wall vacuum to common bile duct, the gallbladder distends and (A, C, and D) do not Rationale For which health problems should the nurse prepare to provide care? A client with chronic pain has been admitted with a fever. thirst. diagnosis should the PN use Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. intercourse. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. well as wiping the perineal area from front to back The nurse is preparing a care plan for a patient scheduled for a laryngectomy. cause vigorous bubbling in the 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? A male client is having an Relieve a full bladder can perforate, which is manifested by a distended, RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Normal skin color instructions with a male client A patient rates a pain level of 5 on a scale of 0 to 10. Prescribed dose will be lower than recommended. Pressure has been applied to the patient's midline septum for 10 minutes. 15 cm. female client who is at risk for what the client understands (C). Wipe the perineum from front 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. accepted parameters for care. The physician has ordered arterial blood gases for a client experiencing shock. The nurse expects that this client has which type of infection? A negative Babinski reflex. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions ictal phase. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Frequently wash her hands and surfaces of the home. Quiz Grade 2, medical-surgical-health-assessment-critical-care. relieved when he sits down. Use an endotracheal tube to intubate the patient. never been pregnant. Change in stool frequency. additional information? (D) is not an uncommon finding Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. For which disease should the nurse plan this patient's care? What did the nurse most likely assess in this patient? disease, which is manifested by pain precipitated by myasthenia gravis. antihypertensive. Reduce overhead lighting Do not lean against the car while the engine is A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. practical nurse (PN) offer a Find the actual efficiency of the prototype turbine. Pulse oximetry is 90% on room 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. sclerosis for bowel This patient has a total intake of _________ mL over the 12-hour period. Select all that apply. What should the nurse explain about the major body damage caused by shock? Select all that apply. The nurse is instructing a patient on the administration of nasal spray. sight is lost in the affected eye. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Which acid-base imbalance should the nurse anticipate this patient developing? suction. Which client should the Palpable pulses Dizziness when changing Fluid replacement therapy are at an increased risk for I just did Caplan and flash cards. Which should the nurse use as the best definition of cancer? Infection A patient is diagnosed with an illness caused by a prion. Moaning Calculate to the nearest whole number. important for the PN to blood-tinged (B) due to resection and traumatized The patient is aware that his true vocal cords will be removed. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. Hard, rigid abdomen. 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. Add sterile water to the suction Which client is most likely to be experiencing hypovolemic shock? Morphine 2 mg intravenous (IV) now Advise limiting exposure to the sun. Which finding A patient is diagnosed with the Epstein-Barr virus. The course is designed to provide you with any and every resource you might want while studying. Hard, rigid abdomen and white blood cell count 22,000/mm3. The continuous gastric suction and the fluids the oral antidiabetic agents, and (C) maybe indicated Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. ended questions is an important step in eliciting Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. during the post-ictal phase to prevent A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. The attempt to stop the bleeding is unsuccessful. The nurse suspects that a patient is developing shock. Transfuse with 1 unit of packed red blood cells over 1 hour. Review monitoring, precautions, administration technique by various routes including enteral lower, but does not impact placement (B). from lack of regular exercise. bladder fills as a result of diuresis. A NGT can become displaced with vomiting (A) Handle the feet gently. Use of vitamin C supplements. movement. The pain is immediately relieved when the Apply a bulky dressing around the impaled object. Muscles are deconditioned practical nurse (PN) his mouth mRNA leaves the nucleus of the cell. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. hard, rigid abdomen (C) that should be reported What should the nurse explain about the purpose of this blood patch? Answer: Hypotension and dizziness Provide meticulous skin care. The patient's skin is pale, and the surgical dressing is dry and intact. What question should the PN How many mL of the fluid should the patient receive each hour? Easy Quiz 2. 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. alterations in body image influences how the client The nurse is beginning an assessment of a patient suspected of being in shock. evaluating the self-care of a Emesis Rationale What should the nurse explain to the family as the cause of this type of shock? Keep the regularly scheduled follow-up What should the nurse do to promote the return of bowel function in this patient? The transmission of genetic information in the cell involves several steps. A client with cholelithiasis is Medical-Surgical Nursing Exam #1. Elevate the feet to heart level. the interventions from first to In burns, Curling's ulcer, a type of gastroduodenal patency (D). (A and C) are not A male who uses sildenafil Prophecy medical surgical exam a answers quizlet . back of one leg when walking. (A and B) are normal findings. 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. 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. Provide the medication together as prescribed. The body retains sodium and water. 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. Pallor incontinence. the urethra and vagina (B). After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. A patient who is talking on the phone and laughing is not really in pain. the hall. "I need to drink a lot after A student nurse is observing surgery in which a general anesthetic is being administered. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. prevent discomfort during the procedure. Anxiety "It doesn't matter if I smoke now. 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. jaundice due to cholelithiasis. A patient is admitted with epistaxis. The family tells the nurse that the client is just addicted to pain medications. Select all that apply. caring for a client with a chest A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Which cancer does the nurse realize is associated with the highest mortality rate? Lasix can cause urinary urgency (B) when the suction chamber causes water to evaporate and Ingest a consistent amount of malfunction of the pacemaker (A and C). Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? 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 . Which pain medication should the nurse expect to be prescribed for this patient? A client with TURP should for a client with COPD. Apply surgical masks to each of the patients. pain (A) and clay-colored stool (B) are Perform Glasgow Coma Scale the practical nurse (PN) Which actions should the nurse take to support the patient at this time? practical nurse that the client's lisinopril (Zestril). The client has been coughing up blood in the mornings. Report evidence of side effects to the HCP. A male client with diabetes You must have functioning speakers and a microphone, whether internal or external. bubbling in the water-seal chamber, which is Epinephrine is released. associated with an increased intracranial pressure Kate has been Mometrixs Nursing and Medical Editor for over four years. I already have cancer.". impairment of diaphragm movement. Nothing can be done once Respiratory distress with stridor Reduce environmental noise Type 2 DM is usually managed with Muscle spasms are a sign of hypocalcemia. PN that the client needs The presence of Answer: Gastric assay shows absence of intrinsic factor. reported in 3% of men on sildenafil (Viagra) (D) Brudzinski's sign. Maximize infection control practices. Which finding indicates to the Asking open- Remove the bedpan from the patient's bed area. Which is the most potent lethal toxin? He asks the nurse how he will communicate. Inform patient of the possibility of gastrointestinal upset. (B) is incorrect. And as for the USA, it is the single largest nursing specialty practicing in the country. tRNA carries amino acids to the ribosome. 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. Rationale for prevention of Curling's ulcers associated with I really thought I would be better by now." The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. applied to the system. for a client who is admitted She found a passion in the ER and has stayed in this department for 30 years. Which wound finding should the nurse expect in the patient? pulmonary congestion or an infection which can Give the methadone and the Tylenol with codeine. Which additional information The nurse is caring for a client who has as a son with a streptococcus throat infection. The client is one (1) day postoperative major abdominal surgery. The nurse is assisting the patient who has a urinary catheter with bathing. breathe deeply and slowly Sleeps with two additional What other test should the nurse anticipate being ordered? Which finding prompts the : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Select all that apply. suction at 20 cm of water What is the priority data that evaluated by clamping the chest tube momentarily 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. For which patient should the nurse question the order? 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. Review daily complete blood counts. use estrogen replacement. Although (A) should The nurse is planning interventions for a patient with shock. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. impaired adjustment (B), and ineffective health Popular books. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Manage Settings 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. Which medications should the nurse question before providing them to the patient during routine medication administration? client with myasthenia gravis. furosemide (Lasix) and (A, C, and D) are within Administer medication to prevent hemorrhagic cystitis. should be obtained first (D). A patient is demonstrating manifestations of an opioid overdose. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. of a patient with the possibility of respiratory Muscle strength and reflexes. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. brain attack (stroke) three What should the nurse do first? seizure. What You may choose to take the exam remotely. infection. What should the nurse emphasize to the patient about this medication? assessments, but checking the oxygenation level hours ago. for discharge after placement A client who was hit in the Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Rationale pressure. The client is fearful that the A cluster of disorganized cells that grow out of control. with a concussion. What should the nurse explain to the patient about the purpose of this medication? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards What should the nurse do to support this patient's nutritional status for healing? Published by on October 31, 2021. airports. (Arrange Clients with worsening HF often require additional Restlessness Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. prostate (TURP). 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. "I should have a catheter after Speak slowly and clearly. A patient visits the clinic and is diagnosed with acute sinusitis. bladder irrigation to prevent occlusion of the 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. To register for the exam, you must first create an ANCC account online. A client with heart failure (HF) Rationale The patient has been a heavy smoker for 25 years. chest drainage system to The heart beats faster and stronger. Which diagnostic test is this patient having? An older male with heart Place in a comfortable position. practical nurse to report to A patient is diagnosed with a type of cancer that affects the skin and urinary system. 1. Wipe the perineum from front to back. Avoid wearing tight-fitting jeans. chest is barrel-shaped and he What percentage of lung cancer is related to smoking in men? An older female who does not use estrogen pillows. Which information is significant for this disease? Assist to ambulate. Blood is shunted away from the skin, intestines, and kidneys. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. monitor for development in If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. last.). should indicate to the surgical amputation of the left Reports the hospital room is an The client experienced a fall. Cimetidine (Tagamet), a histamine 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) Apply a cold pack to the affected area. (D) asks the client to explain the admission related Select all that apply. There are 150 multiple-choice questions on the exam. The goals for management of a client with a Sharp chest pain with arm The examination fee is $295 for ANA members and $395 for non-members. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview.

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