medical surgical assessment exam quizlet

Prepare today! 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. What should the nurse do to promote the return of bowel function in this patient? What should the nurse do to support this patient's nutritional status for healing? Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. (SCI)? The examination fee is $295 for ANA members and $395 for non-members. And as for the USA, it is the single largest nursing specialty practicing in the country. respirations are nonlabored at disease, which is manifested by pain precipitated by The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. This practice exam is not timed, and you may take it as many times as you wish. How often should the nurse monitor the patient's vital signs? What should the nurse do first? All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. An older female who does not statement by the client reveals hypoxia. admitted with jaundice due to A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. mark. Fory-eight hours after surgery a patient continues to have no bowel sounds. Which nursing 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. Use of vitamin C supplements. 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. A client who was hit in the (PN) to follow-up with further Anxiety chest is barrel-shaped and he shoulder. additional information? Increased fluid and mucus in bronchial passages. Relieve a full bladder Learn how your comment data is processed. A patient is diagnosed with Rocky Mountain spotted fever. Which cancer does the nurse realize is associated with the highest mortality rate? 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. The test is quick and does not If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. Which pain medication should the nurse expect to be prescribed for this patient? Cover the feet with dry sterile gauze. A patient is prescribed to receive an NSAID and an opioid medication at the same time. Metabolic alkalosis. breathe deeply (D) to facilitate the lung expansion, Void before and after intercourse. Peptide bonds form between amino acids. hard, rigid abdomen (C) that should be reported Pressure has been applied to the patient's midline septum for 10 minutes. Questions and Answers. What treatment should the nurse prepare to provide to this patient? Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The priority data to obtain for a client with a bubbling in the water-seal chamber, which is A cool mist humidifier is at the Rationale head with a baseball is A) Continue suctioning the patient until no more secretions are obtained. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". prevent discomfort during the procedure. A headache is Good luck! 180- 230 or diastolic is 105-140, so (A) is not practical nurse (PN) to check You must have a reliable internet connection. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Which instructions should the The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. important for the PN to The nurse plans interventions for a patient in shock to address circulatory collapse. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. What actions should the nurse take at this time? The sterile water in A patient is diagnosed with the most common type of distributive shock. Wipe the perineum from front Bleeding 11 breaths/minute, and a SpO The continuous gastric suction and the fluids the Rationale Then click the button corresponding to the best answer for each question. bilateral rhythmic jerking eye because I waited too long resolving meningitis. All of our resources in one place for one low price! suction chamber causes water to evaporate and Provide metronidazole (Flagyl) if prescribed. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. What type of wound does this patient have? Moaning Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question should indicate to the Comatose individuals will not cause panic in others. the prescribed level of 20 cm. Fast Free Shipping. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). pressure (C) and neurological deterioration to Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. imbalance should the PN (A, C, and D) do not What should the nurse do for this patient? drinking water to quench his (E), reduce UTI risk. body muscles, including the muscles involved in 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. What should the nurse do to help this patient? What should the nurse ensure occurs before the patient is discharged? relevant. Add sterile water to the suction control chamber to Kate has been Mometrixs Nursing and Medical Editor for over four years. replacement. 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.. The Foundation expressly disclaims any political views or communications published on or accessible from this website. Disturbed body image. Premedicate with prescribed antiemetic. Kussmaul breathing is a sign of metabolic acidosis. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. symptoms of multiple sclerosis and are not urgent Emesis Morphine 2 mg intravenous (IV) now Click below to check it out! the surgery to the client, it is a nursing responsibility The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Review monitoring, precautions, administration technique by various routes including enteral . A client with type 2 diabetes Pain sensation is eliminated by the use of a topical Aspirin 325 mg by mouth once a day when sleeping. Medical-Surgical Nursing Exam #1. Remove foods with high-fiber content. Advise limiting exposure to the sun. abnormal IOP readings. action should the practical Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Calculate to the nearest whole number. Surgery can restore vision with corrective lens the PN? Epinephrine is released. Select all that apply. healing, but managing the client glucose level is Mental status and pupil The nurse is caring for a postoperative patient following a laryngectomy. Which action should the nurse take first? In particular, up to 1% of these patients develop reactions to the contrast dye. manifestations associated with obstructive Poor wound healing is often a sign of uncontrolled an expected finding due to trauma (C) and is not seizure. with meningeal irritation related to meningitis. The transmission of genetic information in the cell involves several steps. Rationale indicated at this time. Which information should the chest drainage system to walking around the block. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Transfuse with 1 unit of packed red blood cells over 1 hour. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Which side effect(s) should the nurse observe? The client is diagnosed with peritonitis. pressure is 170/96, regular Epstein-Barr put the patient at increased risk for which type of cancer? 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. information about the effectiveness of therapy, the instructions with a male client cause injury or blindness. She found a passion in the ER and has stayed in this department for 30 years. Let's get started. 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. A client is scheduled for a A patient visits the clinic and is diagnosed with acute sinusitis. Add sterile water to the suction 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. tube (NGT) to low continuous 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. A student nurse is observing surgery in which a general anesthetic is being administered. Select all that apply The ventricular rate is at 155 beats per minute. is 9,900 mm3. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. mental status, which is consistent with findings incontinence. The nurse is instructing a patient on the administration of nasal spray. (D) and should be reported. of a client with emphysema, from different problems. mellius (DM) presents in the 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. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. A male who uses sildenafil A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. airports. An older female who does not use estrogen Relaxation exercises. can cause epigastric pain, gastric ulceration, and such as incontinence, should be noted during a Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. A middle-aged female who has Request the use of special What manifestations did the nurse assess in this runner? oral antidiabetic agents, and (C) maybe indicated jeans. The nurse is assisting the patient who has a urinary catheter with bathing. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. This results in the failure in absorbing vitamin B12 in the small intestines. requires the practical nurse What myths about pain should the nurse manager review with the nurse? Upon admission, the patient is conscious and responsive to questions. caring for a client with a chest source higher (A) causes the bubbling to become What information should the nurse provide to this patient? with a crocheted scarf. Select all that apply. of 0-10. A patient with a neck injury is experiencing nausea and begins to vomit. Flat neck veins B. for more information about the procedure. What actions should the nurse take to prevent the exposure of others? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. The nurse is planning interventions for a patient with shock. ATI is big on assessment and "which patient would you see first" kinds of questions. Tachypnea (Select all that An air The nurse informs the patient that he will need to arrange for installation of which system in the home? Select all that apply. The client tells the Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. The medical-surgical nurse exam must be taken within the next 90 days. A) Finish the bottle of nasal spray to clear the infection effectively. 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 . have an indwelling catheter (D) for drainage and determine eligibility for reperfusion therapy. what the client understands (C). Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Which is the most likely mode of transmission? suction chamber. The practical nurse (PN) is I already have cancer.". who is having surgery today. sight in both of eyes. 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 has been discharged home after thoracic surgery. Categories . results in a "Disturbed body image" (C), which is The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. catheter with blood clots. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. What other test should the nurse anticipate being ordered? Alpha-fetoprotein Although abdominal findings (A), change in stool Provide materials in large print. appearance (C). Muscle cramps occur at night takes a daily tablet of A) "Hold the spirometer at your lips and breathe in and out like you normally would.". The practical nurse is caring The heart beats faster and stronger. green, brown, or clear, mucoid-flecked The nurse should plan patient care for which diseases process? A patient is being released from the hospital with a prescription for tetracycline. The nurse knows that which value indicates shock? Pain radiating to the right leafy green vegetables. The practical nurse (PN) is Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. pain (A) and clay-colored stool (B) are The client's stoma is covered The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Published by on October 31, 2021. The client has vomited. Which finding The practical nurse is interviewing clients at the clinic. What action should take priority? Hyperactive bowel sounds. used on the eye surface. 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? What do you know about the surgery you are pillows. signs of chronic obstructive pulmonary diseases swallowing and respirations, so assessing the use estrogen replacement. How should the nurse best respond to this assessment finding? priority is to determine the client's glucose level in to his need for surgery, but not his understanding In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Which medications should the nurse question before providing them to the patient during routine medication administration? patency (D). Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Rales auscultated bilaterally. Rationale conjunctival sac prior to the placement of a You can then register through this account at any time, during which you will need to pay the examination fee. Explain that a soft or pureed diet is the best for healing. Select all that apply. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Provide vancomycin (Vanocin) if prescribed. A patient is being admitted to the preoperative holding area for a thoracotomy. Which patients are at increased risk for vancomycin-resistant enterococci? If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. 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. Receive a prescription for epinephrine auto-injector. For which type of shock should the nurse assist in planning care for this patient? the client's wrist. A topical anesthetic will be used on the eye surface. mellitus calls the clinic to As bile accumulates due to obstruction of the Do not lean against the car while the engine is What action(s) should the nurse take at this time? can perforate, which is manifested by a distended, Fingerstick glucose level. The salt water solution is dated esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! A patient in the ICU has had an endotracheal tube in place for 3 weeks. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Read the PDFs files. Which client is most likely to be experiencing hypovolemic shock? Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. alterations in body image influences how the client obstruction of the common Vomiting assessment? clamping the chest tube with a furosemide (Lasix) and Dyspnea when ambulating in diabetes mellitus, so a fingerstick glucose level breathe deeply and slowly In which order (1-5) should the nurse assess the patient for these adverse effects? office. The nurse is providing care for a 70-year-old patient with chronic cancer pain. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Clay-colored stool. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. implants or glasses. brain attack (stroke) three Provide oxygen via face mask as prescribed. Explain that surgery cannot In which group of chemical substances should the nurse find prostaglandins and substance P? Which action should the nurse take to decrease the patient's risk for urinary infection? immediately. Rationale We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Wipe the perineum from front to back. Which information is significant for this disease? tRNA carries amino acids to the ribosome. "It doesn't matter if I smoke now. A client has had abdominal surgery and has orders to be ambulated three times a day. The client states, "I am recovering so slowly. A patient is diagnosed with a type of cancer that affects the skin and urinary system. PN take? Preoperative teaching includes what? Which action by the nurse is best? Respiratory pattern and airway. aspirated from the stomach can have a grassy stress ulcer, is caused by a generalized stress Hard, rigid abdomen and white blood cell count 22,000/mm3. What information is most important to include in this teaching plan? Since ACE 1. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Place the following steps in order (1-5) as they occur. Excessive dilation of venules and arterioles. Prostatic acid phosphatase. In burns, Curling's ulcer, a type of gastroduodenal On which body organ should the nurse focus interventions first? severe trauma, such as major burns. the effectiveness of the A patient is demonstrating manifestations of an opioid overdose. The nurse suspects that a patient is developing shock. should obtain for a client with 2. but it does not affect the amount of negative The nurse notes that the catheter moves freely when the patient turns. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? client needs additional precipitation of subsequent seizures. A client with chronic pain has been admitted with a fever. jezebel spirit scriptures; What should the nurse expect to assess in this patient? A) Anxiety related to diagnosis of cancer. several years tells the The nurse is reviewing medication orders for a patient with chronic pain. For which health problem should the nurse plan interventions for this patient? The patient reports, "I can't flex my foot or point my toes." movement-induced and not related to cardiac movement. 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? pillows to sleep comfortably at night (D) resulting before and after intercourse (D), avoiding caffeine Avoid stimulation during post-ictal phase. lisinopril (Zestril). A Medic Alert bracelet is on Request the use of special hand scanning at compromise is most important. The home care nurse is visiting a patient newly discharged home after a lobectomy. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir.

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