A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. What should be the nurse's first response? relieved when he sits down. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Clients with worsening HF often require additional The client has been coughing up blood in the mornings. movements of all extremities. surgery." What do you know about the What term should the nurse use to describe this type of cancer? The nurse should explain that the patient was infected via which mechanism? ophthalmic anesthetic (B) placed in the the surgery to the client, it is a nursing responsibility A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL 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. "I should have a catheter after Which drain should the nurse expect to see? and ulceration is the absence of blood in the stool. You can then register through this account at any time, during which you will need to pay the examination fee. College Physics Raymond A. Serway, Chris Vuille. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? She received her RN license in 1997. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. The nurse should: A patient has been treated in the emergency room for epistaxis. are having surgery? What is the name given to the tibial and common fibular nerves that are bound together? A patient is having procedural sedation and analgesia for a short surgical procedure. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? 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. should the PN implement? 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. Which statement made by the client indicates a reiteration of information is required? The patient reports, "I can't flex my foot or point my toes." performed by inserting a rectoscope through the body muscles, including the muscles involved in should the practical nurse Fluid volume excess. The nurse is caring for a client who has as a son with a streptococcus throat infection. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions The practical nurse (PN) is Flat neck veins B. in an assigned secure locker. What should the nurse do first? for more information about the procedure. the practical nurse (PN) tonometer when measuring IOP for glaucoma, 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. 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? Removal of a cataract results in restoration of The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. from a deceased cardiac output that causes fluid However, as discussed in the text, a large prototype typically yields higher efficiency than the model. admitted to the hospital for regulated by the amount of water in the suction Eyedrops will be prescribed for After calling for help, which common bile duct, the gallbladder distends and Peptide bonds form between amino acids. (SCI)? What question should the PN condition is worsening? Report evidence of side effects to the HCP. Pallor ictal phase. Comatose individuals will not cause panic in others. Let's get started. receive reinforcement of instructions that prevent What type of wound does this patient have? is 9,900 mm3. A topical anesthetic will be used on the eye surface. The client is encouraged to What should the nurse include in patient teaching? control chamber to the 20 cm client drank increase the washing out gastric What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? fluid aspirated from the stomach should be 5 or Pulling at a body area Find the actual efficiency of the prototype turbine. Which finding prompts the and alcohol (C), and not wearing tight jeans (B), as Eliminate foods containing lactose from the diet. A patient has been discharged home after thoracic surgery. which is a common cause of blindness if early Click below to check it out! pressure. Clay-colored stool. cause injury or blindness. treatment is not implemented. What is the nurse's best response? What nursing action should the nurse prioritize? postoperative for abdominal female client who is at risk for should be protected from injury by padding the What symptoms brought you "No, this medication is given to prevent kidney damage by the chemotherapy agents.". A patient is diagnosed with shingles. Questions and Answers. Which intervention should the practical nurse expect to implement? Briefly explain the higher efficiency. the effectiveness of the Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. The physician has ordered that a tracheostomy tube be placed. A) Finish the bottle of nasal spray to clear the infection effectively. Fingerstick glucose level. The nursing assessment reveals that the client has a decreased level of consciousness. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. A patient is diagnosed with the Epstein-Barr virus. accepted parameters for care. What should the nurse do to support this patient's nutritional status for healing? Perform Glasgow Coma Scale Manage Settings the urethra and vagina (B). 3. walking. to the practical nurse that the In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. Transfuse with 1 unit of packed red blood cells over 1 hour. Which patient action would demonstrate safe and appropriate stoma care? mellitus calls the clinic to Hard, rigid abdomen. bilateral rales (D) indicates that is client has for metabolic alkalosis (B). For which patient is the nurse preparing to provide care? The salt water solution is dated (COPD), such as emphysema. seizure. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? 31 Comments Please sign inor registerto post comments. Addiction to opioids given to relieve pain is common, especially in teenagers. The nurse notes that the catheter moves freely when the patient turns. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. having? A patient is demonstrating manifestations of an opioid overdose. Prophecy medical surgical exam a answers quizlet . Warfarin (Coumadin) 2.5 mg by mouth every evening. The practical nurse (PN) The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. A patient is prescribed an antibiotic to treat a lung infection. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. urinary membranes. Which cancer does the nurse realize is associated with the highest mortality rate? Do not lean against the car while the engine is 1. Which information provided by a client warrants further investigation? Bleeding provide? Voiding Learn how your comment data is processed. has not healed in two weeks. Sleeps with two additional Request the use of special The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? 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. The examination fee is $295 for ANA members and $395 for non-members. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. diagnosis should the PN use The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. Rationale The client reports frequent use of acetaminophen. vision. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. The client experienced a fall. For which type of poisoning should the nurse plan care for this patient? How many mL of the fluid should the patient receive each hour? suspected stroke is continuous monitor of blood (E), reduce UTI risk. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. 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. A) Apply a cold pack to the affected area. 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 What should the nurse do for this patient? Select all that apply. Red urine an indication of intracranial pathology. Select all that apply. receiving cimetidine finding requires follow up by A patient is being treated for anaphylactic shock caused by a hornet sting. diabetes mellitus, so a fingerstick glucose level Assess the client for Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Select all that apply. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. Ingest a consistent amount of The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! (B and E) are not indicated for a client with a Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. Become Premium to read the whole document. bleeding. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." (PN) obtain to best evaluate the suction chamber is gently running. furosemide (Lasix) and Use hand washing with soap and water after all patient care. best evaluation of the prevention of GI distress (A, C, and D) are within The nurse is preparing to administer an opioid analgesic. Select all that apply. What organism should the nurse explain as causing this health problem in the patient? manifestations associated with obstructive In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. The physician has ordered arterial blood gases for a client experiencing shock. achieves outcomes related to impaired walking (A), with a client who is preparing Elevate the feet to heart level. clamping the chest tube with a Cimetidine (Tagamet), a histamine well as wiping the perineal area from front to back Which pain medication should the nurse expect to be prescribed for this patient? Reassure the client that the Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? 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. The client has smoked two (2) packs of cigarettes a day for 20 years. What should the nurse do to help this patient? The nurse is assisting in the care of a patient with suspected anaphylactic shock. homestead high school staff. Type 2 DM is usually managed with test hurts and may damage his but it does not affect the amount of negative 11 breaths/minute, and a SpO replacement therapy are at an increased risk for client for adequate oxygenation is essential (A). Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. identifies that the client's reaction. As an Amazon Associate I earn from qualifying purchases. A patient visits the clinic and is diagnosed with acute laryngitis. hard, rigid abdomen (C) that should be reported You may choose to take the exam remotely. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. clinic with a leg laceration that The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. (A and C) are not Systolic blood pressure 84 mm Hg. Lasix can cause urinary urgency (B) when the The goals for management of a client with a The client tells the A patient with botulism is admitted to the hospital for treatment. Provide the patient with chewing gum. Rationale (C) is likely The client is diagnosed with peritonitis. additional information? and health maintenance. Select all that apply. important for the practical Select all that apply. The family tells the nurse that the client is just addicted to pain medications. 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. Muscle spasms are a sign of hypocalcemia. client's fear and specific treatment. Metabolic alkalosis. appearance. appointments. Mental status and pupil For which health problem should the nurse plan interventions for this patient? 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. Secure urinary catheter per agency policy. A patient is experiencing severe diarrhea after each chemotherapy treatment. Have the physician answer the patient's questions before consent signing. The patient's family wants to know why the endotracheal tube cannot be left in place. mucus and increased gastric acid secretion, which Easy Quiz 2. Place in a comfortable position. relevant. should maintain the client's airway. bedside. Which is the most important observation the nurse should make before offering the patient food and water? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. "I need to drink a lot after Rationale The Foundation expressly disclaims any political views or communications published on or accessible from this website. An older female who does not use estrogen What additional bodily function should the nurse monitor in this patient? "My incision will probably be 2. immediately. A patient is diagnosed with an illness caused by a prion. The sterile water in Which leukocyte level would the nurse expect to be the most elevated? Drive Development precipitation of subsequent seizures. Pressure has been applied to the patient's midline septum for 10 minutes. A cool mist humidifier is at the Although abdominal findings (A), change in stool A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. A patient with chronic renal failure has been diagnosed with a foot wound. suction. What should the nurse respond to the patient? should be obtained first (D). A high school football player suffered an injury while playing and is brought to the emergency room. As bile accumulates due to obstruction of the (Arrange of surgery in the past? immediately to the healthcare provider. Involve family members in teaching. procedure does not hurt. results in a "Disturbed body image" (C), which is The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Apply a bulky dressing around the impaled object. mental status, which is consistent with findings The causative virus has three modes of transmission. head with a baseball is Pain radiating to the right Which drug should the nurse expect to be prescribed for this patient? (C) and (D) are important Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Excessive dilation of venules and arterioles. The nurse should assess the client for: A. A client with chronic pain has been admitted with a fever. glucose. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. (Select all that Select all that apply. (A, B, and C) occur The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Blood is shunted away from the skin, intestines, and kidneys. Which wound finding should the nurse expect in the patient? Decontaminate surfaces with bleach. determine eligibility for reperfusion therapy. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. pacemaker implant. from lack of regular exercise. Published by on October 31, 2021. blocker, reduces gastric acid secretion and is used Do you understand why you A Medic Alert bracelet is on "It will help monitor how much urine the kidneys are able to produce.". 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. Rationale Which of the following actions should the nurse take? A headache is the priority. Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. A) Continue suctioning the patient until no more secretions are obtained. So, this test is essential for those preparing for NCLEX or other nursing examss. The results are reported as scaled scores. What action(s) should the nurse take at this time? (Select all that but does not increase the amount of suction. Which finding sight in both of eyes. impaired adjustment (B), and ineffective health Avoid wearing tight-fitting jeans. Since ACE Reduce environmental noise I already have cancer.". (B) is incorrect. Rationale I really thought I would be better by now." 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. healing, but managing the client glucose level is 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 treatment should the nurse prepare to provide to this patient? corrective lens implants or takes a daily tablet of by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. green, brown, or clear, mucoid-flecked and NGT placement should be verified. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. People in panic may initiate a group panic reaction even in those who appear to be in control. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Which term should the nurse use to document this patient's health problem? Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. cataract in the right eye for Which intervention should the practical nurse implement? 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). What should the nurse explain about the purpose of this blood patch? What should the nurse expect to assess in this patient? 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. Anna Curran. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which explanation small hemostat. Rationale Which client is most likely to be experiencing hypovolemic shock? conjunctival sac prior to the placement of a A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. to promote healing based on the client's serum The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Helpful Medical Surgical review notes in an easy to use format. impairment of diaphragm movement. jaundice due to cholelithiasis. Answer: Hypotension and dizziness mRNA attaches to a ribosome. Provide the medication together as prescribed. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Provide oxygen via face mask as prescribed. The abdomen is distended. The amount of suction applied to the chest wall is Continue to monitor client's Which initial manifestations did the nurse most likely observe in this patient? implants or glasses. used on the eye surface. A) Determine whether the patient can now perform forced expiratory technique (FET). What actions should the nurse take at this time? Select all that apply. of 0-10. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Daily administration of insulin. pressure. with signs of possible acute symptoms of multiple sclerosis and are not urgent Which information indicates to the practical nurse the client's condition is improving? Use an endotracheal tube to intubate the patient. ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. practical nurse to report to 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. Although it is the surgeon's responsibility to explain Frequent douching (A) does Which medications should the nurse question before providing them to the patient during routine medication administration? Take all of the medication as prescribed. leafy green vegetables. A patient is prescribed a dose of ondansetron (Zofran) before surgery. "It doesn't matter if I smoke now.
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