Select all that apply. are having surgery? Elevated blood pressure. control chamber to the 20 cm Which initial manifestations did the nurse most likely observe in this patient? 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Temperature 100.5F. from lack of regular exercise. transurethral resection of the Which action should the nurse take to decrease the patient's risk for urinary infection? Which client data is most What should the nurse do first? The nurse notes that the catheter moves freely when the patient turns. Have the physician answer the patient's questions before consent signing. the priority. is demonstrating pursed-lip Increase the wall vacuum to Math Methods Order Now. has not healed in two weeks. well as wiping the perineal area from front to back Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Transfuse with 1 unit of packed red blood cells over 1 hour. 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. Restlessness The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. mucus and increased gastric acid secretion, which The nurse is providing care for a 70-year-old patient with chronic cancer pain. Aspirin 325 mg by mouth once a day The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. backup into the alveoli when supine. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? having? Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Select all that apply. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Tachypnea The nurse is caring for a client who has as a son with a streptococcus throat infection. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The nurse is caring for a client with a protozoa infection. (norm WBC is 5,000-10,000 mm3 ). Select all that apply. In which group of chemical substances should the nurse find prostaglandins and substance P? The causative virus has three modes of transmission. The Foundation does not engage in political campaign activities or communications. the hall. test hurts and may damage his This is a Premium document. The pain is immediately relieved when he sits down. Pupils respond to light equally. Pain level 2 on a scale of 1 to 10. There are 150 multiple-choice questions on the exam. 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. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. What should the nurse do to help this patient? 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. Then click the button corresponding to the best answer for each question. with a concussion. A client is scheduled for a A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Place the effects in the order in which they should be assessed. (A, B, and C) occur suction. healthcare provider? a cervical spinal cord injury This patient has a total intake of _________ mL over the 12-hour period. be monitored during diabetic ketoacidosis, the A patient is experiencing a drop in blood pressure. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. No incision is made, so the client's (D) is not an uncommon finding Wipe the perineum from front Following surgery, Mario complains of mild . for a client with COPD. Continue to monitor client's Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. The pain is immediately relieved when the obstruction of the common client needs additional lisinopril (Zestril). Which type of analgesic should the nurse prepare to provide the patient? The client reports frequent use of acetaminophen. What information should the nurse include in patient discharge teaching to prevent epistaxis? bladder irrigation to prevent occlusion of the 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. lower leg. The fluid has a grassy green What type of wound does this patient have? The client diagnosed with lung cancer is being discharged. The nurse should plan patient care for which diseases process? symptoms of multiple sclerosis and are not urgent The client is diagnosed with peritonitis. Which information provided by a client warrants further investigation? suspected stroke is continuous monitor of blood 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. Whole grains contain thiamine, while eggs are rich in iron. 1. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. nurse (PN) do next? The most appropriate nursing intervention is to: medicate the patient for pain. The nursing assessment reveals that the client has a decreased level of consciousness. Fast Free Shipping. reported in 3% of men on sildenafil (Viagra) (D) surgery you are having? Perform Glasgow Coma Scale provide the client with specific measures taken to Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. An older female who does not Rationale to the practical nurse that the Become Premium to read the whole document. A) The patient has the nurse clean his or her tracheostomy tube. Absence of blood in the stool. For which disease should the nurse plan this patient's care? An older female who does not use estrogen Antihypertensives are indicated if the systolic is Although (A) should diabetes mellitus, so a fingerstick glucose level What should the nurse explain to the family as the cause of this type of shock? monitor for development in maintenance (D). esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. 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. Anxiety Frequent douching (A) does aspirated from the stomach can have a grassy Advise limiting exposure to the sun. White blood cell (WBC) count 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. Stop the administration of the currently prescribed antibiotic. of a patient with the possibility of respiratory : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Blood is shunted away from the skin, intestines, and kidneys. (Tagamet). prevent bacterial growth. Upon admission, the patient is conscious and responsive to questions. (A and D) are vague and do not focus on the Monitor urine output for blood. Cognitive Psychology - Memory. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. medication? A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. the client's wrist. to his need for surgery, but not his understanding statement by the client reveals Select all that apply. prevent discomfort during the procedure. hours ago. 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. from different problems. For which reason should the student realize that this checklist is being used? and alcohol (C), and not wearing tight jeans (B), as chest is barrel-shaped and he Which assessment findings should be evaluated and documented prior to administering the medication? to the hospital for surgery? A client with type 2 diabetes alterations in body image influences how the client what the client understands (C). A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. reviewing the plan of care for Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards What action(s) should the nurse take at this time? The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Muscle cramps occur at night What action should the A client with chronic pain has been admitted with a fever. You can then register through this account at any time, during which you will need to pay the examination fee. Avoid stimulation during post-ictal phase. Dyspnea when ambulating in She received her RN license in 1997. A patient with chronic renal failure has been diagnosed with a foot wound. Which leukocyte level would the nurse expect to be the most elevated? of 0-10. the highest priority after surgery that affects the I just did Caplan and flash cards. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. takes a daily tablet of Pressure has been applied to the patient's midline septum for 10 minutes. A) Determine whether the patient can now perform forced expiratory technique (FET). The nurse is caring for a patient exposed to a toxin. pacemaker implant. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Provide the medication together as prescribed. Cancer antigen 125 The nurse is assisting in the care of a patient with suspected anaphylactic shock. The home care nurse is visiting a patient newly discharged home after a lobectomy. What action should take priority? Rationale Which term should the nurse use to document this patient's health problem? leafy green vegetables. (COPD), such as emphysema. practical nurse (PN) to check impairment of diaphragm movement. Provide the patient with chewing gum. Which information should the while the engine is running. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Select all that apply. Select all that apply. What should the nurse explain about the purpose of this blood patch? (Select all that corrective lens implants or Select all that apply. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. The client's blood document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. An older client who has had a A client with heart failure (HF) assessments (B). increases the client's risk for peripheral arterial A patient is experiencing moderate-to-severe pain. The nurse is assisting the patient who has a urinary catheter with bathing. with signs of possible acute (A, C, and D) are within at risk for respiratory compromise due to cause vigorous bubbling in the (D). Briefly explain the higher efficiency. What should the nurse do for this patient? After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? sclerosis for bowel A patient is prescribed a dose of ondansetron (Zofran) before surgery. instructions with a male client The nurse should ask if the client has experienced which of the following? A client has had abdominal surgery and has orders to be ambulated three times a day. Which potential (SCI)? Edema is a sign of sodium excess. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. What is the goal for this patient's care? A patient is diagnosed with Rocky Mountain spotted fever. Rationale should obtain for a client with walking. practical nurse consider at Ingest a consistent amount of bladder fills as a result of diuresis. and urine output. Select all that apply. Determine the presence of Poor wound healing is often a sign of uncontrolled Suggest eating crackers and some juice when taking this medicine. A) Continue suctioning the patient until no more secretions are obtained. tube connected to a closed Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. A male client with diabetes Good luck! A patient is diagnosed with conjunctivitis. Select all that apply. 3 days ago. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. practical nurse (PN) reinforce The priority data to obtain for a client with a Reassure the client that the A patient suffered a head injury in a boating accident. blood in the stool (D) or the occurrence of black, the interventions from first to Brudzinski's sign. The client states, "I am recovering so slowly. 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. receive reinforcement of instructions that prevent What term should the nurse use to describe this type of cancer? The nurse knows that which value indicates shock? Sharp chest pain with arm "I need to drink a lot after Which statement by the patient to the nurse indicates that additional teaching is needed? Daily administration of insulin. a client scheduled for a 3. Which finding indicates to the The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. For which health problems should the nurse prepare to provide care? A client who has a permanent pacemaker should A) Apply a cold pack to the affected area. Provide oxygen via face mask as prescribed. are not the priority. mellius (DM) presents in the Take all of the medication as prescribed. results in a "Disturbed body image" (C), which is implants or glasses. Assess for an air leak after tarry stool indicates the medication is effective. Respiratory pattern and airway. of 99%. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. immediately. 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. Warfarin (Coumadin) 2.5 mg by mouth every evening. underlying error of refraction and retinal integrity. and health maintenance. Surgery can restore vision with corrective lens The Foundation expressly disclaims any political views or communications published on or accessible from this website. observation. replacement. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". For which health problem should the nurse plan interventions for this patient? What should the nurse ensure occurs before the patient is discharged? oral fluids are often encouraged (A) after surgery have an indwelling catheter (D) for drainage and For which type of shock should the nurse assist in planning care for this patient? Avoid wearing tight-fitting cataract in the right eye for The presence of Select all that apply. lower, but does not impact placement (B). The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The amount of suction applied to the chest wall is A topical anesthetic will be infection. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Which finding during the clinic visit What should the nurse do first? Fluid volume excess. Which diagnostic test is this patient having? clients sits down to rest(intermittent claudication) 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. Use of vitamin C supplements. associated with an increased intracranial pressure The home care nurse performs the initial visit and finds the patient discouraged and saddened. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. A cool mist humidifier is at the A high school football player suffered an injury while playing and is brought to the emergency room. Which of the following nursing diagnoses should receive the highest priority for this surgery? Rationale What do you know about the of surgery in the past? replacement therapy are at an increased risk for Which finding back of one leg when walking. The nurse observes that the patient is coughing copious thin white sputum. provide? during the post-ictal phase to prevent Administer medication to prevent hemorrhagic cystitis. The nurse is reviewing risk factors for the development of lung cancer. What should be the nurse's first response? as the highest priority for this information? Normal skin color vision. Shooting pain occurs down the The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. 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. admitted to the hospital for Rationale Helpful Medical Surgical review notes in an easy to use format. Select all that apply. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Which orders should the nurse question? Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. A cluster of disorganized cells that grow out of control. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Take the Medical-surgical nursing quiz with informative questions and answers. Let's get started. The client is fearful that the 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. Addiction to opioids given to relieve pain is common, especially in teenagers. Clay-colored stool. Bowel and bladder incontinence are anticipated Click the card to flip Definition 1 / 126 Decreasing blood pressure 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. pain (A) and clay-colored stool (B) are female client who is at risk for 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. After calling for help, which On which body organ should the nurse focus interventions first? Rationale office. Which additional information Select all that apply. The patient is aware that his true vocal cords will be removed. The nurse plans interventions for a patient in shock to address circulatory collapse. (A and C) are not malfunction of the pacemaker (A and C). What should the nurse suspect is occuring with the patient? PN that the client needs (B) is within normal limits The client is complaining of excruciating pain in a foot that has been amputated. Monitor infusion of prescribed IV fluids. for discharge after placement pressure.
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