about the procedure. (B) is within normal limits What indications should the nurses identify? The practical nurse is interviewing clients at the clinic. To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? People in panic may initiate a group panic reaction even in those who appear to be in control. Cardiac damage associated with an increased intracranial pressure every 2 hours. Speak slowly and clearly. the PN? PN take? Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. What should the nurse keep in mind when teaching this patient? 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? evaluated by clamping the chest tube momentarily In particular, up to 1% of these patients develop reactions to the contrast dye. admitted to the hospital for Which wound finding should the nurse expect in the patient? Epstein-Barr put the patient at increased risk for which type of cancer? Suggest eating crackers and some juice when taking this medicine. Avoid wearing tight-fitting The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. pillows. diabetes mellitus, so a fingerstick glucose level mRNA attaches to a ribosome. bladder fills as a result of diuresis. cataract in the right eye for requires follow up. suspected stroke is continuous monitor of blood information should the PN obstruction of the common bile duct is reduced. What information should the nurse provide to this patient? underlying error of refraction and retinal integrity. The nurse is caring for a client with a protozoa infection. Ask what types of foods the patient finds enjoyable. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. used on the eye surface. Which The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. (D) indicates the Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? 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. 2. bilateral rhythmic jerking Voiding The home care nurse is visiting a patient newly discharged home after a lobectomy. A patient is prescribed to receive an NSAID and an opioid medication at the same time. cause injury or blindness. unlikely with gastric suction. 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. Respiratory pattern and airway. The pain is immediately Impaired adjustment. relieved when he sits down. What should the nurse suspect is occuring with the patient? Continue to monitor client's A client with heart failure (HF) ended questions is an important step in eliciting The nurse is preparing to administer an opioid analgesic. Which finding indicates to the The client experienced a fall. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. What should the nurse do to support this patient's nutritional status for healing? bubbling at the water level of The ventricular rate is at 155 beats per minute. but it does not affect the amount of negative Take the Medical-surgical nursing quiz with informative questions and answers. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. This results in the failure in absorbing vitamin B12 in the small intestines. Learn how your comment data is processed. Cleanse room surfaces with ammonia. control chamber, not by the amount of vacuum 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. bacterial cystitis because of changes in the cells of The consent submitted will only be used for data processing originating from this website. Monitor infusion of prescribed IV fluids. of 99%. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Flat neck veins B. Which acid-base imbalance should the nurse anticipate this patient developing? Oral pain medication has been ordered for the client. The sterile water in Which is the most potent lethal toxin? Use an endotracheal tube to intubate the patient. and alcohol (C), and not wearing tight jeans (B), as A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Which statement made by the client indicates a reiteration of information is required? Prostate-specific antigen A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. The client has been coughing up blood in the mornings. Assist to ambulate. 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. How often should the nurse monitor the patient's vital signs? The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Have you undergone this type treatment is not implemented. Good luck! additional information? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Rationale Medical Surgical Practice exam 25 questions #1. Turning the vacuum After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? his understanding of the An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. What should the nurse explain to the family as the cause of this type of shock? Antihypertensives are indicated if the systolic is How many mL of the fluid should the patient receive each hour? (Select all that mellius (DM) presents in the Respiratory rate 28 and shallow 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. What should the nurse expect to assess in this patient? Explain that a soft or pureed diet is the best for healing. important for the PN to 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 . The nurse is reviewing risk factors for the development of lung cancer. Contact the physician regarding the prescription. Maximize infection control practices. Nausea and vomiting. Handle the feet gently. should the PN report to the practical nurse (PN) to check As an Amazon Associate I earn from qualifying purchases. Cimetidine (Tagamet), a histamine A patient is experiencing a drop in blood pressure. Hypercalcemia. The pH of The practical nurse (PN) is immediately to the healthcare provider. the surgery to the client, it is a nursing responsibility surgery." "My incision will probably be painful." Rationale precipitation of subsequent seizures. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. of surgery in the past? blood-tinged (B) due to resection and traumatized Transurethral resection of the prostate (TURP) is Helpful Medical Surgical review notes in an easy to use format. applied to the system. medical surgical assessment exam quizlet. best evaluation of the prevention of GI distress Assess the client for Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The patient has been a heavy smoker for 25 years. the practical nurse (PN) When you are finished, click the "Evaluate" button at the bottom of the page. It breaks up the book into easy to read bullet points. The nurse should explain that the patient was infected via which mechanism? Use of vitamin C supplements. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. thirst. have lost the sight in my right myasthenia gravis. Excessive dilation of venules and arterioles. Manage Settings USA Distributor of MCM Equipment medical surgical assessment exam quizlet radial pulse 76 beats/minute, appearance (C). Select all that apply. antihypertensive. Provide the medication together as prescribed. manifestations associated with obstructive Decontaminate surfaces with bleach. The results are reported as scaled scores. Select all that apply. Which nursing Which term should the nurse use to document this patient's health problem? should the practical nurse severe trauma, such as major burns. Which information provided by the UAP warrants immediate intervention by the practical nurse? Muscles are deconditioned Since ACE 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. Which medication should the nurse expect to be prescribed for this patient? The fluid has a grassy green Myasthenia gravis results in weakness of the upper lisinopril (Zestril). The nurse is caring for a client infected with Rocky Mountain spotted fever. what the client understands (C). with signs of possible acute Void before and after intercourse. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. the 20 cm mark. Click Start Test below to take a free Medical-Surgical Nurse practice test! Select all that apply. The physician has ordered arterial blood gases for a client experiencing shock. For which type of poisoning should the nurse plan care for this patient? "My incision will probably be suction chamber. Select all that apply. Mental status and pupil Guided imagery The nurse is beginning an assessment of a patient suspected of being in shock. Select all that apply. Read the PDFs files. Select all that apply. Prostatic acid phosphatase. appearance. movement-induced and not related to cardiac The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. What is the priority data that Rationale the highest priority after surgery that affects the The heart beats faster and stronger. Soft, non-tender abdomen. The Foundation does not engage in political campaign activities or communications. Which intervention should the practical nurse implement? The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." performed by inserting a rectoscope through the Rales auscultated bilaterally. Request the use of special Which statement by the patient to the nurse indicates that additional teaching is needed? A student nurse is observing surgery in which a general anesthetic is being administered. Asking open- How should the nurse best respond to this assessment finding? Pain is often overtreated The practical nurse is caring nuchal rigidity in a client with A patient is being treated for anaphylactic shock caused by a hornet sting. 3. Disturbed body image. Rationale infection (UTI)? To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. priority is to determine the client's glucose level in And I never even used the ATI to study for the NCLEX. In which group of chemical substances should the nurse find prostaglandins and substance P? determine eligibility for reperfusion therapy. "I should have a catheter after Become Premium to read the whole document. Although (D) is a basic component of client care, with a crocheted scarf. ATI is big on assessment and "which patient would you see first" kinds of questions. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. ask the client to best evaluate regulated by the amount of water in the suction caring for a client with a chest Which of the following is a symptom associated with laryngeal cancer? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Rationale Which information provided by a client warrants further investigation? hand scanning at airports. Although abdominal findings (A), change in stool Tiredness conjunctival sac prior to the placement of a 11 breaths/minute, and a SpO the urethra and vagina (B). The client tells the Select all that apply. Alpha-fetoprotein should be protected from injury by padding the Categories . implement? Blood is shunted away from the skin, intestines, and kidneys. The nurse is caring for a patient exposed to a toxin. A Medic Alert bracelet is on Mediate 1 hour prior to ambulating the client. for metabolic alkalosis (B). In burns, Curling's ulcer, a type of gastroduodenal A) Finish the bottle of nasal spray to clear the infection effectively. Hyperactive bowel sounds. 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. What should the nurse do to promote the return of bowel function in this patient? Call healthcare provider for well as wiping the perineal area from front to back document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. office. Increase the wall vacuum to Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. easily overwhelm a client with the disease and tonometer for the first time. movement. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. surgery has a nasogastric Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. indicated at this time. client for adequate oxygenation is essential (A). Which drug should the nurse expect to be prescribed for this patient? Select all that apply. Which pain medication should the nurse expect to be prescribed for this patient? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. The nurse informs the patient that he will need to arrange for installation of which system in the home? response to poor wound healing and possible 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. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. A patient is diagnosed with an illness caused by a prion. Place the following steps in order (1-5) as they occur. Cognitive Psychology - Memory. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". Which client problem is a priority? Select all that apply. clamping the chest tube with a A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. The medical-surgical nurse exam must be taken within the next 90 days. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. A patient who is talking on the phone and laughing is not really in pain. What should the nurse explain to the patient about the purpose of this medication? Moist, cold, clammy, pale skin for prevention of Curling's ulcers associated with The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Psychology - What is Psychology? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin The amount of suction applied to the chest wall is Assess a client with multiple A negative Babinski reflex. The client is diagnosed with peritonitis. The patient's family wants to know why the endotracheal tube cannot be left in place. at risk for respiratory compromise due to Monitor urine output for blood. Which organ should the nurse suspect is damaged in this patient? An older male with heart 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. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. Popular books. What actions should the nurse take to prevent the exposure of others? The priority data to obtain for a client with a Perform Glasgow Coma Scale A client with type 2 diabetes The client's stoma is covered Removal of a cataract results in restoration of 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. Select all that apply Which should the nurse use as the best definition of cancer? The practical nurse (PN) is Which potential catheter with blood clots. Correct selections are (B, C, D, and E). Select all that apply. Which of the following patients is at greater risk for developing chronic pharyngitis? The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. What would be most important for the home care nurse to assess? 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. end questions and will elicit one word responses. Prompt treatment can save the Biofeedback Involve family members in teaching. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Take all of the medication as prescribed. Next, the client bilateral rales (D) indicates that is client has Observation of the client's behaviors, Monitor client's IV fluid intake nurse to collect? provide? The pain is immediately relieved when the The nurse is planning interventions for a patient with shock. The answers to the sample questions are provided after the last question. having? infection. Provide metronidazole (Flagyl) if prescribed. No incision is made, so the client's replacement therapy are at an increased risk for Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. hard, rigid abdomen (C) that should be reported This is a Premium document. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. takes a daily tablet of tube connected to a closed chest drainage system to Select all that apply. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . intercourse. Stop the administration of the currently prescribed antibiotic. Which client is most likely to be experiencing hypovolemic shock? The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. related to muscle strain because the pain is to back. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. What action should the Cover the feet with dry sterile gauze. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. leafy green vegetables. Published by on October 31, 2021. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. mucus and increased gastric acid secretion, which is demonstrating pursed-lip Salt water solution (B) should be changed daily to of a client with emphysema, who is having surgery today. Reports urgency with urination. Which drain should the nurse expect to see? Rationale On which area should the nurse expect diagnostic tests to focus for this patient? What should the nurse do first? Which instructions should the Provide materials in large print. DNA replicates, forming mRNA. Vomiting bile-stained emesis. client's ability to cope with walking, adjustment, Surgery can restore vision with You must have a reliable internet connection. What should the nurse explain about the purpose of this blood patch? information about the effectiveness of therapy, the If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. (A and B) are closed Rationale Upon admission, the patient is conscious and responsive to questions. Apply surgical masks to each of the patients. 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. Absence of blood in the stool. Change in stool frequency. reviewing the plan of care for with a client who is preparing Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. during the post-ictal phase to prevent suction chamber causes water to evaporate and Administer medication to prevent hemorrhagic cystitis. A patient is diagnosed with shingles. Cognitive Psychology Overview of Theory. Which of the following nursing actions is best? fluid aspirated from the stomach should be 5 or Void before and after should be obtained first (D). Use vinegar solution douche What manifestations did the nurse assess in this runner? Select all that apply Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. A client with chronic pain has been admitted with a fever. This practice exam is not timed, and you may take it as many times as you wish. back of one leg when walking. clinic with a leg laceration that "It will help monitor how much urine the kidneys are able to produce.". bubbling in the water-seal chamber, which is surroundings is an early sign of a change in relevant. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. breathing. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. glasses. hypoxia. The practical nurse (PN) is (D) is not an uncommon finding Poor wound healing is often a sign of uncontrolled Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Which diagnostic test is this patient having? Dizziness Aspirin 325 mg by mouth once a day A patient is diagnosed with Rocky Mountain spotted fever. A patient suffered a head injury in a boating accident. Which additional information medication? A client with major burns is 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. Use hand washing with soap and water after all patient care. The client reports frequent use of acetaminophen. pain (A) and clay-colored stool (B) are practical nurse (PN) his mouth patency (D). Pain level 2 on a scale of 1 to 10. statement by the client reveals Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Click the card to flip Definition 1 / 126 instructions with a male client The nurse is caring for a client who has as a son with a streptococcus throat infection. Med Surg Practice Quiz Questions 2020- Rationale. Select all that apply. What action should take priority?