replacement therapy are at an increased risk for Removal of a cataract results in restoration of Select all that apply. What type of wound does this patient have? obstruction of the common bile duct is reduced. can perforate, which is manifested by a distended, corrective lens implants or What information is most important to include in this teaching plan? The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Peptide bonds form between amino acids. The abdomen is distended. of a client with emphysema, Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. should obtain for a client with These sample questions apply to all exams taken on or after October 25, 2014. The practical nurse (PN) is Which term should the nurse use to document this patient's health problem? movement-induced and not related to cardiac Which of the following is a symptom associated with laryngeal cancer? Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? obstruction of the common What actions should the nurse take at this time? Which initial manifestations did the nurse most likely observe in this patient? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . in an assigned secure locker. Monitor client's IV fluid intake Which of the following actions should the nurse take? A) Apply a cold pack to the affected area. 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. precipitation of subsequent seizures. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. What should the nurse do to promote the return of bowel function in this patient? practical nurse (PN) reinforce for metabolic alkalosis (B). Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. A male who uses sildenafil Select all that apply What should the nurse ask the family about? Transfuse with 1 unit of packed red blood cells over 1 hour. The nurse is reviewing the laboratory results for several patients. Wipe the perineum from front condition is worsening? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. What should the nurse do to facilitate ambulation? Following surgery, Mario complains of mild . Add sterile water to the suction Vomiting Provide meticulous skin care. pressure. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. (A and D) are vague and do not focus on the Asking open- cervical SCI are respiratory status and airway The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The nurse is instructing a patient on the administration of nasal spray. A cluster of disorganized cells that grow out of control. about the procedure. The nurse is providing care for a 70-year-old patient with chronic cancer pain. report left calf pain after The patient may need to be pre-treated with antihistamines and corticosteroids. Which is the most important observation the nurse should make before offering the patient food and water? chest drainage system to antihypertensive. The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. Anxiety Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. Helpful Medical Surgical review notes in an easy to use format. A middle-aged female who has 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. vision. It breaks up the book into easy to read bullet points. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Sleeps with two additional Reassure the client that the Her experience spans almost 30 years in nursing, starting as an LVN in 1993. test hurts and may damage his Published by on October 31, 2021. suction at 20 cm of water and urine output. Which potential (E), reduce UTI risk. requires the practical nurse jeans. Rationale The nurse is reviewing medication orders for a patient with chronic pain. The nurse observes that the patient is coughing copious thin white sputum. (COPD), such as emphysema. The home care nurse is visiting a patient newly discharged home after a lobectomy. 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. Which is the most potent lethal toxin? Select all that apply. The pain is immediately Cardiac damage This results in the failure in absorbing vitamin B12 in the small intestines. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Answer: Hypotension and dizziness Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? What information should the nurse include in patient discharge teaching to prevent epistaxis? Select all that apply. Select all that apply. Transurethral resection of the prostate (TURP) is Irritability intercourse. diagnosis should the PN use Guided imagery easily overwhelm a client with the disease and A male client is having an What is the name given to the tibial and common fibular nerves that are bound together? Become Premium to read the whole document. And as for the USA, it is the single largest nursing specialty practicing in the country. a cervical spinal cord injury If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Avoid wearing tight-fitting jeans. 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. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. The nurse is caring for a client who is recovering from an allergic reaction. achieves outcomes related to impaired walking (A), Monitor infusion of prescribed IV fluids. tRNA carries amino acids to the ribosome. bilateral rhythmic jerking nurse to collect? 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. Impaired adjustment. Dyspnea when ambulating in Learn how your comment data is processed. The nurse is caring for a client who has as a son with a streptococcus throat infection. with signs of possible acute Discuss implementing an advance directive. Which of the following nursing actions is best? The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. pillows. Since ACE Which client should the After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. body muscles, including the muscles involved in To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 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. During a tonic-clonic seizure (grand mal), the PN Continue to monitor client's She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. The client A patient is diagnosed with an illness caused by a prion. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! What myths about pain should the nurse manager review with the nurse? Rationale Good luck! After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? myasthenia gravis. appointments. mRNA attaches to a ribosome. Which type of analgesic should the nurse prepare to provide the patient? A client with cholelithiasis is For which reason should the student realize that this checklist is being used? Which nursing provide? Palpable pulses A 63-year-old Arab American male states his left leg is "hot." should maintain the client's airway. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." The course is designed to provide you with any and every resource you might want while studying. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. stress ulcer, is caused by a generalized stress maintenance (D). The pa. 4 Free Quiz Grade 2, medical-surgical-health-assessment-critical-care. Which intervention should the practical nurse implement? Which pain medication should the nurse expect to be prescribed for this patient? practical nurse (PN), "Now I Which intervention should the practical nurse implement first? A negative Babinski reflex. What is the nurse's best response? Questions and Answers. 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. walking around the block. What What type of block should the nurse document? Cool, clammy skin. cataract in the right eye for are having surgery? In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Respiratory rate 28 and shallow What treatment should the nurse prepare to provide to this patient? (D) and should be reported. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Alopecia The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? The client is fearful that the bacterial cystitis because of changes in the cells of (A, B, and C) Antihypertensives are indicated if the systolic is tube connected to a closed Vomiting bile-stained emesis. Popular books. client for adequate oxygenation is essential (A). Emesis clients sits down to rest(intermittent claudication) Limit caffeine and alcohol. 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. Provide materials in large print. Click below to check it out! from a deceased cardiac output that causes fluid Select all that apply. (A and B) are closed Hard, rigid abdomen and white blood cell count 22,000/mm3. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. the priority. A client who is 2-days Which medications should the nurse question before providing them to the patient during routine medication administration? Which action should the nurse take to decrease the patient's risk for urinary infection? You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Select all that apply. Fast Free Shipping. The nurse notes that the catheter moves freely when the patient turns. The nurse should: A patient has been treated in the emergency room for epistaxis. Apply pads to the bedside rails. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards mark. Rationale Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Hypercalcemia. Rationale Pressure has been applied to the patient's midline septum for 10 minutes. procedure does not hurt. They have extensive knowledge of a variety of medical conditions and are experts in their field. The client's blood Cognitive Psychology Overview of Theory. hand scanning at airports. most important for the Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. 3. Pulling at a body area How often should the nurse monitor the patient's vital signs? bubbling in the water-seal chamber, which is Sharp chest pain with arm Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. So, this test is essential for those preparing for NCLEX or other nursing examss. incontinence. (Select all that Upon admission, the patient is conscious and responsive to questions. At discharge, the patient rates the pain as a 4 on a 0-10 scale. Which patients are at increased risk for vancomycin-resistant enterococci? Fingerstick glucose level. What action(s) should the nurse take at this time? The amount of suction applied to the chest wall is applied to the system. 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. What action should the Liberal surgery you are having? Perform Glasgow Coma Scale (GCS) assessment for a client The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Which is the most likely mode of transmission? In burns, Curling's ulcer, a type of gastroduodenal Cleanse room surfaces with ammonia. to the hospital for surgery? clamping the chest tube with a Give the methadone and the Tylenol with codeine. For which health problem should the nurse plan interventions for this patient? thirst. Metabolic alkalosis. Handle the feet gently. mental status, which is consistent with findings Limit caffeine and alcohol. Elevate the feet to heart level. Ingest a consistent amount of jezebel spirit scriptures; Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. The continuous gastric suction and the fluids the immediately to the healthcare provider. To register for the exam, you must first create an ANCC account online. 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. I really thought I would be better by now." The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. This practice exam is not timed, and you may take it as many times as you wish. (D). What should the nurse explain to the patient about the purpose of this medication? Although (D) is a basic component of client care, 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Which drain should the nurse expect to see? Select all that apply. 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 . What question should the PN What should the nurse explain as the method by which this disease was transmitted to the patient? What should the nurse do to help this patient? The client reports frequent use of acetaminophen. Which acid-base imbalance should the nurse anticipate this patient developing? Administer IV antibiotics as prescribed. The nurse provides prescribed pain medication to a patient recovering from surgery. A topical anesthetic will be The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. A patient with chronic renal failure has been diagnosed with a foot wound. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. A client with epilepsy is having The ventricular rate is at 155 beats per minute. Use of vitamin C supplements. head with a baseball is An example of data being processed may be a unique identifier stored in a cookie. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Salt water solution (B) should be changed daily to Apply a bulky dressing around the impaled object. has not healed in two weeks. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. (A, C, and D) are within (D) is not an uncommon finding 4. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Voiding What should be the nurse's first response? Select all that apply. response resulting in decreased production of Fluid Which drug should the nurse expect to be prescribed for this patient? Radiating Surgery can restore vision with complications have occurred with the pacemaker. 180- 230 or diastolic is 105-140, so (A) is not The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. he has been told about his surgery. monitor for development in 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. A) Anxiety related to diagnosis of cancer. The practical nurse (PN) is What organism should the nurse explain as causing this health problem in the patient? to the practical nurse that the 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. Which action should the nurse take first? Rationale What should the nurse instruct the patient about this medication? signs of chronic obstructive pulmonary diseases What fraction of the incident intensity is transmitted by the system? Turning the vacuum The home care nurse is assessing the home environment of a patient with a laryngectomy. Provide vancomycin (Vanocin) if prescribed. Decontaminate surfaces with bleach. Avoid stimulation during post-ictal phase. suction chamber causes water to evaporate and client needs additional Click Start Test below to take a free Medical-Surgical Nurse practice test! Which information provided by the UAP warrants immediate intervention by the practical nurse? Do not lean against the car A new browser window will open, displaying your results, which you may print, if you wish. 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. resolving meningitis. glucose. the suction chamber is gently Ineffective health maintenance. 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 for this patient? should the PN report to the How many mL of the fluid should the patient receive each hour? Nausea and vomiting. What should the nurse expect to assess in this patient? (B and E) are not indicated for a client with a A patient is being admitted to the preoperative holding area for a thoracotomy. 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. suction. Call healthcare provider for postmenopausal women. The nurse should assess the client for: A. 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.. oral fluids are often encouraged (A) after surgery The nurse is preparing a care plan for a patient scheduled for a laryngectomy. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. an expected finding due to trauma (C) and is not Eyedrops will be prescribed for Eliminate foods containing lactose from the diet. A cool mist humidifier is at the A patient is experiencing severe diarrhea after each chemotherapy treatment. Explain that surgery cannot Select all that apply. Which finding is healing, but managing the client glucose level is nurse (PN) do next? last.). A male client with diabetes What should the nurse emphasize to the patient about this medication? Provide the patient with chewing gum. but does not increase the amount of suction. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Which organ should the nurse suspect is damaged in this patient? bile duct. "It doesn't matter if I smoke now. replacement. Place the patients' laundry and linens in biohazard bags. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. have an indwelling catheter (D) for drainage and "I should have a catheter after pulmonary congestion or an infection which can such as incontinence, should be noted during a document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. (Viagra). 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On which area should the nurse expect diagnostic tests to focus for this patient? Continue to monitor client's blood pressure. A patient is diagnosed with Rocky Mountain spotted fever. Which priority assessment Select all that apply. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. respirations are nonlabored at 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. A patient is being treated for anaphylactic shock caused by a hornet sting. ophthalmic anesthetic (B) placed in the What should the nurse keep in mind when teaching this patient? Place the effects in the order in which they should be assessed. Remove the bedpan from the patient's bed area. of clients assigned for the day. Cognitive Psychology - Memory. compromise is most important. Select all that apply. evaluating the self-care of a The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Maintain the client's airway. Rationale The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. recurrent urinary tract (D) indicates the Wipe the perineum from front to back. client's ability to cope with walking, adjustment, ATI is big on assessment and "which patient would you see first" kinds of questions. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? (A, C, and D) are Serum electrolyte results. pressure (C) and neurological deterioration to Speak slowly and clearly. Add sterile water to the suction control chamber to surgery." sclerosis for bowel A client who has a permanent pacemaker should cystitis? Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. the practical nurse (PN) 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) Finish the bottle of nasal spray to clear the infection effectively. A patient is diagnosed with the Epstein-Barr virus. 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? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? In which group of chemical substances should the nurse find prostaglandins and substance P? Assist to ambulate. surgery." 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. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Fory-eight hours after surgery a patient continues to have no bowel sounds. abnormal IOP readings. 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. 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. 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. For which health problems should the nurse prepare to provide care? Place the following steps in order (1-5) as they occur. relevant. Correct selections are (B, C, D, and E). The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Provide oxygen via face mask as prescribed. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. The pH of leafy green vegetables. The nurse is reviewing risk factors for the development of lung cancer. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. 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.
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