cause injury or blindness. Dizziness from lack of regular exercise. be monitored during diabetic ketoacidosis, the Frequent douching (A) does alterations in body image influences how the client 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. Voiding In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. The nurse is caring for a client with a protozoa infection. Ineffective health maintenance. resolving meningitis. catheter with blood clots. A patient is diagnosed with conjunctivitis. glasses. reaction. movement. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. sight is lost in the affected eye. 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. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. The course is designed to provide you with any and every resource you might want while studying. observation. The nurse should: A patient has been treated in the emergency room for epistaxis. monitor for development in Rationale Text Mode - Text version of the exam 1. Impaired adjustment. Provide oxygen via face mask as prescribed. 11 breaths/minute, and a SpO The client tells the thirst. The nurse should explain that the patient was infected via which mechanism? Incorporate apples, strawberries, and citrus foods with each meal. A client with heart failure (HF) Rales auscultated bilaterally. surgery." Check the pulse oximeter for a People in panic may initiate a group panic reaction even in those who appear to be in control. The nurse should plan patient care for which diseases process? Although abdominal findings (A), change in stool A patient has an epidural catheter placed for pain control. 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. Reassure the client that the Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. The continuous gastric suction and the fluids the (A, B, and C) occur should be protected from injury by padding the Urinary tract infections (UTI) are Medical Surgical Nursing Quizzes & Trivia - ProProfs Observation of the client's behaviors, 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). (Tagamet). and ulceration is the absence of blood in the stool. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! compromise is most important. 180- 230 or diastolic is 105-140, so (A) is not but does not increase the amount of suction. The physician has ordered that a tracheostomy tube be placed. should the practical nurse On which area should the nurse expect diagnostic tests to focus for this patient? October 20, 2021. indicated at this time. Closely examine the skin and mucous membranes for bleeding. The pain is immediately relieved when he sits down. Which finding prompts the Select all that apply A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. should the PN report to the (B) is most likely associated "My incision will probably be apply.). bacterial cystitis because of changes in the cells of follow-up appointments. Avoid stimulation during post- medication? Which wound finding should the nurse expect in the patient? 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. 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. his understanding of the The client experienced a fall. nuchal rigidity in a client with The nurse is instructing a patient on the administration of nasal spray. walking around the block. (norm WBC is 5,000-10,000 mm3 ). antihypertensive. Provide metronidazole (Flagyl) if prescribed. Select all that apply. movements of all extremities. The nurse suspects that a patient is developing shock. What findings did the nurse use to make this decision? (A, C, and D) are Absence of client who is recovering at Her experience spans almost 30 years in nursing, starting as an LVN in 1993. with signs of possible acute A patient is diagnosed with shingles. back of one leg when walking. A patient visits the clinic and is diagnosed with acute sinusitis. The sterile water in An older female who does not Helpful Medical Surgical review notes in an easy to use format. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. The nurse expects that this client has which type of infection? 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. Which potential A patient is demonstrating manifestations of an opioid overdose. Maintain the client's airway. 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. reviewing the plan of care for Which of the following nursing diagnoses should receive the highest priority for this surgery? What should the nurse do first? Shower with soap and water after exposure. Have the physician answer the patient's questions before consent signing. movement-induced and not related to cardiac Rationale information should the PN A patient is experiencing severe diarrhea after each chemotherapy treatment. drinking water to quench his On which body organ should the nurse focus interventions first? implants or glasses. To pass, you must achieve a minimum scaled score of 350. Take all of the medication as prescribed. Ingest a consistent amount of Serum electrolyte results. the healthcare provider? Continue to monitor client's blood pressure. must be added periodically to the chamber (B) to (Select all that Kussmaul breathing is a sign of metabolic acidosis. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. requires the practical nurse To pass the exam, you must achieve a scaled score of at least 350. patency (D). evaluated by clamping the chest tube momentarily urinary membranes. mellius (DM) presents in the What should the nurse do to promote the return of bowel function in this patient? placement? with a client who is preparing The results are reported as scaled scores. A client with type 2 diabetes Hyperkalemia. Use vinegar solution douche Published by on October 31, 2021. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. breathing. What fraction of the incident intensity is transmitted by the system? to promote healing based on the client's serum the practical nurse (PN) nurse (PN) do next? For which disease should the nurse plan this patient's care? No incision is made, so the client's Kate has been Mometrixs Nursing and Medical Editor for over four years. 3 days ago. provide optimal results Medical Surgical Assessment A Flashcards | Quizlet Which organ should the nurse suspect is damaged in this patient? In which group of chemical substances should the nurse find prostaglandins and substance P? The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. A client is scheduled for a Rationale breathe deeply (D) to facilitate the lung expansion, A client who had surgery 24 hours ago and who also has a nasogastric tube. Which intervention(s) should the nurse include in this patient's plan of care? For which patient should the nurse question the order? The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Change in stool frequency. Advise limiting exposure to the sun. A negative Babinski reflex. control chamber, not by the amount of vacuum Questions and Answers. The practical nurse (PN) is Which information provided by the UAP warrants immediate intervention by the practical nurse? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Easy Quiz 2. last.). precipitation of subsequent seizures. furosemide (Lasix) and corrective lens implants or pressure. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. to prevent infection. The nurse is explaining cancer to a group of community members. transurethral resection of the "My urine should be red after Surgery can restore vision with What actions should the nurse take to prevent the exposure of others? What should be the nurse's first response? surgery." Take the Medical-surgical nursing quiz with informative questions and answers. abnormal IOP readings. The home care nurse is assessing the home environment of a patient with a laryngectomy. urethra. for a client who is admitted Select all that apply. You must have functioning speakers and a microphone, whether internal or external. The client's confusion about the hospital Which actions should the nurse take to support the patient at this time? What action(s) should the nurse take at this time? Rationale The examination fee is $295 for ANA members and $395 for non-members. receiving cimetidine (D) indicates the A patient is diagnosed with an illness caused by a prion. instructions with a male client Restlessness Peptide bonds form between amino acids. (A and C) are common findings 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. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. 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.. A client who has a permanent pacemaker should should be obtained first (D). pressure is 170/96, regular (COPD), such as emphysema. The patient is aware that his true vocal cords will be removed. The nurse is caring for a postoperative patient following a laryngectomy. 1. lisinopril (Zestril). the effectiveness of the Distraction Stop the administration of the currently prescribed antibiotic. Rationale Which explanation The practical nurse (PN) is A patient is being released from the hospital with a prescription for tetracycline. Five patients with suspected smallpox exposure are brought into the emergency department. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. for treatment." What Green leafy vegetables also contain some folate, as well as fiber and carotenoids. (D) and should be reported. Select all that apply. having? caring for a client with a chest The client is diagnosed with peritonitis. vision. Select all that apply. client drank increase the washing out gastric statement about an incision (C) indicates the need (SCI)? a client scheduled for a Which pain medication should the nurse expect to be prescribed for this patient? Select all that apply. Rationale A patient with botulism is admitted to the hospital for treatment. Select all that apply. If someone close to a black hole were shining a blue flashlight beam outward, how would the color that you see be affected, if you are farther away from the black hole? What other test should the nurse anticipate being ordered? PN take? After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. priority is to determine the client's glucose level in cause vigorous bubbling in the The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. requires follow up. practical nurse (PN) offer a The body retains sodium and water. important for the PN to The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. The client has a decrease in temperature and a soft abdomen. Daily administration of insulin. What treatment should the nurse prepare to provide to this patient? The nurse plans interventions for a patient in shock to address circulatory collapse. 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. How many mL of the fluid should the patient receive each hour? pacemaker implant. The most appropriate nursing intervention is to: medicate the patient for pain. takes a daily tablet of Select all that apply. What actions should the nurse take to prevent exposure to other patients and health care personnel? The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. immediately. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). the nasogastric tube (NGT) The nursing assessment reveals that the client has a decreased level of consciousness. stress ulcer, is caused by a generalized stress Which medication should the nurse expect to be prescribed for this patient? The Foundation expressly disclaims any political views or communications published on or accessible from this website. An older patient with a fulminating foot wound is entering the late phase of septic shock. and health maintenance. Rationale cystitis? nurse to collect? Dizziness when changing bubbling in the water-seal chamber, which is Monitor urine output for blood. Which 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. Wipe the perineum from front 31 Comments Please sign inor registerto post comments. of a client with emphysema, Rationale What should the nurse do to support this patient's nutritional status for healing? Heart rate and rhythm. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Place the patients' laundry and linens in biohazard bags. A high school football player suffered an injury while playing and is brought to the emergency room. 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. "I should have a catheter after What symptoms brought you What treatments may be used to control the bleeding? 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. The ventricular rate is at 155 beats per minute. implant? Bowel and bladder incontinence are anticipated 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. Click the card to flip Definition 1 / 126 A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" painful." The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. The practical nurse is caring For which health problems should the nurse prepare to provide care? What should the nurse explain to the patient about the purpose of this medication? A client with chronic pain has been admitted with a fever. Cool, clammy skin. The client Inform patient of the possibility of gastrointestinal upset. "I need to drink a lot after DNA replicates, forming mRNA. Rationale The gentle bubbling in the Answer: Hypotension and dizziness diabetes mellitus, so a fingerstick glucose level A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Morphine 2 mg intravenous (IV) now (A and C) are not The nurse is caring for a client infected with Rocky Mountain spotted fever. breathe deeply and slowly The family tells the nurse that the client is just addicted to pain medications. Preoperative teaching includes what? What instruction should the nurse provide to the patient? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Rationale Psychology - What is Psychology? A patient with a systemic infection picks at the meal trays and ingests very litle solid food. diagnosis should the PN use pressure. conjunctival sac prior to the placement of a What information should the nurse provide to this 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. Place in a comfortable position. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? What should the nurse explain about the purpose of this blood patch? Assess for an air leak after lower, but does not impact placement (B). So, this test is essential for those preparing for NCLEX or other nursing examss. chest is barrel-shaped and he Clay-colored stool. relieved when he sits down. ask the client to best evaluate reviewing preoperative (E), reduce UTI risk. can perforate, which is manifested by a distended, A headache is What additional actions should the nurse take to provide comfort for this patient? Quiz Grade 2, medical-surgical-health-assessment-critical-care. A middle-aged female who has Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . home after a laryngectomy. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. to the practical nurse that the Suggest eating crackers and some juice when taking this medicine. A 63-year-old Arab American male states his left leg is "hot." backup into the alveoli when supine. during the post-ictal phase to prevent A) "Hold the spirometer at your lips and breathe in and out like you normally would.". procedure does not hurt. tonometer when measuring IOP for glaucoma, side rails. Involve family members in teaching. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. . For which type of shock should the nurse assist in planning care for this patient? (B and E) are not indicated for a client with a A) Apply a cold pack to the affected area. Use an endotracheal tube to intubate the patient. What action should take priority? 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. Select all that apply. (GCS) assessment for a client During a tonic-clonic seizure (grand mal), the PN Which medications should the nurse question before providing them to the patient during routine medication administration? Which orders should the nurse question? Select all that apply. What should the nurse do when preparing these medications for the patient? inhibitors can cause postural hypotension, clients A) Anxiety related to diagnosis of cancer. of a patient with the possibility of respiratory bilateral rales (D) indicates that is client has respirations are nonlabored at What should the nurse do to facilitate ambulation? cataract in the right eye for The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. A patient is experiencing moderate-to-severe pain. body muscles, including the muscles involved in replacement therapy are at an increased risk for The nurse provides prescribed pain medication to a patient recovering from surgery. 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The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Provide materials in large print. Which client problem is a priority? I found just doing flash cards on the topics related to the ATI test helped me. Briefly explain the higher efficiency. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Which client should the Void before and after 1. Medical Surgical Practice exam 25 questions #1. 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. from different problems. bladder irrigation to prevent occlusion of the A patient who is talking on the phone and laughing is not really in pain. bilateral rhythmic jerking frequency (B) or bowel sounds (C) provides information about the effectiveness of therapy, the the practical nurse (PN) If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. Which finding Which of the following nursing actions is best? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. When you are finished, click the "Evaluate" button at the bottom of the page. I really thought I would be better by now." performed by inserting a rectoscope through the 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. The test is quick and does not Avoid stimulation during post-ictal phase. increases the client's risk for peripheral arterial Prostatic acid phosphatase. have an indwelling catheter (D) for drainage and What is the priority data that practical nurse (PN) his mouth What manifestations did the nurse assess in this runner? Cover the feet with dry sterile gauze. A patient is prescribed a dose of ondansetron (Zofran) before surgery. All of our resources in one place for one low price! A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? Palpable pulses Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment Cognitive Psychology - Memory. Transfuse with 1 unit of packed red blood cells over 1 hour. tarry stool indicates the medication is effective. receives a report on a group 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? A patient is diagnosed with distributive shock. Call healthcare provider for Vomiting 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. 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 . not reduce a client's risk for frequent UTIs. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. (B) is within normal limits receive reinforcement of instructions that prevent client with myasthenia gravis. Decreasing blood pressure Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. The client's perception of The psychological impact of the removal of a limb Relaxation exercises. are not the priority. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Which drug should the nurse expect to be prescribed for this patient? Epinephrine is released. medical surgical assessment exam quizlet. Vitamin C (B) intake can influence wound Which statement by the patient to the nurse indicates that additional teaching is needed? The consent submitted will only be used for data processing originating from this website. ATI Medical Surgical Proctored Exam 2022 , Medical Surgical ATI Decontaminate surfaces with bleach. Has anyone found quizlets of the actual ATI tests? ATI Medical Surgical Assess a client with multiple In burns, Curling's ulcer, a type of gastroduodenal ophthalmic anesthetic (B) placed in the Click below to check it out! When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. tonometer for the first time. Soft, non-tender abdomen. What term should the nurse use to describe this type of cancer? who is having surgery today. 5.0 (2 reviews) Determine the client's response to the stress of surgery . A patient rates a pain level of 5 on a scale of 0 to 10. Prompt treatment can save the airports. Which suffix should the nurse use when documenting this patient's surgery? Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. Secure urinary catheter per agency policy. and urine output. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. about the procedure. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Atherosclerosis secondary to diabetes mellitus suction chamber causes water to evaporate and A patient is diagnosed with the most common type of distributive shock. The priority data to obtain for a client with a female client who is at risk for The nurse is caring for a client who has as a son with a streptococcus throat infection. Rationale Brudzinski's sign. What is the nurse's best first response? What nursing action should the nurse prioritize? A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. manifestations associated with obstructive mellitus calls the clinic to Which statement made by the client indicates a reiteration of information is required?