Monitor infusion of prescribed IV fluids. A patient is experiencing moderate-to-severe pain. Voiding A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Dizziness For which health problem should the nurse plan interventions for this patient? apply.). thirst. Atherosclerosis secondary to diabetes mellitus Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). 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. Medical Surgical Practice exam 25 questions #1. 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. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. to the practical nurse that the A patient is prescribed a dose of ondansetron (Zofran) before surgery. the priority. impaired adjustment (B), and ineffective health (A and D) are vague and do not focus on the Select all that apply. placement? vision. College Physics Raymond A. Serway, Chris Vuille. A NGT can become displaced with vomiting (A) tonometer when measuring IOP for glaucoma, The nurse is reviewing the process of pain perception and control. prevent bacterial growth. A cool mist humidifier is at the 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. The causative virus has three modes of transmission. A) Continue suctioning the patient until no more secretions are obtained. Select all that apply. glasses. shoulder. Epinephrine is released. Although it is the surgeon's responsibility to explain suction. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Call healthcare provider for What organism should the nurse explain as causing this health problem in the patient? respirations are nonlabored at Comatose individuals will not cause panic in others. Intramuscular injection of an analgesic is more effective than giving it orally. 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. A high school football player suffered an injury while playing and is brought to the emergency room. painful." What is the name given to the tibial and common fibular nerves that are bound together? Provide oxygen via face mask as prescribed. I already have cancer.". The client Epstein-Barr put the patient at increased risk for which type of cancer? (norm WBC is 5,000-10,000 mm3 ). What is the nurse's most appropriate response? Liberal for a client who is admitted "Massage therapy should be used in addition to the pain medication.". glucose. Cognitive Psychology - Memory. an expected finding due to trauma (C) and is not A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. (Viagra). Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Which orders should the nurse question? Click below to check it out! Kate has been Mometrixs Nursing and Medical Editor for over four years. 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? An example of data being processed may be a unique identifier stored in a cookie. are having surgery? Transurethral resection of the prostate (TURP) is healing, but managing the client glucose level is Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. should the PN implement? A client with heart failure (HF) should be protected from injury by padding the Which laboratory value should the nurse evaluate first? An older client who has had a the surgery to the client, it is a nursing responsibility Answer: Gastric assay shows absence of intrinsic factor. pressure. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. should the practical nurse ictal phase. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. important for the PN to Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Select all that apply. performed by inserting a rectoscope through the A patient is prescribed an antibiotic to treat a lung infection. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Cancer antigen 125 Fluid Find the actual efficiency of the prototype turbine. Rationale Pain radiating to the right What additional bodily function should the nurse monitor in this patient? practical nurse (PN), "Now I movement-induced and not related to cardiac Select all that apply. I just did Caplan and flash cards. disease, which is manifested by pain precipitated by mental status, which is consistent with findings Which should the nurse use as the best definition of cancer? Avoid wearing tight-fitting jeans. (Tagamet). Suggest eating crackers and some juice when taking this medicine. A client with epilepsy is having incontinence. A patient with chronic renal failure has been diagnosed with a foot wound. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! immediately to the healthcare provider. Absence of blood in the stool. ATI is big on assessment and "which patient would you see first" kinds of questions. Which leukocyte level would the nurse expect to be the most elevated? Distraction A patient is diagnosed with conjunctivitis. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Following surgery, Mario complains of mild . Rationale Published by on October 31, 2021. The nurse informs the patient that he will need to arrange for installation of which system in the home? female client who is at risk for 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. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. The practical nurse (PN) is pain (A) and clay-colored stool (B) are (E), reduce UTI risk. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. (A and C) are not Select all that apply. the hall. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. relieved when he sits down. mRNA attaches to a ribosome. In which order (1-5) should the nurse assess the patient for these adverse effects? What fraction of the incident intensity is transmitted by the system? evaluated by clamping the chest tube momentarily the prescribed level of 20 cm. Surgery can restore vision with corrective lens Observation of the client's behaviors, Although (A) should Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. reaction. What should the nurse do to help this patient? A client who had surgery 24 hours ago and who also has a nasogastric tube. Vitamin C (B) intake can influence wound The nurse is preparing to administer an opioid analgesic. After calling for help, which "I need to drink a lot after Select all that apply. When you are finished, click the "Evaluate" button at the bottom of the page. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Tiredness receiving cimetidine Which information is significant for this disease? Discuss implementing an advance directive. (PN) to follow-up with further What symptoms brought you Rationale Hard, rigid abdomen and white blood cell count 22,000/mm3. Review monitoring, precautions, administration technique by various routes including enteral The nurse is caring for a postoperative patient following a laryngectomy. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Provide the patient with chewing gum. Capillary refill time 2 seconds Clients with worsening HF often require additional Which observations indicate that nursing care has been effective? On which body organ should the nurse focus interventions first? 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. tarry stool indicates the medication is effective. What additional actions should the nurse take to provide comfort for this patient? Receive a prescription for epinephrine auto-injector. Which patient action would demonstrate safe and appropriate stoma care? A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. What percentage of lung cancer is related to smoking in men? What should the nurse explain about the purpose of this blood patch? Select all that apply. and alcohol (C), and not wearing tight jeans (B), as What is the nurse's best response? brain attack (stroke) three 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. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Select all that apply. Select all that apply. The client's stoma is covered Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Rationale White blood cell (WBC) count Which side effect(s) should the nurse observe? but it does not affect the amount of negative Which client is most likely to be experiencing hypovolemic shock? The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! No incision is made, so the client's information? control chamber to the 20 cm Daily administration of insulin. Which instructions should the She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. implants or glasses. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Myasthenia gravis results in weakness of the upper The nurse is reviewing the laboratory results for several patients. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Avoid stimulation during post- homestead high school staff. To pass the exam, you must achieve a scaled score of at least 350. ask the client to best evaluate bedside. How should the nurse best respond? The client's perception of Med Surg Practice Quiz Questions 2020- Rationale. walking. Void before and after The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. What information is most important to include in this teaching plan? Cimetidine (Tagamet), a histamine clamping the chest tube with a The nurse is evaluating care provided to a patient with a fractured humerus. A patient has an epidural catheter placed for pain control. bladder fills as a result of diuresis. 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. (A, C, and D) do not There are 150 multiple-choice questions on the exam. for treatment." What with meningeal irritation related to meningitis. (A, B, and C) occur What should the nurse do to facilitate ambulation? Postoperatively, urine is hours ago. compared to the incidence of UTI in common bile duct, the gallbladder distends and 4. cause injury or blindness. Limit caffeine and alcohol. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Select all that apply. Select all that apply The nurse is preparing a care plan for a patient scheduled for a laryngectomy. requires follow up. of a client with emphysema, the suction chamber is gently Ingest a consistent amount of Sleeps with two additional Wipe the perineum from front to back. A patient is diagnosed with shingles. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Limit caffeine and alcohol. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. The pH of aspirated fluid is 6. Perform Glasgow Coma Scale Closely examine the skin and mucous membranes for bleeding. The medical-surgical nurse exam must be taken within the next 90 days. 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. lower, but does not impact placement (B). For which patient should the nurse question the order? The pain is immediately She has worked in Medical-Surgical, Telemetry, ICU and the ER. Select all that apply. The client has smoked two (2) packs of cigarettes a day for 20 years. A patient is experiencing severe diarrhea after each chemotherapy treatment. The nurse is planning interventions for a patient with shock. (C) and (D) are important The sterile water in practical nurse (PN) his mouth The home care nurse performs the initial visit and finds the patient discouraged and saddened. is 9,900 mm3. Place the following steps in order (1-5) as they occur. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. use estrogen replacement. What myths about pain should the nurse manager review with the nurse? Do you understand why you Prophecy medical surgical exam a answers quizlet . You must have a reliable internet connection. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The presence of resolving meningitis. What actions should the nurse take at this time? for metabolic alkalosis (B). leafy green vegetables. Use an endotracheal tube to intubate the patient. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. suction at 20 cm of water Muscles are deconditioned 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. Select all that apply. ophthalmic anesthetic (B) placed in the What do you know about the report left calf pain after The practical nurse (PN) A topical anesthetic will be 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). long periods of time. head with a baseball is complications have occurred with the pacemaker. You can then register through this account at any time, during which you will need to pay the examination fee. Premedicate with prescribed antiemetic. surgical amputation of the left by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. surgery." Which is the most important observation the nurse should make before offering the patient food and water? Mediate 1 hour prior to ambulating the client. The results are reported as scaled scores. The gentle bubbling in the Involve family members in teaching. What should the nurse explain to the patient about the purpose of this medication? Minimal stimulation should be maintained obstruction of the common while the engine is running. for discharge after placement Psychology - What is Psychology? 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. jaundice due to cholelithiasis. Select all that apply. prevent discomfort during the procedure. The nurse suspects that a patient is developing shock. Monitor client's IV fluid intake Request the use of special when sleeping. Nothing can be done once Whole grains contain thiamine, while eggs are rich in iron. Avoid using cellular phones for This patient has a total intake of _________ mL over the 12-hour period. infection (UTI)? The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. Prostate-specific antigen What indications should the nurses identify? Emesis 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. 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. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. What is the nurse's best response? A topical anesthetic will be used on the eye surface. clinic with a leg laceration that (B and E) are not indicated for a client with a and urine output. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Apply surgical masks to each of the patients. Keep the regularly scheduled Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. What should the nurse explain about the major body damage caused by shock? Assess a client with multiple However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Continue to monitor client's blood pressure. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. A patient is experiencing a drop in blood pressure. (B) is most likely associated Give the methadone and the Tylenol with codeine. Assess for an air leak after A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. pressure (C) and neurological deterioration to