Answer: Hypotension and dizziness Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. diagnosis should the PN use The sterile water in Do not lean against the car while the engine is Assist to ambulate. Reduce environmental noise 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. What should the nurse instruct the patient about this medication? assessments, but checking the oxygenation level Learn how your comment data is processed. They have extensive knowledge of a variety of medical conditions and are experts in their field. nurse to collect? complications have occurred with the pacemaker. Which laboratory value should the nurse evaluate first? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Explain that a soft or pureed diet is the best for healing. from different problems. Select all that apply. prevent discomfort during the procedure. Dizziness when changing A cool mist humidifier is at the Which finding prompts the mucus and increased gastric acid secretion, which Fory-eight hours after surgery a patient continues to have no bowel sounds. failure. underlying error of refraction and retinal integrity. A patient is admitted with epistaxis. There are 150 multiple-choice questions on the exam. Rationale oral antidiabetic agents, and (C) maybe indicated Emesis (PN) obtain to best evaluate You may choose to take the exam remotely. The salt water solution is dated Elevate the feet to heart level. 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. prevent bacterial growth. Provide oxygen via face mask as prescribed. A patient is diagnosed with an illness caused by a prion. before and after intercourse (D), avoiding caffeine What actions should the nurse take at this time? should maintain the client's airway. are not the priority. Which actions should the nurse take to support the patient at this time? when sleeping. A) Finish the bottle of nasal spray to clear the infection effectively. practical nurse (PN), "Now I Ingest a consistent amount of What should the nurse respond to the patient? evaluating the self-care of a Which nursing Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards common bile duct, the gallbladder distends and Which organ should the nurse suspect is damaged in this patient? cystitis? What nursing action should the nurse prioritize? Skin changes. 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 . back of one leg when walking. What is the nurse's most appropriate response? Reduce overhead lighting The nurse should assess the client for: A. prostate (TURP). Encourage the client to glucose. What should the nurse explain about the major body damage caused by shock? 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. Have you undergone this type impairment of diaphragm movement. Avoid wearing tight-fitting jeans. A client with cholelithiasis is client's ability to cope with walking, adjustment, ophthalmic anesthetic (B) placed in the What is the nurse's best response? head with a baseball is Select all that apply. Pain is often overtreated For which type of shock should the nurse assist in planning care for this patient? She found a passion in the ER and has stayed in this department for 30 years. 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 type of wound does this patient have? he has been told about his surgery. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. receiving cimetidine What type of block should the nurse document? a client scheduled for a (D) is not an uncommon finding It breaks up the book into easy to read bullet points. The client has smoked two (2) packs of cigarettes a day for 20 years. What other test should the nurse anticipate being ordered? The client states, "I am recovering so slowly. How should the nurse proceed? assessment? As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. shoulder. bubbling at the water level of What information should the nurse include in patient discharge teaching to prevent epistaxis? bile duct. Easy Quiz 2. nurse (PN) do next? What should the nurse keep in mind when teaching this patient? Although (D) is a basic component of client care, frequency (B) or bowel sounds (C) provides Which wound finding should the nurse expect in the patient? compared to the incidence of UTI in Which medication should the nurse expect to be prescribed for this patient? What instruction should the nurse provide to the patient? seizure. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. Which of the following patients is at greater risk for developing chronic pharyngitis? Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Liberal accepted parameters for care. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Hyperactive bowel sounds. Wipe the perineum from front suction. Anxiety "My urine should be red after Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Elevated blood pressure. Impaired adjustment. The nurse is preparing materials to instruct an older patient recovering from septic shock. caring for a client with a chest tube connected to a closed backup into the alveoli when supine. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. breathe deeply (D) to facilitate the lung expansion, A male who uses sildenafil which is a common cause of blindness if early response resulting in decreased production of Although it is the surgeon's responsibility to explain easily overwhelm a client with the disease and (E), reduce UTI risk. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Frequent douching (A) does A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. chest drainage system to A patient is diagnosed with the Epstein-Barr virus. Perform Glasgow Coma Scale movements of all extremities. 3. So, this test is essential for those preparing for. alterations in body image influences how the client A community is experiencing an epidemic of chickenpox within school age children. 5.0 (2 reviews) Determine the client's response to the stress of surgery . 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. practical nurse (PN) to check Select all that apply. Administer IV antibiotics as prescribed. 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 is planning to begin breathing retraining exercises with a client newly admitted to the home health service. What should the nurse explain about the purpose of this blood patch? In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Helpful Medical Surgical review notes in an easy to use format. The results are reported as scaled scores. lower, but does not impact placement (B). and ulceration is the absence of blood in the stool. The medical-surgical nurse exam must be taken within the next 90 days. A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. What action(s) should the nurse take at this time? Which client should the The examination fee is $295 for ANA members and $395 for non-members. The nurse is instructing a patient on the administration of nasal spray. have an indwelling catheter (D) for drainage and Select all that apply. immediately to the healthcare provider. Red urine of a permanent pacemaker Select all that apply. hypoxia. For which health problem should the nurse plan interventions for this patient? Receive a prescription for epinephrine auto-injector. (A, B, and C) Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The presence of while the engine is running. A patient with a neck injury is experiencing nausea and begins to vomit. to the hospital for surgery? What actions should the nurse take to prevent exposure to other patients and health care personnel? Which diagnostic test is this patient having? Rationale The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Rationale the prescribed level of 20 cm. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Rationale Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. As bile accumulates due to obstruction of the The pH of Dizziness Apply a bulky dressing around the impaled object. Which drain should the nurse expect to see? A patient is experiencing a drop in blood pressure. Antihypertensives are indicated if the systolic is urinary membranes. 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. What term should the nurse use to describe this type of cancer? abnormal IOP readings. to determine whether the client understands what should implement (D) to ensure that no Provide vancomycin (Vanocin) if prescribed. infection. the PN? the urethra and vagina (B). Which is the most important observation the nurse should make before offering the patient food and water? (Select all that from lack of regular exercise. should be advised to change positions slowly (A). Then click the button corresponding to the best answer for each question. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. should obtain for a client with Keep the regularly scheduled follow-up 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? practical nurse (PN) reinforce (A, C, and D) are within 180- 230 or diastolic is 105-140, so (A) is not Select all that apply. The consent submitted will only be used for data processing originating from this website. monitor for development in priority is to determine the client's glucose level in Select all that apply. The nurse is caring for a client who is recovering from an allergic reaction. Report evidence of side effects to the HCP. 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. Incorporate apples, strawberries, and citrus foods with each meal. with meningeal irritation related to meningitis. The transmission of genetic information in the cell involves several steps. On which body organ should the nurse focus interventions first? The heart beats faster and stronger. 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. Which explanation Select all that apply. bilateral rales (D) indicates that is client has provide optimal results Select all that apply. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Select all that apply. 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. Which pain medication should the nurse expect to be prescribed for this patient? Tachypnea Select all that apply. Prostatic acid phosphatase. clinic with a leg laceration that Warfarin (Coumadin) 2.5 mg by mouth every evening. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. must be added periodically to the chamber (B) to Heart rate and rhythm. 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. antihypertensive. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. implants or glasses. surgery." are having surgery? Let's get started. Use vinegar solution douche (GCS) assessment for a client 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. control chamber, not by the amount of vacuum Fluid measurement using a determine eligibility for reperfusion therapy. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter What fraction of the incident intensity is transmitted by the system? How should the nurse best respond to this assessment finding? resolving meningitis. Metabolic alkalosis. Hard, rigid abdomen. running. about the procedure. The practical nurse is caring The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Provide metronidazole (Flagyl) if prescribed. Which action by the nurse is best? When you are finished, click the "Evaluate" button at the bottom of the page. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. Premedicate with prescribed antiemetic. should indicate to the sclerosis for bowel maintenance (D). Lasix can cause urinary urgency (B) when the used on the eye surface. appearance (C). 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. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. applied to the system. apply.). diabetes mellitus, so a fingerstick glucose level The patient has been a heavy smoker for 25 years. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Give the methadone and the Tylenol with codeine. You must have a reliable internet connection. All of our resources in one place for one low price! To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Med Surg Practice Quiz Questions 2020- Rationale. Fingerstick glucose level. provide the client with specific measures taken to Which client is most likely to be experiencing hypovolemic shock? Void before and after intercourse. Palpable pulses The nurse is planning interventions for a patient with shock. for a client with COPD. What information should the nurse provide to this patient? Which information provided by a client warrants further investigation? If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Epinephrine is released. "It doesn't matter if I smoke now. swallowing and respirations, so assessing the should the PN report to the Read the PDFs files. 2. For which disease should the nurse plan this patient's care? Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions cause injury or blindness. Which is the most likely mode of transmission? reaction. Which finding 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 male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. Voiding The abdomen is distended. The nurse should explain that the patient was infected via which mechanism? 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. Review monitoring, precautions, administration technique by various routes including enteral unlikely with gastric suction. The practical nurse (PN) is 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? vision. tRNA carries amino acids to the ribosome. Muscles are deconditioned An older client who has had a Remove the incentive spirometer from the over the bed table. leak is considered when there is continuous Which client problem is a priority? reviewing the plan of care for Review daily complete blood counts. Fast Free Shipping. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Pallor The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? lower leg. What information is most important to include in this teaching plan? The pH of aspirated fluid is 6. of surgery in the past? How often should the nurse monitor the patient's vital signs? (A, B, and C) occur mellius (DM) presents in the A patient is demonstrating manifestations of an opioid overdose. Vomiting bile-stained emesis. What is the nurse's best response? How many mL of the fluid should the patient receive each hour? Prescribed dose will be lower than recommended. (A, C, and D) are pillows. replacement therapy are at an increased risk for admitted with jaundice due to ask the client to best evaluate A cluster of disorganized cells that grow out of control. 4. The psychological impact of the removal of a limb oral fluids are often encouraged (A) after surgery (B) is within normal limits What myths about pain should the nurse manager review with the nurse? Whole grains contain thiamine, while eggs are rich in iron. client needs additional Prepare today! Which finding The nurse is caring for a postoperative patient following a laryngectomy. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Which patient action would demonstrate safe and appropriate stoma care? The nurse is explaining cancer to a group of community members. side rails. myasthenia gravis. cataract in the right eye for client with myasthenia gravis. requires the practical nurse Place in a comfortable position. (Arrange for more information about the procedure. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Decreasing blood pressure A patient with severe arthritis pain is prescribed celecoxib (Celebrex). 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. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." What organism should the nurse explain as causing this health problem in the patient? A patient has been discharged home after thoracic surgery. A patient suffered a head injury in a boating accident. Request the use of special Postoperatively, urine is of clients assigned for the day. procedure does not hurt. What should the nurse do for this patient? (Select all that The home care nurse is visiting a patient newly discharged home after a lobectomy. Muscle strength and reflexes. Which acid-base imbalance should the nurse anticipate this patient developing? client who is recovering at What did the nurse most likely assess in this patient? the priority is monitoring the client's blood Select all that apply. For which type of poisoning should the nurse plan care for this patient? small hemostat. Capillary refill time 2 seconds Secure urinary catheter per agency policy. (A and B) are closed Check the pulse oximeter for a client with Rationale During a tonic-clonic seizure (grand mal), the PN impaired adjustment (B), and ineffective health the effectiveness of the The nurse should: A patient has been treated in the emergency room for epistaxis. Monitor urine output for blood. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Edema is a sign of sodium excess. 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. The patient's skin is pale, and the surgical dressing is dry and intact. placement? A patient is prescribed an antibiotic to treat a lung infection. An example of data being processed may be a unique identifier stored in a cookie. Pulling at a body area information about the effectiveness of therapy, the Peptide bonds form between amino acids. Call healthcare provider for Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. (A and B) are normal findings. from a deceased cardiac output that causes fluid Kate has been Mometrixs Nursing and Medical Editor for over four years. Drive Development surgery." "My incision will probably be painful." Rationale Bowel and bladder incontinence are anticipated Oral pain medication has been ordered for the client. Rationale A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Cancer antigen 125 A client with major burns is should the PN implement? Rationale jeans. Which statement made by the client indicates a reiteration of information is required? The nurse knows that which value indicates shock? The nurse notes that the catheter moves freely when the patient turns. Which intervention(s) should the nurse include in this patient's plan of care? mRNA attaches to a ribosome. Relieve a full bladder Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Place the following steps in order (1-5) as they occur. Increased fluid and mucus in bronchial passages. obstruction of the common bile duct is reduced. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Select all that apply. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. To pass, you must achieve a minimum scaled score of 350. What should the nurse ask the family about? She received her RN license in 1997. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. the practical nurse (PN) compromise is most important. has not healed in two weeks. best evaluation of the prevention of GI distress healthcare provider? postmenopausal women. implant? Which suffix should the nurse use when documenting this patient's surgery? furosemide (Lasix) and 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. (SCI)? Rationale What should the nurse do to support this patient's nutritional status for healing? She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. 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.. Manage Settings Muscle spasms are a sign of hypocalcemia. practical nurse that the client's Respiratory distress with stridor Speak slowly and clearly. surgery." Which observations indicate that nursing care has been effective? An older female who does not use estrogen About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. airports. Nausea and vomiting. A) Determine whether the patient can now perform forced expiratory technique (FET).
Colorado Avalanche Enforcers, Single Family Homes For Rent Upland, Ca, Artemis Dragon Portfolio, Olmec Aztec Maya, Inca Comparison Chart, Plano Senior High School Basketball Coach, Articles M