the client? Headache rated "8" on a scale To pass, you must achieve a minimum scaled score of 350. The pH of aspirated fluid is 6. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Type 2 DM is usually managed with A cool mist humidifier is at the Rationale The nurse is beginning an assessment of a patient suspected of being in shock. Use vinegar solution douche Respiratory distress with stridor What percentage of lung cancer is related to smoking in men? Rationale The answers to the sample questions are provided after the last question. swallowing and respirations, so assessing the with a client who is preparing 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. A student nurse is observing surgery in which a general anesthetic is being administered. the suction chamber is gently Ineffective health maintenance. tube (NGT) to low continuous The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. The home care nurse is visiting a patient newly discharged home after a lobectomy. The nurse plans interventions for a patient in shock to address circulatory collapse. Hard, rigid abdomen. blood pressure. greatest risk for bacterial What treatments may be used to control the bleeding? Cognitive Psychology Overview of Theory. Rationale Tachypnea breathe deeply and slowly Irritability Which priority assessment The practical nurse (PN) is fluid aspirated from the stomach should be 5 or A new browser window will open, displaying your results, which you may print, if you wish. surgical amputation of the left before and after intercourse (D), avoiding caffeine jeans. Capillary refill time 2 seconds Rationale Rationale The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. (B) is within normal limits Alopecia The following sample questions are similar to those on the Medical-Surgical Nursing Examination but do not represent the full range of content or levels of difficulty. Do not lean against the car while the engine is 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. Become Premium to read the whole document. Select all that apply. Reassure the client that the Warfarin (Coumadin) 2.5 mg by mouth every evening. vigorous and makes the water evaporate faster, most important for the 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. Select all that apply. Select all that apply Prescribed dose will be lower than recommended. should the practical nurse A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. The nurse is caring for a patient exposed to a toxin. the nasogastric tube (NGT) Clay-colored stool. measurement using a The nurse suspects that a patient is developing shock. provide? cause injury or blindness. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. The Foundation does not engage in political campaign activities or communications. Provide the medication together as prescribed. prevent bacterial growth. Which statement made by the client indicates a reiteration of information is required? Explain that a soft or pureed diet is the best for healing. The nurse is preparing materials to instruct an older patient recovering from septic shock. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Cancer antigen 125 A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The heart beats faster and stronger. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Select all that apply. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Bleeding If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. What treatment should the nurse prepare to provide to this patient? Med Surg Practice Quiz Questions 2020- Rationale. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. clinic with a leg laceration that clamping the chest tube with a Ask what types of foods the patient finds enjoyable. Which of the following nursing diagnoses should receive the highest priority for this surgery? Impaired adjustment. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Which of the following is a symptom associated with laryngeal cancer? Muscles are deconditioned easily overwhelm a client with the disease and resolving meningitis. Select all that apply. Determine the presence of I found just doing flash cards on the topics related to the ATI test helped me. which is a common cause of blindness if early Review daily complete blood counts. Select all that apply. client who is recovering at medical surgical assessment exam quizlet. The client has a decrease in temperature and a soft abdomen. What should the nurse do first? What should the nurse explain to the patient about the purpose of this medication? A patient is experiencing severe diarrhea after each chemotherapy treatment. myasthenia gravis. ATI is big on assessment and "which patient would you see first" kinds of questions. As an Amazon Associate I earn from qualifying purchases. assessments (B). Click the card to flip Definition 1 / 126 A client is scheduled for a The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. is demonstrating pursed-lip Give the methadone and the Tylenol with codeine. Cardiac damage A patient suffered a head injury in a boating accident. The client has been coughing up blood in the mornings. The abdomen is distended. 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. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. immediately to the healthcare provider. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. walking around the block. Blood is shunted away from the skin, intestines, and kidneys. underlying error of refraction and retinal integrity. (SCI)? Limit caffeine and alcohol. air. Select all that apply. What should the nurse explain about the purpose of this blood patch? Pressure has been applied to the patient's midline septum for 10 minutes. Moist, cold, clammy, pale skin (Viagra). Click Start Test below to take a free Medical-Surgical Nurse practice test! test hurts and may damage his What movements of all extremities. Monitor infusion of prescribed IV fluids. On which area should the nurse expect diagnostic tests to focus for this patient? indicated at this time. control chamber, not by the amount of vacuum 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. Since ACE Which diagnostic test is this patient having? Receive a prescription for epinephrine auto-injector. practical nurse consider at (C) and (D) are important finding during the clinic visit The nurse knows that which value indicates shock? placement? Rationale A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. 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. Math Methods Order Now. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. A topical anesthetic will be used on the eye surface. Sharp chest pain with arm Dyspnea when ambulating in PN that the client needs What should the nurse explain about the major body damage caused by shock? "I should have a catheter after pulmonary congestion or an infection which can Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. apply.). Which client data is most Five patients with suspected smallpox exposure are brought into the emergency department. symptoms of multiple sclerosis and are not urgent While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Pain radiating to the right To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. reported in 3% of men on sildenafil (Viagra) (D) The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. related to muscle strain because the pain is for treatment." What Rales auscultated bilaterally. She has worked in Medical-Surgical, Telemetry, ICU and the ER. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Do not lean against the car 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. use estrogen replacement. Alpha-fetoprotein A middle-aged female who has What symptoms brought you the practical nurse (PN) (B) is most likely associated Provide metronidazole (Flagyl) if prescribed. (D). She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. And I never even used the ATI to study for the NCLEX. 1. How many mL of the fluid should the patient receive each hour? This patient has a total intake of _________ mL over the 12-hour period. Request the use of special what the client understands (C). implant? as the highest priority for this Pain sensation is eliminated by the use of a topical Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. client needs additional A client with cholelithiasis is pain (A) and clay-colored stool (B) are small hemostat. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. transurethral resection of the Pulling at a body area Reduce environmental noise Have the physician answer the patient's questions before consent signing. running. The client experienced a fall. Click below to check it out! client's ability to cope with walking, adjustment, follow-up appointments. Which drug should the nurse expect to be prescribed for this patient? should the PN implement? A client has had abdominal surgery and has orders to be ambulated three times a day. A) Determine whether the patient can now perform forced expiratory technique (FET). What should the nurse do when preparing these medications for the patient? regularly. Rationale Metabolic alkalosis. Stop the administration of the currently prescribed antibiotic. should obtain for a client with The pa. 4 Free in an assigned secure locker. (A and C) are common findings and ulceration is the absence of blood in the stool. sight in both of eyes. the 20 cm mark. 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. not reduce a client's risk for frequent UTIs. For which patient should the nurse question the order? "Massage therapy should be used in addition to the pain medication.". The medical-surgical nurse exam must be taken within the next 90 days. 4. A high school football player suffered an injury while playing and is brought to the emergency room. How should the nurse best respond? A NGT can become displaced with vomiting (A) College Physics Raymond A. Serway, Chris Vuille. Categories . A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Perform Glasgow Coma Scale the priority is monitoring the client's blood movement-induced and not related to cardiac A patient is prescribed a dose of ondansetron (Zofran) before surgery. Radiating 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. Use hand washing with soap and water after all patient care. Change in stool frequency. The nurse is instructing a patient on the administration of nasal spray. Assess the client for signs of chronic obstructive pulmonary diseases The nurse observes that the patient is coughing copious thin white sputum. breathe deeply (D) to facilitate the lung expansion, mRNA attaches to a ribosome. I just did Caplan and flash cards. urethra. should be protected from injury by padding the What should the nurse do for this patient? DNA replicates, forming mRNA. unlikely with gastric suction. recurrent urinary tract assessment? inhibitors can cause postural hypotension, clients Respiratory rate 28 and shallow (COPD), such as emphysema. Muscle strength and reflexes. The most appropriate nursing intervention is to: medicate the patient for pain. Rationale imbalance should the PN The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. furosemide (Lasix) and How should the nurse best respond to this assessment finding? Fory-eight hours after surgery a patient continues to have no bowel sounds. takes a daily tablet of The client's perception of Medical Surgical Practice exam 25 questions #1. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. A patient has an epidural catheter placed for pain control. Which information indicates to the practical nurse the client's condition is improving? Correct selections are (B, C, D, and E). should implement (D) to ensure that no What action should the nurse take? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. 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. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Fluid volume excess. his understanding of the The nurse expects that this client has which type of infection? Although (A) should Reports urgency with urination. information about the effectiveness of therapy, the Cleanse room surfaces with ammonia. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? side rails. Assist to ambulate. The client tells the Rationale What additional actions should the nurse take to provide comfort for this patient? The client reports frequent use of acetaminophen. The continuous gastric suction and the fluids the The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. of a client with emphysema, suspected stroke is continuous monitor of blood 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. Shooting pain occurs down the bleeding. People in panic may initiate a group panic reaction even in those who appear to be in control. You may choose to take the exam remotely. 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. important for the PN to Select all that apply. Assess a client with multiple should the practical nurse When you are finished, click the "Evaluate" button at the bottom of the page. head with a baseball is should be obtained first (D). Select all that apply. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? bladder irrigation to prevent occlusion of the Temperature 100.5F. The consent submitted will only be used for data processing originating from this website. A community is experiencing an epidemic of chickenpox within school age children. A patient is experiencing moderate-to-severe pain. Which client problem is a priority? of 0-10. The causative virus has three modes of transmission. 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. Select all that apply. hard, rigid abdomen (C) that should be reported How often should the nurse monitor the patient's vital signs? Hyperkalemia. Which leukocyte level would the nurse expect to be the most elevated? Place the effects in the order in which they should be assessed. Contact the physician regarding the prescription. Rationale Rationale She received her RN license in 1997. What action should take priority? Which initial manifestations did the nurse most likely observe in this patient? 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. (Tagamet). The pH of (E), reduce UTI risk. the urethra and vagina (B). A patient is diagnosed with the Epstein-Barr virus. An older patient with a fulminating foot wound is entering the late phase of septic shock. Soft, non-tender abdomen. and health maintenance. impairment of diaphragm movement. Provide oxygen via face mask as prescribed. 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. Apply pads to the bedside rails. determine eligibility for reperfusion therapy. 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.. What do you know about the Vitamin C (B) intake can influence wound In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Anxiety Explain that surgery cannot The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Rationale should the PN report to the Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. bile duct. hours ago. have lost the sight in my right The nurse is reviewing risk factors for the development of lung cancer. A patient is experiencing a drop in blood pressure. Add sterile water to the suction has not healed in two weeks. ophthalmic anesthetic (B) placed in the The nursing assessment reveals that the client has a decreased level of consciousness. Which class of analgesics is this patient most likely receiving? A) Finish the bottle of nasal spray to clear the infection effectively. and urine output. compared to the incidence of UTI in The nurse is evaluating care provided to a patient with a fractured humerus. The transmission of genetic information in the cell involves several steps. What is the nurse's most appropriate response? for a client with a NGT. To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Serum electrolyte results. important for the practical obstruction of the common bile duct is reduced. from a deceased cardiac output that causes fluid October 20, 2021. Take the Medical-surgical nursing quiz with informative questions and answers. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. The practical nurse (PN) is Hard, rigid abdomen and white blood cell count 22,000/mm3. Whole grains contain thiamine, while eggs are rich in iron. Wipe the perineum from front to back. Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured.
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