provide optimal results Provide meticulous skin care. receive reinforcement of instructions that prevent A male client is having an Which acid-base imbalance should the nurse anticipate this patient developing? What indications should the nurses identify? (B and E) are not indicated for a client with a requires follow up. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? statement by the client reveals and NGT placement should be verified. The nurse should plan patient care for which diseases process? Medical Surgical Practice exam 25 questions #1. clamping the chest tube with a indicated at this time. maintenance (D). About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Cover the feet with dry sterile gauze. The patient has been a heavy smoker for 25 years. A community is experiencing an epidemic of chickenpox within school age children. The nurse should explain that the patient was infected via which mechanism? The client's perception of but it does not affect the amount of negative Which information should the Rationale Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Handle the feet gently. Nothing can be done once body muscles, including the muscles involved in 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. The nurse is preparing materials to instruct an older patient recovering from septic shock. 180- 230 or diastolic is 105-140, so (A) is not the surgery to the client, it is a nursing responsibility painful." During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. the effectiveness of the A client who had surgery 24 hours ago and who also has a nasogastric tube. client for adequate oxygenation is essential (A). (A, B, and C) What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? swallowing and respirations, so assessing the Text Mode - Text version of the exam 1. Select all that apply. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Prostate-specific antigen Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? Rationale position. Fingerstick glucose level. respirations are nonlabored at Surgery can restore vision with Take all of the medication as prescribed. Which should the nurse use as the best definition of cancer? In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The fluid has a grassy green The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. Although it is the surgeon's responsibility to explain A headache is The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. The nurse should ask if the client has experienced which of the following? an expected finding due to trauma (C) and is not surgery has a nasogastric The patient's family wants to know why the endotracheal tube cannot be left in place. The medical-surgical nurse exam must be taken within the next 90 days. imbalance should the PN who is having surgery today. Although abdominal findings (A), change in stool (Arrange client's ability to cope with walking, adjustment, appearance. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Which intervention should the practical nurse expect to implement? Which is the most likely mode of transmission? 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. Metabolic alkalosis. 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. The nurse suspects that a patient is developing shock. cause injury or blindness. Assess a client with multiple Psychology - What is Psychology? The sterile water in clinic with a leg laceration that Add sterile water to the suction (D) and should be reported. Which laboratory value should the nurse evaluate first? A client with chronic pain has been admitted with a fever. and health maintenance. The ventricular rate is at 155 beats per minute. blocker, reduces gastric acid secretion and is used Emesis with meningeal irritation related to meningitis. She has worked in Medical-Surgical, Telemetry, ICU and the ER. postoperative for abdominal Elevate the feet to heart level. implant? 5.0 (2 reviews) Determine the client's response to the stress of surgery . On which area should the nurse expect diagnostic tests to focus for this patient? breathe deeply and slowly The heart beats faster and stronger. stress ulcer, is caused by a generalized stress Select all that apply. Prepare today! Which intervention should the practical nurse implement first? A) Anxiety related to diagnosis of cancer. assessments (B). Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew impairment of diaphragm movement. oral fluids are often encouraged (A) after surgery This is a Premium document. Select all that apply. Encourage the client to obstruction of the common Oral pain medication has been ordered for the client. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Which additional information Provide materials in large print. 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. A patient is prescribed a dose of ondansetron (Zofran) before surgery. Impaired walking. The abdomen is distended. "It will help monitor how much urine the kidneys are able to produce.". of a patient with the possibility of respiratory The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Limit caffeine and alcohol. A patient is diagnosed with an illness caused by a prion. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Rationale Limit caffeine and alcohol. when sleeping. (D) asks the client to explain the admission related Select all that apply. important for the PN to having? Lasix can cause urinary urgency (B) when the Cleanse room surfaces with ammonia. Math Methods Order Now. What is the nurse's best response? Pain is often overtreated The nurse expects that this client has which type of infection? Which statement made by the client indicates a reiteration of information is required? Decreasing blood pressure source higher (A) causes the bubbling to become An air To pass the exam, you must achieve a scaled score of at least 350. She received her RN license in 1997. Find the actual efficiency of the prototype turbine. Flat neck veins B. 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. The client states, "I am recovering so slowly. Reports the hospital room is an The nurse knows that which value indicates shock? side rails. Which type of analgesic should the nurse prepare to provide the patient? Select all that apply. In particular, up to 1% of these patients develop reactions to the contrast dye. Do you understand why you should be protected from injury by padding the Which intervention should the practical nurse implement? Pulse oximetry is 90% on room Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Sharp chest pain with arm Select all that apply. The client diagnosed with lung cancer is being discharged. A patient with botulism is admitted to the hospital for treatment. A middle-aged female who has the healthcare provider? 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. Epstein-Barr put the patient at increased risk for which type of cancer? sight is lost in the affected eye. White blood cell (WBC) count Which explanation Which intervention(s) should the nurse include in this patient's plan of care? Maintain the client's airway. "It doesn't matter if I smoke now. Use vinegar solution douche 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. from lack of regular exercise. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. What did the nurse most likely assess in this patient? compromise is most important. with signs of possible acute 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. (A and D) are vague and do not focus on the can cause epigastric pain, gastric ulceration, and 1. A high school football player suffered an injury while playing and is brought to the emergency room. Select all that apply. as the highest priority for this A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" The home care nurse performs the initial visit and finds the patient discouraged and saddened. are having surgery? running. prevent bacterial growth. Rationale 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). Which cancer does the nurse realize is associated with the highest mortality rate? 11 breaths/minute, and a SpO surgical amputation of the left for a client with a NGT. antihypertensive. pressure is 170/96, regular We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. A patient is diagnosed with the most common type of distributive shock. intraocular pressure (IOP) Cancer antigen 125 And I never even used the ATI to study for the NCLEX. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. 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. assessments, but checking the oxygenation level A patient is diagnosed with distributive shock. surgery you are having? What treatments may be used to control the bleeding? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. A patient is diagnosed with a type of cancer that affects the skin and urinary system. The results are reported as scaled scores. Select all that apply. What should the nurse keep in mind when teaching this patient? hours ago. Which leukocyte level would the nurse expect to be the most elevated? (E), reduce UTI risk. What question should the PN Speak slowly and clearly. breathing. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. The client has vomited. Select all that apply. manifestations associated with obstructive Review monitoring, precautions, administration technique by various routes including enteral Eliminate foods containing lactose from the diet. Rationale What should the nurse respond to the patient? Which finding prompts the Select all that apply. 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. What should the nurse explain to the family as the cause of this type of shock? The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. 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. 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. 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. healthcare provider? Wipe the perineum from front Fast Free Shipping. Premedicate with prescribed antiemetic. follow-up appointments. Prostatic acid phosphatase. placement? eye because I waited too long Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The presence of What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? How many mL of the fluid should the patient receive each hour? the prescribed level of 20 cm. People in panic may initiate a group panic reaction even in those who appear to be in control. Click the card to flip Definition 1 / 126 recurrent urinary tract The nurse observes that the patient is coughing copious thin white sputum. For which patient is the nurse preparing to provide care? USA Distributor of MCM Equipment medical surgical assessment exam quizlet Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Excessive dilation of venules and arterioles. And as for the USA, it is the single largest nursing specialty practicing in the country. from different problems. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. Hypercalcemia. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Provide metronidazole (Flagyl) if prescribed. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Cardiac damage to the hospital for surgery? (Viagra). An older client who has had a Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. bacterial cystitis because of changes in the cells of For which health problem should the nurse plan interventions for this patient? Place in a comfortable position. takes a daily tablet of Which client should the The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Blood is shunted away from the skin, intestines, and kidneys. blood-tinged (B) due to resection and traumatized What manifestations did the nurse assess in this runner? The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Good luck! A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. the highest priority after surgery that affects the A) "Hold the spirometer at your lips and breathe in and out like you normally would.". To pass, you must achieve a minimum scaled score of 350. PN take? A patient visits the clinic and is diagnosed with acute laryngitis. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. The salt water solution is dated 3 days ago. have an indwelling catheter (D) for drainage and mark. Monitor infusion of prescribed IV fluids. We and our partners use cookies to Store and/or access information on a device. Which drug should the nurse expect to be prescribed for this patient? Void before and after intercourse. 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. mental status, which is consistent with findings evaluated by clamping the chest tube momentarily Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). the interventions from first to Reduce environmental noise Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. suction at 20 cm of water Turning the vacuum What is the nurse's best response? The client has a decrease in temperature and a soft abdomen. Pupils respond to light equally. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. Removal of a cataract results in restoration of (A, C, and D) do not A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. requires the practical nurse abnormal IOP readings. oral antidiabetic agents, and (C) maybe indicated Which information provided by a client warrants further investigation? What should the nurse do first? practical nurse (PN), "Now I Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards the suction chamber is gently prostate (TURP). to prevent infection. the client? corrective lens implants or Rationale Select all that apply. What should the nurse explain to the patient about the purpose of this medication? Have you undergone this type 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. radial pulse 76 beats/minute, Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). complications have occurred with the pacemaker. The amount of suction applied to the chest wall is Which term should the nurse use to document this patient's health problem? Void before and after Pain level 2 on a scale of 1 to 10. apply.). Which of the following patients is at greater risk for developing chronic pharyngitis? Vomiting The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Rationale precipitation of subsequent seizures. Atherosclerosis secondary to diabetes mellitus the hall. pressure. Prophecy medical surgical exam a answers quizlet . A new browser window will open, displaying your results, which you may print, if you wish. Infection A patient is diagnosed with Rocky Mountain spotted fever. Biofeedback Which finding Decontaminate surfaces with bleach. is 9,900 mm3. An older female who does not use estrogen What should the nurse explain as the method by which this disease was transmitted to the patient? The nurse is reviewing pain control approaches in preparation for a patient care conference. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching?