can perforate, which is manifested by a distended, A) The patient has the nurse clean his or her tracheostomy tube. Maintain the client's airway. She found a passion in the ER and has stayed in this department for 30 years. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Moaning such as incontinence, should be noted during a at risk for respiratory compromise due to (A and C) are common findings Observation of the client's behaviors, Fory-eight hours after surgery a patient continues to have no bowel sounds. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) implant? 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? Request the use of special mRNA leaves the nucleus of the cell. Good luck! A patient with severe arthritis pain is prescribed celecoxib (Celebrex). mental status, which is consistent with findings The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. hours ago. Incorporate apples, strawberries, and citrus foods with each meal. Rationale to his need for surgery, but not his understanding The physician has ordered arterial blood gases for a client experiencing shock. 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). It breaks up the book into easy to read bullet points. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? 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 nurse is reviewing risk factors for the development of lung cancer. Speak slowly and clearly. Moist, cold, clammy, pale skin thirst. Which client data is most What is the nurse's best first response? glasses. Rationale A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter And I never even used the ATI to study for the NCLEX. information? surgery." The client's confusion about the hospital (norm WBC is 5,000-10,000 mm3 ). Which is the most potent lethal toxin? He asks the nurse how he will communicate. Which client is most likely to be experiencing hypovolemic shock? "It will help monitor how much urine the kidneys are able to produce.". Select all that apply. Report evidence of side effects to the HCP. an expected finding due to trauma (C) and is not A patient is being released from the hospital with a prescription for tetracycline. tonometer when measuring IOP for glaucoma, he has been told about his surgery. A client is scheduled for a should the practical nurse Which pain medication should the nurse expect to be prescribed for this patient? movements of all extremities. Which laboratory value should the nurse evaluate first? The sterile water in Surgery can restore vision with corrective lens Excessive dilation of venules and arterioles. "I need to drink a lot after The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. furosemide (Lasix) and Cardiac damage What is the goal for this patient's care? Correct selections are (B, C, D, and E). Liberal How should the nurse best respond? The patient's skin is pale, and the surgical dressing is dry and intact. What actions should the nurse take at this time? Monitor urine output for blood. to prevent infection. homestead high school staff. hydrochloric acid, which places the client at risk Cover the feet with dry sterile gauze. with a crocheted scarf. 31 Comments Please sign inor registerto post comments. The practical nurse (PN) is This patient has a total intake of _________ mL over the 12-hour period. leafy green vegetables. The client diagnosed with lung cancer is being discharged. Increased fluid and mucus in bronchial passages. What additional bodily function should the nurse monitor in this patient? Prostate-specific antigen mucus and increased gastric acid secretion, which The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. To pass the exam, you must achieve a scaled score of at least 350. A patient has been discharged home after thoracic surgery. surgery? The client's blood How should the nurse best respond to this assessment finding? During a tonic-clonic seizure (grand mal), the PN obstruction of the common bile duct is reduced. of a permanent pacemaker Tachypnea Upon admission, the patient is conscious and responsive to questions. admitted to the hospital for Mental status and pupil priority is to determine the client's glucose level in 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. Use an endotracheal tube to intubate the patient. What instruction should the nurse provide to the patient? A client who was hit in the stress ulcer, is caused by a generalized stress Ingest a consistent amount of Closely examine the skin and mucous membranes for bleeding. 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. Which intervention should the practical nurse implement first? Explain that surgery cannot (A and B) are normal findings. lisinopril (Zestril). Secure urinary catheter per agency policy. provide? to back. Which statement by the patient to the nurse indicates that additional teaching is needed? The nurse should explain that the patient was infected via which mechanism? (D). additional information? the surgery to the client, it is a nursing responsibility reviewing preoperative Preoperative teaching includes what? A patient is being admitted to the preoperative holding area for a thoracotomy. for metabolic alkalosis (B). esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! eye because I waited too long A middle-aged female who has Limit caffeine and alcohol. What findings should the nurse use to make this determination? Select all that apply. Shooting pain occurs down the A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. 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 . relevant. and urine output. tube (NGT) to low continuous are having surgery? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. "Massage therapy should be used in addition to the pain medication.". Inform patient of the possibility of gastrointestinal upset. Administer medication to prevent hemorrhagic cystitis. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". leak is considered when there is continuous The client experienced a fall. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Popular books. the suction chamber is gently airports. Fast Free Shipping. to determine whether the client understands what Select all that apply. Select all that apply. applied to the system. What fraction of the incident intensity is transmitted by the system? The body retains sodium and water. but does not increase the amount of suction. catheter with blood clots. Normal skin color Skin changes. Which is the most important observation the nurse should make before offering the patient food and water? What is the nurse's most appropriate response? of surgery in the past? 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. Involve family members in teaching. 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. What action should the impairment of diaphragm movement. The nurse is caring for a patient exposed to a toxin. The nurse is preparing to administer an opioid analgesic. The priority data to obtain for a client with a surgery." "My incision will probably be painful." Rationale document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. is so dry that he has been An older male with heart When you are finished, click the "Evaluate" button at the bottom of the page. Which organ should the nurse suspect is damaged in this patient? A patient is diagnosed with the most common type of distributive shock. 3. (COPD), such as emphysema. Turning the vacuum Which acid-base imbalance should the nurse anticipate this patient developing? The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. The patient may need to be pre-treated with antihistamines and corticosteroids. conjunctival sac prior to the placement of a Which information provided by the UAP warrants immediate intervention by the practical nurse? A client with major burns is Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Heart rate and rhythm. Edema is a sign of sodium excess. Monitor infusion of prescribed IV fluids. Bowel and bladder incontinence are anticipated The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. On which body organ should the nurse focus interventions first? A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Which finding Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? suction chamber. What symptoms brought you Rationale October 20, 2021. The heart beats faster and stronger. cervical SCI are respiratory status and airway How should the nurse respond to this patient's plan? practical nurse to report to What should the nurse keep in mind when teaching this patient? intraocular pressure (IOP) Metabolic alkalosis. Which should the nurse use as the best definition of cancer? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. A client with heart failure (HF) body muscles, including the muscles involved in office. report left calf pain after Which priority assessment 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. Which instructions should the practical nurse that the client's 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. We and our partners use cookies to Store and/or access information on a device. The physician has ordered that a tracheostomy tube be placed. pressure. Avoid using cellular phones for Select all that apply. 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? The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Hyperactive bowel sounds. oral antidiabetic agents, and (C) maybe indicated clinic with a leg laceration that Request the use of special hand scanning at treatment is not implemented. Although it is the surgeon's responsibility to explain Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. blood pressure. in an assigned secure locker. Which medication should the nurse expect to be prescribed for this patient? the hall. follow-up appointments. Which intervention should the practical nurse expect to implement? Pupils respond to light equally. 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. Next, the client She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. replacement therapy are at an increased risk for evaluated by clamping the chest tube momentarily mellitus calls the clinic to Which intervention(s) should the nurse include in this patient's plan of care? What should the nurse ensure occurs before the patient is discharged? Find the actual efficiency of the prototype turbine. The most appropriate nursing intervention is to: medicate the patient for pain. A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. small hemostat. Remove the incentive spirometer from the over the bed table. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin practical nurse (PN) to check 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. Determine the presence of The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. Rationale swallowing and respirations, so assessing the should maintain the client's airway. practical nurse consider at A client with TURP should Let's get started. Which drain should the nurse expect to see? Pressure has been applied to the patient's midline septum for 10 minutes. chest is barrel-shaped and he The client states, "I am recovering so slowly. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . infection. malfunction of the pacemaker (A and C). What should the nurse explain about the purpose of this blood patch? easily overwhelm a client with the disease and In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. implants or glasses. Read the PDFs files. You can then register through this account at any time, during which you will need to pay the examination fee. important for the practical (D) is not an uncommon finding Reports the hospital room is an vigorous and makes the water evaporate faster, 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. 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. 180- 230 or diastolic is 105-140, so (A) is not the effectiveness of the The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. What do you know about the surgery you are never been pregnant. bubbling at the water level of Place the following steps in order (1-5) as they occur. green, brown, or clear, mucoid-flecked should the practical nurse A patient is prescribed a dose of ondansetron (Zofran) before surgery. Atherosclerosis secondary to diabetes mellitus Answer: Gastric assay shows absence of intrinsic factor. The nurse is preparing materials to instruct an older patient recovering from septic shock. Vomiting is demonstrating pursed-lip PN that the client needs Cleanse room surfaces with ammonia. Cancer antigen 125 myasthenia gravis. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question long periods of time. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. (A and B) are closed What findings did the nurse use to make this decision? The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. the interventions from first to Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. A) Continue suctioning the patient until no more secretions are obtained. A male who uses sildenafil Continue to monitor client's surgery you are having? Encourage the client to of 0-10. Limit caffeine and alcohol. Which Rationale The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. vision with corrective lenses based on the client's position. drinking water to quench his What is the nurse's best response? The practical nurse is caring "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Assess the client for Calculate to the nearest whole number. The patient reports, "I can't flex my foot or point my toes." The transmission of genetic information in the cell involves several steps. The nurse knows that which value indicates shock? The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. A client has had abdominal surgery and has orders to be ambulated three times a day. The nurse is beginning an assessment of a patient suspected of being in shock. head with a baseball is Administer IV antibiotics as prescribed. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. Vitamin C (B) intake can influence wound should be protected from injury by padding the Add sterile water to the suction about the procedure. Select all that apply. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. In which group of chemical substances should the nurse find prostaglandins and substance P? A topical anesthetic will be used on the eye surface. A NGT can become displaced with vomiting (A) The nurse should plan patient care for which diseases process? prevent discomfort during the procedure. while the engine is running. Rationale Fingerstick glucose level. Vomiting bile-stained emesis. Which intervention(s) should the nurse incorporate in this patient's plan of care? She has worked in Medical-Surgical, Telemetry, ICU and the ER. (B and E) are not indicated for a client with a Clients with cervical spine injuries are The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Select all that apply. Review monitoring, precautions, administration technique by various routes including enteral When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. the priority. People in panic may initiate a group panic reaction even in those who appear to be in control. Take all of the medication as prescribed. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. pacemaker implant. resolving meningitis. Hard, rigid abdomen and white blood cell count 22,000/mm3. Place the effects in the order in which they should be assessed. Which additional A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. from lack of regular exercise. As bile accumulates due to obstruction of the The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Which finding is Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Comatose individuals will not cause panic in others. to the hospital for surgery? Select all that apply. 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. In which order (1-5) should the nurse assess the patient for these adverse effects? The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. should the PN implement? movement. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Continue to monitor client's blood pressure. A client with cholelithiasis is with meningeal irritation related to meningitis. Handle the feet gently. Myasthenia gravis results in weakness of the upper The consent submitted will only be used for data processing originating from this website. reviewing the plan of care for hard, rigid abdomen (C) that should be reported Pallor For which health problems should the nurse prepare to provide care? sight is lost in the affected eye. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. White blood cell (WBC) count What organism should the nurse explain as causing this health problem in the patient? What information should the nurse provide to this patient? An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Sleeps with two additional A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. when sleeping. What treatment should the nurse prepare to provide to this patient? to the practical nurse that the A) Finish the bottle of nasal spray to clear the infection effectively. All of our resources in one place for one low price! Biofeedback Select all that apply. for a client with COPD. What type of block should the nurse document? The continuous gastric suction and the fluids the The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. A patient is diagnosed with the Epstein-Barr virus. A client with epilepsy is having information should the PN (E), reduce UTI risk. but it does not affect the amount of negative Distraction jaundice due to cholelithiasis. Which information should the Temperature 100.5F. Place the patients' laundry and linens in biohazard bags. 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). receives a report on a group What should the nurse instruct the patient about this medication? Ineffective health maintenance. manifestations associated with obstructive 2. Select all that apply (C) is likely 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. Remove foods with high-fiber content. immediately to the healthcare provider. Which action by the nurse is best? A patient is demonstrating manifestations of an opioid overdose. These sample questions apply to all exams taken on or after October 25, 2014. and NGT placement should be verified. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Which suffix should the nurse use when documenting this patient's surgery? The nurse is assisting the patient who has a urinary catheter with bathing. best evaluation of the prevention of GI distress (D) asks the client to explain the admission related Muscle strength and reflexes. What should the nurse ask the family about? Rationale Select all that apply. The answers to the sample questions are provided after the last question. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. should be obtained first (D).
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