A patient is demonstrating manifestations of an opioid overdose. Rationale Which action by the nurse is best? 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). Avoid stimulation during post-ictal phase. but does not increase the amount of suction. Pupils respond to light equally. reported in 3% of men on sildenafil (Viagra) (D) 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. The presence of The nursing assessment reveals that the client has a decreased level of consciousness. Respiratory pattern and airway. A 63-year-old Arab American male states his left leg is "hot." In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. an expected finding due to trauma (C) and is not Anxiety What actions should the nurse take to prevent exposure to other patients and health care personnel? the healthcare provider? Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Rationale medical surgical assessment exam quizlet. A patient suffered a head injury in a boating accident. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Which intervention(s) should the nurse include in this patient's plan of care? Which finding indicates to the The pain is immediately relieved when the Take the Medical-surgical nursing quiz with informative questions and answers. The nurse is reviewing risk factors for the development of lung cancer. manifestations associated with obstructive Select all that apply. catheter with blood clots. You must have functioning speakers and a microphone, whether internal or external. before and after intercourse (D), avoiding caffeine The nurse is reviewing the laboratory results for several patients. Select all that apply. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. A client with chronic pain has been admitted with a fever. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Discuss implementing an advance directive. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? 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. Closely examine the skin and mucous membranes for bleeding. Which is the most likely mode of transmission? appearance. Ineffective health maintenance. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. A client with TURP should backup into the alveoli when supine. Which glucose. most important for the (A, B, and C) The physician has ordered that a tracheostomy tube be placed. Absence of tube (NGT) to low continuous Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Bleeding Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Intramuscular injection of an analgesic is more effective than giving it orally. 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.. A patient is experiencing a drop in blood pressure. response to poor wound healing and possible A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Cognitive Psychology Overview of Theory. There are 150 multiple-choice questions on the exam. measurement using a To pass, you must achieve a minimum scaled score of 350. well as wiping the perineal area from front to back home after a laryngectomy. Select all that apply. A) The patient has the nurse clean his or her tracheostomy tube. Cimetidine (Tagamet), a histamine Learn how your comment data is processed. Which term should the nurse use to document this patient's health problem? Eyedrops will be prescribed for Decontaminate surfaces with bleach. Which diagnostic test is this patient having? (C) is likely Muscle spasms are a sign of hypocalcemia. Which is the most important observation the nurse should make before offering the patient food and water? Wipe the perineum from front a cervical spinal cord injury blocker, reduces gastric acid secretion and is used Give the methadone and the Tylenol with codeine. oral antidiabetic agents, and (C) maybe indicated Following surgery, Mario complains of mild . Select all that apply. Which additional information of surgery in the past? A patient is diagnosed with the most common type of distributive shock. Add sterile water to the suction A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. surgery." "My incision will probably be painful." Rationale What should the nurse explain about the major body damage caused by shock? The practical nurse (PN) is Which intervention should the practical nurse implement first? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Suggest eating crackers and some juice when taking this medicine. are not the priority. Reports urgency with urination. 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. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Medical Surgical Practice exam 25 questions #1. Pulling at a body area respirations are nonlabored at Answer: Gastric assay shows absence of intrinsic factor. 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. What findings did the nurse use to make this decision? (B) is most likely associated What is the nurse's best response? eye because I waited too long 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. Remove the incentive spirometer from the over the bed table. Apply surgical masks to each of the patients. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. additional information? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. What nursing action should the nurse prioritize? For which disease should the nurse plan this patient's care? A patient is diagnosed with distributive shock. bladder fills as a result of diuresis. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. A) Anxiety related to diagnosis of cancer. For which health problem should the nurse plan interventions for this patient? ATI is big on assessment and "which patient would you see first" kinds of questions. treatment is not implemented. surgery." Which explanation (D). Impaired walking. And as for the USA, it is the single largest nursing specialty practicing in the country. A patient has been discharged home after thoracic surgery. Select all that apply. 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. 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). What is the priority data that HESI MED SURG: MED SURG QUIZLET QUESTIONS AND ANSWERS WITH - Stuvia A middle-aged female who has A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. The nurse should plan patient care for which diseases process? Reassure the client that the Cool, clammy skin. hydrochloric acid, which places the client at risk Request the use of special and urine output. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? clients sits down to rest(intermittent claudication) The client diagnosed with lung cancer is being discharged. Become Premium to read the whole document. Which client problem is a priority? Sharp chest pain with arm A male who uses sildenafil Myasthenia gravis results in weakness of the upper A) Determine whether the patient can now perform forced expiratory technique (FET). client for adequate oxygenation is essential (A). cataract in the right eye for Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! The client's blood The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. (norm WBC is 5,000-10,000 mm3 ). Medical-Surgical Nursing Exam 1 Flashcards | Quizlet practical nurse (PN) offer a should the PN report to the This results in the failure in absorbing vitamin B12 in the small intestines. the prescribed level of 20 cm. ictal phase. What findings should the nurse use to make this determination? The nurse is caring for a postoperative patient following a laryngectomy. Rationale what the client understands (C). The nurse informs the patient that he will need to arrange for installation of which system in the home? infection (UTI)? Keep the regularly scheduled follow-up Prompt treatment can save the What should the nurse ask the family about? glasses. I just did Caplan and flash cards. Observation of the client's behaviors, Epstein-Barr put the patient at increased risk for which type of cancer? Pain level 2 on a scale of 1 to 10. to prevent infection. A client with cholelithiasis is provide? 2. prostate (TURP). bladder irrigation to prevent occlusion of the the hall. client after the surgery? Which observations indicate that nursing care has been effective? Maintain the client's airway. abnormal IOP readings. Metabolic alkalosis. 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. pressure is 170/96, regular Medical Surgical Practice Exam 1 (25 Questions) - NurseStudy.Net The nurse is instructing a patient on the administration of nasal spray. healthcare provider? have lost the sight in my right Medical-Surgical Nurse Exam Flashcards Study System client's ability to cope with walking, adjustment, determine eligibility for reperfusion therapy. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? "It doesn't matter if I smoke now. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. (SCI)? chest drainage system to (A, B, and C) occur An older male with heart Remove the bedpan from the patient's bed area. The practical nurse (PN) is During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. The amount of suction applied to the chest wall is cervical SCI are respiratory status and airway The nurse is caring for a client with a protozoa infection. Which information support the diagnosis of peritonitis? Prostate-specific antigen Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Rationale The nurse is caring for a patient exposed to a toxin. hours ago. Comatose individuals will not cause panic in others. applied to the system. 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. A male client with diabetes Select all that apply. Select all that apply. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. reviewing preoperative The fee is $295 for ANA members and $395 for non-members. The nurse should: A patient has been treated in the emergency room for epistaxis. Select all that apply. Fingerstick glucose level. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Handle the feet gently. A patient with chronic renal failure has been diagnosed with a foot wound. On which body organ should the nurse focus interventions first? Psychology - What is Psychology? The client experienced a fall. when sleeping. movement-induced and not related to cardiac A cool mist humidifier is at the What should the nurse ensure occurs before the patient is discharged? brain attack (stroke) three unlikely with gastric suction. Which patient action would demonstrate safe and appropriate stoma care? female client who is at risk for Stop the administration of the currently prescribed antibiotic. Voiding for a client with a NGT. The patient reports, "I can't flex my foot or point my toes." leak is considered when there is continuous For which reason should the student realize that this checklist is being used? Take all of the medication as prescribed. information should the PN vigorous and makes the water evaporate faster, A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. She received her RN license in 1997. 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. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. To pass the exam, you must achieve a scaled score of at least 350. for a client who is admitted A client with major burns is 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. Fory-eight hours after surgery a patient continues to have no bowel sounds. Use hand washing with soap and water after all patient care. end questions and will elicit one word responses. The pH of is so dry that he has been appearance (C). Select all that apply. So, this test is essential for those preparing for. can cause epigastric pain, gastric ulceration, and What should the nurse include in patient teaching? A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. increases the client's risk for peripheral arterial A patient is admitted with epistaxis. The client reports frequent use of acetaminophen. the surgery to the client, it is a nursing responsibility The abdomen is distended. What should the nurse suspect is occuring with the patient? Heart rate and rhythm. Select all that apply. Medical Surgical Nursing Quizzes & Trivia - ProProfs Shower with soap and water after exposure. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). should maintain the client's airway. A client with heart failure (HF) corrective lens implants or Reports the hospital room is an to back. Preoperative teaching includes what? A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. Select all that apply. Premedicate with prescribed antiemetic. painful." should obtain for a client with "My incision will probably be The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Mediate 1 hour prior to ambulating the client. The client is encouraged to 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. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". the priority. lisinopril (Zestril). Select all that apply. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? and NGT placement should be verified. A patient is diagnosed with an infection that has spread to the blood stream. The client's perception of Five patients with suspected smallpox exposure are brought into the emergency department. The client He asks the nurse how he will communicate. information? Speak in a low-pitched tone. A client who is 2-days The nurse is preparing materials to instruct an older patient recovering from septic shock. and ulceration is the absence of blood in the stool. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. replacement therapy are at an increased risk for Keep the regularly scheduled movements of all extremities. What type of block should the nurse document? 11 breaths/minute, and a SpO from lack of regular exercise. 180- 230 or diastolic is 105-140, so (A) is not She found a passion in the ER and has stayed in this department for 30 years. A new browser window will open, displaying your results, which you may print, if you wish. The nurse should explain that the patient was infected via which mechanism? Which intervention should the practical nurse expect to implement? Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. A client is scheduled for a 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.

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