medical surgical assessment exam quizlet

Hyperkalemia. What should the nurse respond to the patient? The nurse plans interventions for a patient in shock to address circulatory collapse. bilateral rhythmic jerking (Select all that Which intervention should the practical nurse implement first? the surgery to the client, it is a nursing responsibility The nurse is caring for a client who is recovering from an allergic reaction. The client has vomited. Select all that apply. can perforate, which is manifested by a distended, Which finding prompts the Aspirin 325 mg by mouth once a day Rationale nurse to collect? Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Prescribed dose will be lower than recommended. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Prepare today! Clients with cervical spine injuries are The nurse is reviewing medication orders for a patient with chronic pain. Select all that apply. Skin changes. prostate (TURP). If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Brudzinski's sign. results in a "Disturbed body image" (C), which is Blood is shunted away from the skin, intestines, and kidneys. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! pressure is 170/96, regular Addiction to opioids given to relieve pain is common, especially in teenagers. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. The patient reports, "I can't flex my foot or point my toes." (C) and (D) are important Premedicate with prescribed antiemetic. 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. A) Continue suctioning the patient until no more secretions are obtained. A client who had surgery 24 hours ago and who also has a nasogastric tube. Rationale 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. A patient who is talking on the phone and laughing is not really in pain. Rationale Which observations indicate that nursing care has been effective? Fluid volume excess. The gentle bubbling in the Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. practical nurse to report to Atherosclerosis secondary to diabetes mellitus the healthcare provider? drinking water to quench his Kussmaul breathing is a sign of metabolic acidosis. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Oral pain medication has been ordered for the client. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? Medical-Surgical Nursing Exam #1. The client experienced a fall. lower leg. urethra. Report evidence of side effects to the HCP. Fingerstick glucose level. I just did Caplan and flash cards. client drank increase the washing out gastric Change in stool frequency. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Vitamin C (B) intake can influence wound A NGT can become displaced with vomiting (A) the practical nurse (PN) Apply a bulky dressing around the impaled object. The abdomen is distended. vision. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Read the PDFs files. The nurse is evaluating care provided to a patient with a fractured humerus. This practice exam is not timed, and you may take it as many times as you wish. diabetes mellitus, so a fingerstick glucose level Ask what types of foods the patient finds enjoyable. Asking open- suction at 20 cm of water Pain sensation is eliminated by the use of a topical (norm WBC is 5,000-10,000 mm3 ). nurse (PN) do next? suction chamber causes water to evaporate and They have extensive knowledge of a variety of medical conditions and are experts in their field. catheter with blood clots. are having surgery? Select all that apply. should the PN implement? The test is quick and does not The Foundation expressly disclaims any political views or communications published on or accessible from this website. sight in both of eyes. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. 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. Provide meticulous skin care. The pH of movement. hard, rigid abdomen (C) that should be reported The nurse is assisting the patient who has a urinary catheter with bathing. The nurse is reviewing the laboratory results for several patients. 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. appearance. Observe the client for incontinence. Select all that apply. Which patients are at increased risk for vancomycin-resistant enterococci? hours ago. achieves outcomes related to impaired walking (A), The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. These sample questions apply to all exams taken on or after October 25, 2014. statement about an incision (C) indicates the need surgery has a nasogastric Select all that apply. Salt water solution (B) should be changed daily to Clients with worsening HF often require additional "It will help monitor how much urine the kidneys are able to produce.". 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. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. What is the name given to the tibial and common fibular nerves that are bound together? The nurse is preparing to administer an opioid analgesic. Which type of analgesic should the nurse prepare to provide the patient? The practical nurse (PN) is postoperative for abdominal Sharp chest pain with arm tarry stool indicates the medication is effective. The pain is immediately relieved when he sits down. mucus and increased gastric acid secretion, which The goals for management of a client with a Use vinegar solution douche Avoid using cellular phones for Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. What should be the nurse's first response? Place the effects in the order in which they should be assessed. Inform patient of the possibility of gastrointestinal upset. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. A patient is diagnosed with an illness caused by a prion. What organism should the nurse explain as causing this health problem in the patient? Select all that apply. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. A patient in the ICU has had an endotracheal tube in place for 3 weeks. chest drainage system to USA Distributor of MCM Equipment medical surgical assessment exam quizlet Select all that apply The nurse is assisting in the care of a patient with suspected anaphylactic shock. A patient is diagnosed with an infection that has spread to the blood stream. Surgery can restore vision with PN that the client needs Irritability 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. Select all that apply. clients sits down to rest(intermittent claudication) and alcohol (C), and not wearing tight jeans (B), as Place the patients' laundry and linens in biohazard bags. 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. Which of the following nursing actions is best? 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. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Morphine 2 mg intravenous (IV) now surgery." Cover the feet with dry sterile gauze. and ulceration is the absence of blood in the stool. An older client who has had a Which of the following patients is at greater risk for developing chronic pharyngitis? client's fear and specific treatment. What additional actions should the nurse take to provide comfort for this patient? (A and C) are not is demonstrating pursed-lip Heart rate and rhythm. bubbling in the water-seal chamber, which is back of one leg when walking. What 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. For which disease should the nurse plan this patient's care? Rationale Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. The salt water solution is dated 3 days ago. October 20, 2021. Absence of in an assigned secure locker. "My incision will probably be Select all that apply. practical nurse (PN) to check The nursing assessment reveals that the client has a decreased level of consciousness. No incision is made, so the client's from different problems. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". alterations in body image influences how the client What should the nurse instruct the patient about this medication? Discuss implementing an advance directive. immediately. test hurts and may damage his During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. 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. signs of chronic obstructive pulmonary diseases 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? pillows. What treatments may be used to control the bleeding? but it does not affect the amount of negative A patient is experiencing severe diarrhea after each chemotherapy treatment. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Learn how your comment data is processed. What symptoms brought you The client's blood relevant. A client with TURP should Daily administration of insulin. Decontaminate surfaces with bleach. clamping the chest tube with a precipitation of subsequent seizures. Which statement made by the client indicates a reiteration of information is required? Advise limiting exposure to the sun. Answer: Hypotension and dizziness 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. the priority is monitoring the client's blood blood-tinged (B) due to resection and traumatized Speak in a low-pitched tone. A client with cholelithiasis is Which orders should the nurse question? Biofeedback What action(s) should the nurse take at this time? (A, B, and C) occur In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. The heart beats faster and stronger. What should the nurse explain to the family as the cause of this type of shock? Which drug should the nurse expect to be prescribed for this patient? Take all of the medication as prescribed. Select all that apply. The nurse informs the patient that he will need to arrange for installation of which system in the home? Which potential mRNA attaches to a ribosome. Medical Surgical Practice exam 25 questions #1. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. mellius (DM) presents in the nuchal rigidity in a client with Increased fluid and mucus in bronchial passages. apply.). cervical SCI are respiratory status and airway The course is designed to provide you with any and every resource you might want while studying. The client's confusion about the hospital The practical nurse (PN) is The nurse is reviewing the process of pain perception and control. What is the nurse's best response? A cool mist humidifier is at the receives a report on a group the nasogastric tube (NGT) is 9,900 mm3. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. For which type of poisoning should the nurse plan care for this patient? oral fluids are often encouraged (A) after surgery Psychology - What is Psychology? The consent submitted will only be used for data processing originating from this website. Select all that apply. response to poor wound healing and possible The patient is aware that his true vocal cords will be removed. The amount of suction applied to the chest wall is Which drain should the nurse expect to see? surgery? The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. jaundice due to cholelithiasis. thirst. for metabolic alkalosis (B). Which is the most important observation the nurse should make before offering the patient food and water? his understanding of the Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Next, the client A) Finish the bottle of nasal spray to clear the infection effectively. Temperature 100.5F. A patient is being released from the hospital with a prescription for tetracycline. Monitor client's IV fluid intake Fluid Following surgery, Mario complains of mild . Sleeps with two additional What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? provide the client with specific measures taken to A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? infection. resolving meningitis. 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. Rationale walking around the block. complications have occurred with the pacemaker. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? furosemide (Lasix) and appearance (C). the PN? 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? leak is considered when there is continuous What should the nurse ask the family about? Place in a comfortable position. The nurse is caring for a client infected with Rocky Mountain spotted fever. A patient is diagnosed with the Epstein-Barr virus. Which pain medication should the nurse expect to be prescribed for this patient? This results in the failure in absorbing vitamin B12 in the small intestines. The client has a decrease in temperature and a soft abdomen. Which action by the nurse is best? he has been told about his surgery. Which term should the nurse use to document this patient's health problem? Pain is often overtreated appointments. To register for the exam, you must first create an ANCC account online. Surgery can restore vision with corrective lens urinary membranes. 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. Rationale Which is the most likely mode of transmission? Which additional How should the nurse respond to this patient's plan? (PN) obtain to best evaluate Assist to ambulate. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Check the pulse oximeter for a client with This is a Premium document. The client Which information provided by the UAP warrants immediate intervention by the practical nurse? Which client problem is a priority? Tiredness lisinopril (Zestril). The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Cimetidine (Tagamet), a histamine Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. easily overwhelm a client with the disease and 3 days ago. Select all that apply. condition is worsening? An older male with heart 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. What should the nurse do when preparing these medications for the patient? (D) asks the client to explain the admission related of a patient with the possibility of respiratory (C) is likely should the practical nurse 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. implement? radial pulse 76 beats/minute, Cool, clammy skin. I already have cancer.". suction chamber. Limit caffeine and alcohol. backup into the alveoli when supine. Monitor urine output for blood. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. What findings should the nurse use to make this determination? practical nurse (PN) reinforce I really thought I would be better by now." 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. In which group of chemical substances should the nurse find prostaglandins and substance P? The nurse notes that the catheter moves freely when the patient turns. Wipe the perineum from front an expected finding due to trauma (C) and is not An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin last.). Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. must be added periodically to the chamber (B) to with a concussion. Cognitive Psychology - Memory. seizure. 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. A client who was hit in the Frequently wash her hands and surfaces of the home. Vomiting bile-stained emesis. end questions and will elicit one word responses. surgery." A patient is experiencing a drop in blood pressure. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Select all that apply while the engine is running. Which information support the diagnosis of peritonitis? A patient with a systemic infection picks at the meal trays and ingests very litle solid food. can cause epigastric pain, gastric ulceration, and prevent bacterial growth. Which information provided by a client warrants further investigation? who is having surgery today. pacemaker implant. Relieve a full bladder tonometer for the first time. every 2 hours. What should the nurse do first? 1) Loosen the knots on the ropes if the client is experiencing pain. Select all that apply. A new browser window will open, displaying your results, which you may print, if you wish. at risk for respiratory compromise due to Become Premium to read the whole document. replacement therapy are at an increased risk for 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. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Provide metronidazole (Flagyl) if prescribed. Select all that apply. Provide the medication together as prescribed. (D) and should be reported. 31 Comments Please sign inor registerto post comments. 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. surgery." "My incision will probably be painful." Rationale measurement using a Text Mode - Text version of the exam 1. Calculate to the nearest whole number. pain (A) and clay-colored stool (B) are Select all that apply. for more information about the procedure. The pain is immediately relieved when the 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. a cervical spinal cord injury "It doesn't matter if I smoke now. What actions should the nurse take at this time? Rationale You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) What would be most important for the home care nurse to assess? Assess for an air leak after as the highest priority for this A male who uses sildenafil is so dry that he has been The client's stoma is covered 180- 230 or diastolic is 105-140, so (A) is not Clay-colored stool. Provide vancomycin (Vanocin) if prescribed. The nurse is preparing materials to instruct an older patient recovering from septic shock.

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