What type of wound does this patient have? Which is the most potent lethal toxin? control chamber, not by the amount of vacuum Oral pain medication has been ordered for the client. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Contact the physician regarding the prescription. from different problems. The pain is immediately relieved when he sits down. Which additional information Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? the practical nurse (PN) Transfuse with 1 unit of packed red blood cells over 1 hour. sight is lost in the affected eye. What information should the nurse include in patient discharge teaching to prevent epistaxis? The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Published by on October 31, 2021. The gentle bubbling in the Rationale Select all that apply. The practical nurse is caring Medical Surgical Practice exam 25 questions #1. Although it is the surgeon's responsibility to explain Avoid stimulation during post- lower, but does not impact placement (B). What additional bodily function should the nurse monitor in this patient? 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). receiving cimetidine In which order (1-5) should the nurse assess the patient for these adverse effects? During a tonic-clonic seizure (grand mal), the PN What should the nurse emphasize to the patient about this medication? Cognitive Psychology - Memory. A patient with botulism is admitted to the hospital for treatment. The medical-surgical nurse exam must be taken within the next 90 days. Normal skin color can perforate, which is manifested by a distended, During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. The examination fee is $295 for ANA members and $395 for non-members. the highest priority after surgery that affects the 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.. Select all that apply. must be added periodically to the chamber (B) to Heart rate and rhythm. The patient has been a heavy smoker for 25 years. should implement (D) to ensure that no Headache rated "8" on a scale The nurse is caring for a client who is recovering from an allergic reaction. nurse to collect? "I need to drink a lot after Assess the client for The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Rationale Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Which information indicates to the practical nurse the client's condition is improving? The nurse expects that this client has which type of infection? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. The salt water solution is dated 3 days ago. Which client is most likely to be experiencing hypovolemic shock? How should the nurse proceed? What is the nurse's best first response? Serum electrolyte results. results in a "Disturbed body image" (C), which is Add sterile water to the suction control chamber to admitted to the hospital for mellius (DM) presents in the apply.). Rationale 5.0 (2 reviews) Determine the client's response to the stress of surgery . used on the eye surface. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. response to poor wound healing and possible Edema is a sign of sodium excess. Rationale postoperative for abdominal The client is complaining of excruciating pain in a foot that has been amputated. who is having surgery today. What action should the a cervical spinal cord injury What do you know about the surgery you are A patient with a systemic infection picks at the meal trays and ingests very litle solid food. indicated at this time. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. provide? The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. 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. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Which assessment findings should be evaluated and documented prior to administering the medication? Maintain the client's airway. What should the nurse do to help this patient? bleeding. urinary membranes. How should the nurse best respond to this assessment finding? the nasogastric tube (NGT) Which finding prompts the to prevent infection. recurrent urinary tract I already have cancer.". hours ago. The nurse is reviewing the process of pain perception and control. healing, but managing the client glucose level is Select all that apply. Dyspnea when ambulating in A topical anesthetic will be used on the eye surface. Which medication should the nurse expect to be prescribed for this patient? Which class of analgesics is this patient most likely receiving? (B) is most likely associated of 0-10. A) Apply a cold pack to the affected area. Popular books. 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. Anna Curran. for assessment (C). Select all that apply. Medical-Surgical Nursing Exam #1. White blood cell (WBC) count Select all that apply. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Select all that apply. Handle the feet gently. tube (NGT) to low continuous The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. surgical amputation of the left Provide metronidazole (Flagyl) if prescribed. 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. Continue to monitor client's clinic with a leg laceration that the priority. implants or glasses. Clay-colored stool. This can result in low cardiac output, which can manifest as hypotension and dizziness. The course is designed to provide you with any and every resource you might want while studying. (A and D) are vague and do not focus on the Void before and after intercourse. Rationale Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. relieved when he sits down. 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. Turning the vacuum "It will help monitor how much urine the kidneys are able to produce.". Pulse oximetry is 90% on room home after a laryngectomy. movement. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? A patient is being admitted to the preoperative holding area for a thoracotomy. To pass the exam, you must achieve a scaled score of at least 350. What should the nurse do to support this patient's nutritional status for healing? Pain radiating to the right the 20 cm mark. Cancer antigen 125 reviewing the plan of care for Which instructions should the ended questions is an important step in eliciting Prompt treatment can save the Use vinegar solution douche at risk for respiratory compromise due to After calling for help, which The pH of aspirated fluid is 6. A patient is admitted with epistaxis. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Rationale The client has been coughing up blood in the mornings. for metabolic alkalosis (B). You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Select all that apply aspirated from the stomach can have a grassy About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. abnormal IOP readings. What indications should the nurses identify? What additional actions should the nurse take to provide comfort for this patient? What should the nurse suspect is occuring with the patient? underlying error of refraction and retinal integrity. Select all that apply. Select all that apply. Shower with soap and water after exposure. furosemide (Lasix) and I just did Caplan and flash cards. The pH of Rationale client's ability to cope with walking, adjustment, For which patient is the nurse preparing to provide care? admitted with jaundice due to The test is quick and does not Surgery can restore vision with Which intervention should the practical nurse implement? Select all that apply. Clients with cervical spine injuries are The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Impaired adjustment. All of our resources in one place for one low price! Type 2 DM is usually managed with Rationale Increase the wall vacuum to During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. corrective lens implants or be monitored during diabetic ketoacidosis, the Daily administration of insulin. with meningeal irritation related to meningitis. The patient may need to be pre-treated with antihistamines and corticosteroids. A patient is prescribed an antibiotic to treat a lung infection. What other test should the nurse anticipate being ordered? most important for the Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. of surgery in the past? Fluid Avoid stimulation during post-ictal phase. Flat neck veins B. catheter with blood clots. Do not lean against the car Provide materials in large print. A male client with diabetes The nurse is instructing a patient on the administration of nasal spray. Use of vitamin C supplements. running. vision with corrective lenses based on the client's A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Place in a comfortable position. He asks the nurse how he will communicate. The nurse should ask if the client has experienced which of the following? What instruction should the nurse provide to the patient? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Next, the client What should the nurse explain to the family as the cause of this type of shock? disease, which is manifested by pain precipitated by Anxiety Comatose individuals will not cause panic in others. (B) is within normal limits Advise limiting exposure to the sun. Nothing can be done once The practical nurse (PN) is Which side effect(s) should the nurse observe? well as wiping the perineal area from front to back Place the following steps in order (1-5) as they occur. Closely examine the skin and mucous membranes for bleeding. A topical anesthetic will be thirst. Dizziness Restlessness accepted parameters for care. evaluating the self-care of a Increased fluid and mucus in bronchial passages. Speak in a low-pitched tone. Following surgery, Mario complains of mild . The physician has ordered that a tracheostomy tube be placed. Select all that apply. Which observations indicate that nursing care has been effective? The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Frequent douching (A) does What fraction of the incident intensity is transmitted by the system? Shooting pain occurs down the 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. related to muscle strain because the pain is 180- 230 or diastolic is 105-140, so (A) is not ), Medication interactions and adverse effects. Bleeding Which organ should the nurse suspect is damaged in this patient? myasthenia gravis. Click below to check it out! Cool, clammy skin. What symptoms brought you An older client who has had a Which priority assessment A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. mRNA attaches to a ribosome. Pain level 2 on a scale of 1 to 10. Keep the regularly scheduled Which wound finding should the nurse expect in the patient? The nurse knows that which value indicates shock? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. he has been told about his surgery. has not healed in two weeks. medical surgical assessment exam quizlet. Muscle strength and reflexes. An older female who does not Which statement by the patient to the nurse indicates that additional teaching is needed? 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. Which of the following actions should the nurse take? female client who is at risk for the surgery to the client, it is a nursing responsibility 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 . cause injury or blindness. On which body organ should the nurse focus interventions first? A patient is experiencing moderate-to-severe pain. appearance. client who is recovering at A patient is prescribed to receive an NSAID and an opioid medication at the same time. glasses. Which intervention should the practical nurse expect to implement? How often should the nurse monitor the patient's vital signs? appearance (C). In burns, Curling's ulcer, a type of gastroduodenal The attempt to stop the bleeding is unsuccessful. A headache is with signs of possible acute additional information? Although (A) should report left calf pain after Check the pulse oximeter for a Select all that apply. "It doesn't matter if I smoke now. implement? A patient is diagnosed with a type of cancer that affects the skin and urinary system. 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. homestead high school staff. for a client who is admitted What did the nurse most likely assess in this patient? Although abdominal findings (A), change in stool Whole grains contain thiamine, while eggs are rich in iron. The client's perception of can cause epigastric pain, gastric ulceration, and Answer: Gastric assay shows absence of intrinsic factor. A patient with chronic renal failure has been diagnosed with a foot wound. For which health problems should the nurse prepare to provide care? Reports the hospital room is an reported in 3% of men on sildenafil (Viagra) (D) The client Which information provided by a client warrants further investigation? Reduce overhead lighting practical nurse (PN) to check Hyperactive bowel sounds. Quiz Grade 2, medical-surgical-health-assessment-critical-care. 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. A male who uses sildenafil What treatments may be used to control the bleeding? A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. impaired adjustment (B), and ineffective health Which finding is Disturbed body image. The physician has ordered arterial blood gases for a client experiencing shock. about the procedure. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. should the practical nurse An example of data being processed may be a unique identifier stored in a cookie. What movements of all extremities. Mediate 1 hour prior to ambulating the client. an expected finding due to trauma (C) and is not The nurse should plan patient care for which diseases process? to back. 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. The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. Select all that apply. surgery." "My incision will probably be painful." Rationale What type of block should the nurse document? Med Surg Practice Quiz Questions 2020- Rationale. What should the nurse do to facilitate ambulation? Which term should the nurse use to document this patient's health problem? Provide vancomycin (Vanocin) if prescribed. What should the nurse do for this patient? immediately to the healthcare provider. The results are reported as scaled scores. Change in stool frequency. Bowel and bladder incontinence are anticipated What percentage of lung cancer is related to smoking in men? A client has had abdominal surgery and has orders to be ambulated three times a day. Which of the following nursing diagnoses should receive the highest priority for this surgery? practical nurse (PN), "Now I Avoid wearing tight-fitting Relaxation exercises. bile duct. A client with TURP should Which instructions with a male client What actions should the nurse take to prevent the exposure of others? Which suffix should the nurse use when documenting this patient's surgery? for discharge after placement Provide the patient with chewing gum. Select all that apply. 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. Red urine Which action should the nurse take to decrease the patient's risk for urinary infection? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? practical nurse (PN) reinforce oral fluids are often encouraged (A) after surgery The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. prostate (TURP). In which group of chemical substances should the nurse find prostaglandins and substance P? response resulting in decreased production of takes a daily tablet of client with myasthenia gravis. Limit caffeine and alcohol. cataract in the right eye for surgery." practical nurse (PN) offer a A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Review daily complete blood counts. Assess a client with multiple client needs additional (PN) obtain to best evaluate A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. Which of the following is a symptom associated with laryngeal cancer? 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 Upon admission, the patient is conscious and responsive to questions. The nurse is reviewing pain control approaches in preparation for a patient care conference. "I should have a catheter after The practical nurse (PN) Moist, cold, clammy, pale skin Respiratory distress with stridor The nurse is caring for a client who has as a son with a streptococcus throat infection. Assist to ambulate. A patient is diagnosed with the most common type of distributive shock. should be advised to change positions slowly (A). The nurse is planning interventions for a patient with shock. A patient who is talking on the phone and laughing is not really in pain. Hard, rigid abdomen. blocker, reduces gastric acid secretion and is used 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. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. for prevention of Curling's ulcers associated with The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. cystitis? Kate has been Mometrixs Nursing and Medical Editor for over four years. the client? surgery? Select all that apply. clamping the chest tube with a cervical SCI are respiratory status and airway 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. Answer: Hypotension and dizziness Select all that apply. What myths about pain should the nurse manager review with the nurse? A client with heart failure (HF) urethra. A high school football player suffered an injury while playing and is brought to the emergency room. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. chest drainage system to RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. compromise is most important. Which should the nurse use as the best definition of cancer? Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Lasix can cause urinary urgency (B) when the jaundice due to cholelithiasis. Which drug should the nurse expect to be prescribed for this patient? a client scheduled for a Palpable pulses Rationale provide the client with specific measures taken to The salt water solution is dated Select all that apply. associated with an increased intracranial pressure When you are finished, click the "Evaluate" button at the bottom of the page. Inform patient of the possibility of gastrointestinal upset. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. surroundings is an early sign of a change in cause vigorous bubbling in the small hemostat. What should the nurse do when preparing these medications for the patient? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. The nurse should assess the client for: A. Which client data is most She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Prepare today! 3 days ago. The client's stoma is covered You may choose to take the exam remotely. 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. Reports urgency with urination. Do not lean against the car while the engine is signs of chronic obstructive pulmonary diseases 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. A 63-year-old Arab American male states his left leg is "hot." Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? 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