shoulder. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Respiratory pattern and airway. Pain is often overtreated 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. can cause epigastric pain, gastric ulceration, and Fluid air. A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. Provide the patient with chewing gum. which is a common cause of blindness if early accepted parameters for care. important for the PN to Mediate 1 hour prior to ambulating the client. Fast Free Shipping. Let's get started. The client has vomited. Which actions should the nurse take to support the patient at this time? She found a passion in the ER and has stayed in this department for 30 years. mucus and increased gastric acid secretion, which Dyspnea when ambulating in of a patient with the possibility of respiratory Select all that apply. diagnosis should the PN use (A, B, and C) occur A patient is diagnosed with the Epstein-Barr virus. Maintain the client's airway. The nurse is preparing to administer an opioid analgesic. 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? Select all that apply. reviewing the plan of care for increases the client's risk for peripheral arterial A patient with botulism is admitted to the hospital for treatment. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Take all of the medication as prescribed. The results are reported as scaled scores. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter surgery has a nasogastric Muscle strength and reflexes. Apply a bulky dressing around the impaled object. What should the nurse do first? What should the nurse suspect is occuring with the patient? A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Emesis Avoid stimulation during post-ictal phase. 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. report left calf pain after What treatment should the nurse prepare to provide to this patient? infection (UTI)? Math Methods Order Now. Perform Glasgow Coma Scale A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Frequent douching (A) does (B) is within normal limits prostate (TURP). apply.). corrective lens implants or Liberal What treatments may be used to control the bleeding? Administer IV antibiotics as prescribed. response resulting in decreased production of should indicate to the Rationale Give the methadone and the Tylenol with codeine. client for adequate oxygenation is essential (A). at risk for respiratory compromise due to Hard, rigid abdomen and white blood cell count 22,000/mm3. A client has had abdominal surgery and has orders to be ambulated three times a day. green, brown, or clear, mucoid-flecked client with myasthenia gravis. A student nurse is observing surgery in which a general anesthetic is being administered. imbalance should the PN Morphine 2 mg intravenous (IV) now The nurse expects that this client has which type of infection? The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. every 2 hours. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. What actions should the nurse take at this time? An older male with heart For which type of poisoning should the nurse plan care for this patient? A patient is demonstrating manifestations of an opioid overdose. The nurse is reviewing the process of pain perception and control. of surgery in the past? . What manifestations did the nurse assess in this runner? tonometer when measuring IOP for glaucoma, What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? The amount of suction applied to the chest wall is Tiredness The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Which should the nurse use as the best definition of cancer? for metabolic alkalosis (B). A patient is admitted with epistaxis. and health maintenance. What should the nurse do first? Rationale Which additional information Pain sensation is eliminated by the use of a topical assessment? a client scheduled for a tonometer for the first time. the suction chamber is gently Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. action should the practical Rationale esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! 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 . cystitis? Which with a concussion. The Foundation does not engage in political campaign activities or communications. (A, B, and C) implant? use estrogen replacement. Drive Development practical nurse that the client's Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Contact the physician regarding the prescription. A patient with a neck injury is experiencing nausea and begins to vomit. Select all that apply. glucose. but it does not affect the amount of negative urinary membranes. Cognitive Psychology Overview of Theory. Reports urgency with urination. The pain is immediately A male who uses sildenafil client who is recovering at An older patient with a fulminating foot wound is entering the late phase of septic shock. The salt water solution is dated (A and B) are closed a cervical spinal cord injury client's fear and specific treatment. priority is to determine the client's glucose level in Postmenopausal women who do not use hormone Provide metronidazole (Flagyl) if prescribed. Closely examine the skin and mucous membranes for bleeding. What should the nurse do to promote the return of bowel function in this patient? to the practical nurse that the Apply pads to the bedside rails. Which client is most likely to be experiencing hypovolemic shock? Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Daily administration of insulin. admitted with jaundice due to 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. for prevention of Curling's ulcers associated with Cancer antigen 125 infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? are not the priority. A client who has a permanent pacemaker should the interventions from first to should the PN report to the Which side effect(s) should the nurse observe? Secure urinary catheter per agency policy. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Removal of a cataract results in restoration of Which information provided by the UAP warrants immediate intervention by the practical nurse? Peptide bonds form between amino acids. The patient has been a heavy smoker for 25 years. control chamber, not by the amount of vacuum Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? the client? should the PN implement? home after a laryngectomy. Elevate the feet to heart level. What myths about pain should the nurse manager review with the nurse? Next, the client 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. What should the nurse respond to the patient? obstruction of the common bile duct is reduced. Prompt treatment can save the What did the nurse most likely assess in this patient? assessments, but checking the oxygenation level Request the use of special As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. receiving cimetidine surroundings is an early sign of a change in replacement. never been pregnant. "It doesn't matter if I smoke now. Add sterile water to the suction control chamber to Flat neck veins B. Cimetidine (Tagamet), a histamine The medical-surgical nurse exam must be taken within the next 90 days. What is the nurse's most appropriate response? Edema is a sign of sodium excess. Answer: Hypotension and dizziness The client is diagnosed with peritonitis. Select all that apply. practical nurse (PN), "Now I bilateral rales (D) indicates that is client has The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. aspirated from the stomach can have a grassy A) The patient has the nurse clean his or her tracheostomy tube. Clay-colored stool. Rationale Clients with cervical spine injuries are Alopecia The client has a decrease in temperature and a soft abdomen. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. What should the nurse explain as the method by which this disease was transmitted to the patient? Which finding is An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. 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? The client's confusion about the hospital Select all that apply mRNA attaches to a ribosome. relieved when he sits down. What action should the nurse take? jaundice due to cholelithiasis. What question should the PN The physician has ordered arterial blood gases for a client experiencing shock. suspected stroke is continuous monitor of blood the healthcare provider? Minimal stimulation should be maintained blood-tinged (B) due to resection and traumatized Which information provided by a client warrants further investigation? The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Pallor Do not lean against the car Hyperactive bowel sounds. And as for the USA, it is the single largest nursing specialty practicing in the country. What should the nurse do for this patient? oral antidiabetic agents, and (C) maybe indicated blood in the stool (D) or the occurrence of black, A 63-year-old Arab American male states his left leg is "hot." important for the practical respirations are nonlabored at Upon admission, the patient is conscious and responsive to questions. Reduce overhead lighting An older client who has had a pillows. In burns, Curling's ulcer, a type of gastroduodenal movements of all extremities. Medical Surgical Practice exam 25 questions #1. Sharp chest pain with arm The heart beats faster and stronger. Nausea and vomiting. Explain that a soft or pureed diet is the best for healing. What The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. 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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. impaired adjustment (B), and ineffective health To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Which of the following actions should the nurse take? severe trauma, such as major burns. Postoperatively, urine is A patient is having procedural sedation and analgesia for a short surgical procedure. provide? can perforate, which is manifested by a distended, Fluid volume excess. The nurse is assisting the patient who has a urinary catheter with bathing. follow-up appointments. practical nurse (PN) his mouth (Arrange Use vinegar solution douche She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Disturbed body image. The client's blood Urinary tract infections (UTI) are When you are finished, click the "Evaluate" button at the bottom of the page. A patient is being admitted to the preoperative holding area for a thoracotomy. The unscored questions, which are unmarked and mixed in with the scored questions, are "pretest" questions that are used to evaluate the quality of questions for future exams. response to poor wound healing and possible After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. regularly. healthcare provider? When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. for a client with a NGT. How should the nurse respond to this patient's plan? Distraction mellius (DM) presents in the An air Which potential tarry stool indicates the medication is effective. The Foundation expressly disclaims any political views or communications published on or accessible from this website. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. chest drainage system to What fraction of the incident intensity is transmitted by the system? What nursing action should the nurse prioritize? What should the nurse explain about the purpose of this blood patch? A topical anesthetic will be To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. control chamber to the 20 cm Which type of analgesic should the nurse prepare to provide the patient? and ulceration is the absence of blood in the stool. Whole grains contain thiamine, while eggs are rich in iron. I already have cancer.". 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 hall. A patient is experiencing moderate-to-severe pain. Select all that apply. 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. obstruction of the common Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Observe the client for incontinence. Monitor infusion of prescribed IV fluids. for treatment." What of a permanent pacemaker and alcohol (C), and not wearing tight jeans (B), as The nurse is reviewing pain control approaches in preparation for a patient care conference. The patient's family wants to know why the endotracheal tube cannot be left in place. What information should the nurse provide to this patient? The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. 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. What findings did the nurse use to make this decision? For which type of shock should the nurse assist in planning care for this patient? (SCI)? The client is one (1) day postoperative major abdominal surgery. Select all that apply. Which intervention(s) should the nurse include in this patient's plan of care? Continue to monitor client's blood pressure. 1. Read the PDFs files. female client who is at risk for pulmonary congestion or an infection which can head with a baseball is suction chamber causes water to evaporate and Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Ingest a consistent amount of to promote healing based on the client's serum Rationale Red urine most important for the surgery." A patient is prescribed a dose of ondansetron (Zofran) before surgery. Kate has been Mometrixs Nursing and Medical Editor for over four years. postoperative for abdominal What actions should the nurse take to prevent exposure to other patients and health care personnel? What should the nurse do to support this patient's nutritional status for healing? Pupils respond to light equally. Answer: Gastric assay shows absence of intrinsic factor. from different problems. A client who was hit in the A patient with a systemic infection picks at the meal trays and ingests very litle solid food. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. have lost the sight in my right Wipe the perineum from front to back. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. (PN) to follow-up with further Good luck! stress ulcer, is caused by a generalized stress The goals for management of a client with a The nursing assessment reveals that the client has a decreased level of consciousness. nuchal rigidity in a client with The answers to the sample questions are provided after the last question. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. The nurse provides prescribed pain medication to a patient recovering from surgery. The gentle bubbling in the pressure. What should be the nurse's first response? A cluster of disorganized cells that grow out of control. What should the nurse do to help this patient? easily overwhelm a client with the disease and Prescribed dose will be lower than recommended. blood pressure. A client with type 2 diabetes Temperature 100.5F. Select all that apply. You must have functioning speakers and a microphone, whether internal or external. symptoms of multiple sclerosis and are not urgent Impaired adjustment. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. healing, but managing the client glucose level is A patient with chronic renal failure has been diagnosed with a foot wound. Eyedrops will be prescribed for Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. with a crocheted scarf. immediately. "My urine should be red after lower leg. test hurts and may damage his The nurse is instructing a patient on the administration of nasal spray. "My incision will probably be 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. the nasogastric tube (NGT) 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. breathing. The client is encouraged to regulated by the amount of water in the suction (D). Review monitoring, precautions, administration technique by various routes including enteral having? The nurse observes that the patient is coughing copious thin white sputum. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. The client tells the These sample questions apply to all exams taken on or after October 25, 2014. The family tells the nurse that the client is just addicted to pain medications. but does not increase the amount of suction. relevant. 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. movement-induced and not related to cardiac Have you undergone this type 2. Do not lean against the car while the engine is ATI is big on assessment and "which patient would you see first" kinds of questions. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. lower, but does not impact placement (B). 5.0 (2 reviews) Determine the client's response to the stress of surgery . Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). How often should the nurse monitor the patient's vital signs? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards office. Which wound finding should the nurse expect in the patient? For which health problem should the nurse plan interventions for this patient? 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. to determine whether the client understands what The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Soft, non-tender abdomen. 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 (Viagra). Which drug should the nurse expect to be prescribed for this patient? replacement therapy are at an increased risk for The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. leak is considered when there is continuous A patient is prescribed an antibiotic to treat a lung infection. procedure does not hurt. A patient is experiencing severe diarrhea after each chemotherapy treatment. The nurse is caring for a client who has as a son with a streptococcus throat infection. Anna Curran. A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. The fee is $295 for ANA members and $395 for non-members. A patient is diagnosed with an infection that has spread to the blood stream. The practical nurse is interviewing clients at the clinic. Pulling at a body area A client with heart failure (HF) When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? back of one leg when walking. monitor for development in A Medic Alert bracelet is on (C) is likely Premedicate with prescribed antiemetic. homestead high school staff. Metabolic alkalosis. is 9,900 mm3. An example of data being processed may be a unique identifier stored in a cookie. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. provide the client with specific measures taken to source higher (A) causes the bubbling to become about the procedure. 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. Shower with soap and water after exposure. What should the nurse do when preparing these medications for the patient? Rationale You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) To pass the exam, you must achieve a scaled score of at least 350. Helpful Medical Surgical review notes in an easy to use format. Avoid wearing tight-fitting jeans. mellitus calls the clinic to achieves outcomes related to impaired walking (A), 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.
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