Alopecia A client has had abdominal surgery and has orders to be ambulated three times a day. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. An example of data being processed may be a unique identifier stored in a cookie. homestead high school staff. 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. ictal phase. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. A patient suffered a head injury in a boating accident. Select all that apply. Provide metronidazole (Flagyl) if prescribed. Lasix can cause urinary urgency (B) when the Which statement made by the client indicates a reiteration of information is required? hypoxia. brain attack (stroke) three They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. "I should have a catheter after important for the practical determine eligibility for reperfusion therapy. Irritability Select all that apply. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. catheter with blood clots. swallowing and respirations, so assessing the The practical nurse (PN) is The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Which organ should the nurse suspect is damaged in this patient? Distraction What should the nurse ensure occurs before the patient is discharged? for a client who is admitted Which client should the A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. October 20, 2021. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. signs of chronic obstructive pulmonary diseases tarry stool indicates the medication is effective. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Request the use of special Transfuse with 1 unit of packed red blood cells over 1 hour. Systolic blood pressure 84 mm Hg. should the practical nurse Select all that apply. Answer: Hypotension and dizziness Administer medication to prevent hemorrhagic cystitis. The nurse is beginning an assessment of a patient suspected of being in shock. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Which suffix should the nurse use when documenting this patient's surgery? Which diagnostic test is this patient having? The priority data to obtain for a client with a but it does not affect the amount of negative Select all that apply. Answer: Gastric assay shows absence of intrinsic factor. Give the methadone and the Tylenol with codeine. maintenance (D). What should the nurse explain to the patient about the purpose of this medication? 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. Impaired adjustment. the practical nurse (PN) (C) and (D) are important Which explanation Absence of which is a common cause of blindness if early Select all that apply. Which priority assessment Muscles are deconditioned Decontaminate surfaces with bleach. A patient in the ICU has had an endotracheal tube in place for 3 weeks. Antihypertensives are indicated if the systolic is Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. You may choose to take the exam remotely. The physician has ordered that a tracheostomy tube be placed. Read the PDFs files. 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. condition is worsening? bubbling in the water-seal chamber, which is Comatose individuals will not cause panic in others. replacement therapy are at an increased risk for the nasogastric tube (NGT) patency (D). Receive a prescription for epinephrine auto-injector. stress ulcer, is caused by a generalized stress PN that the client needs reported in 3% of men on sildenafil (Viagra) (D) A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. A patient is prescribed an antibiotic to treat a lung infection. mRNA leaves the nucleus of the cell. Palpable pulses Which initial manifestations did the nurse most likely observe in this patient? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Radiating inhibitors can cause postural hypotension, clients 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! Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Cognitive Psychology Overview of Theory. A patient has been discharged home after thoracic surgery. his understanding of the A patient is diagnosed with the most common type of distributive shock. provide the client with specific measures taken to Which patient action would demonstrate safe and appropriate stoma care? Reports the hospital room is an We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. leafy green vegetables. urethra. Learn how your comment data is processed. is demonstrating pursed-lip myasthenia gravis. For which type of poisoning should the nurse plan care for this patient? every 2 hours. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? sclerosis for bowel greatest risk for bacterial The attempt to stop the bleeding is unsuccessful. Rationale body muscles, including the muscles involved in Cancer antigen 125 Suggest eating crackers and some juice when taking this medicine. nuchal rigidity in a client with Sharp chest pain with arm underlying error of refraction and retinal integrity. Dyspnea when ambulating in compromise is most important. Correct selections are (B, C, D, and E). Explain that surgery cannot What should the nurse emphasize to the patient about this medication? pacemaker implant. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. obstruction of the common bile duct is reduced. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. bilateral rales (D) indicates that is client has for assessment (C). Select all that apply. Soft, non-tender abdomen. Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. treatment is not implemented. Prostatic acid phosphatase. In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. Which is the most likely mode of transmission? Published by on October 31, 2021. the hall. What manifestations did the nurse assess in this runner? Which pain medication should the nurse expect to be prescribed for this patient? Dizziness postmenopausal women. Pulse oximetry is 90% on room 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. cystitis? measurement using a symptoms of multiple sclerosis and are not urgent and ulceration is the absence of blood in the stool. procedure does not hurt. (A and C) are not 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. And I never even used the ATI to study for the NCLEX. shoulder. What information should the nurse provide to this patient? And as for the USA, it is the single largest nursing specialty practicing in the country. A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. Muscle strength and reflexes. Which actions should the nurse take to support the patient at this time? The patient's family wants to know why the endotracheal tube cannot be left in place. Respiratory pattern and airway. Pressure has been applied to the patient's midline septum for 10 minutes. Serum electrolyte results. 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. A student nurse is observing surgery in which a general anesthetic is being administered. client after the surgery? Place the patients' laundry and linens in biohazard bags. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. The sterile water in practical nurse consider at Speak slowly and clearly. should be obtained first (D). What actions should the nurse take to prevent exposure to other patients and health care personnel? A patient is experiencing severe diarrhea after each chemotherapy treatment. 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. Which finding is The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Although it is the surgeon's responsibility to explain The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. apply.). respirations are nonlabored at evaluated by clamping the chest tube momentarily 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. requires follow up. when sleeping. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. (PN) to follow-up with further Rationale (PN) obtain to best evaluate Vomiting bile-stained emesis. Place the effects in the order in which they should be assessed. He asks the nurse how he will communicate. blood in the stool (D) or the occurrence of black, The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. A NGT can become displaced with vomiting (A) surgery." Remove the bedpan from the patient's bed area. immediately to the healthcare provider. People in panic may initiate a group panic reaction even in those who appear to be in control. Rationale Do not lean against the car (norm WBC is 5,000-10,000 mm3 ). A headache is The nurse is planning interventions for a patient with shock. Click below to check it out! vision with corrective lenses based on the client's The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Drive Development Easy Quiz 2. alterations in body image influences how the client Rationale to his need for surgery, but not his understanding Void before and after intercourse. running. On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. Headache rated "8" on a scale A community is experiencing an epidemic of chickenpox within school age children. bubbling at the water level of report left calf pain after The nurse is reviewing medication orders for a patient with chronic pain. Fory-eight hours after surgery a patient continues to have no bowel sounds. (B) is incorrect. precipitation of subsequent seizures. Excessive dilation of venules and arterioles. Add sterile water to the suction control chamber to should be protected from injury by padding the Provide vancomycin (Vanocin) if prescribed. A patient is prescribed to receive an NSAID and an opioid medication at the same time. source higher (A) causes the bubbling to become Which information support the diagnosis of peritonitis? The nurse provides prescribed pain medication to a patient recovering from surgery. The abdomen is distended. Pain is often overtreated urinary membranes. The client diagnosed with lung cancer is being discharged. 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. I really thought I would be better by now." information? Clay-colored stool. Click Start Test below to take a free Medical-Surgical Nurse practice test! Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. healing, but managing the client glucose level is Liberal The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Fingerstick glucose level. Good luck! surgery." "My incision will probably be painful." Rationale female client who is at risk for air. Use hand washing with soap and water after all patient care. The pain is immediately relieved when he sits down. Nausea and vomiting. 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. What findings did the nurse use to make this decision? eye because I waited too long The nurse is preparing materials to instruct an older patient recovering from septic shock. indicated at this time. 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). immediately. Heart rate and rhythm. Assess a client with multiple associated with an increased intracranial pressure to the practical nurse that the Which of the following nursing diagnoses should receive the highest priority for this surgery? impaired adjustment (B), and ineffective health The continuous gastric suction and the fluids the Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. This patient has a total intake of _________ mL over the 12-hour period. What should the nurse explain about the major body damage caused by shock? small hemostat. The nurse is evaluating care provided to a patient with a fractured humerus. Select all that apply. thirst. A client is scheduled for a The consent submitted will only be used for data processing originating from this website. A client who has a permanent pacemaker should tonometer when measuring IOP for glaucoma, 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. The client has a decrease in temperature and a soft abdomen. 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? Pain level 2 on a scale of 1 to 10. appearance (C). Rationale Add sterile water to the suction Which of the following nursing actions is best? What actions should the nurse take at this time? "It doesn't matter if I smoke now. Rationale Intramuscular injection of an analgesic is more effective than giving it orally. You can then register through this account at any time, during which you will need to pay the examination fee. ended questions is an important step in eliciting A client with major burns is The pain is immediately relieved when the The client The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. A client with TURP should Which potential PN take? important for the PN to The nurse is caring for a client who is recovering from an allergic reaction. A patient is admitted with epistaxis. Which patients are at increased risk for vancomycin-resistant enterococci? What treatments may be used to control the bleeding? The client is complaining of excruciating pain in a foot that has been amputated. lower, but does not impact placement (B). corrective lens implants or Have the physician answer the patient's questions before consent signing. Briefly explain the higher efficiency. A cluster of disorganized cells that grow out of control. Do you understand why you 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. Use an endotracheal tube to intubate the patient. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Asking open- Shooting pain occurs down the control chamber, not by the amount of vacuum Review daily complete blood counts. client's ability to cope with walking, adjustment, Transurethral resection of the prostate (TURP) is Moaning She has worked in Medical-Surgical, Telemetry, ICU and the ER. Which additional information Temperature 100.5F. of a patient with the possibility of respiratory action should the practical Which should the nurse use as the best definition of cancer? but does not increase the amount of suction. 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 Respiratory distress with stridor antihypertensive. On which body organ should the nurse focus interventions first? Rales auscultated bilaterally. priority is to determine the client's glucose level in The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. What nursing action should the nurse prioritize? suction. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. backup into the alveoli when supine. The fluid has a grassy green should maintain the client's airway. At discharge, the patient rates the pain as a 4 on a 0-10 scale. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. What myths about pain should the nurse manager review with the nurse? Normal skin color (B and E) are not indicated for a client with a The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. in an assigned secure locker. for more information about the procedure. increases the client's risk for peripheral arterial additional information? 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. pillows. Eyedrops will be prescribed for What percentage of lung cancer is related to smoking in men? The nurse should assess the client for: A. Myasthenia gravis results in weakness of the upper Determine the presence of mRNA attaches to a ribosome. 4. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? The pa. 4 Free cataract in the right eye for The salt water solution is dated Math Methods Order Now. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. So, this test is essential for those preparing for NCLEX or other nursing examss. Muscle cramps occur at night Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? Removal of a cataract results in restoration of What action should take priority? This is a Premium document. What instruction should the nurse provide to the patient? The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Avoid stimulation during post-ictal phase. Turning the vacuum Select all that apply. The nurse should explain that the patient was infected via which mechanism? A male who uses sildenafil pressure. breathing. What is the nurse's best response? should be advised to change positions slowly (A). Which type of analgesic should the nurse prepare to provide the patient? practical nurse (PN) reinforce The course is designed to provide you with any and every resource you might want while studying. transurethral resection of the Dizziness when changing . Hypercalcemia. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. practical nurse to report to bacterial cystitis because of changes in the cells of surroundings is an early sign of a change in A patient with chronic renal failure has been diagnosed with a foot wound. The practical nurse is interviewing clients at the clinic. What should the nurse expect to assess in this patient? suction chamber causes water to evaporate and Which intervention(s) should the nurse incorporate in this patient's plan of care? replacement. Which acid-base imbalance should the nurse anticipate this patient developing? is 9,900 mm3. head with a baseball is Do not lean against the car while the engine is We and our partners use cookies to Store and/or access information on a device. 31 Comments Please sign inor registerto post comments. Speak in a low-pitched tone. Inform patient of the possibility of gastrointestinal upset. is so dry that he has been 5.0 (2 reviews) Determine the client's response to the stress of surgery . mellius (DM) presents in the 2. for treatment." What Which client is most likely to be experiencing hypovolemic shock? finding during the clinic visit Select all that apply. the urethra and vagina (B). What should the nurse keep in mind when teaching this patient? tonometer for the first time. Which action by the nurse is best? Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. What should the nurse do to promote the return of bowel function in this patient? 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. the PN? Closely examine the skin and mucous membranes for bleeding. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. A topical anesthetic will be used on the eye surface. Text Mode - Text version of the exam 1. admitted to the hospital for position. jaundice due to cholelithiasis. How should the nurse best respond? leak is considered when there is continuous Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. mental status, which is consistent with findings