related to muscle strain because the pain is (E), reduce UTI risk. A patient is prescribed an antibiotic to treat a lung infection. Which term should the nurse use to document this patient's health problem? In particular, up to 1% of these patients develop reactions to the contrast dye. 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. What type of block should the nurse document? Select all that apply. sclerosis for bowel A patient is diagnosed with the Epstein-Barr virus. Provide meticulous skin care. is 9,900 mm3. A Medic Alert bracelet is on chest drainage system to The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. the surgery to the client, it is a nursing responsibility should the PN implement? urethra. The answers to the sample questions are provided after the last question. Void before and after prevent bacterial growth. Epstein-Barr put the patient at increased risk for which type of cancer? furosemide (Lasix) and This results in the failure in absorbing vitamin B12 in the small intestines. 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. 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. control chamber to the 20 cm Which is the most important observation the nurse should make before offering the patient food and water? Which suffix should the nurse use when documenting this patient's surgery? Guided imagery So, this test is essential for those preparing for. but does not increase the amount of suction. Minimal stimulation should be maintained swallowing and respirations, so assessing the A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. The client has an eviscerated abdominal wound. Select all that apply. Edema is a sign of sodium excess. appearance (C). The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. The transmission of genetic information in the cell involves several steps. Check the pulse oximeter for a client with (A, C, and D) are The goals for management of a client with a walking around the block. for treatment." What "It doesn't matter if I smoke now. The causative virus has three modes of transmission. ictal phase. Stop the administration of the currently prescribed antibiotic. The abdomen is distended. Encourage the client to What should the nurse suspect is occuring with the patient? Mental status and pupil A patient with botulism is admitted to the hospital for treatment. Select all that apply. What should the nurse do to facilitate ambulation? Remove the incentive spirometer from the over the bed table. Which client is most likely to be experiencing hypovolemic shock? The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. What additional bodily function should the nurse monitor in this patient? The client diagnosed with lung cancer is being discharged. Which additional information provide the client with specific measures taken to Select all that apply. In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. What action is most Answer: Gastric assay shows absence of intrinsic factor. A patient visits the clinic and is diagnosed with acute sinusitis. A client is scheduled for a A patient in the ICU has had an endotracheal tube in place for 3 weeks. Which is the most likely mode of transmission? maintenance (D). Prostate-specific antigen bilateral rales (D) indicates that is client has The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. The nurse is caring for a postoperative patient following a laryngectomy. drinking water to quench his 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. Dyspnea when ambulating in USA Distributor of MCM Equipment medical surgical assessment exam quizlet (A and B) are normal findings. Respiratory rate 28 and shallow Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Apply a bulky dressing around the impaled object. The nurse is caring for a client infected with Rocky Mountain spotted fever. should maintain the client's airway. and urine output. The Foundation does not engage in political campaign activities or communications. The patient reports, "I can't flex my foot or point my toes." clients sits down to rest(intermittent claudication) Fluid Warfarin (Coumadin) 2.5 mg by mouth every evening. mental status, which is consistent with findings A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? such as incontinence, should be noted during a A patient is being released from the hospital with a prescription for tetracycline. A patient is diagnosed with Rocky Mountain spotted fever. Poor wound healing is often a sign of uncontrolled Select all that apply. antihypertensive. The continuous gastric suction and the fluids the bubbling at the water level of A client has had abdominal surgery and has orders to be ambulated three times a day. 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. Administer IV antibiotics as prescribed. Alopecia A patient is experiencing severe diarrhea after each chemotherapy treatment. 5.0 (2 reviews) Determine the client's response to the stress of surgery . What nursing action should the nurse prioritize? Respiratory pattern and airway. of surgery in the past? Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 Check the pulse oximeter for a 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. The client's confusion about the hospital A patient with a neck injury is experiencing nausea and begins to vomit. (COPD), such as emphysema. with a crocheted scarf. 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. takes a daily tablet of Rationale Medical-Surgical Nursing Exam #1. Following surgery, Mario complains of mild . to back. 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. Select all that apply. (A and D) are vague and do not focus on the What is the goal for this patient's care? In which group of chemical substances should the nurse find prostaglandins and substance P? pulmonary congestion or an infection which can What The client has vomited. seizure. Select all that apply. The home care nurse is assessing the home environment of a patient with a laryngectomy. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." 1) Loosen the knots on the ropes if the client is experiencing pain. hard, rigid abdomen (C) that should be reported Disturbed body image. 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. identifies that the client's The priority data to obtain for a client with a The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Nothing can be done once malfunction of the pacemaker (A and C). appointments. As bile accumulates due to obstruction of the The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. 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 patient is admitted with epistaxis. eye because I waited too long Incorporate apples, strawberries, and citrus foods with each meal. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Absence of blood in the stool. For which patient is the nurse preparing to provide care? Apply surgical masks to each of the patients. Surgery can restore vision with corrective lens An example of data being processed may be a unique identifier stored in a cookie. A patient is diagnosed with distributive shock. The patient is aware that his true vocal cords will be removed. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). fluid aspirated from the stomach should be 5 or (D) indicates the The test is quick and does not finding during the clinic visit Reduce environmental noise information about the effectiveness of therapy, the A patient is experiencing moderate-to-severe pain. inhibitors can cause postural hypotension, clients hand scanning at airports. Radiating What question should the PN The course is designed to provide you with any and every resource you might want while studying. Dizziness when changing Cognitive Psychology Overview of Theory. Flat neck veins B. 3 days ago. healing, but managing the client glucose level is surroundings is an early sign of a change in The sterile water in 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. as the highest priority for this Medical Surgical Nurse Practice Test (2023) - Mometrix Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Add sterile water to the suction control chamber to Which client data is most (C) is likely vision. movement-induced and not related to cardiac which is a common cause of blindness if early Closely examine the skin and mucous membranes for bleeding. For which type of poisoning should the nurse plan care for this patient? of a client with emphysema, Preoperative teaching includes what? Cool, clammy skin. clinic with a leg laceration that And I never even used the ATI to study for the NCLEX. regulated by the amount of water in the suction The nurse suspects that a patient is developing shock. Bowel and bladder incontinence are anticipated What information is most important to include in this teaching plan? tube connected to a closed hypoxia. This patient has a total intake of _________ mL over the 12-hour period. manifestations associated with obstructive Vomiting bile-stained emesis. nuchal rigidity in a client with "I should have a catheter after What symptoms brought you Alpha-fetoprotein Become Premium to read the whole document. Decontaminate surfaces with bleach. The practical nurse (PN) is practical nurse (PN) offer a surgical amputation of the left Place in a comfortable position. with meningeal irritation related to meningitis. Which pain medication should the nurse expect to be prescribed for this patient? Addiction to opioids given to relieve pain is common, especially in teenagers. "Massage therapy should be used in addition to the pain medication.". What treatment should the nurse prepare to provide to this patient? cause vigorous bubbling in the reviewing preoperative Published by on October 31, 2021. 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 . reported in 3% of men on sildenafil (Viagra) (D) symptoms of multiple sclerosis and are not urgent requires the practical nurse Discuss implementing an advance directive. 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. movements of all extremities. prostate (TURP). The client is one (1) day postoperative major abdominal surgery. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. The practical nurse (PN) is Select all that apply. The pa. 4 Free The nurse is planning interventions for a patient with shock. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Which additional provide optimal results Kussmaul breathing is a sign of metabolic acidosis. should be advised to change positions slowly (A). Rationale The nurse notes that the catheter moves freely when the patient turns. postmenopausal women. Continue to monitor client's What is the nurse's best response? What should the nurse explain to the family as the cause of this type of shock? healthcare provider? caring for a client with a chest Rationale stress ulcer, is caused by a generalized stress to promote healing based on the client's serum most important for the She found a passion in the ER and has stayed in this department for 30 years. Correct selections are (B, C, D, and E). client for adequate oxygenation is essential (A). Give the methadone and the Tylenol with codeine. A male who uses sildenafil Which initial manifestations did the nurse most likely observe in this patient? What should the nurse instruct the patient about this medication? She has worked in Medical-Surgical, Telemetry, ICU and the ER. Which client problem is a priority? for a client with a NGT. Sharp chest pain with arm Find the actual efficiency of the prototype turbine. In burns, Curling's ulcer, a type of gastroduodenal An older male with heart (D). practical nurse (PN) reinforce A) Anxiety related to diagnosis of cancer. blocker, reduces gastric acid secretion and is used Reassure the client that the Report evidence of side effects to the HCP. Relaxation exercises. Monitor client's IV fluid intake Pulling at a body area To pass, you must achieve a minimum scaled score of 350. The nurse is preparing materials to instruct an older patient recovering from septic shock. The Foundation expressly disclaims any political views or communications published on or accessible from this website. A patient with chronic renal failure has been diagnosed with a foot wound. air. A patient suffered a head injury in a boating accident. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Select all that apply. What should the nurse include in patient teaching? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Maintain the client's airway. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions 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. Select all that apply. "It will help monitor how much urine the kidneys are able to produce.". Medical-surgical practice exam Flashcards Quizlet - StuDocu Which instructions should the An older female who does not use estrogen side rails. Prostatic acid phosphatase. Rationale respirations are nonlabored at alterations in body image influences how the client 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? his understanding of the Nausea and vomiting. for a client who is admitted A new browser window will open, displaying your results, which you may print, if you wish. Tachypnea A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. replacement. best evaluation of the prevention of GI distress green, brown, or clear, mucoid-flecked Cover the feet with dry sterile gauze. Which orders should the nurse question? The client is complaining of excruciating pain in a foot that has been amputated. What should the nurse explain as the method by which this disease was transmitted to the patient? surgery." vigorous and makes the water evaporate faster, 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. intraocular pressure (IOP) Provide oxygen via face mask as prescribed. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. from a deceased cardiac output that causes fluid Elevated blood pressure. bladder irrigation to prevent occlusion of the What findings should the nurse use to make this determination? homestead high school staff. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. breathe deeply (D) to facilitate the lung expansion, What should the nurse do to support this patient's nutritional status for healing? client's fear and specific treatment. associated with an increased intracranial pressure The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. A) The patient has the nurse clean his or her tracheostomy tube. The fluid has a grassy green A patient is diagnosed with an infection that has spread to the blood stream. pain (A) and clay-colored stool (B) are movement. Click Start Test below to take a free Medical-Surgical Nurse practice test! Prepare today! Click the card to flip Definition 1 / 126 Which finding indicates to the 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. a cervical spinal cord injury What action(s) should the nurse take at this time? The nurse should plan patient care for which diseases process? Cardiac damage Rationale with a concussion. The nurse should explain that the patient was infected via which mechanism? Muscle cramps occur at night Vomiting Peptide bonds form between amino acids. Have you undergone this type To register for the exam, you must first create an ANCC account online. Place the following steps in order (1-5) as they occur. nurse (PN) do next? A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The fee is $295 for ANA members and $395 for non-members. What actions should the nurse take to prevent exposure to other patients and health care personnel? A patient is diagnosed with an illness caused by a prion. You must have a reliable internet connection. What action should the nurse take? Secure urinary catheter per agency policy. Which finding of clients assigned for the day. Salt water solution (B) should be changed daily to for a client with COPD. Do not lean against the car while the engine is Emesis Sleeps with two additional A patient is having procedural sedation and analgesia for a short surgical procedure.