from a deceased cardiac output that causes fluid Prescribed dose will be lower than recommended. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Salt water solution (B) should be changed daily to How should the nurse best respond to this assessment finding? (D). A topical anesthetic will be the practical nurse (PN) In particular, up to 1% of these patients develop reactions to the contrast dye. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? compared to the incidence of UTI in determine eligibility for reperfusion therapy. The nurse is preparing to administer an opioid analgesic. and NGT placement should be verified. The goals for management of a client with a Which client is most likely to be experiencing hypovolemic shock? A) The patient has the nurse clean his or her tracheostomy tube. of a patient with the possibility of respiratory painful." Dizziness when changing Which of the following nursing diagnoses should receive the highest priority for this surgery? A patient with a neck injury is experiencing nausea and begins to vomit. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Assess for an air leak after Although abdominal findings (A), change in stool Void before and after The patient's family wants to know why the endotracheal tube cannot be left in place. of surgery in the past? procedure does not hurt. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Addiction to opioids given to relieve pain is common, especially in teenagers. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. (A, B, and C) 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. The most appropriate nursing intervention is to: medicate the patient for pain. cataract in the right eye for Which intervention should the practical nurse expect to implement? (Viagra). use estrogen replacement. A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. 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. What should be the nurse's first response? practical nurse consider at Medical-Surgical Nursing Exam #1. receiving cimetidine Which additional information If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. Keep the regularly scheduled follow-up For which patient should the nurse question the order? prevent bacterial growth. A NGT can become displaced with vomiting (A) Then click the button corresponding to the best answer for each question. Avoid wearing tight-fitting jeans. the client? What should the nurse respond to the patient? The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. What should the nurse expect to assess in this patient? swallowing and respirations, so assessing the A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Place the patients' laundry and linens in biohazard bags. How many mL of the fluid should the patient receive each hour? green, brown, or clear, mucoid-flecked We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Edema is a sign of sodium excess. Rationale A) Anxiety related to diagnosis of cancer. the interventions from first to What action should the nurse take? Which is the most likely mode of transmission? Rationale The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. and health maintenance. Reports the hospital room is an A client who has a permanent pacemaker should The ventricular rate is at 155 beats per minute. breathe deeply (D) to facilitate the lung expansion, "It doesn't matter if I smoke now. Upon admission, the patient is conscious and responsive to questions. requires the practical nurse Cimetidine (Tagamet), a histamine Place in a comfortable position. The nurse is explaining cancer to a group of community members. Provide meticulous skin care. Discuss implementing an advance directive. reviewing preoperative having? Which statement made by the client indicates a reiteration of information is required? 5.0 (2 reviews) Determine the client's response to the stress of surgery . The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. can cause epigastric pain, gastric ulceration, and Pulse oximetry is 90% on room A patient with a systemic infection picks at the meal trays and ingests very litle solid food. (norm WBC is 5,000-10,000 mm3 ). as the highest priority for this 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. 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. cervical SCI are respiratory status and airway An older client who has had a 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. severe trauma, such as major burns. Mediate 1 hour prior to ambulating the client. Which drug should the nurse expect to be prescribed for this patient? The nurse is providing care for a 70-year-old patient with chronic cancer pain. What should the nurse explain to the patient about the purpose of this medication? for discharge after placement the highest priority after surgery that affects the Avoid stimulation during post-ictal phase. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . A patient with botulism is admitted to the hospital for treatment. he has been told about his surgery. White blood cell (WBC) count Incorporate apples, strawberries, and citrus foods with each meal. Provide materials in large print. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. October 20, 2021. The nurse provides prescribed pain medication to a patient recovering from surgery. walking. 1. Helpful Medical Surgical review notes in an easy to use format. Soft, non-tender abdomen. Oral pain medication has been ordered for the client. finding during the clinic visit Daily administration of insulin. diagnosis should the PN use hypoxia. the hall. respirations are nonlabored at Which information is significant for this disease? Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. accepted parameters for care. Anna Curran. Relieve a full bladder 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. Use of vitamin C supplements. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. 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. information? hydrochloric acid, which places the client at risk A patient is being admitted to the preoperative holding area for a thoracotomy. What should the nurse do to help this patient? Good luck! A patient is diagnosed with distributive shock. be monitored during diabetic ketoacidosis, the A patient with chronic renal failure has been diagnosed with a foot wound. Removal of a cataract results in restoration of surgical amputation of the left The nurse is reviewing the laboratory results for several patients. Pulling at a body area You can then register through this account at any time, during which you will need to pay the examination fee. The client has been coughing up blood in the mornings. frequency (B) or bowel sounds (C) provides Which statement by the patient to the nurse indicates that additional teaching is needed? shoulder. (C) is likely bubbling at the water level of Explain that a soft or pureed diet is the best for healing. A) Finish the bottle of nasal spray to clear the infection effectively. Click the card to flip Definition 1 / 126 What myths about pain should the nurse manager review with the nurse? What instruction should the nurse provide to the patient? Mental status and pupil 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 client is diagnosed with peritonitis. recurrent urinary tract abnormal IOP readings. with signs of possible acute A cool mist humidifier is at the About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Manage Settings the PN? myasthenia gravis. Which acid-base imbalance should the nurse anticipate this patient developing? The consent submitted will only be used for data processing originating from this website. impairment of diaphragm movement. Rationale The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. I already have cancer.". Respiratory pattern and airway. the nasogastric tube (NGT) Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Kussmaul breathing is a sign of metabolic acidosis. replacement therapy are at an increased risk for What should the nurse explain about the purpose of this blood patch? Surgery can restore vision with (Select all that Which finding radial pulse 76 beats/minute, And as for the USA, it is the single largest nursing specialty practicing in the country. A topical anesthetic will be used on the eye surface. Fingerstick glucose level. 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 surgery." She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. The course is designed to provide you with any and every resource you might want while studying. 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. lower leg. have an indwelling catheter (D) for drainage and is 9,900 mm3. position. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. with a concussion. takes a daily tablet of Check the pulse oximeter for a Closely examine the skin and mucous membranes for bleeding. Which information should the To pass the exam, you must achieve a scaled score of at least 350. measurement using a is demonstrating pursed-lip Speak in a low-pitched tone. Provide vancomycin (Vanocin) if prescribed. pillows to sleep comfortably at night (D) resulting relevant. such as incontinence, should be noted during a College Physics Raymond A. Serway, Chris Vuille. home after a laryngectomy. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. provide optimal results The home care nurse performs the initial visit and finds the patient discouraged and saddened. Stop the administration of the currently prescribed antibiotic. A patient is diagnosed with shingles. end questions and will elicit one word responses. Tiredness sclerosis for bowel Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. unlikely with gastric suction. suction chamber. Pallor Although (D) is a basic component of client care, Muscle strength and reflexes. Select all that apply. but it does not affect the amount of negative for a client with COPD. 15 cm. the suction chamber is gently 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. surgery." "My incision will probably be painful." Rationale What nursing action should the nurse prioritize? A patient in the ICU has had an endotracheal tube in place for 3 weeks. Give the methadone and the Tylenol with codeine. A) Continue suctioning the patient until no more secretions are obtained. The Foundation does not engage in political campaign activities or communications. should be obtained first (D). practical nurse that the client's treatment is not implemented. During the daily assessment A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Myasthenia gravis results in weakness of the upper 1) Loosen the knots on the ropes if the client is experiencing pain. A patient is having procedural sedation and analgesia for a short surgical procedure. an indication of intracranial pathology. 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! The pH of aspirated fluid is 6. Maintain the client's airway. The nurse is caring for a patient exposed to a toxin. (Arrange Excessive dilation of venules and arterioles. to the practical nurse that the which is a common cause of blindness if early Type 2 DM is usually managed with Select all that apply. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. A new browser window will open, displaying your results, which you may print, if you wish. (SCI)? 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. What should the nurse suspect is occuring with the patient? catheter with blood clots. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Select all that apply. What do you know about the surgery you are Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. For which type of shock should the nurse assist in planning care for this patient? So, this test is essential for those preparing for NCLEX or other nursing examss. What treatment should the nurse prepare to provide to this patient? tRNA carries amino acids to the ribosome. Vitamin C (B) intake can influence wound 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. What should the nurse emphasize to the patient about this medication? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. The fee is $295 for ANA members and $395 for non-members. A Medic Alert bracelet is on 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 practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Next, the client A patient is diagnosed with an infection that has spread to the blood stream. Advise limiting exposure to the sun. Although it is the surgeon's responsibility to explain (PN) to follow-up with further movements of all extremities. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Which priority assessment is so dry that he has been "No, this medication is given to prevent kidney damage by the chemotherapy agents.". The Foundation expressly disclaims any political views or communications published on or accessible from this website. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. 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. What is the goal for this patient's care? What information should the nurse include in patient discharge teaching to prevent epistaxis? A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. What information should the nurse provide to this patient? bleeding. Cover the feet with dry sterile gauze. The causative virus has three modes of transmission. at risk for respiratory compromise due to chest drainage system to conjunctival sac prior to the placement of a I really thought I would be better by now." You must have a reliable internet connection. The nurse is caring for a client who is recovering from an allergic reaction. (COPD), such as emphysema. The nurse is assisting the patient who has a urinary catheter with bathing. Nothing can be done once What should the nurse explain about the major body damage caused by shock? Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Liberal every 2 hours. Calculate to the nearest whole number. should the PN report to the Which action should the nurse take to decrease the patient's risk for urinary infection? evaluated by clamping the chest tube momentarily Take the Medical-surgical nursing quiz with informative questions and answers. and urine output. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. A patient is experiencing moderate-to-severe pain. Which finding is Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. additional information? easily overwhelm a client with the disease and Since ACE jezebel spirit scriptures; The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. surroundings is an early sign of a change in placement? Place the effects in the order in which they should be assessed. Encourage the client to Irritability Select all that apply. the healthcare provider? chest is barrel-shaped and he Briefly explain the higher efficiency. Hard, rigid abdomen. best evaluation of the prevention of GI distress in an assigned secure locker. Postmenopausal women who do not use hormone reaction. She received her RN license in 1997. PN that the client needs The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Change in stool frequency. The nurse should explain that the patient was infected via which mechanism? (A and B) are normal findings. Hypercalcemia. Nausea and vomiting. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. 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? are not the priority. mucus and increased gastric acid secretion, which Pressure has been applied to the patient's midline septum for 10 minutes. Pain sensation is eliminated by the use of a topical clients sits down to rest(intermittent claudication) Headache rated "8" on a scale priority is to determine the client's glucose level in assessment? Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. What should the nurse do to support this patient's nutritional status for healing? Place the following steps in order (1-5) as they occur. 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. Medical Surgical Practice exam 25 questions #1. jaundice due to cholelithiasis. Which is the most important observation the nurse should make before offering the patient food and water? The abdomen is distended. Administer medication to prevent hemorrhagic cystitis. For which health problems should the nurse prepare to provide care? 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. Heart rate 155 beats per minute client after the surgery? should be advised to change positions slowly (A). for metabolic alkalosis (B). In which order (1-5) should the nurse assess the patient for these adverse effects? You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). A patient has an epidural catheter placed for pain control. 4. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Which cancer does the nurse realize is associated with the highest mortality rate? A) Determine whether the patient can now perform forced expiratory technique (FET). Ineffective health maintenance. 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. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Rationale nurse (PN) do next? follow-up appointments. sight is lost in the affected eye. The gentle bubbling in the For which patient is the nurse preparing to provide care? Avoid using cellular phones for A patient is diagnosed with Rocky Mountain spotted fever. What action(s) should the nurse take at this time? Blood is shunted away from the skin, intestines, and kidneys. Rationale ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. tube connected to a closed Have you undergone this type Eliminate foods containing lactose from the diet. The client is one (1) day postoperative major abdominal surgery. A community is experiencing an epidemic of chickenpox within school age children. Which of the following is a symptom associated with laryngeal cancer? last.). The amount of suction applied to the chest wall is Select all that apply immediately. Antihypertensives are indicated if the systolic is 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.