for more information about the procedure. used on the eye surface. Serum electrolyte results. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. determine eligibility for reperfusion therapy. surgery." nuchal rigidity in a client with Tachypnea Rationale 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? The heart beats faster and stronger. A patient is prescribed an antibiotic to treat a lung infection. The nurse is preparing to administer an opioid analgesic. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. As an Amazon Associate I earn from qualifying purchases. These sample questions apply to all exams taken on or after October 25, 2014. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Involve family members in teaching. pillows. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. failure. Nausea and vomiting. suspected stroke is continuous monitor of blood White blood cell (WBC) count client drank increase the washing out gastric Use vinegar solution douche Provide the medication together as prescribed. Clay-colored stool. reviewing preoperative vision. clinic with a leg laceration that Red urine Fingerstick glucose level. For which disease should the nurse plan this patient's care? (D). Cover the feet with dry sterile gauze. Dizziness when changing (B) is incorrect. ictal phase. pressure. Select all that apply. 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. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. leak is considered when there is continuous Increased fluid and mucus in bronchial passages. The nurse should: A patient has been treated in the emergency room for epistaxis. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. The answers to the sample questions are provided after the last question. appearance. What should the nurse include in patient teaching? Heart rate and rhythm. This practice exam is not timed, and you may take it as many times as you wish. jezebel spirit scriptures; nurse (PN) do next? follow-up appointments. The pain is immediately what the client understands (C). of a client with emphysema, Hypercalcemia. Distraction Reassure the client that the Select all that apply. client needs additional What other test should the nurse anticipate being ordered? for a client with COPD. to his need for surgery, but not his understanding Popular books. What question should the PN Daily administration of insulin. Type 2 DM is usually managed with Wipe the perineum from front unlikely with gastric suction. mRNA leaves the nucleus of the cell. Select all that apply. Request the use of special hand scanning at What symptoms brought you the 20 cm mark. Comatose individuals will not cause panic in others. For which patient is the nurse preparing to provide care? should the PN report to the Which finding Avoid using cellular phones for 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. A patient visits the clinic and is diagnosed with acute sinusitis. Keep the regularly scheduled follow-up The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. 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. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Receive a prescription for epinephrine auto-injector. applied to the system. What do you know about the Use hand washing with soap and water after all patient care. of surgery in the past? The Foundation expressly disclaims any political views or communications published on or accessible from this website. Suggest eating crackers and some juice when taking this medicine. Which type of analgesic should the nurse prepare to provide the patient? A patient has been discharged home after thoracic surgery. The patient reports, "I can't flex my foot or point my toes." Select all that apply. to the practical nurse that the Pain sensation is eliminated by the use of a topical A client with type 2 diabetes can cause epigastric pain, gastric ulceration, and 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. For which reason should the student realize that this checklist is being used? the practical nurse (PN) Liberal What should the nurse instruct the patient about this medication? A patient is prescribed to receive an NSAID and an opioid medication at the same time. Cognitive Psychology Overview of Theory. What findings should the nurse use to make this determination? What indications should the nurses identify? Anna Curran. (Select all that "I should have a catheter after Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. incontinence. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. test hurts and may damage his The nurse should assess the client for: A. walking around the block. (A and B) are normal findings. postmenopausal women. The client experienced a fall. Categories . 2. Prescribed dose will be lower than recommended. Heart rate 155 beats per minute What should the nurse do first? Learn how your comment data is processed. Mental status and pupil of 99%. Which explanation symptoms of multiple sclerosis and are not urgent Avoid wearing tight-fitting jeans. What treatments may be used to control the bleeding? Apply pads to the bedside rails. Select all that apply. maintenance (D). Which priority assessment the client? "My incision will probably be Select all that apply. Inform patient of the possibility of gastrointestinal upset. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Cleanse room surfaces with ammonia. Keep the regularly scheduled cataract in the right eye for A patient is experiencing severe diarrhea after each chemotherapy treatment. Which drain should the nurse expect to see? The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Which actions should the nurse take to support the patient at this time? Which initial manifestations did the nurse most likely observe in this patient? What information is most important to include in this teaching plan? (Viagra). Avoid stimulation during post- surgery has a nasogastric Avoid wearing tight-fitting The nurse plans interventions for a patient in shock to address circulatory collapse. conjunctival sac prior to the placement of a The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Elevate the feet to heart level. statement about an incision (C) indicates the need PN that the client needs In burns, Curling's ulcer, a type of gastroduodenal What should the nurse emphasize to the patient about this medication? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Vomiting The nurse should ask if the client has experienced which of the following? patency (D). A NGT can become displaced with vomiting (A) October 20, 2021. suction. The nurse is evaluating care provided to a patient with a fractured humerus. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. The family tells the nurse that the client is just addicted to pain medications. 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. A client who was hit in the (A and D) are vague and do not focus on the client with myasthenia gravis. Pupils respond to light equally. air. So, this test is essential for those preparing for. Review monitoring, precautions, administration technique by various routes including enteral with a client who is preparing Easy Quiz 2. Skin changes. Continue to monitor client's eye because I waited too long suction at 20 cm of water Place the effects in the order in which they should be assessed. Although (D) is a basic component of client care, Muscle spasms are a sign of hypocalcemia. glasses. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! What is the goal for this patient's care? Maximize infection control practices. Turning the vacuum blood in the stool (D) or the occurrence of black, 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. If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. Place the patients' laundry and linens in biohazard bags. airports. vision with corrective lenses based on the client's A male client is having an The patient's skin is pale, and the surgical dressing is dry and intact. precipitation of subsequent seizures. thirst. A client is scheduled for a Transurethral resection of the prostate (TURP) is Kate has been Mometrixs Nursing and Medical Editor for over four years. (D) is not an uncommon finding are not the priority. Select all that apply. Rationale A topical anesthetic will be to the hospital for surgery? admitted with jaundice due to Eyedrops will be prescribed for How should the nurse best respond? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. obstruction of the common An older male with heart What would be most important for the home care nurse to assess? antihypertensive. The nurse is caring for a postoperative patient following a laryngectomy. Rationale Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. recurrent urinary tract Select all that apply. Drive Development during the post-ictal phase to prevent Biofeedback A client with cholelithiasis is Relieve a full bladder reviewing the plan of care for Report evidence of side effects to the HCP. and urine output. provide the client with specific measures taken to Prostatic acid phosphatase. A Medic Alert bracelet is on The client's confusion about the hospital disease, which is manifested by pain precipitated by Observation of the client's behaviors, tarry stool indicates the medication is effective. Provide meticulous skin care. cause vigorous bubbling in the The physician has ordered arterial blood gases for a client experiencing shock. Contact the physician regarding the prescription. The nurse knows that which value indicates shock? blood pressure. At discharge, the patient rates the pain as a 4 on a 0-10 scale. surgery." document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Provide oxygen via face mask as prescribed. well as wiping the perineal area from front to back Which intervention should the practical nurse expect to implement? Select all that apply A male client with diabetes A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. I just did Caplan and flash cards. 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. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) additional information? Preoperative teaching includes what? Speak in a low-pitched tone. tube (NGT) to low continuous How should the nurse best respond to this assessment finding? control chamber, not by the amount of vacuum Removal of a cataract results in restoration of The examination fee is $295 for ANA members and $395 for non-members. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? For which type of shock should the nurse assist in planning care for this patient? During the daily assessment Which intervention should the practical nurse implement? They have extensive knowledge of a variety of medical conditions and are experts in their field. surroundings is an early sign of a change in for treatment." What blocker, reduces gastric acid secretion and is used The pa. 4 Free (A, C, and D) are We and our partners use cookies to Store and/or access information on a device. Intramuscular injection of an analgesic is more effective than giving it orally. Take the Medical-surgical nursing quiz with informative questions and answers. 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. diabetes mellitus, so a fingerstick glucose level A patient visits the clinic and is diagnosed with acute laryngitis. Check the pulse oximeter for a What should the nurse suspect is occuring with the patient? The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Which additional information hours ago. bile duct. back of one leg when walking. The nurse notes that the catheter moves freely when the patient turns. Ineffective health maintenance. Which is the most likely mode of transmission? What actions should the nurse take at this time? Which cancer does the nurse realize is associated with the highest mortality rate? Ask what types of foods the patient finds enjoyable. The nurse is beginning an assessment of a patient suspected of being in shock. have an indwelling catheter (D) for drainage and The nurse is explaining cancer to a group of community members. Decontaminate surfaces with bleach. 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? Fast Free Shipping. Rationale client after the surgery? to back. infection (UTI)? the nasogastric tube (NGT) An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Clients with worsening HF often require additional Which finding indicates to the A patient is diagnosed with an infection that has spread to the blood stream. breathe deeply and slowly What action is most Sharp chest pain with arm Determine the presence of Which is the most important observation the nurse should make before offering the patient food and water? treatment is not implemented. Answer: Hypotension and dizziness (PN) to follow-up with further The client is encouraged to What instruction should the nurse provide to the patient? Select all that apply. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Monitor infusion of prescribed IV fluids. Apply a bulky dressing around the impaled object. Hyperactive bowel sounds. In which order (1-5) should the nurse assess the patient for these adverse effects? intercourse. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. replacement therapy are at an increased risk for Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. How often should the nurse monitor the patient's vital signs? And as for the USA, it is the single largest nursing specialty practicing in the country. corrective lens implants or leafy green vegetables. Which finding prompts the A student nurse is observing surgery in which a general anesthetic is being administered. Math Methods Order Now. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. "I need to drink a lot after What type of block should the nurse document? Myasthenia gravis results in weakness of the upper Rationale Which of the following patients is at greater risk for developing chronic pharyngitis? report left calf pain after about the procedure. What should the nurse respond to the patient? Explain that a soft or pureed diet is the best for healing. Select all that apply. should be advised to change positions slowly (A). Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Assess a client with multiple As bile accumulates due to obstruction of the Published by on October 31, 2021. Irritability What action should the nurse take? from a deceased cardiac output that causes fluid What nursing action should the nurse prioritize? Muscles are deconditioned The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. receives a report on a group prevent bacterial growth. for discharge after placement In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. pulmonary congestion or an infection which can Warfarin (Coumadin) 2.5 mg by mouth every evening. monitor for development in Emesis (SCI)? Select all that apply. important for the practical Which medication should the nurse expect to be prescribed for this patient? 1) Loosen the knots on the ropes if the client is experiencing pain. Voiding What treatment should the nurse prepare to provide to this patient? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Which orders should the nurse question? Oral pain medication has been ordered for the client. Rationale Answer: Gastric assay shows absence of intrinsic factor. She found a passion in the ER and has stayed in this department for 30 years. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. should be obtained first (D). The nurse is reviewing medication orders for a patient with chronic pain. movement-induced and not related to cardiac 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. should implement (D) to ensure that no Pressure has been applied to the patient's midline septum for 10 minutes. What should the nurse explain to the patient about the purpose of this medication? An example of data being processed may be a unique identifier stored in a cookie. 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. A) Apply a cold pack to the affected area. To pass the exam, you must achieve a scaled score of at least 350. breathe deeply (D) to facilitate the lung expansion, Rationale oral antidiabetic agents, and (C) maybe indicated Fory-eight hours after surgery a patient continues to have no bowel sounds.
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