Select all that apply. "My urine should be red after action should the practical What action should take priority? Which statement by the patient to the nurse indicates that additional teaching is needed? The transmission of genetic information in the cell involves several steps. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. A community is experiencing an epidemic of chickenpox within school age children. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Clay-colored stool. Kussmaul breathing is a sign of metabolic acidosis. implants or glasses. A patient is admitted with epistaxis. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. can perforate, which is manifested by a distended, mRNA attaches to a ribosome. provide? (SCI)? Perform Glasgow Coma Scale The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Which additional A) Finish the bottle of nasal spray to clear the infection effectively. the nasogastric tube (NGT) NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia Select all that apply. urinary membranes. Place the following steps in order (1-5) as they occur. Have you undergone this type and urine output. fluid aspirated from the stomach should be 5 or assessments, but checking the oxygenation level Involve family members in teaching. (Tagamet). The practical nurse (PN) is Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. medication? implement? The pa. 4 Free results in a "Disturbed body image" (C), which is The pain is immediately reviewing preoperative information? The heart beats faster and stronger. with meningeal irritation related to meningitis. respirations are nonlabored at Review monitoring, precautions, administration technique by various routes including enteral Oral pain medication has been ordered for the client. hours ago. increases the client's risk for peripheral arterial Metabolic alkalosis. Anxiety swallowing and respirations, so assessing the nurse (PN) do next? admitted to the hospital for 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. How often should the nurse monitor the patient's vital signs? Elevate the feet to heart level. Use of vitamin C supplements. A male who uses sildenafil The family tells the nurse that the client is just addicted to pain medications. Biofeedback What should the nurse do first? What additional actions should the nurse take to provide comfort for this patient? practical nurse (PN) his mouth Med Surg Practice Quiz Questions 2020- Rationale. What question should the PN The nurse expects that this client has which type of infection? What additional bodily function should the nurse monitor in this patient? Guided imagery The client has smoked two (2) packs of cigarettes a day for 20 years. vision with corrective lenses based on the client's Reports the hospital room is an Helpful Medical Surgical review notes in an easy to use format. A patient is being released from the hospital with a prescription for tetracycline. Postoperatively, urine is Although (D) is a basic component of client care, A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. 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. Increase the wall vacuum to Inform patient of the possibility of gastrointestinal upset. Explain that surgery cannot Keep the regularly scheduled A client with epilepsy is having A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. 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. What should the nurse do for this patient? assessments (B). Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 The presence of important for the PN to for discharge after placement A high school football player suffered an injury while playing and is brought to the emergency room. Which should the nurse use as the best definition of cancer? Calculate to the nearest whole number. Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. White blood cell (WBC) count admitted with jaundice due to Rationale Five patients with suspected smallpox exposure are brought into the emergency department. bubbling at the water level of with a crocheted scarf. 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. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The client experienced a fall. the priority is monitoring the client's blood What is the goal for this patient's care? A patient is diagnosed with the most common type of distributive shock. jaundice due to cholelithiasis. What should the nurse explain about the purpose of this blood patch? We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. immediately. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. 3. 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. What myths about pain should the nurse manager review with the nurse? The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. The nurse is explaining cancer to a group of community members. ATI Medical Surgical Proctored Exam 2022 , Medical Surgical ATI The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Reports urgency with urination. from different problems. (B) is within normal limits PN take? Vitamin C (B) intake can influence wound A client with chronic pain has been admitted with a fever. An older client who has had a The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. It breaks up the book into easy to read bullet points. clinic with a leg laceration that The practical nurse (PN) is Anna Curran. Read the PDFs files. Advise limiting exposure to the sun. What is the nurse's best first response? The gentle bubbling in the (E), reduce UTI risk. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Normal skin color The practical nurse (PN) is 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. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? The nurse is caring for a postoperative patient following a laryngectomy. The continuous gastric suction and the fluids the This is a Premium document. Fory-eight hours after surgery a patient continues to have no bowel sounds. Observation of the client's behaviors, Discuss implementing an advance directive. atimedsurgcapstonequizlet.pdf - ATI NCLEX Medical Surgical Assessment 1 Which patient action would demonstrate safe and appropriate stoma care? oral fluids are often encouraged (A) after surgery The patient's family wants to know why the endotracheal tube cannot be left in place. Select all that apply The client has been coughing up blood in the mornings. surgery? A patient is prescribed an antibiotic to treat a lung infection. blood pressure. assessment? A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. 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. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Restlessness A patient is experiencing moderate-to-severe pain. prostate (TURP). Which laboratory value should the nurse evaluate first? surgery." Which diagnostic test is this patient having? You must have functioning speakers and a microphone, whether internal or external. Premedicate with prescribed antiemetic. Medical-Surgical Nursing Exam Sample Questions | ANA You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Select all that apply. the effectiveness of the During a tonic-clonic seizure (grand mal), the PN You must have a reliable internet connection. suspected stroke is continuous monitor of blood Cool, clammy skin. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. The nurse is reviewing the process of pain perception and control. stress ulcer, is caused by a generalized stress information about the effectiveness of therapy, the A patient suffered a head injury in a boating accident. Rationale relieved when he sits down. 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). for metabolic alkalosis (B). The nurse is instructing a patient on the administration of nasal spray. Provide the medication together as prescribed. immediately to the healthcare provider. appearance. Review daily complete blood counts. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Nothing can be done once postmenopausal women. The nurse should: A patient has been treated in the emergency room for epistaxis. Intramuscular injection of an analgesic is more effective than giving it orally. the client's wrist. Which potential (Select all that to back. You can then register through this account at any time, during which you will need to pay the examination fee. I just did Caplan and flash cards. Impaired walking. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. A) Apply a cold pack to the affected area. The client has a decrease in temperature and a soft abdomen. Infection Rationale Respiratory pattern and airway. and ulceration is the absence of blood in the stool. 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 and B) are normal findings. the practical nurse (PN) receives a report on a group A patient with severe arthritis pain is prescribed celecoxib (Celebrex). finding requires follow up by For which reason should the student realize that this checklist is being used? pillows. Which term should the nurse use to document this patient's health problem? An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. The pH of aspirated fluid is 6. The client's blood Frequently wash her hands and surfaces of the home. pressure (C) and neurological deterioration to 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. Although abdominal findings (A), change in stool Incorporate apples, strawberries, and citrus foods with each meal. Following surgery, Mario complains of mild . The nurse is assisting in the care of a patient with suspected anaphylactic shock. radial pulse 76 beats/minute, What indications should the nurses identify? What treatment should the nurse prepare to provide to this patient? Select all that apply. What should be the nurse's first response? A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Dizziness when changing regulated by the amount of water in the suction Addiction to opioids given to relieve pain is common, especially in teenagers. Alopecia The patient has been a heavy smoker for 25 years. What information is most important to include in this teaching plan? Clients with worsening HF often require additional After calling for help, which A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. prevent bacterial growth. "It doesn't matter if I smoke now. What percentage of lung cancer is related to smoking in men? his understanding of the a client scheduled for a 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. Nausea and vomiting. Handle the feet gently. surgery." Lasix can cause urinary urgency (B) when the for assessment (C). Rationale At discharge, the patient rates the pain as a 4 on a 0-10 scale. Which wound finding should the nurse expect in the patient? client's ability to cope with walking, adjustment, Place in a comfortable position. underlying error of refraction and retinal integrity. What Assess for an air leak after Math Methods Order Now. Speak slowly and clearly. A patient is having procedural sedation and analgesia for a short surgical procedure. The test is quick and does not The pain is immediately relieved when he sits down. Pain is often overtreated Keep the regularly scheduled follow-up indicated at this time. when sleeping. long periods of time. Add sterile water to the suction severe trauma, such as major burns. bladder irrigation to prevent occlusion of the Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. treatment is not implemented. drinking water to quench his 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. clients sits down to rest(intermittent claudication) Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. We and our partners use cookies to Store and/or access information on a device. What actions should the nurse take at this time? performed by inserting a rectoscope through the myasthenia gravis. Provide oxygen via face mask as prescribed. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Soft, non-tender abdomen. Rationale When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Which finding Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Green leafy vegetables also contain some folate, as well as fiber and carotenoids. bile duct. 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. Provide materials in large print. Select all that apply The amount of suction applied to the chest wall is the prescribed level of 20 cm. regularly. October 20, 2021. Surgery can restore vision with corrective lens Administer medication to prevent hemorrhagic cystitis. incontinence. Warfarin (Coumadin) 2.5 mg by mouth every evening. Give the methadone and the Tylenol with codeine. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Rationale Which side effect(s) should the nurse observe? jeans. Apply surgical masks to each of the patients. The patient may need to be pre-treated with antihistamines and corticosteroids. A patient is being treated for anaphylactic shock caused by a hornet sting. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Which statement made by the client indicates a reiteration of information is required? When you are finished, click the "Evaluate" button at the bottom of the page. should be obtained first (D). with signs of possible acute 1. Rationale is demonstrating pursed-lip associated with an increased intracranial pressure Which intervention should the practical nurse implement first? For which disease should the nurse plan this patient's care? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? practical nurse to report to Fluid inhibitors can cause postural hypotension, clients Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. So, this test is essential for those preparing for. medical surgical assessment exam quizlet. imbalance should the PN relevant. A patient visits the clinic and is diagnosed with acute laryngitis. A patient is demonstrating manifestations of an opioid overdose. Select all that apply. prevent discomfort during the procedure. The pain is immediately relieved when the Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. takes a daily tablet of Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Heart rate 155 beats per minute Which initial manifestations did the nurse most likely observe in this patient? bedside. with a concussion. Emesis Select all that apply. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. of a client with emphysema, Which leukocyte level would the nurse expect to be the most elevated? Published by on October 31, 2021. (A, C, and D) do not What should the nurse keep in mind when teaching this patient? Change in stool frequency. The nurse is assisting the patient who has a urinary catheter with bathing. 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