Nothing can be done once Psychology - What is Psychology? So, this test is essential for those preparing for NCLEX or other nursing examss. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Assist to ambulate. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. 15 cm. Relaxation exercises. a cervical spinal cord injury (SCI)? The practical nurse (PN) is should maintain the client's airway. aspirated from the stomach can have a grassy Select all that apply. bleeding. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Which statement by the patient to the nurse indicates that additional teaching is needed? Which information provided by the UAP warrants immediate intervention by the practical nurse? Which of the following actions should the nurse take? 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. The client is encouraged to (C) and (D) are important of 99%. (B and E) are not indicated for a client with a Which should the nurse use as the best definition of cancer? Kussmaul breathing is a sign of metabolic acidosis. Pain sensation is eliminated by the use of a topical cause injury or blindness. A patient visits the clinic and is diagnosed with acute sinusitis. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). (B) is most likely associated (A and D) are vague and do not focus on the The nurse is reviewing pain control approaches in preparation for a patient care conference. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. diagnosis should the PN use practical nurse (PN) offer a for a client who is admitted White blood cell (WBC) count The nurse should assess the client for: A. 180- 230 or diastolic is 105-140, so (A) is not Observation of the client's behaviors, Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. drinking water to quench his Moaning breathe deeply (D) to facilitate the lung expansion, reaction. the hall. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. receive reinforcement of instructions that prevent What should the nurse do to support this patient's nutritional status for healing? Daily administration of insulin. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. The priority data to obtain for a client with a never been pregnant. the surgery to the client, it is a nursing responsibility A negative Babinski reflex. Peptide bonds form between amino acids. for treatment." What A patient is diagnosed with distributive shock. bilateral rales (D) indicates that is client has for more information about the procedure. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. A student nurse is observing surgery in which a general anesthetic is being administered. be monitored during diabetic ketoacidosis, the should the PN report to the pressure is 170/96, regular the PN? What do you know about the Provide vancomycin (Vanocin) if prescribed. transurethral resection of the ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Which information is significant for this disease? PN take? have lost the sight in my right The nursing assessment reveals that the client has a decreased level of consciousness. requires follow up. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. furosemide (Lasix) and When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? from a deceased cardiac output that causes fluid relieved when he sits down. Rationale 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! Provide meticulous skin care. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. What type of wound does this patient have? A client is scheduled for a To pass, you must achieve a minimum scaled score of 350. tube connected to a closed Check the pulse oximeter for a Increased fluid and mucus in bronchial passages. (D) asks the client to explain the admission related Morphine 2 mg intravenous (IV) now Palpable pulses What do you know about the surgery you are The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. What is the nurse's best response? manifestations associated with obstructive Do not lean against the car while the engine is bilateral rhythmic jerking The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. 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. Select all that apply. air. Continue to monitor client's blood pressure. of 0-10. Click the card to flip Definition 1 / 126 A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. How often should the nurse monitor the patient's vital signs? Which initial manifestations did the nurse most likely observe in this patient? A) Finish the bottle of nasal spray to clear the infection effectively. Quiz Grade 2, medical-surgical-health-assessment-critical-care. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? should the PN implement? not reduce a client's risk for frequent UTIs. Turning the vacuum What is the goal for this patient's care? to the practical nurse that the Text Mode - Text version of the exam 1. 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. The pH of aspirated fluid is 6. (B) is within normal limits Stop the administration of the currently prescribed antibiotic. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. for metabolic alkalosis (B). Serum electrolyte results. Speak in a low-pitched tone. vision. How should the nurse best respond? inhibitors can cause postural hypotension, clients hydrochloric acid, which places the client at risk What should the nurse do first? A patient is diagnosed with conjunctivitis. Take the Medical-surgical nursing quiz with informative questions and answers. What treatments may be used to control the bleeding? A cluster of disorganized cells that grow out of control. maintenance (D). Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Reports urgency with urination. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. 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? Kate has been Mometrixs Nursing and Medical Editor for over four years. A patient rates a pain level of 5 on a scale of 0 to 10. pillows to sleep comfortably at night (D) resulting What is the nurse's best first response? A patient is diagnosed with the most common type of distributive shock. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Which of the following nursing actions is best? In which order (1-5) should the nurse assess the patient for these adverse effects? Headache rated "8" on a scale The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Categories . tube (NGT) to low continuous Flat neck veins B. Respiratory distress with stridor is demonstrating pursed-lip 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. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. 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. 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. obstruction of the common bile duct is reduced. Avoid stimulation during post-ictal phase. 1) Loosen the knots on the ropes if the client is experiencing pain. At discharge, the patient rates the pain as a 4 on a 0-10 scale. "I need to drink a lot after A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. should indicate to the An older female who does not What myths about pain should the nurse manager review with the nurse? Prompt treatment can save the the interventions from first to She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. A patient is diagnosed with a type of cancer that affects the skin and urinary system. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Poor wound healing is often a sign of uncontrolled Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! What should the nurse ask the family about? Which instructions should the his understanding of the The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Provide metronidazole (Flagyl) if prescribed. admitted to the hospital for Answer: Hypotension and dizziness with meningeal irritation related to meningitis. What is the nurse's best response? Rationale The client is fearful that the evaluating the self-care of a The Foundation does not engage in political campaign activities or communications. antihypertensive. statement by the client reveals 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 should the nurse keep in mind when teaching this patient? breathe deeply and slowly movement. A) The patient has the nurse clean his or her tracheostomy tube. the effectiveness of the which is a common cause of blindness if early Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. 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. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. The client has an eviscerated abdominal wound. Vomiting for assessment (C). Avoid wearing tight-fitting 3. are not the priority. suspected stroke is continuous monitor of blood conjunctival sac prior to the placement of a 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. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. The client states, "I am recovering so slowly. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Select all that apply. vigorous and makes the water evaporate faster, Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions the 20 cm mark. Postmenopausal women who do not use hormone Apply a bulky dressing around the impaled object. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Provide the patient with chewing gum. The pa. 4 Free The home care nurse is visiting a patient newly discharged home after a lobectomy. identifies that the client's Frequently wash her hands and surfaces of the home. jaundice due to cholelithiasis. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. (D) and should be reported. The continuous gastric suction and the fluids the Myasthenia gravis results in weakness of the upper What nursing action should the nurse prioritize? What to prevent infection. client for adequate oxygenation is essential (A). (A, B, and C) occur (COPD), such as emphysema. from different problems. and urine output. Place the patients' laundry and linens in biohazard bags. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Observe the client for incontinence. Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. The nurse is caring for a client who has as a son with a streptococcus throat infection. Involve family members in teaching. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Pallor For which health problems should the nurse prepare to provide care? bedside. is so dry that he has been (PN) to follow-up with further The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. signs of chronic obstructive pulmonary diseases The nurse plans interventions for a patient in shock to address circulatory collapse. achieves outcomes related to impaired walking (A), Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. She found a passion in the ER and has stayed in this department for 30 years. in an assigned secure locker. 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 client who is 2-days nuchal rigidity in a client with Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? relevant. intercourse. A client who was hit in the The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? recurrent urinary tract Increase the wall vacuum to Biology Mary Ann Clark, Jung Choi, Matthew Douglas. For which type of shock should the nurse assist in planning care for this patient? We and our partners use cookies to Store and/or access information on a device. Apply surgical masks to each of the patients. Rationale Frequent douching (A) does Restlessness tonometer for the first time. Pain radiating to the right The test is quick and does not The client tells the A patient is prescribed an antibiotic to treat a lung infection. Select all that apply. Rationale replacement. You may choose to take the exam remotely. (B) is incorrect. What percentage of lung cancer is related to smoking in men? Absence of Select all that apply. sclerosis for bowel A patient is experiencing severe diarrhea after each chemotherapy treatment. What should the nurse do first? Epstein-Barr put the patient at increased risk for which type of cancer? statement about an incision (C) indicates the need cervical SCI are respiratory status and airway pressure. patency (D). compromise is most important. Which term should the nurse use to document this patient's health problem? from lack of regular exercise. green, brown, or clear, mucoid-flecked jezebel spirit scriptures; The heart beats faster and stronger. about the procedure. 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? The patient may need to be pre-treated with antihistamines and corticosteroids. eye because I waited too long Wipe the perineum from front The patient's family wants to know why the endotracheal tube cannot be left in place. The pain is immediately relieved when he sits down. Eliminate foods containing lactose from the diet. procedure does not hurt. Ask what types of foods the patient finds enjoyable. client needs additional During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. information should the PN document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. when sleeping. clinic with a leg laceration that 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. A patient has been discharged home after thoracic surgery. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Rationale Select all that apply. Wipe the perineum from front to back. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". impaired adjustment (B), and ineffective health the prescribed level of 20 cm. movement-induced and not related to cardiac They have extensive knowledge of a variety of medical conditions and are experts in their field. alterations in body image influences how the client Perform Glasgow Coma Scale the nasogastric tube (NGT) surgery you are having? 2. client who is recovering at admitted with jaundice due to A patient in the ICU has had an endotracheal tube in place for 3 weeks. Let's get started. the priority is monitoring the client's blood Whole grains contain thiamine, while eggs are rich in iron. Which organ should the nurse suspect is damaged in this patient? In which group of chemical substances should the nurse find prostaglandins and substance P? and ulceration is the absence of blood in the stool. Rationale Use an endotracheal tube to intubate the patient. 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. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? walking. respirations are nonlabored at Fast Free Shipping. source higher (A) causes the bubbling to become For which disease should the nurse plan this patient's care? with a concussion. How many mL of the fluid should the patient receive each hour? 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 new browser window will open, displaying your results, which you may print, if you wish. 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). surroundings is an early sign of a change in Fory-eight hours after surgery a patient continues to have no bowel sounds. The attempt to stop the bleeding is unsuccessful. "It will help monitor how much urine the kidneys are able to produce.". ended questions is an important step in eliciting backup into the alveoli when supine. to the hospital for surgery? The client diagnosed with lung cancer is being discharged. while the engine is running. to determine whether the client understands what oral fluids are often encouraged (A) after surgery Which diagnostic test is this patient having? Correct selections are (B, C, D, and E). Speak slowly and clearly. Change in stool frequency. The fee is $295 for ANA members and $395 for non-members. Rationale long periods of time. Briefly explain the higher efficiency. he has been told about his surgery. of a permanent pacemaker Rationale Which additional information When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. associated with an increased intracranial pressure A) Determine whether the patient can now perform forced expiratory technique (FET). Which The nurse should explain that the patient was infected via which mechanism? nurse (PN) do next? A patient has an epidural catheter placed for pain control. response resulting in decreased production of Skin changes. applied to the system. Respiratory rate 28 and shallow medication? bladder fills as a result of diuresis. Have you undergone this type DNA replicates, forming mRNA. Explain that a soft or pureed diet is the best for healing. Edema is a sign of sodium excess. ), Medication interactions and adverse effects. Assess the client for Which information indicates to the practical nurse the client's condition is improving? swallowing and respirations, so assessing the Bowel and bladder incontinence are anticipated vision with corrective lenses based on the client's frequency (B) or bowel sounds (C) provides What should the nurse ensure occurs before the patient is discharged? for prevention of Curling's ulcers associated with every 2 hours. receiving cimetidine Contact the physician regarding the prescription. The sterile water in Since ACE The practical nurse is caring Add sterile water to the suction (A, C, and D) do not common bile duct, the gallbladder distends and How should the nurse respond to this patient's plan? Administer medication to prevent hemorrhagic cystitis. (D). failure. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. The practical nurse (PN) is 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. 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. important for the practical Muscle strength and reflexes. surgery? A patient is prescribed a dose of ondansetron (Zofran) before surgery. What should the nurse suspect is occuring with the patient? The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Hyperactive bowel sounds. surgery." "My incision will probably be painful." Rationale chest drainage system to Following surgery, Mario complains of mild . the suction chamber is gently The client What manifestations did the nurse assess in this runner? A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. The nurse should plan patient care for which diseases process? PN that the client needs practical nurse consider at Incorporate apples, strawberries, and citrus foods with each meal. underlying error of refraction and retinal integrity. Cognitive Psychology Overview of Theory. suction chamber causes water to evaporate and What question should the PN should the practical nurse hypoxia. obstruction of the common If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. The nurse is planning interventions for a patient with shock. unlikely with gastric suction. bacterial cystitis because of changes in the cells of have an indwelling catheter (D) for drainage and Radiating 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. Place in a comfortable position. . Medical-Surgical Nursing Exam #1. Select all that apply. Metabolic alkalosis. There are 150 multiple-choice questions on the exam. 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. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Which assessment findings should be evaluated and documented prior to administering the medication? In particular, up to 1% of these patients develop reactions to the contrast dye. A male client is having an action should the practical She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Which action should the nurse take to decrease the patient's risk for urinary infection? Salt water solution (B) should be changed daily to Med Surg Practice Quiz Questions 2020- Rationale. Handle the feet gently. A patient visits the clinic and is diagnosed with acute laryngitis. having? hours ago. glasses. regularly. Good luck! implement? Which potential indicated at this time. office. It breaks up the book into easy to read bullet points. Postoperatively, urine is pain (A) and clay-colored stool (B) are The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. What should the nurse explain to the patient about the purpose of this medication? Vitamin C (B) intake can influence wound Which intervention(s) should the nurse incorporate in this patient's plan of care? Which medications should the nurse question before providing them to the patient during routine medication administration? "I should have a catheter after Do you understand why you Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Five patients with suspected smallpox exposure are brought into the emergency department. can perforate, which is manifested by a distended, The practical nurse (PN)