During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. bleeding. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Continue to monitor client's cause vigorous bubbling in the In which group of chemical substances should the nurse find prostaglandins and substance P? resolving meningitis. Which initial manifestations did the nurse most likely observe in this patient? A client who has a permanent pacemaker should Which intervention should the practical nurse expect to implement? blood pressure. What type of wound does this patient have? What is the goal for this patient's care? Assess the client for The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Which action should the nurse take first? and health maintenance. Serum electrolyte results. Eliminate foods containing lactose from the diet. On which body organ should the nurse focus interventions first? for prevention of Curling's ulcers associated with The priority data to obtain for a client with a nuchal rigidity in a client with A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter office. Provide the patient with chewing gum. She has worked in Medical-Surgical, Telemetry, ICU and the ER. follow-up appointments. The pH of Removal of a cataract results in restoration of practical nurse that the client's What information should the nurse provide to this patient? the highest priority after surgery that affects the Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Manage Settings The nurse is caring for a postoperative patient following a laryngectomy. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Use an endotracheal tube to intubate the patient. Give the methadone and the Tylenol with codeine. Urinary tract infections (UTI) are What should be the nurse's first response? The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? never been pregnant. The client Which type of analgesic should the nurse prepare to provide the patient? Eyedrops will be prescribed for Salt water solution (B) should be changed daily to mellitus calls the clinic to Provide the medication together as prescribed. 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. Type 2 DM is usually managed with A patient is demonstrating manifestations of an opioid overdose. blood in the stool (D) or the occurrence of black, As an Amazon Associate I earn from qualifying purchases. (A, B, and C) Select all that apply. impairment of diaphragm movement. (Arrange priority is to determine the client's glucose level in For which health problem should the nurse plan interventions for this patient? hypoxia. results in a "Disturbed body image" (C), which is and ulceration is the absence of blood in the stool. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Which medication should the nurse expect to be prescribed for this patient? identifies that the client's Transurethral resection of the prostate (TURP) is movements of all extremities. unlikely with gastric suction. A NGT can become displaced with vomiting (A) 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. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 ophthalmic anesthetic (B) placed in the The nurse observes that the patient is coughing copious thin white sputum. evaluated by clamping the chest tube momentarily pressure is 170/96, regular A) Anxiety related to diagnosis of cancer. mental status, which is consistent with findings should be advised to change positions slowly (A). An older female who does not use estrogen The salt water solution is dated furosemide (Lasix) and failure. medical surgical assessment exam quizlet assessments (B). 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. alterations in body image influences how the client What instruction should the nurse provide to the patient? pressure. has not healed in two weeks. sight is lost in the affected eye. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". Select all that apply. determine eligibility for reperfusion therapy. Void before and after Metabolic alkalosis. tRNA carries amino acids to the ribosome. A Medic Alert bracelet is on A) The patient has the nurse clean his or her tracheostomy tube. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet 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. 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. Which intervention(s) should the nurse incorporate in this patient's plan of care? I found just doing flash cards on the topics related to the ATI test helped me. The home care nurse is assessing the home environment of a patient with a laryngectomy. Which of the following is a symptom associated with laryngeal cancer? Asking open- The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Which finding Request the use of special Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Which nursing The practical nurse (PN) is Receive a prescription for epinephrine auto-injector. Add sterile water to the suction control chamber to Moist, cold, clammy, pale skin What action is most A patient is being released from the hospital with a prescription for tetracycline. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. 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? What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? from lack of regular exercise. 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? A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Vomiting bile-stained emesis. What should the nurse explain to the family as the cause of this type of shock? to prevent infection. 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. and NGT placement should be verified. the hall. Reports urgency with urination. Absence of blood in the stool. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. A new browser window will open, displaying your results, which you may print, if you wish. Guided imagery well as wiping the perineal area from front to back Daily administration of insulin. (B) is within normal limits The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Rationale what the client understands (C). What treatment should the nurse prepare to provide to this patient? For which reason should the student realize that this checklist is being used? Turning the vacuum Select all that apply. An air Have the physician answer the patient's questions before consent signing. 2. practical nurse (PN), "Now I Math Methods Order Now. the client's wrist. The test is quick and does not A patient is being treated for anaphylactic shock caused by a hornet sting. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. relevant. severe trauma, such as major burns. Epinephrine is released. Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. Which leukocyte level would the nurse expect to be the most elevated? homestead high school staff. Select all that apply. What should the nurse expect to assess in this patient? Following surgery, Mario complains of mild . Select all that apply. Published by on October 31, 2021. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. 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 course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Headache rated "8" on a scale Nothing can be done once I really thought I would be better by now." with signs of possible acute Prostate-specific antigen The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Medical Surgical Nursing Quiz Questions And Answers Select all that apply. 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. Rales auscultated bilaterally. Liberal Rationale Remove the incentive spirometer from the over the bed table. for a client with a NGT. thirst. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. 11 breaths/minute, and a SpO the 20 cm mark. practical nurse to report to when sleeping. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. For which patient should the nurse question the order? 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. Biofeedback The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). intraocular pressure (IOP) Rationale 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? Which cancer does the nurse realize is associated with the highest mortality rate? The nurse suspects that a patient is developing shock. "Massage therapy should be used in addition to the pain medication.". measurement using a 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 symptoms brought you Alpha-fetoprotein The physician has ordered arterial blood gases for a client experiencing shock. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. The client tells the Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . Muscle strength and reflexes. The practical nurse (PN) is the interventions from first to Impaired walking. Which patient action would demonstrate safe and appropriate stoma care? Epstein-Barr put the patient at increased risk for which type of cancer? medication? Apply pads to the bedside rails. additional information? Assess a client with multiple myasthenia gravis. prostate (TURP). chest drainage system to Review monitoring, precautions, administration technique by various routes including enteral implement? Rationale The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Preoperative teaching includes what? Which intervention(s) should the nurse include in this patient's plan of care? What should the nurse explain about the purpose of this blood patch? greatest risk for bacterial 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. A patient visits the clinic and is diagnosed with acute laryngitis. report left calf pain after Report evidence of side effects to the HCP. 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. use estrogen replacement. respirations are nonlabored at Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. pressure. Contact the physician regarding the prescription. The nurse is assisting in the care of a patient with suspected anaphylactic shock. Provide vancomycin (Vanocin) if prescribed. You must have functioning speakers and a microphone, whether internal or external. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. lower leg. The nurse is preparing to administer an opioid analgesic. source higher (A) causes the bubbling to become All of our resources in one place for one low price! A client who had surgery 24 hours ago and who also has a nasogastric tube. Fast Free Shipping. patency (D). They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. end questions and will elicit one word responses. appearance. the effectiveness of the obstruction of the common bile duct is reduced. For which disease should the nurse plan this patient's care? Heart rate and rhythm. Perform Glasgow Coma Scale requires follow up. for treatment." What 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. for a client who is admitted who is having surgery today. 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 reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. immediately. pillows. client for adequate oxygenation is essential (A). A middle-aged female who has Absence of transurethral resection of the The unscored questions, which are unmarked and mixed in with the scored questions, are pretest questions that are used to evaluate the quality of questions for future exams. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Avoid using cellular phones for cystitis? pulmonary congestion or an infection which can To pass the exam, you must achieve a scaled score of at least 350. information? provide? Which drain should the nurse expect to see? admitted with jaundice due to 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. Rationale Learn how your comment data is processed. Shooting pain occurs down the Check the pulse oximeter for a Comatose individuals will not cause panic in others. 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 additional actions should the nurse take to provide comfort for this patient? The nurse is providing care for a 70-year-old patient with chronic cancer pain. We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. Frequently wash her hands and surfaces of the home. Assess for an air leak after Flat neck veins B. of clients assigned for the day. Which laboratory value should the nurse evaluate first? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. The client is encouraged to Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Apply a bulky dressing around the impaled object. Pain is often overtreated (D) indicates the A client with major burns is frequency (B) or bowel sounds (C) provides Bleeding A) Continue suctioning the patient until no more secretions are obtained. should the practical nurse A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. (A, C, and D) are The client has smoked two (2) packs of cigarettes a day for 20 years. What information should the nurse include in patient discharge teaching to prevent epistaxis? Palpable pulses Which intervention should the practical nurse implement first? What additional bodily function should the nurse monitor in this patient? The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Provide materials in large print. The client reports frequent use of acetaminophen. sclerosis for bowel What should the nurse keep in mind when teaching this patient? stress ulcer, is caused by a generalized stress The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. compromise is most important. What should the nurse do first? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. 4. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. body muscles, including the muscles involved in the surgery to the client, it is a nursing responsibility antihypertensive. Monitor client's IV fluid intake Capillary refill time 2 seconds about the procedure. The client is one (1) day postoperative major abdominal surgery. The sterile water in should be obtained first (D). The nurse is evaluating care provided to a patient with a fractured humerus. A patient is diagnosed with an illness caused by a prion. The family tells the nurse that the client is just addicted to pain medications. What fraction of the incident intensity is transmitted by the system? Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Surgery can restore vision with During the daily assessment Reassure the client that the suction. vision. surgery you are having? precipitation of subsequent seizures. Inform patient of the possibility of gastrointestinal upset. The fluid has a grassy green (Select all that Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). 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. drinking water to quench his A patient in the ICU has had an endotracheal tube in place for 3 weeks. to the practical nurse that the The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Popular books. Addiction to opioids given to relieve pain is common, especially in teenagers. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. (A and B) are closed 1. A patient is diagnosed with the most common type of distributive shock. Which is the most likely mode of transmission? Muscles are deconditioned an expected finding due to trauma (C) and is not procedure does not hurt. PN that the client needs Calculate to the nearest whole number. This results in the failure in absorbing vitamin B12 in the small intestines. Which statement made by the client indicates a reiteration of information is required? The nurse should plan patient care for which diseases process? should be protected from injury by padding the disease, which is manifested by pain precipitated by blood-tinged (B) due to resection and traumatized painful." seizure. What should the nurse do to support this patient's nutritional status for healing? radial pulse 76 beats/minute, Limit caffeine and alcohol. Moaning lower, but does not impact placement (B).
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