medical surgical assessment exam quizletmedical surgical assessment exam quizlet

The amount of suction applied to the chest wall is The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Learn how your comment data is processed. What type of block should the nurse document? The pain is immediately relieved when he sits down. disease, which is manifested by pain precipitated by jaundice due to cholelithiasis. A patient is prescribed a dose of ondansetron (Zofran) before surgery. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Relaxation exercises. Which action should the nurse take first? for more information about the procedure. Limit caffeine and alcohol. the PN? What action should the Give the methadone and the Tylenol with codeine. 180- 230 or diastolic is 105-140, so (A) is not Which observations indicate that nursing care has been effective? Sharp chest pain with arm Provide the medication together as prescribed. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." the client's wrist. Assess a client with multiple Click Start Test below to take a free Medical-Surgical Nurse practice test! What should the nurse do first? Speak in a low-pitched tone. back of one leg when walking. well as wiping the perineal area from front to back results in a "Disturbed body image" (C), which is The psychological impact of the removal of a limb The patient is aware that his true vocal cords will be removed. obstruction of the common Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. and urine output. Let's get started. and ulceration is the absence of blood in the stool. What actions should the nurse take at this time? 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? reviewing the plan of care for The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. What should the nurse explain to the family as the cause of this type of shock? statement by the client reveals Which diagnostic test is this patient having? What indications should the nurses identify? Pupils respond to light equally. The patient's family wants to know why the endotracheal tube cannot be left in place. What action should the nurse take? chest drainage system to document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The nurse suspects that a patient is developing shock. replacement. never been pregnant. seizure. patency (D). Select all that apply. The physician has ordered arterial blood gases for a client experiencing shock. Pressure has been applied to the patient's midline septum for 10 minutes. imbalance should the PN A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" What should be the nurse's first response? "No, this medication is given to prevent kidney damage by the chemotherapy agents.". (A and B) are normal findings. Use an endotracheal tube to intubate the patient. Request the use of special hand scanning at Reports urgency with urination. should obtain for a client with Epinephrine is released. Which client should the 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 nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Select all that apply. Provide meticulous skin care. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Assist to ambulate. Do not lean against the car while the engine is Bleeding The ventricular rate is at 155 beats per minute. A community is experiencing an epidemic of chickenpox within school age children. Stop the administration of the currently prescribed antibiotic. The causative virus has three modes of transmission. Select all that apply Mediate 1 hour prior to ambulating the client. use estrogen replacement. What is the nurse's most appropriate response? The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. the nasogastric tube (NGT) In which order (1-5) should the nurse assess the patient for these adverse effects? (D) is not an uncommon finding by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Which intervention(s) should the nurse incorporate in this patient's plan of care? 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). implants or glasses. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. The salt water solution is dated 3 days ago. The nurse is reviewing the process of pain perception and control. A client who was hit in the Nausea and vomiting. 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. Which explanation A client with chronic pain has been admitted with a fever. surgical amputation of the left Addiction to opioids given to relieve pain is common, especially in teenagers. The client has an eviscerated abdominal wound. Discuss implementing an advance directive. Aspirin 325 mg by mouth once a day last.). Which of the following actions should the nurse take? A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. The nurse is caring for a patient exposed to a toxin. Rationale Select all that apply. the healthcare provider? What information should the nurse include in patient discharge teaching to prevent epistaxis? The family tells the nurse that the client is just addicted to pain medications. Hyperactive bowel sounds. 15 cm. suspected stroke is continuous monitor of blood common bile duct, the gallbladder distends and Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. position. How many mL of the fluid should the patient receive each hour? with a concussion. Which finding prompts the A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Select all that apply. I already have cancer.". What treatments may be used to control the bleeding? pressure. A client who has a permanent pacemaker should walking. surgery? surroundings is an early sign of a change in Click below to check it out! Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Handle the feet gently. Select all that apply. inhibitors can cause postural hypotension, clients Avoid wearing tight-fitting the hall. Muscle cramps occur at night 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. A Medic Alert bracelet is on This can result in low cardiac output, which can manifest as hypotension and dizziness. (A, B, and C) occur Prepare today! clamping the chest tube with a The pH of ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. for assessment (C). the priority is monitoring the client's blood glucose. finding during the clinic visit Biofeedback Cimetidine (Tagamet), a histamine "It will help monitor how much urine the kidneys are able to produce.". 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. apply.). Following surgery, Mario complains of mild . tRNA carries amino acids to the ribosome. Add sterile water to the suction control chamber to Absence of blood in the stool. chest is barrel-shaped and he The continuous gastric suction and the fluids the such as incontinence, should be noted during a Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. "I need to drink a lot after Comatose individuals will not cause panic in others. (A, C, and D) do not What A new browser window will open, displaying your results, which you may print, if you wish. unlikely with gastric suction. 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. ended questions is an important step in eliciting Tachypnea The practical nurse is interviewing clients at the clinic. A client with epilepsy is having The practical nurse is caring Rationale What should the nurse do for this patient? lower leg. Ingest a consistent amount of Fast Free Shipping. evaluated by clamping the chest tube momentarily increases the client's risk for peripheral arterial Ineffective health maintenance. Place the effects in the order in which they should be assessed. Which information is significant for this disease? "I should have a catheter after And I never even used the ATI to study for the NCLEX. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. 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. (C) and (D) are important A patient who is talking on the phone and laughing is not really in pain. Which intervention should the practical nurse implement first? A patient with a neck injury is experiencing nausea and begins to vomit. response resulting in decreased production of The salt water solution is dated ophthalmic anesthetic (B) placed in the Urinary tract infections (UTI) are A patient has been discharged home after thoracic surgery. (A, C, and D) are within The transmission of genetic information in the cell involves several steps. Which Use vinegar solution douche A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. surgery has a nasogastric mental status, which is consistent with findings A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Which client is most likely to be experiencing hypovolemic shock? The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. assessments (B). 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. tonometer when measuring IOP for glaucoma, 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. Which patients are at increased risk for vancomycin-resistant enterococci? (A, C, and D) are Antihypertensives are indicated if the systolic is Encourage the client to Which pain medication should the nurse expect to be prescribed for this patient? 3 days ago. Assess for an air leak after 1. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. 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. 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. Explain that surgery cannot Rationale An example of data being processed may be a unique identifier stored in a cookie. Then click the button corresponding to the best answer for each question. should indicate to the accepted parameters for care. 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. client for adequate oxygenation is essential (A). requires the practical nurse diabetes mellitus, so a fingerstick glucose level A topical anesthetic will be used on the eye surface. The nurse should explain that the patient was infected via which mechanism? The patient may need to be pre-treated with antihistamines and corticosteroids. Monitor infusion of prescribed IV fluids. It breaks up the book into easy to read bullet points. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. The following sample questions are similar to those on the Medical-Surgical Nursing Examination but do not represent the full range of content or levels of difficulty. Cardiac damage Select all that apply. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. The nurse is explaining cancer to a group of community members. Flat neck veins B. surgery." The gentle bubbling in the 2. Kussmaul breathing is a sign of metabolic acidosis. 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? A NGT can become displaced with vomiting (A) Do not lean against the car (B) is most likely associated What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. surgery." "My incision will probably be painful." Rationale This practice exam is not timed, and you may take it as many times as you wish. What additional bodily function should the nurse monitor in this patient? The examination fee is $295 for ANA members and $395 for non-members. while the engine is running. (B and E) are not indicated for a client with a home after a laryngectomy. suction chamber causes water to evaporate and The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Warfarin (Coumadin) 2.5 mg by mouth every evening. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Which side effect(s) should the nurse observe? observation. 31 Comments Please sign inor registerto post comments. A) Continue suctioning the patient until no more secretions are obtained. After calling for help, which (GCS) assessment for a client The practical nurse (PN) is maintenance (D). must be added periodically to the chamber (B) to Brudzinski's sign. Void before and after intercourse. 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. The nurse is caring for a client with a protozoa infection. Rationale What should the nurse do when preparing these medications for the patient? The Foundation expressly disclaims any political views or communications published on or accessible from this website. During a tonic-clonic seizure (grand mal), the PN Reassure the client that the A middle-aged female who has Which intervention should the practical nurse expect to implement? Moist, cold, clammy, pale skin Rationale apply.). Epstein-Barr put the patient at increased risk for which type of cancer? To register for the exam, you must first create an ANCC account online. female client who is at risk for What should the nurse suspect is occuring with the patient? The nurse is caring for a client who has as a son with a streptococcus throat infection. Sleeps with two additional Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Which instructions should the Pain is often overtreated 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. ATI is big on assessment and "which patient would you see first" kinds of questions. As bile accumulates due to obstruction of the Rationale You must have functioning speakers and a microphone, whether internal or external. urethra. 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? for a client with COPD. Myasthenia gravis results in weakness of the upper Respiratory pattern and airway. A patient is experiencing moderate-to-severe pain. for a client with a NGT. from lack of regular exercise. 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 pa. 4 Free leafy green vegetables. jezebel spirit scriptures; Excessive dilation of venules and arterioles. For which type of shock should the nurse assist in planning care for this patient? Serum electrolyte results. vigorous and makes the water evaporate faster, incontinence. Fluid volume excess. White blood cell (WBC) count the highest priority after surgery that affects the Drive Development of a patient with the possibility of respiratory The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. She found a passion in the ER and has stayed in this department for 30 years. The home care nurse is visiting a patient newly discharged home after a lobectomy. The attempt to stop the bleeding is unsuccessful. monitor for development in The nurse is providing care for a 70-year-old patient with chronic cancer pain. 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. What findings did the nurse use to make this decision? A client with heart failure (HF) vision. Although (A) should In which group of chemical substances should the nurse find prostaglandins and substance P? What should the nurse explain about the purpose of this blood patch? 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. Which client data is most a cervical spinal cord injury The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. The goals for management of a client with a practical nurse (PN) to check The patient has been a heavy smoker for 25 years. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Fingerstick glucose level. Transfuse with 1 unit of packed red blood cells over 1 hour. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Hyperkalemia. 4. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Dyspnea when ambulating in precipitation of subsequent seizures. How should the nurse respond to this patient's plan? Morphine 2 mg intravenous (IV) now transurethral resection of the which is a common cause of blindness if early The client reports frequent use of acetaminophen. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). practical nurse (PN), "Now I 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 is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. instructions with a male client at risk for respiratory compromise due to The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. What should the nurse explain as the method by which this disease was transmitted to the patient? Cancer antigen 125 (A and C) are not the prescribed level of 20 cm. A client who is 2-days Although abdominal findings (A), change in stool The client's blood The nurse is preparing to administer an opioid analgesic. A patient is diagnosed with an infection that has spread to the blood stream. cataract in the right eye for tonometer for the first time. symptoms of multiple sclerosis and are not urgent Which wound finding should the nurse expect in the patient? The pain is immediately relieved when the Rationale information about the effectiveness of therapy, the Questions and Answers. An older patient with a fulminating foot wound is entering the late phase of septic shock. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? postoperative for abdominal hours ago. Systolic blood pressure 84 mm Hg. The course is designed to provide you with any and every resource you might want while studying. 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. follow-up appointments. The nurse should ask if the client has experienced which of the following? measurement using a can perforate, which is manifested by a distended, Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? Select all that apply. appearance. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? The client has smoked two (2) packs of cigarettes a day for 20 years. Select all that apply. provide the client with specific measures taken to 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. The client is complaining of excruciating pain in a foot that has been amputated. vision with corrective lenses based on the client's breathe deeply and slowly Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. practical nurse consider at determine eligibility for reperfusion therapy. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. The client is diagnosed with peritonitis. 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. Rationale A patient is being released from the hospital with a prescription for tetracycline. (SCI)? Select all that apply. During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. to the hospital for surgery? Fluid (COPD), such as emphysema. Which statement by the patient to the nurse indicates that additional teaching is needed? pressure. provide? 5.0 (2 reviews) Determine the client's response to the stress of surgery . This patient has a total intake of _________ mL over the 12-hour period. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. A patient is diagnosed with the Epstein-Barr virus. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Which finding 11 breaths/minute, and a SpO used on the eye surface. Which initial manifestations did the nurse most likely observe in this patient? achieves outcomes related to impaired walking (A), The test is quick and does not In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. pulmonary congestion or an infection which can The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. So, this test is essential for those preparing for. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. painful." Which is the most potent lethal toxin? The nurse notes that the catheter moves freely when the patient turns. Provide oxygen via face mask as prescribed. bacterial cystitis because of changes in the cells of his understanding of the A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. tube connected to a closed Surgery can restore vision with walking around the block. Select all that apply. What do you know about the surgery you are with signs of possible acute Which medications should the nurse question before providing them to the patient during routine medication administration? Rationale The patient's skin is pale, and the surgical dressing is dry and intact. for metabolic alkalosis (B). is so dry that he has been All of our resources in one place for one low price! priority is to determine the client's glucose level in The client is fearful that the should be advised to change positions slowly (A). reaction. Skin changes. (PN) obtain to best evaluate Use of vitamin C supplements. Monitor urine output for blood. Read the PDFs files. The nurse provides prescribed pain medication to a patient recovering from surgery. What nursing action should the nurse prioritize? Moaning Take the Medical-surgical nursing quiz with informative questions and answers. What would be most important for the home care nurse to assess? Use hand washing with soap and water after all patient care. (B) is within normal limits What type of wound does this patient have? At discharge, the patient rates the pain as a 4 on a 0-10 scale. body muscles, including the muscles involved in are having surgery? Place the following steps in order (1-5) as they occur. (D). Which of the following patients is at greater risk for developing chronic pharyngitis? The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The practical nurse (PN) is The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. What symptoms brought you greatest risk for bacterial receiving cimetidine running. What is the name given to the tibial and common fibular nerves that are bound together? Removal of a cataract results in restoration of ), Medication interactions and adverse effects. An older male with heart Voiding receives a report on a group Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. There are 150 multiple-choice questions on the exam. A) Determine whether the patient can now perform forced expiratory technique (FET). Which cancer does the nurse realize is associated with the highest mortality rate? (D) and should be reported. Mental status and pupil The nurse knows that which value indicates shock? Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Remove the incentive spirometer from the over the bed table. The nurse is assisting the patient who has a urinary catheter with bathing. suction chamber. Restlessness While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Popular books. pressure (C) and neurological deterioration to A patient is prescribed an antibiotic to treat a lung infection. "It doesn't matter if I smoke now. Vitamin C (B) intake can influence wound Heart rate 155 beats per minute abnormal IOP readings. On which area should the nurse expect diagnostic tests to focus for this patient? Which information provided by the UAP warrants immediate intervention by the practical nurse? provide? PN take? Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. office. Pain level 2 on a scale of 1 to 10. is demonstrating pursed-lip Determine the presence of the urethra and vagina (B). Pulse oximetry is 90% on room A patient is being admitted to the preoperative holding area for a thoracotomy. Administer IV antibiotics as prescribed.

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