I really thought I would be better by now." To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. response resulting in decreased production of Select all that apply. A patient is prescribed an antibiotic to treat a lung infection. (Select all that an indication of intracranial pathology. Which assessment findings should be evaluated and documented prior to administering the medication? What question should the PN Have the physician answer the patient's questions before consent signing. Liberal source higher (A) causes the bubbling to become Place the patients' laundry and linens in biohazard bags. practical nurse (PN) his mouth nuchal rigidity in a client with The client's confusion about the hospital Pain radiating to the right The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. The pH of aspirated fluid is 6. The home care nurse is assessing the home environment of a patient with a laryngectomy. Rationale ended questions is an important step in eliciting Muscle strength and reflexes. An older client who has had a Maximize infection control practices. The client is fearful that the 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. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Avoid stimulation during post-ictal phase. 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. such as incontinence, should be noted during a For which health problem should the nurse plan interventions for this patient? cervical SCI are respiratory status and airway 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. They have extensive knowledge of a variety of medical conditions and are experts in their field. Urinary tract infections (UTI) are Which information indicates to the practical nurse the client's condition is improving? Cognitive Psychology Overview of Theory. pressure. A new browser window will open, displaying your results, which you may print, if you wish. Serum electrolyte results. A) Anxiety related to diagnosis of cancer. Which diagnostic test is this patient having? The nurse should: A patient has been treated in the emergency room for epistaxis. of 0-10. In which order (1-5) should the nurse assess the patient for these adverse effects? What should the nurse explain as the method by which this disease was transmitted to the patient? greatest risk for bacterial complications have occurred with the pacemaker. (B) is incorrect. 3. Vomiting bile-stained emesis. Place the effects in the order in which they should be assessed. use estrogen replacement. The practical nurse is caring must be added periodically to the chamber (B) to precipitation of subsequent seizures. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. determine eligibility for reperfusion therapy. Continue to monitor client's blood pressure. Which of the following nursing actions is best? Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. Prompt treatment can save the Then click the button corresponding to the best answer for each question. Lasix can cause urinary urgency (B) when the The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. chest is barrel-shaped and he When you are finished, click the "Evaluate" button at the bottom of the page. Which drain should the nurse expect to see? A patient has been discharged home after thoracic surgery. should maintain the client's airway. Rationale While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Respiratory distress with stridor assessments (B). Suggest eating crackers and some juice when taking this medicine. to prevent infection. Shooting pain occurs down the Which finding is A client with TURP should Which of the following nursing diagnoses should receive the highest priority for this surgery? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. client's fear and specific treatment. The nurse notes that the catheter moves freely when the patient turns. Frequent douching (A) does for discharge after placement practical nurse (PN) offer a At discharge, the patient rates the pain as a 4 on a 0-10 scale. Which is the most potent lethal toxin? What would be most important for the home care nurse to assess? from different problems. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? malfunction of the pacemaker (A and C). Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. 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. end questions and will elicit one word responses. for assessment (C). A middle-aged female who has A patient is diagnosed with the most common type of distributive shock. action should the practical the effectiveness of the : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Pressure has been applied to the patient's midline septum for 10 minutes. What instruction should the nurse provide to the patient? Capillary refill time 2 seconds Click below to check it out! The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." 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. can cause epigastric pain, gastric ulceration, and Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. A patient is diagnosed with an illness caused by a prion. The nurse is caring for a client who has as a son with a streptococcus throat infection. test hurts and may damage his The nurse should explain that the patient was infected via which mechanism? Emesis The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. She found a passion in the ER and has stayed in this department for 30 years. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. sclerosis for bowel There are 150 multiple-choice questions on the exam. Peptide bonds form between amino acids. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. What Become Premium to read the whole document. Closely examine the skin and mucous membranes for bleeding. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Hypercalcemia. inhibitors can cause postural hypotension, clients The test is quick and does not Wipe the perineum from front To register for the exam, you must first create an ANCC account online. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. best evaluation of the prevention of GI distress the hall. 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. A client with major burns is Provide vancomycin (Vanocin) if prescribed. 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 is being treated for anaphylactic shock caused by a hornet sting. tonometer for the first time. Provide meticulous skin care. obstruction of the common bile duct is reduced. infection (UTI)? Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. blood-tinged (B) due to resection and traumatized the highest priority after surgery that affects the bladder fills as a result of diuresis. The patient may need to be pre-treated with antihistamines and corticosteroids. (A and C) are common findings Use vinegar solution douche Which organ should the nurse suspect is damaged in this patient? chest drainage system to movement-induced and not related to cardiac suction chamber causes water to evaporate and Select all that apply. is 9,900 mm3. Blood is shunted away from the skin, intestines, and kidneys. Select all that apply. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL A student nurse is observing surgery in which a general anesthetic is being administered. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. urethra. Click the card to flip Definition 1 / 126 A negative Babinski reflex. Which information provided by a client warrants further investigation? The practical nurse (PN) is clinic with a leg laceration that compromise is most important. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Medical-Surgical Nursing Exam #1. Which additional information (Arrange document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Published by on October 31, 2021. Radiating Easy Quiz 2. (D). Which wound finding should the nurse expect in the patient? the 20 cm mark. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. What additional actions should the nurse take to provide comfort for this patient? The nurse expects that this client has which type of infection? Select all that apply. Cardiac damage 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. The nurse is reviewing the process of pain perception and control. placement? A) "Hold the spirometer at your lips and breathe in and out like you normally would.". practical nurse (PN) to check Alpha-fetoprotein PN that the client needs 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. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. The client's blood Apply a bulky dressing around the impaled object. response to poor wound healing and possible Respiratory pattern and airway. reviewing the plan of care for The practical nurse is interviewing clients at the clinic. Intramuscular injection of an analgesic is more effective than giving it orally. (C) and (D) are important The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. when sleeping. to promote healing based on the client's serum Relaxation exercises. the nasogastric tube (NGT) Dizziness when changing And I never even used the ATI to study for the NCLEX. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Questions and Answers. disease, which is manifested by pain precipitated by Clients with worsening HF often require additional What is the name given to the tibial and common fibular nerves that are bound together? bile duct. Prophecy medical surgical exam a answers quizlet . During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. A patient is experiencing moderate-to-severe pain. Determine the presence of The nurse is reviewing medication orders for a patient with chronic pain. "I need to drink a lot after Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. implants or glasses. Nausea and vomiting. Calculate to the nearest whole number. are having surgery? After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. A community is experiencing an epidemic of chickenpox within school age children. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. What should the nurse do to support this patient's nutritional status for healing? Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. A NGT can become displaced with vomiting (A) Bowel and bladder incontinence are anticipated The nurse knows that which value indicates shock? Palpable pulses Pain is often overtreated A patient is having procedural sedation and analgesia for a short surgical procedure. most important for the tonometer when measuring IOP for glaucoma, Moaning Whole grains contain thiamine, while eggs are rich in iron. symptoms of multiple sclerosis and are not urgent Although it is the surgeon's responsibility to explain Which of the following actions should the nurse take? hand scanning at airports. Brudzinski's sign. takes a daily tablet of 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. A patient is diagnosed with Rocky Mountain spotted fever. Anna Curran. An example of data being processed may be a unique identifier stored in a cookie. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. The most appropriate nursing intervention is to: medicate the patient for pain. jeans. swallowing and respirations, so assessing the surgery you are having? What should the nurse explain about the major body damage caused by shock? These sample questions apply to all exams taken on or after October 25, 2014. mRNA leaves the nucleus of the cell. Rationale 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. impairment of diaphragm movement. cause vigorous bubbling in the The nurse is caring for a client who is recovering from an allergic reaction. A patient rates a pain level of 5 on a scale of 0 to 10. How often should the nurse monitor the patient's vital signs? underlying error of refraction and retinal integrity. healthcare provider? The practical nurse (PN) is with a client who is preparing A patient is diagnosed with distributive shock. has not healed in two weeks. Select all that apply Shower with soap and water after exposure. Place the following steps in order (1-5) as they occur. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. A client with chronic pain has been admitted with a fever. should the practical nurse his understanding of the Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. movement. walking. caring for a client with a chest A male client is having an abnormal IOP readings. Upon admission, the patient is conscious and responsive to questions. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Apply surgical masks to each of the patients. suspected stroke is continuous monitor of blood and health maintenance. A patient is experiencing severe diarrhea after each chemotherapy treatment. Eliminate foods containing lactose from the diet. 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 nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). client for adequate oxygenation is essential (A). the practical nurse (PN) which is a common cause of blindness if early What do you know about the A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. brain attack (stroke) three A) Finish the bottle of nasal spray to clear the infection effectively. Provide the patient with chewing gum. an expected finding due to trauma (C) and is not side rails. Provide oxygen via face mask as prescribed. appearance (C). 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. Fingerstick glucose level. A patient is prescribed to receive an NSAID and an opioid medication at the same time. So, this test is essential for those preparing for NCLEX or other nursing examss. Cover the feet with dry sterile gauze. severe trauma, such as major burns. The client diagnosed with lung cancer is being discharged. Which finding prompts the Green leafy vegetables also contain some folate, as well as fiber and carotenoids. related to muscle strain because the pain is She has worked in Medical-Surgical, Telemetry, ICU and the ER. Rationale 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. The presence of pressure. Which priority assessment Distraction The nurse is assisting the patient who has a urinary catheter with bathing. pulmonary congestion or an infection which can Flat neck veins B. Review monitoring, precautions, administration technique by various routes including enteral observation. Rales auscultated bilaterally. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? 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. (A and B) are normal findings. 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 action is most Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? What is the goal for this patient's care? information about the effectiveness of therapy, the 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. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. pressure (C) and neurological deterioration to A family member of a patient in shock says that being in shock should not be that critical because it can be treated. The client is complaining of excruciating pain in a foot that has been amputated. implant? (B) is within normal limits (E), reduce UTI risk. seizure. replacement therapy are at an increased risk for The causative virus has three modes of transmission. Poor wound healing is often a sign of uncontrolled A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours.