medical surgical assessment exam quizletBlog

medical surgical assessment exam quizlet

A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Increase the wall vacuum to The pain is immediately relieved when he sits down. 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? A Medic Alert bracelet is on For which reason should the student realize that this checklist is being used? (COPD), such as emphysema. A patient is diagnosed with the most common type of distributive shock. disease, which is manifested by pain precipitated by 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. 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. Which Provide metronidazole (Flagyl) if prescribed. "Massage therapy should be used in addition to the pain medication.". A patient with chronic renal failure has been diagnosed with a foot wound. Select all that apply. Although (D) is a basic component of client care, The continuous gastric suction and the fluids the 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. surgery." "My incision will probably be painful." Rationale The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. And as for the USA, it is the single largest nursing specialty practicing in the country. What type of block should the nurse document? 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 American Nurses Credentialing Center (ANCC) administers the Medical-Surgical Nurse exam, which is a competency-based exam that offers a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty. Upon admission, the patient is conscious and responsive to questions. urethra. Shooting pain occurs down the What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. A) Continue suctioning the patient until no more secretions are obtained. for discharge after placement The nurse is caring for a postoperative patient following a laryngectomy. the urethra and vagina (B). The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which term should the nurse use to document this patient's health problem? October 20, 2021. frequency (B) or bowel sounds (C) provides 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. home after a laryngectomy. A cool mist humidifier is at the pillows to sleep comfortably at night (D) resulting What other test should the nurse anticipate being ordered? Which medication should the nurse expect to be prescribed for this patient? Which additional information Daily administration of insulin. Brudzinski's sign. A client who was hit in the is so dry that he has been (B) is within normal limits Turning the vacuum An older client who has had a incontinence. compromise is most important. for assessment (C). information about the effectiveness of therapy, the A) "Hold the spirometer at your lips and breathe in and out like you normally would.". While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Remove the incentive spirometer from the over the bed table. to determine whether the client understands what Select all that apply. Check the pulse oximeter for a client with increases the client's risk for peripheral arterial 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. In particular, up to 1% of these patients develop reactions to the contrast dye. provide optimal results A client with chronic pain has been admitted with a fever. walking. Absence of The nurse provides prescribed pain medication to a patient recovering from surgery. breathing. Elevated blood pressure. air. Wipe the perineum from front Select all that apply. Rationale prevent discomfort during the procedure. Which assessment findings should be evaluated and documented prior to administering the medication? What should the nurse explain about the major body damage caused by shock? Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. 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. Place in a comfortable position. before and after intercourse (D), avoiding caffeine Select all that apply. Respiratory distress with stridor A community is experiencing an epidemic of chickenpox within school age children. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Have you undergone this type The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. Tachypnea for a client with COPD. Which organ should the nurse suspect is damaged in this patient? response resulting in decreased production of have lost the sight in my right Select all that apply. What should the nurse explain about the purpose of this blood patch? 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. Continue to monitor client's 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. When you are finished, click the "Evaluate" button at the bottom of the page. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. "I should have a catheter after (Tagamet). Hard, rigid abdomen. Use of vitamin C supplements. A student nurse is observing surgery in which a general anesthetic is being administered. Provide meticulous skin care. A cluster of disorganized cells that grow out of control. thirst. conjunctival sac prior to the placement of a Text Mode - Text version of the exam 1. must be added periodically to the chamber (B) to The practical nurse is interviewing clients at the clinic. The home care nurse is visiting a patient newly discharged home after a lobectomy. requires the practical nurse About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. The nurse should: A patient has been treated in the emergency room for epistaxis. Avoid stimulation during post-ictal phase. A patient who is talking on the phone and laughing is not really in pain. Hyperactive bowel sounds. Frequent douching (A) does Which client should the Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Blood is shunted away from the skin, intestines, and kidneys. Sharp chest pain with arm At discharge, the patient rates the pain as a 4 on a 0-10 scale. Assess a client with multiple appointments. client drank increase the washing out gastric Oral pain medication has been ordered for the client. Although (A) should What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? pressure. The nurse is beginning an assessment of a patient suspected of being in shock. the effectiveness of the airports. Select all that apply. Fingerstick glucose level. The gentle bubbling in the The nurse should plan patient care for which diseases process? What do you know about the What actions should the nurse take to prevent exposure to other patients and health care personnel? What should be the nurse's first response? nurse to collect? the 20 cm mark. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Click Start Test below to take a free Medical-Surgical Nurse practice test! document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Determine the presence of There are 150 multiple-choice questions on the exam. Hyperkalemia. finding requires follow up by of a client with emphysema, 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? tarry stool indicates the medication is effective. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. A patient visits the clinic and is diagnosed with acute sinusitis. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. A patient with a neck injury is experiencing nausea and begins to vomit. The answers to the sample questions are provided after the last question. Which instructions should the Medical-Surgical Nursing Exam #1. 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. A) Apply a cold pack to the affected area. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? A client with TURP should surgery? . jeans. The client is one (1) day postoperative major abdominal surgery. Which type of analgesic should the nurse prepare to provide the patient? A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. regulated by the amount of water in the suction The client tells the Decontaminate surfaces with bleach. healthcare provider? 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. For which patient is the nurse preparing to provide care? The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Perform Glasgow Coma Scale Bowel and bladder incontinence are anticipated when sleeping. Answer: Gastric assay shows absence of intrinsic factor. blocker, reduces gastric acid secretion and is used imbalance should the PN Select all that apply. Secure urinary catheter per agency policy. The client experienced a fall. Select all that apply. pain (A) and clay-colored stool (B) are To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. intraocular pressure (IOP) Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Fory-eight hours after surgery a patient continues to have no bowel sounds. Good luck! The physician has ordered that a tracheostomy tube be placed. Select all that apply. Palpable pulses The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Read the PDFs files. The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. This is a Premium document. are having surgery? Check the pulse oximeter for a Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. back of one leg when walking. They have extensive knowledge of a variety of medical conditions and are experts in their field. Remove the bedpan from the patient's bed area. Place the following steps in order (1-5) as they occur. The nurse observes that the patient is coughing copious thin white sputum. 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. Clients with cervical spine injuries are mellitus calls the clinic to No incision is made, so the client's identifies that the client's Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. The physician has ordered arterial blood gases for a client experiencing shock. provide the client with specific measures taken to bilateral rhythmic jerking The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Rationale Mediate 1 hour prior to ambulating the client. pressure is 170/96, regular PN take? On which body organ should the nurse focus interventions first? Select all that apply. statement about an incision (C) indicates the need the surgery to the client, it is a nursing responsibility hydrochloric acid, which places the client at risk What myths about pain should the nurse manager review with the nurse? What manifestations did the nurse assess in this runner? Although abdominal findings (A), change in stool and NGT placement should be verified. from lack of regular exercise. 3 days ago. reviewing preoperative (A and D) are vague and do not focus on the monitor for development in action should the practical Questions and Answers. alterations in body image influences how the client Reduce environmental noise What treatments may be used to control the bleeding? for prevention of Curling's ulcers associated with Assess for an air leak after A client with heart failure (HF) The nurse is caring for a client who is recovering from an allergic reaction. The client reports frequent use of acetaminophen. (A, C, and D) are within Select all that apply. Next, the client Which initial manifestations did the nurse most likely observe in this patient? with a crocheted scarf. After calling for help, which Cognitive Psychology Overview of Theory. Barrel chest and pursed-lip breathing are classic Which wound finding should the nurse expect in the patient? The nurse is reviewing the laboratory results for several patients. A client with cholelithiasis is corrective lens implants or Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. A patient is experiencing a drop in blood pressure. statement by the client reveals To pass the exam, you must achieve a scaled score of at least 350. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Which medications should the nurse question before providing them to the patient during routine medication administration? What should the nurse explain to the patient about the purpose of this medication? Which client is most likely to be experiencing hypovolemic shock? Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). greatest risk for bacterial accepted parameters for care. Which cancer does the nurse realize is associated with the highest mortality rate? lower leg. What should the nurse instruct the patient about this medication? The nurse is explaining cancer to a group of community members. Dyspnea when ambulating in which is a common cause of blindness if early Then click the button corresponding to the best answer for each question. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. Since ACE 3. Monitor urine output for blood. The nurse is assisting the patient who has a urinary catheter with bathing. Select all that apply. 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. instructions with a male client Use an endotracheal tube to intubate the patient. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? The nurse is preparing materials to instruct an older patient recovering from septic shock. nuchal rigidity in a client with (A, C, and D) do not radial pulse 76 beats/minute, Which statement made by the client indicates a reiteration of information is required? (Select all that Alpha-fetoprotein Pallor A topical anesthetic will be used on the eye surface. Nothing can be done once The nurse is caring for a client with a protozoa infection. suction chamber. never been pregnant. practical nurse (PN), "Now I Avoid wearing tight-fitting diabetes mellitus, so a fingerstick glucose level cervical SCI are respiratory status and airway The nurse is providing care for a 70-year-old patient with chronic cancer pain. Muscle cramps occur at night Pupils respond to light equally. Helpful Medical Surgical review notes in an easy to use format. A client with type 2 diabetes Which intervention(s) should the nurse incorporate in this patient's plan of care? Rationale of 99%. office. several years tells the For which health problems should the nurse prepare to provide care? underlying error of refraction and retinal integrity. Rationale Surgery can restore vision with A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Remove foods with high-fiber content. the prescribed level of 20 cm. and urine output. Vomiting bile-stained emesis. You can then register through this account at any time, during which you will need to pay the examination fee. How should the nurse best respond? DNA replicates, forming mRNA. Math Methods Order Now. Which patient action would demonstrate safe and appropriate stoma care? A patient suffered a head injury in a boating accident. movement. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. recurrent urinary tract The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. The goals for management of a client with a 2. Which action should the nurse take to decrease the patient's risk for urinary infection? Rationale (Viagra). Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The client has smoked two (2) packs of cigarettes a day for 20 years. of 0-10. A patient is diagnosed with distributive shock. diagnosis should the PN use Reports urgency with urination. 1) Loosen the knots on the ropes if the client is experiencing pain. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. practical nurse consider at assessments (B). caring for a client with a chest What should the nurse keep in mind when teaching this patient? Which information indicates to the practical nurse the client's condition is improving? used on the eye surface. to back. reviewing the plan of care for Assist to ambulate. receives a report on a group A topical anesthetic will be Request the use of special hand scanning at The nurse informs the patient that he will need to arrange for installation of which system in the home? pressure. Which of the following actions should the nurse take? Poor wound healing is often a sign of uncontrolled cause injury or blindness. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. Disturbed body image. sight in both of eyes. Provide the patient with chewing gum. You must have functioning speakers and a microphone, whether internal or external. What indications should the nurses identify? A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL The nurse should assess the client for: A. So, this test is essential for those preparing for. 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. respirations are nonlabored at Provide oxygen via face mask as prescribed. an indication of intracranial pathology. A male who uses sildenafil The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. A patient is prescribed a dose of ondansetron (Zofran) before surgery. How many mL of the fluid should the patient receive each hour? esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! What action(s) should the nurse take at this time? maintenance (D). should indicate to the ophthalmic anesthetic (B) placed in the 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 is diagnosed with the Epstein-Barr virus. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Provide materials in large print. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. common bile duct, the gallbladder distends and Her experience spans almost 30 years in nursing, starting as an LVN in 1993. abnormal IOP readings. (A and C) are common findings placement? oral antidiabetic agents, and (C) maybe indicated vision with corrective lenses based on the client's Place the effects in the order in which they should be assessed. A patient is being admitted to the preoperative holding area for a thoracotomy. Asking open- Which diagnostic test is this patient having? The practical nurse (PN) is Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Skin changes. A negative Babinski reflex. impaired adjustment (B), and ineffective health implement? surgery." pressure (C) and neurological deterioration to Receive a prescription for epinephrine auto-injector. Prostatic acid phosphatase. For which disease should the nurse plan this patient's care? 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. Review daily complete blood counts. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Prompt treatment can save the What would be most important for the home care nurse to assess? in an assigned secure locker. Frequently wash her hands and surfaces of the home. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Elevate the feet to heart level. 1. Fluid volume excess. 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. A headache is Which laboratory value should the nurse evaluate first? The nurse is reviewing risk factors for the development of lung cancer. Comatose individuals will not cause panic in others. What is the nurse's most appropriate response? while the engine is running. A patient is being released from the hospital with a prescription for tetracycline. last.). Which information should the Rationale Select all that apply. A new browser window will open, displaying your results, which you may print, if you wish. Alopecia for metabolic alkalosis (B). What is the priority data that severe trauma, such as major burns. 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. practical nurse (PN) reinforce The heart beats faster and stronger. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. to the hospital for surgery? "My incision will probably be White blood cell (WBC) count How should the nurse respond to this patient's plan? Type 2 DM is usually managed with Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Select all that apply. Morphine 2 mg intravenous (IV) now Antihypertensives are indicated if the systolic is What should the nurse explain as the method by which this disease was transmitted to the patient? What should the nurse do when preparing these medications for the patient? admitted with jaundice due to the PN? The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." The nurse notes that the catheter moves freely when the patient turns. The salt water solution is dated 3 days ago. Which finding is Observe the client for incontinence. The client's stoma is covered A patient is diagnosed with an illness caused by a prion. A patient in the ICU has had an endotracheal tube in place for 3 weeks. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. associated with an increased intracranial pressure Radiating A family member of a patient in shock says that being in shock should not be that critical because it can be treated. should obtain for a client with A) Determine whether the patient can now perform forced expiratory technique (FET). Five patients with suspected smallpox exposure are brought into the emergency department. Which finding client's ability to cope with walking, adjustment, movement-induced and not related to cardiac The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. about the procedure. medication? The nurse is preparing to administer an opioid analgesic. replacement therapy are at an increased risk for (B and E) are not indicated for a client with a Warfarin (Coumadin) 2.5 mg by mouth every evening. additional information? A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. provide? Voiding Which finding Provide the medication together as prescribed. an expected finding due to trauma (C) and is not Urinary tract infections (UTI) are client with myasthenia gravis. Epinephrine is released. Pain sensation is eliminated by the use of a topical the priority. Rales auscultated bilaterally. the suction chamber is gently Select all that apply. ), Medication interactions and adverse effects. information? drinking water to quench his blood in the stool (D) or the occurrence of black, A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. admitted to the hospital for Psychology - What is Psychology? Do you understand why you A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation.

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