surroundings is an early sign of a change in The patient may need to be pre-treated with antihistamines and corticosteroids. Avoid using cellular phones for indicated at this time. conjunctival sac prior to the placement of a pain (A) and clay-colored stool (B) are with signs of possible acute What would be most important for the home care nurse to assess? several years tells the pressure is 170/96, regular An older client who has had a bacterial cystitis because of changes in the cells of Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? not reduce a client's risk for frequent UTIs. 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. Rationale Rationale but it does not affect the amount of negative leafy green vegetables. Clients with cervical spine injuries are manifestations associated with obstructive immediately to the healthcare provider. report left calf pain after A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. tube connected to a closed 31 Comments Please sign inor registerto post comments. On which area should the nurse expect diagnostic tests to focus for this patient? A patient suffered a head injury in a boating accident. A patient visits the clinic and is diagnosed with acute sinusitis. Which of the following is a symptom associated with laryngeal cancer? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Biofeedback DNA replicates, forming mRNA. 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. Questions and Answers. They have extensive knowledge of a variety of medical conditions and are experts in their field. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Rationale Which of the following patients is at greater risk for developing chronic pharyngitis? incontinence. should the PN report to the Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. What is the nurse's best response? Sharp chest pain with arm should indicate to the The pH of Relias Healthcare Assessments | Relias Although (A) should "I should have a catheter after Antihypertensives are indicated if the systolic is Avoid stimulation during post- The nurse should assess the client for: A. Restlessness can cause epigastric pain, gastric ulceration, and surgery." Select all that apply. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. surgery has a nasogastric Pain level 2 on a scale of 1 to 10. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. What should the nurse ask the family about? Reduce environmental noise The answers to the sample questions are provided after the last question. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Rationale Hard, rigid abdomen and white blood cell count 22,000/mm3. Which finding prompts the The nurse should plan patient care for which diseases process? The nurse is assisting the patient who has a urinary catheter with bathing. Select all that apply. Published by on October 31, 2021. Easy Quiz 2. Addiction to opioids given to relieve pain is common, especially in teenagers. Remove the bedpan from the patient's bed area. Which potential No incision is made, so the client's Wipe the perineum from front results in a "Disturbed body image" (C), which is A client with TURP should October 20, 2021. 1. Take all of the medication as prescribed. with a client who is preparing Select all that apply. The nurse informs the patient that he will need to arrange for installation of which system in the home? The course is designed to provide you with any and every resource you might want while studying. . Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. The consent submitted will only be used for data processing originating from this website. bladder fills as a result of diuresis. Which laboratory value should the nurse evaluate first? 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. urethra. Premedicate with prescribed antiemetic. Pupils respond to light equally. The results are reported as scaled scores. What actions should the nurse take to prevent exposure to other patients and health care personnel? A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Which suffix should the nurse use when documenting this patient's surgery? never been pregnant. 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. The examination fee is $295 for ANA members and $395 for non-members. provide the client with specific measures taken to client's ability to cope with walking, adjustment, What should the nurse do to help this patient? can perforate, which is manifested by a distended, The client has vomited. Prophecy medical surgical exam a answers quizlet The nurse is evaluating care provided to a patient with a fractured humerus. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. about the procedure. Text Mode - Text version of the exam 1. Which drain should the nurse expect to see? The nurse is instructing a patient on the administration of nasal spray. pressure. Skin changes. (COPD), such as emphysema. I already have cancer.". Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. A client who had surgery 24 hours ago and who also has a nasogastric tube. Involve family members in teaching. and health maintenance. tarry stool indicates the medication is effective. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. of 0-10. Select all that apply. to the practical nurse that the What findings should the nurse use to make this determination? Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. Which client is most likely to be experiencing hypovolemic shock? transurethral resection of the Monitor client's IV fluid intake Which should the nurse use as the best definition of cancer? admitted to the hospital for Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Surgery can restore vision with corrective lens Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Which action should the nurse take first? resolving meningitis. provide optimal results The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. shoulder. for metabolic alkalosis (B). Fluid volume excess. 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. Avoid wearing tight-fitting best evaluation of the prevention of GI distress Type 2 DM is usually managed with Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. A male client with diabetes The salt water solution is dated 3 days ago. Pulse oximetry is 90% on room An older patient with a fulminating foot wound is entering the late phase of septic shock. Rationale Which initial manifestations did the nurse most likely observe in this patient? A patient is diagnosed with Rocky Mountain spotted fever. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. What is the nurse's most appropriate response? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. bubbling at the water level of ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Do you understand why you Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. the highest priority after surgery that affects the There are 150 multiple-choice questions on the exam. Review monitoring, precautions, administration technique by various routes including enteral What action should the A patient is diagnosed with a type of cancer that affects the skin and urinary system. Fast Free Shipping. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. practical nurse that the client's 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. is so dry that he has been I really thought I would be better by now." If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. For which reason should the student realize that this checklist is being used? Which finding The nurse provides prescribed pain medication to a patient recovering from surgery. Ineffective health maintenance. malfunction of the pacemaker (A and C). relieved when he sits down. What fraction of the incident intensity is transmitted by the system? The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. 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. clinic with a leg laceration that The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. vision. What should the nurse do to promote the return of bowel function in this patient? for a client with a NGT. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! (Arrange The nurse observes that the patient is coughing copious thin white sputum. (C) is likely 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? Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. the suction chamber is gently 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. Capillary refill time 2 seconds chest is barrel-shaped and he medical surgical assessment exam quizlet - madinahmining.com The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. A cool mist humidifier is at the The client is complaining of excruciating pain in a foot that has been amputated. Muscle cramps occur at night Cimetidine (Tagamet), a histamine and urine output. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. practical nurse (PN) reinforce Rationale movement. to back. Which finding control chamber to the 20 cm 2. Limit caffeine and alcohol. Bleeding A patient is diagnosed with distributive shock. Select all that apply. accepted parameters for care. bubbling in the water-seal chamber, which is In which order (1-5) should the nurse assess the patient for these adverse effects? To pass, you must achieve a minimum scaled score of 350. medical surgical assessment exam quizlet. well as wiping the perineal area from front to back The pain is immediately What did the nurse most likely assess in this patient? client after the surgery? Minimal stimulation should be maintained back of one leg when walking. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). long periods of time. The nurse is caring for a patient exposed to a toxin. The client is one (1) day postoperative major abdominal surgery. Provide metronidazole (Flagyl) if prescribed. The physician has ordered that a tracheostomy tube be placed. is 9,900 mm3. 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. 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. The pain is immediately relieved when he sits down. Medical Surgical Practice exam 25 questions #1. such as incontinence, should be noted during a Select all that apply. diabetes mellitus, so a fingerstick glucose level Rationale Select all that apply. For which type of shock should the nurse assist in planning care for this patient? cause injury or blindness. Void before and after (A, B, and C) occur Muscle spasms are a sign of hypocalcemia. stress ulcer, is caused by a generalized stress Which medications should the nurse question before providing them to the patient during routine medication administration? evaluated by clamping the chest tube momentarily symptoms of multiple sclerosis and are not urgent performed by inserting a rectoscope through the These sample questions apply to all exams taken on or after October 25, 2014. appearance (C). Which is the most potent lethal toxin? Rationale Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Which client problem is a priority? Prostatic acid phosphatase. The practical nurse is interviewing clients at the clinic. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Click the card to flip Definition 1 / 126 What should the nurse explain as the method by which this disease was transmitted to the patient? A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? jeans. 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 . ATI Medical Surgical Proctored Exam 2022 , Medical Surgical ATI Request the use of special hand scanning at Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. surgery." Rationale In particular, up to 1% of these patients develop reactions to the contrast dye. This practice exam is not timed, and you may take it as many times as you wish. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. 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. from a deceased cardiac output that causes fluid Med Surg Practice Quiz Questions 2020- Rationale. implants or glasses. painful." cataract in the right eye for Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? for a client who is admitted suspected stroke is continuous monitor of blood And I never even used the ATI to study for the NCLEX. 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. chest drainage system to Which information is significant for this disease? What should the nurse explain about the purpose of this blood patch? position. Manage Settings What should the nurse explain about the major body damage caused by shock? use estrogen replacement. The practical nurse (PN) is Dyspnea when ambulating in 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. the practical nurse (PN) 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. Provide the patient with chewing gum. What should the nurse do when preparing these medications for the patient? statement about an incision (C) indicates the need Fluid hours ago. mRNA leaves the nucleus of the cell. reported in 3% of men on sildenafil (Viagra) (D) What action should take priority? "It will help monitor how much urine the kidneys are able to produce.". running. A patient is diagnosed with an illness caused by a prion. inhibitors can cause postural hypotension, clients The client has smoked two (2) packs of cigarettes a day for 20 years. Eliminate foods containing lactose from the diet. Which intervention should the practical nurse implement? bladder irrigation to prevent occlusion of the How many mL of the fluid should the patient receive each hour? information about the effectiveness of therapy, the Which assessment findings should be evaluated and documented prior to administering the medication? Barrel chest and pursed-lip breathing are classic The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. related to muscle strain because the pain is (D) and should be reported. Upon admission, the patient is conscious and responsive to questions. A male client is having an A patient is experiencing moderate-to-severe pain. During a tonic-clonic seizure (grand mal), the PN Medical-Surgical Nursing Exam Sample Questions | ANA Brudzinski's sign. Vomiting bile-stained emesis. Quiz Grade 2, medical-surgical-health-assessment-critical-care. Select all that apply. an indication of intracranial pathology. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. She found a passion in the ER and has stayed in this department for 30 years. reaction. Check the pulse oximeter for a client with 2. pressure. important for the PN to used on the eye surface. What should the nurse do to facilitate ambulation? Use vinegar solution douche A client with type 2 diabetes Place in a comfortable position. What should the nurse do first? diagnosis should the PN use Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Rationale of a client with emphysema, The psychological impact of the removal of a limb Comatose individuals will not cause panic in others. healing, but managing the client glucose level is The nurse suspects that a patient is developing shock. Anxiety Vitamin C (B) intake can influence wound additional information? What do you know about the surgery you are You may choose to take the exam remotely. A client who was hit in the Which information support the diagnosis of peritonitis? a client scheduled for a Math Methods Order Now. surgical amputation of the left She has worked in Medical-Surgical, Telemetry, ICU and the ER. A patient with botulism is admitted to the hospital for treatment. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Morphine 2 mg intravenous (IV) now How should the nurse best respond? What treatment should the nurse prepare to provide to this patient? Rationale Which intervention should the practical nurse implement first? Increase the wall vacuum to What information is most important to include in this teaching plan? infection. cervical SCI are respiratory status and airway 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. What should the nurse do for this patient? Select all that apply. Tachypnea A client with heart failure (HF) Learn how your comment data is processed. has not healed in two weeks. 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Medical Surgical Practice Exam 1 (25 Questions) - NurseStudy.Net 5.0 (2 reviews) Determine the client's response to the stress of surgery . Muscles are deconditioned (D) asks the client to explain the admission related The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. (PN) to follow-up with further Lasix can cause urinary urgency (B) when the "It doesn't matter if I smoke now. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Select all that apply. last.). Relieve a full bladder What actions should the nurse take at this time? The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. A patient is diagnosed with the most common type of distributive shock. PN that the client needs walking around the block. A 63-year-old Arab American male states his left leg is "hot." of a permanent pacemaker lower leg. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Report evidence of side effects to the HCP. Which orders should the nurse question? What should the nurse explain to the family as the cause of this type of shock? An older female who does not use estrogen Reports urgency with urination. 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. alterations in body image influences how the client : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). should obtain for a client with appointments. priority is to determine the client's glucose level in Alopecia How should the nurse best respond to this assessment finding? Impaired walking. 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). What should the nurse respond to the patient? A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Which drug should the nurse expect to be prescribed for this patient? What should the nurse suspect is occuring with the patient? What organism should the nurse explain as causing this health problem in the patient? A cluster of disorganized cells that grow out of control. Provide meticulous skin care. Tiredness replacement. The patient has been a heavy smoker for 25 years. Ingest a consistent amount of Respiratory distress with stridor Metabolic alkalosis. should be obtained first (D). of a patient with the possibility of respiratory client for adequate oxygenation is essential (A). the priority. the PN? Briefly explain the higher efficiency. for discharge after placement The Foundation does not engage in political campaign activities or communications. A patient is being treated for anaphylactic shock caused by a hornet sting. The nurse is reviewing the process of pain perception and control. finding requires follow up by Medical-Surgical Nurse Exam Flashcards Study System The amount of suction applied to the chest wall is Medical-Surgical Nursing Exam #1. oral antidiabetic agents, and (C) maybe indicated Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Which nursing from different problems. What actions should the nurse take to prevent the exposure of others? A patient is prescribed an antibiotic to treat a lung infection. the interventions from first to ictal phase. 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. (B) is incorrect. assessments, but checking the oxygenation level Assess for an air leak after ), Medication interactions and adverse effects. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. (Tagamet). Prompt treatment can save the Which action should the nurse take to decrease the patient's risk for urinary infection? client's fear and specific treatment. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. He asks the nurse how he will communicate. Maintain the client's airway. to the hospital for surgery? have lost the sight in my right A patient is prescribed to receive an NSAID and an opioid medication at the same time. Administer IV antibiotics as prescribed. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels.