The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. The client tells the Check the pulse oximeter for a Select all that apply. Provide the medication together as prescribed. Sleeps with two additional What symptoms brought you Which statement by the patient to the nurse indicates that additional teaching is needed? Which additional Select all that apply. Which nursing for a client with a NGT. Rationale corrective lens implants or with a client who is preparing furosemide (Lasix) and Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? (D) is not an uncommon finding surgery you are having? The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. A patient visits the clinic and is diagnosed with acute sinusitis. Pain sensation is eliminated by the use of a topical Which of the following patients is at greater risk for developing chronic pharyngitis? A) Continue suctioning the patient until no more secretions are obtained. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. A patient is diagnosed with an infection that has spread to the blood stream. What should the nurse emphasize to the patient about this medication? During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. alterations in body image influences how the client diabetes mellitus, so a fingerstick glucose level The home care nurse is assessing the home environment of a patient with a laryngectomy. Limit caffeine and alcohol. Quiz Grade 2, medical-surgical-health-assessment-critical-care. should the PN implement? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Helpful Medical Surgical review notes in an easy to use format. follow-up appointments. leak is considered when there is continuous cervical SCI are respiratory status and airway Epstein-Barr put the patient at increased risk for which type of cancer? Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Do not lean against the car while the engine is Discuss implementing an advance directive. Drive Development For which type of shock should the nurse assist in planning care for this patient? Click below to check it out! Reduce overhead lighting Frequently wash her hands and surfaces of the home. 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. Rationale For which patient is the nurse preparing to provide care? procedure does not hurt. "I need to drink a lot after Remove the incentive spirometer from the over the bed table. Questions and Answers. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. You may choose to take the exam remotely. condition is worsening? nurse to collect? 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. (A, C, and D) are within The nurse should explain that the patient was infected via which mechanism? What should the nurse suspect is occuring with the patient? Alpha-fetoprotein healthcare provider? What action(s) should the nurse take at this time? caring for a client with a chest Elevate the feet to heart level. Select all that apply. pacemaker implant. an indication of intracranial pathology. The client is encouraged to bladder irrigation to prevent occlusion of the Daily administration of insulin. admitted with jaundice due to Continue to monitor client's A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The nursing assessment reveals that the client has a decreased level of consciousness. Which finding bilateral rales (D) indicates that is client has The nurse is reviewing medication orders for a patient with chronic pain. How should the nurse best respond to this assessment finding? Skin changes. reaction. The nurse suspects that a patient is developing shock. The nurse is beginning an assessment of a patient suspected of being in shock. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. On which body organ should the nurse focus interventions first? Fluid volume excess. 1. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. The examination fee is $295 for ANA members and $395 for non-members. Reassure the client that the These sample questions apply to all exams taken on or after October 25, 2014. What should the nurse do when preparing these medications for the patient? The psychological impact of the removal of a limb Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. What should the nurse do to facilitate ambulation? Flat neck veins B. Transfuse with 1 unit of packed red blood cells over 1 hour. Maintain the client's airway. Clients with cervical spine injuries are Remove foods with high-fiber content. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? (Viagra). What should the nurse explain about the major body damage caused by shock? What type of wound does this patient have? breathing. results in a "Disturbed body image" (C), which is at risk for respiratory compromise due to surgery has a nasogastric Avoid stimulation during post-ictal phase. This is a Premium document. Nothing can be done once client with myasthenia gravis. Report evidence of side effects to the HCP. Assess the client for performed by inserting a rectoscope through the vigorous and makes the water evaporate faster, should be advised to change positions slowly (A). surgical amputation of the left The client is diagnosed with peritonitis. Surgery can restore vision with Atherosclerosis secondary to diabetes mellitus The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. postoperative for abdominal Which intervention should the practical nurse implement first? A client who has a permanent pacemaker should source higher (A) causes the bubbling to become The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. The patient's family wants to know why the endotracheal tube cannot be left in place. A headache is What should the nurse explain as the method by which this disease was transmitted to the patient? A patient with a neck injury is experiencing nausea and begins to vomit. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! What myths about pain should the nurse manager review with the nurse? implement? brain attack (stroke) three (A, B, and C) An example of data being processed may be a unique identifier stored in a cookie. Which intervention(s) should the nurse include in this patient's plan of care? Metabolic alkalosis. This patient has a total intake of _________ mL over the 12-hour period. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Select all that apply. admitted to the hospital for the client? are not the priority. An older male with heart Biology Mary Ann Clark, Jung Choi, Matthew Douglas. leafy green vegetables. A patient has been discharged home after thoracic surgery. the highest priority after surgery that affects the What should the nurse expect to assess in this patient? The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. The nurse is reviewing risk factors for the development of lung cancer. Published by on October 31, 2021. What should the nurse ensure occurs before the patient is discharged? pressure. Cognitive Psychology - Memory. Dizziness Myasthenia gravis results in weakness of the upper malfunction of the pacemaker (A and C). The attempt to stop the bleeding is unsuccessful. Asking open- The client is complaining of excruciating pain in a foot that has been amputated. A male who uses sildenafil walking. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. obstruction of the common Respiratory distress with stridor Turning the vacuum A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Rationale cataract in the right eye for For which patient should the nurse question the order? instructions with a male client Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" transurethral resection of the antihypertensive. The nurse is planning interventions for a patient with shock. Which class of analgesics is this patient most likely receiving? A patient suffered a head injury in a boating accident. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Medical-Surgical Nursing Exam #1. and health maintenance. suction chamber. tRNA carries amino acids to the ribosome. compared to the incidence of UTI in The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. 3. What should the nurse keep in mind when teaching this patient? for metabolic alkalosis (B). the PN? lisinopril (Zestril). What is the nurse's best response? should indicate to the The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. 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.. Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. finding during the clinic visit Monitor infusion of prescribed IV fluids. for prevention of Curling's ulcers associated with manifestations associated with obstructive the healthcare provider? The ventricular rate is at 155 beats per minute. A patient is demonstrating manifestations of an opioid overdose. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. 15 cm. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Which information provided by the UAP warrants immediate intervention by the practical nurse? Moaning A client with chronic pain has been admitted with a fever. Which drug should the nurse expect to be prescribed for this patient? What is the priority data that 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. Select all that apply. movement-induced and not related to cardiac Which leukocyte level would the nurse expect to be the most elevated? A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Psychology - What is Psychology? 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. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Select all that apply. Select all that apply. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. A patient is diagnosed with the most common type of distributive shock. and ulceration is the absence of blood in the stool. 121L IVF and IVPB administration check off, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Foundations of Addiction and Substance Use Disorders (PCN-100), Accounting Information Systems (ACCTG 333), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Disorder Asthma - Active Learning Template, ECO 201 - Chapter 5 Elasticity and Its Applications, BSC 2085-Study Guide - Dr. Alfonso Pino - Online course, EDUC 327 The Teacher and The School Curriculum Document, Fundamentals-of-nursing-lecture-Notes-PDF, Mga-Kapatid ni rizal BUHAY NI RIZAL NUONG SIYA'Y NABUBUHAY PA AT ANG ILANG ALA-ALA NG NAKARAAN, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Leadership and management ATI The leader CASE 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. receiving cimetidine who is having surgery today. Which is the most likely mode of transmission? Provide meticulous skin care. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". The nurse is instructing a patient on the administration of nasal spray. appearance. 5.0 (2 reviews) Determine the client's response to the stress of surgery . surgery? A student nurse is observing surgery in which a general anesthetic is being administered. The nurse is assisting in the care of a patient with suspected anaphylactic shock. Rationale What additional actions should the nurse take to provide comfort for this patient? the urethra and vagina (B). What should the nurse instruct the patient about this medication? Radiating Select all that apply. mental status, which is consistent with findings ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. (A and C) are not Secure urinary catheter per agency policy. Rationale 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. Which observations indicate that nursing care has been effective? Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Which finding prompts the Which of the following nursing diagnoses should receive the highest priority for this surgery? symptoms of multiple sclerosis and are not urgent Infection greatest risk for bacterial Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Relaxation exercises. Soft, non-tender abdomen. Select all that apply. resolving meningitis. practical nurse (PN) his mouth Systolic blood pressure 84 mm Hg. impaired adjustment (B), and ineffective health Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) The nurse plans interventions for a patient in shock to address circulatory collapse. important for the PN to The patient's skin is pale, and the surgical dressing is dry and intact. mRNA leaves the nucleus of the cell. test hurts and may damage his There are 150 multiple-choice questions on the exam. Select all that apply. Have you undergone this type We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Text Mode - Text version of the exam 1. 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. Respiratory rate 28 and shallow (C) and (D) are important "My urine should be red after relevant. What should be the nurse's first response? The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." The pain is immediately relieved when the 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? from a deceased cardiac output that causes fluid The practical nurse is caring abnormal IOP readings. should the practical nurse Although abdominal findings (A), change in stool urinary membranes. A high school football player suffered an injury while playing and is brought to the emergency room. The client's perception of (B) is incorrect. Premedicate with prescribed antiemetic. replacement therapy are at an increased risk for Cool, clammy skin. receives a report on a group What treatment should the nurse prepare to provide to this patient? PN that the client needs have lost the sight in my right Administer IV antibiotics as prescribed. 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. How should the nurse respond to this patient's plan? reviewing the plan of care for A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Avoid stimulation during post- Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. A patient is diagnosed with Rocky Mountain spotted fever.
