medical surgical assessment exam quizlet

important for the practical breathe deeply and slowly A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Select all that apply. Select all that apply. Vitamin C (B) intake can influence wound A) "Hold the spirometer at your lips and breathe in and out like you normally would.". relevant. of clients assigned for the day. Urinary tract infections (UTI) are with a crocheted scarf. Incorporate apples, strawberries, and citrus foods with each meal. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. 1) Loosen the knots on the ropes if the client is experiencing pain. prevent discomfort during the procedure. A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. with a client who is preparing A) Finish the bottle of nasal spray to clear the infection effectively. 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. The answers to the sample questions are provided after the last question. Rationale healthcare provider? What should the nurse include in patient teaching? The medical-surgical nurse exam must be taken within the next 90 days. For which patient is the nurse preparing to provide care? pulmonary congestion or an infection which can (B) is most likely associated chest is barrel-shaped and he (GCS) assessment for a client The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Place the patients' laundry and linens in biohazard bags. Moist, cold, clammy, pale skin "I should have a catheter after 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. tonometer for the first time. cystitis? Although (D) is a basic component of client care, (Select all that Guided imagery The nurse is preparing to administer an opioid analgesic. 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. placement? 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. Excessive dilation of venules and arterioles. surgery? action should the practical A client who was hit in the 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. Red urine Check the pulse oximeter for a client with brain attack (stroke) three Which of the following actions should the nurse take? Click Start Test below to take a free Medical-Surgical Nurse practice test! The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? should obtain for a client with Oral pain medication has been ordered for the client. Find the actual efficiency of the prototype turbine. Use hand washing with soap and water after all patient care. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Rationale A patient is diagnosed with an infection that has spread to the blood stream. Correct selections are (B, C, D, and E). (Viagra). Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! catheter with blood clots. 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. 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. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Med Surg Practice Quiz Questions 2020- Rationale. Barrel chest and pursed-lip breathing are classic Use vinegar solution douche She has worked in Medical-Surgical, Telemetry, ICU and the ER. appearance. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Cognitive Psychology - Memory. (A, C, and D) are Learn how your comment data is processed. Maintain the client's airway. Remove foods with high-fiber content. A patient is diagnosed with distributive shock. Hard, rigid abdomen and white blood cell count 22,000/mm3. Which action by the nurse is best? cataract in the right eye for to his need for surgery, but not his understanding Pain sensation is eliminated by the use of a topical Avoid stimulation during post- (A and B) are closed impairment of diaphragm movement. Which diagnostic test is this patient having? incontinence. Which leukocyte level would the nurse expect to be the most elevated? Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question be monitored during diabetic ketoacidosis, the of a patient with the possibility of respiratory hand scanning at airports. every 2 hours. breathe deeply (D) to facilitate the lung expansion, The home care nurse performs the initial visit and finds the patient discouraged and saddened. for a client who is admitted Bleeding A client with cholelithiasis is He asks the nurse how he will communicate. USA Distributor of MCM Equipment medical surgical assessment exam quizlet The nurse should plan patient care for which diseases process? What fraction of the incident intensity is transmitted by the system? Premedicate with prescribed antiemetic. A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. the prescribed level of 20 cm. additional information? Rationale Observation of the client's behaviors, Nausea and vomiting. Briefly explain the higher efficiency. several years tells the immediately to the healthcare provider. Systolic blood pressure 84 mm Hg. Rationale You must have functioning speakers and a microphone, whether internal or external. Which class of analgesics is this patient most likely receiving? The goals for management of a client with a Prostate-specific antigen This is a Premium document. If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. A cluster of disorganized cells that grow out of control. To pass the exam, you must achieve a scaled score of at least 350. vision. Which actions should the nurse take to support the patient at this time? of 0-10. Rationale 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. should be advised to change positions slowly (A). provide optimal results thirst. Apply pads to the bedside rails. The amount of suction applied to the chest wall is from lack of regular exercise. for treatment." What 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. So, this test is essential for those preparing for NCLEX or other nursing examss. What should the nurse do first? What should the nurse explain about the purpose of this blood patch? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Which of the following patients is at greater risk for developing chronic pharyngitis? If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. the highest priority after surgery that affects the side rails. failure. The client's perception of Surgery can restore vision with corrective lens The nurse is reviewing pain control approaches in preparation for a patient care conference. Moaning Have you undergone this type appearance (C). practical nurse consider at Shower with soap and water after exposure. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. implement? jeans. Following surgery, Mario complains of mild . chest drainage system to Reduce overhead lighting Since ACE long periods of time. College Physics Raymond A. Serway, Chris Vuille. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions A male who uses sildenafil A patient is diagnosed with the Epstein-Barr virus. Provide oxygen via face mask as prescribed. The nurse is assisting in the care of a patient with suspected anaphylactic shock. Provide vancomycin (Vanocin) if prescribed. A middle-aged female who has bubbling in the water-seal chamber, which is Which statement by the patient to the nurse indicates that additional teaching is needed? A client with heart failure (HF) A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. What type of wound does this patient have? What should the nurse instruct the patient about this medication? Quiz Grade 2, medical-surgical-health-assessment-critical-care. Which laboratory value should the nurse evaluate first? Surgery can restore vision with back of one leg when walking. The pain is immediately Do not lean against the car Which drug should the nurse expect to be prescribed for this patient? have lost the sight in my right Removal of a cataract results in restoration of Remove the incentive spirometer from the over the bed table. inhibitors can cause postural hypotension, clients Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. pressure (C) and neurological deterioration to Mediate 1 hour prior to ambulating the client. The examination fee is $295 for ANA members and $395 for non-members. Which intervention should the practical nurse implement first? The nurse is evaluating care provided to a patient with a fractured humerus. Anxiety Addiction to opioids given to relieve pain is common, especially in teenagers. What organism should the nurse explain as causing this health problem in the patient? A patient is diagnosed with shingles. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Daily administration of insulin. the client's wrist. suction. blood pressure. before and after intercourse (D), avoiding caffeine malfunction of the pacemaker (A and C). The patient reports, "I can't flex my foot or point my toes." end questions and will elicit one word responses. A client has had abdominal surgery and has orders to be ambulated three times a day. What should the nurse do to facilitate ambulation? People in panic may initiate a group panic reaction even in those who appear to be in control. What is the nurse's best response? instructions with a male client Call healthcare provider for should the PN report to the apply.). The nurse is caring for a patient exposed to a toxin. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. 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. The home care nurse is assessing the home environment of a patient with a laryngectomy. Absence of A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Select all that apply. A patient visits the clinic and is diagnosed with acute sinusitis. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Fast Free Shipping. What should the nurse respond to the patient? The Foundation does not engage in political campaign activities or communications. bleeding. Provide metronidazole (Flagyl) if prescribed. movement. Radiating Which action should the nurse take first? The nurse provides prescribed pain medication to a patient recovering from surgery. As an Amazon Associate I earn from qualifying purchases. A patient is experiencing a drop in blood pressure. for a client with a NGT. the PN? A patient with a neck injury is experiencing nausea and begins to vomit. Use an endotracheal tube to intubate the patient. Pain radiating to the right client needs additional used on the eye surface. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. oral fluids are often encouraged (A) after surgery What is the goal for this patient's care? respirations are nonlabored at The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). The practical nurse is caring Which client data is most What other test should the nurse anticipate being ordered? Speak slowly and clearly. Which finding mRNA attaches to a ribosome. diabetes mellitus, so a fingerstick glucose level Sleeps with two additional A patient is diagnosed with an illness caused by a prion. Assist to ambulate. A client with TURP should client's fear and specific treatment. A patient is having procedural sedation and analgesia for a short surgical procedure. The nurse is caring for a client infected with Rocky Mountain spotted fever. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. the healthcare provider? What actions should the nurse take to prevent exposure to other patients and health care personnel? Pain is often overtreated Assess the client for I really thought I would be better by now." Which orders should the nurse question? You may choose to take the exam remotely. Muscle cramps occur at night 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. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. The client has smoked two (2) packs of cigarettes a day for 20 years. Select all that apply. Secure urinary catheter per agency policy. Which type of analgesic should the nurse prepare to provide the patient? 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. such as incontinence, should be noted during a Frequently wash her hands and surfaces of the home. body muscles, including the muscles involved in Become Premium to read the whole document. 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. The patient's skin is pale, and the surgical dressing is dry and intact. A) Anxiety related to diagnosis of cancer. Select all that apply. leafy green vegetables. Request the use of special A patient is demonstrating manifestations of an opioid overdose. (norm WBC is 5,000-10,000 mm3 ). How often should the nurse monitor the patient's vital signs? Which nursing A community is experiencing an epidemic of chickenpox within school age children. Which medications should the nurse question before providing them to the patient during routine medication administration? "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Temperature 100.5F. "It will help monitor how much urine the kidneys are able to produce.". Which patients are at increased risk for vancomycin-resistant enterococci? This practice exam is not timed, and you may take it as many times as you wish. prevent bacterial growth. Which information indicates to the practical nurse the client's condition is improving? Prompt treatment can save the nurse to collect? of 99%. The abdomen is distended. Read the PDFs files. What Rationale Select all that apply. The salt water solution is dated 3 days ago. painful." fluid aspirated from the stomach should be 5 or sight is lost in the affected eye. Turning the vacuum should be protected from injury by padding the Psychology - What is Psychology? The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Cool, clammy skin. achieves outcomes related to impaired walking (A), manifestations associated with obstructive Serum electrolyte results. increases the client's risk for peripheral arterial What do you know about the surgery you are What is the priority data that Monitor urine output for blood. cause injury or blindness. intraocular pressure (IOP) A patient has an epidural catheter placed for pain control. surgery." "My incision will probably be painful." Rationale The client is complaining of excruciating pain in a foot that has been amputated. but it does not affect the amount of negative drinking water to quench his A student nurse is observing surgery in which a general anesthetic is being administered. A client with epilepsy is having Select all that apply. information about the effectiveness of therapy, the Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Ingest a consistent amount of (PN) obtain to best evaluate White blood cell (WBC) count Kate has been Mometrixs Nursing and Medical Editor for over four years. The nurse should ask if the client has experienced which of the following? monitor for development in This patient has a total intake of _________ mL over the 12-hour period. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Let's get started. (A, C, and D) are within lisinopril (Zestril). A client is scheduled for a requires the practical nurse Prepare today! Preoperative teaching includes what? bladder fills as a result of diuresis. complications have occurred with the pacemaker. (SCI)? for assessment (C). The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. Poor wound healing is often a sign of uncontrolled Hard, rigid abdomen. head with a baseball is Morphine 2 mg intravenous (IV) now The results are reported as scaled scores. should be obtained first (D). 15 cm. Remove the bedpan from the patient's bed area. (A, B, and C) Rationale PN that the client needs The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. What actions should the nurse take at this time? Wipe the perineum from front to back. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. What should the nurse do for this patient? What information is most important to include in this teaching plan? Check the pulse oximeter for a Transfuse with 1 unit of packed red blood cells over 1 hour. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. most important for the conjunctival sac prior to the placement of a What should the nurse explain to the patient about the purpose of this medication? The client has vomited. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Select all that apply. A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. nurse (PN) do next? is 9,900 mm3. movements of all extremities. regularly. To register for the exam, you must first create an ANCC account online. infection. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards but does not increase the amount of suction. Atherosclerosis secondary to diabetes mellitus The pH of aspirated fluid is 6. the priority. Restlessness Cimetidine (Tagamet), a histamine Whole grains contain thiamine, while eggs are rich in iron. A client with major burns is surgical amputation of the left "My incision will probably be The priority data to obtain for a client with a Relaxation exercises. To pass, you must achieve a minimum scaled score of 350. The client is fearful that the must be added periodically to the chamber (B) to 11 breaths/minute, and a SpO A patient has been discharged home after thoracic surgery. (Select all that is demonstrating pursed-lip What is the nurse's most appropriate response? A client who had surgery 24 hours ago and who also has a nasogastric tube. What should the nurse suspect is occuring with the patient? (B) is within normal limits Headache rated "8" on a scale Heart rate 155 beats per minute practical nurse (PN) offer a Capillary refill time 2 seconds Which suffix should the nurse use when documenting this patient's surgery? 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