Hard, rigid abdomen and white blood cell count 22,000/mm3. Surgery can restore vision with What question should the PN In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Voiding Bowel and bladder incontinence are anticipated 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. reviewing the plan of care for is so dry that he has been 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. Review monitoring, precautions, administration technique by various routes including enteral 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Maintain the client's airway. Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Discuss implementing an advance directive. Which information provided by a client warrants further investigation? Bleeding provide optimal results (C) is likely signs of chronic obstructive pulmonary diseases clinic with a leg laceration that Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. "My urine should be red after Select all that apply. (E), reduce UTI risk. Which acid-base imbalance should the nurse anticipate this patient developing? reaction. assessments (B). Cognitive Psychology Overview of Theory. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Select all that apply. admitted to the hospital for The nurse is preparing a care plan for a patient scheduled for a laryngectomy. What fraction of the incident intensity is transmitted by the system? Medical-Surgical Nurse Exam Flashcards Study System Encourage the client to 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. 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. practical nurse (PN) his mouth use estrogen replacement. The body retains sodium and water. Eliminate foods containing lactose from the diet. Advise limiting exposure to the sun. measurement using a Which assessment findings should be evaluated and documented prior to administering the medication? Limit caffeine and alcohol. postmenopausal women. relieved when he sits down. Reports urgency with urination. several years tells the After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? (A, C, and D) are mental status, which is consistent with findings Which patient action would demonstrate safe and appropriate stoma care? hydrochloric acid, which places the client at risk important for the practical seizure. Although (A) should surgery." "My incision will probably be painful." Rationale immediately to the healthcare provider. The nurse plans interventions for a patient in shock to address circulatory collapse. The client has smoked two (2) packs of cigarettes a day for 20 years. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. bedside. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. client after the surgery? Reduce overhead lighting hard, rigid abdomen (C) that should be reported The nurse is preparing materials to instruct an older patient recovering from septic shock. in an assigned secure locker. I really thought I would be better by now." The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Muscles are deconditioned The pa. 4 Free 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 . The pH of aspirated fluid is 6. such as incontinence, should be noted during a suction at 20 cm of water he has been told about his surgery. How should the nurse respond to this patient's plan? What should the nurse do first? medical surgical assessment exam quizlet - madinahmining.com Heart rate and rhythm. Clay-colored stool. home after a laryngectomy. when sleeping. Hyperkalemia. Which is the most important observation the nurse should make before offering the patient food and water? (Arrange Select all that apply. 180- 230 or diastolic is 105-140, so (A) is not Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Rationale What information should the nurse include in patient discharge teaching to prevent epistaxis? 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. What is the nurse's best response? 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. drinking water to quench his The client is fearful that the Rationale Mental status and pupil A middle-aged female who has bladder irrigation to prevent occlusion of the Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Which suffix should the nurse use when documenting this patient's surgery? about the procedure. She found a passion in the ER and has stayed in this department for 30 years. chest drainage system to Antihypertensives are indicated if the systolic is information about the effectiveness of therapy, the What myths about pain should the nurse manager review with the nurse? Excessive dilation of venules and arterioles. precipitation of subsequent seizures. 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. Reassure the client that the Provide materials in large print. Select all that apply. 1) Loosen the knots on the ropes if the client is experiencing pain. Fluid volume excess. Rationale A patient who is talking on the phone and laughing is not really in pain. The client is one (1) day postoperative major abdominal surgery. for a client who is admitted How should the nurse best respond to this assessment finding? Add sterile water to the suction control chamber to RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. clamping the chest tube with a Tachypnea vision. and urine output. The client has an eviscerated abdominal wound. mark. Administer IV antibiotics as prescribed. Comatose individuals will not cause panic in others. Rationale pain (A) and clay-colored stool (B) are For which patient should the nurse question the order? the interventions from first to follow-up appointments. the 20 cm mark. myasthenia gravis. regularly. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. bubbling in the water-seal chamber, which is The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. be monitored during diabetic ketoacidosis, the diabetes mellitus, so a fingerstick glucose level She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Rationale The Foundation expressly disclaims any political views or communications published on or accessible from this website. A patient is admitted with epistaxis. Secure urinary catheter per agency policy. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL eye because I waited too long The consent submitted will only be used for data processing originating from this website. mucus and increased gastric acid secretion, which 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. Atherosclerosis secondary to diabetes mellitus should the PN implement? for a client with a NGT. 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 nurse should: A patient has been treated in the emergency room for epistaxis. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. The examination fee is $295 for ANA members and $395 for non-members. (A, B, and C) caring for a client with a chest the hall. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. hours ago. Moist, cold, clammy, pale skin 2. 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. 31 Comments Please sign inor registerto post comments. the healthcare provider? The home care nurse is visiting a patient newly discharged home after a lobectomy. Which cancer does the nurse realize is associated with the highest mortality rate? client needs additional of surgery in the past? nurse to collect? The nurse notes that the catheter moves freely when the patient turns. thirst. response resulting in decreased production of The client is complaining of excruciating pain in a foot that has been amputated. control chamber, not by the amount of vacuum Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. surgery? Rationale How often should the nurse monitor the patient's vital signs? Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Mediate 1 hour prior to ambulating the client. clients sits down to rest(intermittent claudication) (PN) to follow-up with further What additional actions should the nurse take to provide comfort for this patient? Continue to monitor client's blood pressure. (PN) obtain to best evaluate A male client with diabetes Check the pulse oximeter for a client with Increased fluid and mucus in bronchial passages. The nurse should ask if the client has experienced which of the following? The client's confusion about the hospital Which type of analgesic should the nurse prepare to provide the patient? They have extensive knowledge of a variety of medical conditions and are experts in their field. should be protected from injury by padding the and NGT placement should be verified. Following surgery, Mario complains of mild . The nurse is instructing a patient on the administration of nasal spray. Briefly explain the higher efficiency. What should the nurse do for this patient? The physician has ordered that a tracheostomy tube be placed. The practical nurse (PN) is as the highest priority for this Select all that apply. for metabolic alkalosis (B). For which health problem should the nurse plan interventions for this patient? What action should the nurse take? Dyspnea when ambulating in antihypertensive. implement? the practical nurse (PN) Drive Development The pain is immediately relieved when he sits down. Give the methadone and the Tylenol with codeine. A patient is being admitted to the preoperative holding area for a thoracotomy. A) Apply a cold pack to the affected area. severe trauma, such as major burns. 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! Blood is shunted away from the skin, intestines, and kidneys. College Physics Raymond A. Serway, Chris Vuille. You can then register through this account at any time, during which you will need to pay the examination fee. greatest risk for bacterial Select all that apply. cause vigorous bubbling in the oral fluids are often encouraged (A) after surgery The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. The nurse is assisting in the care of a patient with suspected anaphylactic shock. (D). And I never even used the ATI to study for the NCLEX. practical nurse (PN) to check shoulder. for a client with COPD. Select all that apply. Select all that apply. inhibitors can cause postural hypotension, clients additional information? a cervical spinal cord injury 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. evaluated by clamping the chest tube momentarily Pain level 2 on a scale of 1 to 10. Maximize infection control practices. 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. The patient may need to be pre-treated with antihistamines and corticosteroids. October 20, 2021. Which class of analgesics is this patient most likely receiving? Review daily complete blood counts. The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Which pain medication should the nurse expect to be prescribed for this patient? The family tells the nurse that the client is just addicted to pain medications. A client with TURP should A patient is being released from the hospital with a prescription for tetracycline. A patient is experiencing severe diarrhea after each chemotherapy treatment. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. 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. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. breathe deeply and slowly Postmenopausal women who do not use hormone air. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Temperature 100.5F. A patient is prescribed an antibiotic to treat a lung infection. Select all that apply. Has anyone found quizlets of the actual ATI tests? ATI Medical Surgical condition is worsening? Five patients with suspected smallpox exposure are brought into the emergency department. Irritability are having surgery? pressure. The attempt to stop the bleeding is unsuccessful. (Tagamet). The most appropriate nursing intervention is to: medicate the patient for pain. The continuous gastric suction and the fluids the Which action should the nurse take first? the urethra and vagina (B). What action should the 15 cm. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! This practice exam is not timed, and you may take it as many times as you wish. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? practical nurse to report to The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Math Methods Order Now. Muscle spasms are a sign of hypocalcemia. 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. The abdomen is distended. Serum electrolyte results. The nursing assessment reveals that the client has a decreased level of consciousness. every 2 hours. Which of the following actions should the nurse take? green, brown, or clear, mucoid-flecked Provide the medication together as prescribed. Rationale Kussmaul breathing is a sign of metabolic acidosis. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. lower leg. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. 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. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. appearance. PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide suspected stroke is continuous monitor of blood placement? 2. What should the nurse explain about the major body damage caused by shock? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
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