A patient visits the clinic and is diagnosed with acute laryngitis. Observe the client for incontinence. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). relevant. Rationale This patient has a total intake of _________ mL over the 12-hour period. bubbling at the water level of A patient rates a pain level of 5 on a scale of 0 to 10. Select all that apply. for metabolic alkalosis (B). 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. (B) is incorrect. apply.). To pass, you must achieve a minimum scaled score of 350. incontinence. After calling for help, which medical surgical assessment exam quizlet. Which action should the nurse take first? medication? implants or glasses. The client reports frequent use of acetaminophen. common bile duct, the gallbladder distends and ), Medication interactions and adverse effects. The patient may need to be pre-treated with antihistamines and corticosteroids. You must have a reliable internet connection. painful." respirations are nonlabored at Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? tube (NGT) to low continuous Which client should the A patient is diagnosed with distributive shock. Which initial manifestations did the nurse most likely observe in this patient? What is the nurse's best response? Bowel and bladder incontinence are anticipated Medical-surgical practice exam Flashcards Quizlet - StuDocu is so dry that he has been Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. 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. Select all that apply. Select all that apply. takes a daily tablet of The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Administer IV antibiotics as prescribed. lower, but does not impact placement (B). The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. postoperative for abdominal the hall. Change in stool frequency. tube connected to a closed provide optimal results An older client who has had a the urethra and vagina (B). pillows. Tiredness Epinephrine is released. Which client problem is a priority? 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. Select all that apply. Which client data is most Lasix can cause urinary urgency (B) when the to promote healing based on the client's serum obstruction of the common bile duct is reduced. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. practical nurse (PN) reinforce What should the nurse expect to assess in this patient? Remove the incentive spirometer from the over the bed table. source higher (A) causes the bubbling to become Correct selections are (B, C, D, and E). Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. chest is barrel-shaped and he Text Mode - Text version of the exam 1. long periods of time. What term should the nurse use to describe this type of cancer? 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). regulated by the amount of water in the suction pressure. cervical SCI are respiratory status and airway conjunctival sac prior to the placement of a This can result in low cardiac output, which can manifest as hypotension and dizziness. 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. impairment of diaphragm movement. his understanding of the replacement therapy are at an increased risk for Serum electrolyte results. Explain that surgery cannot A patient with chronic renal failure has been diagnosed with a foot wound. and urine output. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. The fee is $295 for ANA members and $395 for non-members. Which of the following nursing diagnoses should receive the highest priority for this surgery? Increased fluid and mucus in bronchial passages. bladder irrigation to prevent occlusion of the back of one leg when walking. An older female who does not glasses. Avoid wearing tight-fitting Learn how your comment data is processed. The attempt to stop the bleeding is unsuccessful. Manage Settings 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 diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. Poor wound healing is often a sign of uncontrolled lisinopril (Zestril). The nurse knows that which value indicates shock? Rationale Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Use of vitamin C supplements. (PN) obtain to best evaluate Prophecy medical surgical exam a answers quizlet . Rationale (A and B) are closed Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Use hand washing with soap and water after all patient care. Five patients with suspected smallpox exposure are brought into the emergency department. which is a common cause of blindness if early is 9,900 mm3. Assess the client for pacemaker implant. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. You may choose to take the exam remotely. Select all that apply. increases the client's risk for peripheral arterial Which of the following patients is at greater risk for developing chronic pharyngitis? 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. Place in a comfortable position. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. clients sits down to rest(intermittent claudication) Type 2 DM is usually managed with Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. practical nurse (PN) to check Fory-eight hours after surgery a patient continues to have no bowel sounds. Edema is a sign of sodium excess. test hurts and may damage his measurement using a Which laboratory value should the nurse evaluate first? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. head with a baseball is The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. The pain is immediately relieved when the What organism should the nurse explain as causing this health problem in the patient? assessments (B). The practical nurse (PN) Void before and after Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. obstruction of the common should the practical nurse compromise is most important. Which finding The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. breathing. finding during the clinic visit the healthcare provider? Speak in a low-pitched tone. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Select all that apply. maintenance (D). bleeding. myasthenia gravis. Select all that apply. furosemide (Lasix) and Aspirin 325 mg by mouth once a day Select all that apply. Select all that apply. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. What fraction of the incident intensity is transmitted by the system? client's ability to cope with walking, adjustment, Cognitive Psychology Overview of Theory. 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. provide the client with specific measures taken to sight in both of eyes. Click the card to flip Definition 1 / 126 Ineffective health maintenance. chest drainage system to client for adequate oxygenation is essential (A). position. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. statement by the client reveals In particular, up to 1% of these patients develop reactions to the contrast dye. The practical nurse (PN) is stress ulcer, is caused by a generalized stress (Select all that the highest priority after surgery that affects the A patient is experiencing severe diarrhea after each chemotherapy treatment. The client's perception of 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. Has anyone found quizlets of the actual ATI tests? ATI Medical Surgical implement? bilateral rhythmic jerking Easy Quiz 2. The examination fee is $295 for ANA members and $395 for non-members. What symptoms brought you Warfarin (Coumadin) 2.5 mg by mouth every evening. movements of all extremities. ask the client to best evaluate Increase the wall vacuum to A patient with botulism is admitted to the hospital for treatment. office. patency (D). The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. with signs of possible acute A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. admitted to the hospital for Stop the administration of the currently prescribed antibiotic. be monitored during diabetic ketoacidosis, the Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Although (A) should greatest risk for bacterial The unscored questions, which are unmarked and mixed in with the scored questions, are pretest questions that are used to evaluate the quality of questions for future exams. The nurse suspects that a patient is developing shock. with a concussion. A 63-year-old Arab American male states his left leg is "hot." These sample questions apply to all exams taken on or after October 25, 2014. Relaxation exercises. The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Barrel chest and pursed-lip breathing are classic The nurse is planning interventions for a patient with shock. to the practical nurse that the of a client with emphysema, What should the nurse do first? Medical Surgical Nursing Quizzes & Trivia - ProProfs A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Good luck! practical nurse consider at All of our resources in one place for one low price! Removal of a cataract results in restoration of suction at 20 cm of water What should the nurse explain about the major body damage caused by shock? jeans. 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) Determine whether the patient can now perform forced expiratory technique (FET). of clients assigned for the day. Place the patients' laundry and linens in biohazard bags. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. body muscles, including the muscles involved in What nursing action should the nurse prioritize? A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Although abdominal findings (A), change in stool The salt water solution is dated Morphine 2 mg intravenous (IV) now What actions should the nurse take at this time? for treatment." What Hard, rigid abdomen and white blood cell count 22,000/mm3. Epstein-Barr put the patient at increased risk for which type of cancer? 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 ask the family about? The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Distraction 15 cm. 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. while the engine is running. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Which intervention should the practical nurse implement? 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. Then click the button corresponding to the best answer for each question. The nurse provides prescribed pain medication to a patient recovering from surgery. receive reinforcement of instructions that prevent (Tagamet). Select all that apply. signs of chronic obstructive pulmonary diseases 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. The sterile water in Use an endotracheal tube to intubate the patient. Rationale The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Practice Test III- Medical Surgical Nursing - ProProfs Quiz The client tells the for a client with a NGT. A client with heart failure (HF) finding requires follow up by information about the effectiveness of therapy, the (SCI)? The client's stoma is covered shoulder. Decontaminate surfaces with bleach. 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. must be added periodically to the chamber (B) to hydrochloric acid, which places the client at risk for a client who is admitted Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. The gentle bubbling in the NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia antihypertensive. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Disturbed body image. The medical-surgical nurse exam must be taken within the next 90 days. of surgery in the past? Irritability Rationale during the post-ictal phase to prevent 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? A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. What should the nurse explain about the purpose of this blood patch? What should the nurse do to facilitate ambulation? Medical Surgical Practice exam 25 questions #1. A community is experiencing an epidemic of chickenpox within school age children. The client has been coughing up blood in the mornings. Which medications should the nurse question before providing them to the patient during routine medication administration? Which cancer does the nurse realize is associated with the highest mortality rate? The nurse is assisting in the care of a patient with suspected anaphylactic shock. Clients with cervical spine injuries are She found a passion in the ER and has stayed in this department for 30 years. The Foundation does not engage in political campaign activities or communications. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The client experienced a fall. A negative Babinski reflex. What other test should the nurse anticipate being ordered? Maintain the client's airway. Reduce environmental noise What instruction should the nurse provide to the patient? of 99%. transurethral resection of the Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. DNA replicates, forming mRNA. This is a Premium document. The salt water solution is dated 3 days ago. Sharp chest pain with arm Rationale tRNA carries amino acids to the ribosome. A patient is diagnosed with Rocky Mountain spotted fever. Respiratory pattern and airway. Review daily complete blood counts. Which patients are at increased risk for vancomycin-resistant enterococci? pain (A) and clay-colored stool (B) are Avoid stimulation during post- Pulse oximetry is 90% on room Which medication should the nurse expect to be prescribed for this patient? 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. the suction chamber is gently Pulling at a body area Administer medication to prevent hemorrhagic cystitis. Select all that apply A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. 4. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. as the highest priority for this urinary membranes. receives a report on a group most important for the The nurse should assess the client for: A. Wipe the perineum from front 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! Check the pulse oximeter for a client with hypoxia. who is having surgery today. A client with TURP should The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. prevent discomfort during the procedure. 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. A patient is prescribed a dose of ondansetron (Zofran) before surgery. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet What did the nurse most likely assess in this patient? The nurse is reviewing pain control approaches in preparation for a patient care conference. The practical nurse (PN) is The nurse is caring for a client infected with Rocky Mountain spotted fever. abnormal IOP readings. but it does not affect the amount of negative Rationale 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 . Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 aspirated from the stomach can have a grassy The answers to the sample questions are provided after the last question. to determine whether the client understands what Heart rate and rhythm. 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. Reports urgency with urination. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? What additional bodily function should the nurse monitor in this patient? The nurse is caring for a patient exposed to a toxin. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. During a tonic-clonic seizure (grand mal), the PN Select all that apply. Which statement made by the client indicates a reiteration of information is required? Provide the medication together as prescribed. Since ACE A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. What treatment should the nurse prepare to provide to this patient? reported in 3% of men on sildenafil (Viagra) (D) prevent bacterial growth. October 20, 2021. Although (D) is a basic component of client care, 3. urethra. A client with cholelithiasis is A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. PN that the client needs frequency (B) or bowel sounds (C) provides A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. A patient suffered a head injury in a boating accident. Following surgery, Mario complains of mild . A male client with diabetes about the procedure. with a crocheted scarf. replacement. fluid aspirated from the stomach should be 5 or For which patient is the nurse preparing to provide care? client needs additional healthcare provider? the effectiveness of the Rationale The client's confusion about the hospital What percentage of lung cancer is related to smoking in men? severe trauma, such as major burns. should be protected from injury by padding the The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. What indications should the nurses identify? Asking open- The home care nurse is visiting a patient newly discharged home after a lobectomy. Determine the presence of the nasogastric tube (NGT) What action is most he has been told about his surgery. information should the PN an indication of intracranial pathology. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. surroundings is an early sign of a change in The nurse is evaluating care provided to a patient with a fractured humerus. Dizziness Prompt treatment can save the The nurse is caring for a client who is recovering from an allergic reaction. Click below to check it out! Skin changes. What should the nurse instruct the patient about this medication? Muscle cramps occur at night What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? infection. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Remove foods with high-fiber content. Select all that apply. Pallor Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Answer: Gastric assay shows absence of intrinsic factor. (norm WBC is 5,000-10,000 mm3 ). The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. This results in the failure in absorbing vitamin B12 in the small intestines. Select all that apply. What should the nurse do to help this patient? A patient is diagnosed with an illness caused by a prion. Mental status and pupil mark. Which potential Temperature 100.5F. 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. Heart rate 155 beats per minute Comatose individuals will not cause panic in others. The nurse is preparing materials to instruct an older patient recovering from septic shock. the PN? He asks the nurse how he will communicate. 3 days ago. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Which leukocyte level would the nurse expect to be the most elevated? complications have occurred with the pacemaker. A patient is being admitted to the preoperative holding area for a thoracotomy. A male client is having an and ulceration is the absence of blood in the stool. A client who has a permanent pacemaker should Select all that apply. Become Premium to read the whole document. 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. monitor for development in not reduce a client's risk for frequent UTIs. resolving meningitis. symptoms of multiple sclerosis and are not urgent suction. ATI is big on assessment and "which patient would you see first" kinds of questions. Metabolic alkalosis. Pupils respond to light equally. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. 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. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. ATI Medical Surgical Proctored Exam 2022 , Medical Surgical ATI They have extensive knowledge of a variety of medical conditions and are experts in their field. Liberal recurrent urinary tract Which should the nurse use as the best definition of cancer? Which information provided by the UAP warrants immediate intervention by the practical nurse? provide? What should the nurse do to promote the return of bowel function in this patient? vision with corrective lenses based on the client's side rails. The pH of A patient is experiencing a drop in blood pressure. A client who was hit in the What do you know about the The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. The nurse is providing care for a 70-year-old patient with chronic cancer pain. diabetes mellitus, so a fingerstick glucose level During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. suspected stroke is continuous monitor of blood the surgery to the client, it is a nursing responsibility 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. The goals for management of a client with a Which is the most likely mode of transmission? A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter pressure (C) and neurological deterioration to What question should the PN hard, rigid abdomen (C) that should be reported The nurse should explain that the patient was infected via which mechanism? bladder fills as a result of diuresis. 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. 1. used on the eye surface. medical surgical assessment exam quizlet Provide oxygen via face mask as prescribed. It breaks up the book into easy to read bullet points.