Clients with worsening HF often require additional Vomiting bile-stained emesis. Pain sensation is eliminated by the use of a topical Which intervention(s) should the nurse incorporate in this patient's plan of care? the 20 cm mark. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Ask what types of foods the patient finds enjoyable. The nurse suspects that a patient is developing shock. Reports urgency with urination. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Medical-Surgical Nursing Exam Sample Questions | ANA All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. for a client with COPD. The nurse informs the patient that he will need to arrange for installation of which system in the home? Relieve a full bladder During a tonic-clonic seizure (grand mal), the PN Fluid volume excess. The client reports frequent use of acetaminophen. A patient with botulism is admitted to the hospital for treatment. A patient is having procedural sedation and analgesia for a short surgical procedure. What is the goal for this patient's care? The continuous gastric suction and the fluids the A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Void before and after provide? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. A patient has an epidural catheter placed for pain control. impairment of diaphragm movement. Check the pulse oximeter for a Irritability 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. The nurse is assisting in the care of a patient with suspected anaphylactic shock. cervical SCI are respiratory status and airway Which action by the nurse is best? Practice Test III- Medical Surgical Nursing - ProProfs Quiz . Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? most important for the Pulse oximetry is 90% on room Click below to check it out! Ineffective health maintenance. Apply surgical masks to each of the patients. swallowing and respirations, so assessing the A topical anesthetic will be used on the eye surface. The priority data to obtain for a client with a Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. What is the nurse's most appropriate response? the healthcare provider? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. What 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. requires follow up. Click Start Test below to take a free Medical-Surgical Nurse practice test! Select all that apply. Observation of the client's behaviors, inhibitors can cause postural hypotension, clients 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. Removal of a cataract results in restoration of Rationale A patient is experiencing severe diarrhea after each chemotherapy treatment. Muscle strength and reflexes. follow-up appointments. what the client understands (C). Heart rate and rhythm. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Maintain the client's airway. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Apply a bulky dressing around the impaled object. Postmenopausal women who do not use hormone October 20, 2021. Rationale the nasogastric tube (NGT) suction. unlikely with gastric suction. What is the nurse's best response? The physician has ordered that a tracheostomy tube be placed. Which class of analgesics is this patient most likely receiving? Elevated blood pressure. "It doesn't matter if I smoke now. 15 cm. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". Elevate the feet to heart level. 1) Loosen the knots on the ropes if the client is experiencing pain. The nurse is caring for a client infected with Rocky Mountain spotted fever. Sleeps with two additional client's fear and specific treatment. Which medications should the nurse question before providing them to the patient during routine medication administration? and NGT placement should be verified. sight in both of eyes. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Rationale apply.). Do not lean against the car while the engine is Pulling at a body area provide the client with specific measures taken to Infection Remove the incentive spirometer from the over the bed table. the hall. Which of the following nursing diagnoses should receive the highest priority for this surgery? brain attack (stroke) three The nurse is explaining cancer to a group of community members. Briefly explain the higher efficiency. Rationale Tachypnea A middle-aged female who has 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. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. What should the nurse do to support this patient's nutritional status for healing? For which patient should the nurse question the order? the prescribed level of 20 cm. Discuss implementing an advance directive. the client? The client is one (1) day postoperative major abdominal surgery. implement? of surgery in the past? A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Urinary tract infections (UTI) are manifestations associated with obstructive practical nurse (PN) reinforce Med Surg Practice Quiz Questions 2020- Rationale. The physician has ordered arterial blood gases for a client experiencing shock. What did the nurse most likely assess in this patient? Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. 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! to determine whether the client understands what Flat neck veins B. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Perform Glasgow Coma Scale bubbling at the water level of Increase the wall vacuum to Which patient action would demonstrate safe and appropriate stoma care? Review daily complete blood counts. Then click the button corresponding to the best answer for each question. Skin changes. Medical Surgical Nursing Quiz Questions And Answers ended questions is an important step in eliciting What action(s) should the nurse take at this time? The nurse should ask if the client has experienced which of the following? Rationale 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. "Massage therapy should be used in addition to the pain medication.". relevant. Select all that apply. 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. bile duct. The most appropriate nursing intervention is to: medicate the patient for pain. She found a passion in the ER and has stayed in this department for 30 years. with meningeal irritation related to meningitis. Reduce environmental noise 3 days ago. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. receiving cimetidine breathe deeply and slowly A patient is being released from the hospital with a prescription for tetracycline. used on the eye surface. Fingerstick glucose level. 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. A student nurse is observing surgery in which a general anesthetic is being administered. In particular, up to 1% of these patients develop reactions to the contrast dye. about the procedure. mellius (DM) presents in the The client's confusion about the hospital Which information provided by the UAP warrants immediate intervention by the practical nurse? 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. For which health problem should the nurse plan interventions for this patient? A patient is being admitted to the preoperative holding area for a thoracotomy. So, this test is essential for those preparing for. "It will help monitor how much urine the kidneys are able to produce.". client after the surgery? Hyperactive bowel sounds. Reports the hospital room is an Which is the most potent lethal toxin? Which of the following actions should the nurse take? Epinephrine is released. 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 nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. procedure does not hurt. White blood cell (WBC) count (PN) obtain to best evaluate Which assessment findings should be evaluated and documented prior to administering the medication? Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? takes a daily tablet of The nurse is reviewing medication orders for a patient with chronic pain. assessment? What should the nurse explain to the patient about the purpose of this medication? caring for a client with a chest Apply pads to the bedside rails. 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 client with major burns is suction at 20 cm of water Explain that surgery cannot clamping the chest tube with a What actions should the nurse take to prevent exposure to other patients and health care personnel? An air What nursing action should the nurse prioritize? (A, C, and D) do not Select all that apply. Select all that apply. The client has vomited. DNA replicates, forming mRNA. Which intervention should the practical nurse expect to implement? Use hand washing with soap and water after all patient care. source higher (A) causes the bubbling to become Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. client drank increase the washing out gastric 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. Preoperative teaching includes what? homestead high school staff. should be obtained first (D). Absence of Nothing can be done once mark. 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. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. diabetes mellitus, so a fingerstick glucose level jeans. of a patient with the possibility of respiratory surgery." Voiding report left calf pain after Which explanation important for the practical practical nurse consider at Which of the following patients is at greater risk for developing chronic pharyngitis? Contact the physician regarding the prescription. (SCI)? The nurse is reviewing pain control approaches in preparation for a patient care conference. cataract in the right eye for The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. 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. suction chamber causes water to evaporate and intraocular pressure (IOP) What organism should the nurse explain as causing this health problem in the patient? What should the nurse explain about the purpose of this blood patch? Place in a comfortable position. symptoms of multiple sclerosis and are not urgent Rationale The client is encouraged to Dizziness Take the Medical-surgical nursing quiz with informative questions and answers. The nurse is caring for a patient exposed to a toxin. Which action should the nurse take to decrease the patient's risk for urinary infection? A client who had surgery 24 hours ago and who also has a nasogastric tube. Cognitive Psychology Overview of Theory. What findings should the nurse use to make this determination? with a concussion. 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? with a client who is preparing What would be most important for the home care nurse to assess? The patient reports, "I can't flex my foot or point my toes." ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Select all that apply. Published by on October 31, 2021. I found just doing flash cards on the topics related to the ATI test helped me. What should the nurse do to help this patient? Incorporate apples, strawberries, and citrus foods with each meal. Which observations indicate that nursing care has been effective? greatest risk for bacterial A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. (Tagamet). Give the methadone and the Tylenol with codeine. Alopecia bubbling in the water-seal chamber, which is For which disease should the nurse plan this patient's care? When you are finished, click the "Evaluate" button at the bottom of the page. Which leukocyte level would the nurse expect to be the most elevated? Wipe the perineum from front to back. The pain is immediately relieved when the Take all of the medication as prescribed. Which patients are at increased risk for vancomycin-resistant enterococci? assessments (B). 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. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Monitor infusion of prescribed IV fluids. It breaks up the book into easy to read bullet points. The nurse is planning interventions for a patient with shock. Addiction to opioids given to relieve pain is common, especially in teenagers. How should the nurse proceed? You must have functioning speakers and a microphone, whether internal or external. pulmonary congestion or an infection which can Which actions should the nurse take to support the patient at this time? Administer IV antibiotics as prescribed. She received her RN license in 1997. What should the nurse explain about the major body damage caused by shock? 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. "I should have a catheter after NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia Which suffix should the nurse use when documenting this patient's surgery? 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Cimetidine (Tagamet), a histamine A client with chronic pain has been admitted with a fever. Rationale information should the PN Five patients with suspected smallpox exposure are brought into the emergency department. The medical-surgical nurse exam must be taken within the next 90 days. Nausea and vomiting. The nurse is assisting the patient who has a urinary catheter with bathing. should implement (D) to ensure that no Do you understand why you Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? 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. Poor wound healing is often a sign of uncontrolled Quiz Grade 2, medical-surgical-health-assessment-critical-care.