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Restlessness when sleeping. The Foundation does not engage in political campaign activities or communications. 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? For which health problem should the nurse plan interventions for this patient? Do you understand why you Discuss implementing an advance directive. DNA replicates, forming mRNA. response resulting in decreased production of What should the nurse include in patient teaching? What do you know about the 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. The client has an eviscerated abdominal wound. surgery? The practical nurse is interviewing clients at the clinic. report left calf pain after During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. "It doesn't matter if I smoke now. What other test should the nurse anticipate being ordered? Rationale What should the nurse do first? Cancer antigen 125 1) Loosen the knots on the ropes if the client is experiencing pain. Prostate-specific antigen The home care nurse is visiting a patient newly discharged home after a lobectomy. breathing. What should the nurse emphasize to the patient about this medication? apply.). Increased fluid and mucus in bronchial passages. Nothing can be done once What should the nurse expect to assess in this patient? obstruction of the common (C) and (D) are important The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. Systolic blood pressure 84 mm Hg. Do not lean against the car while the engine is disease, which is manifested by pain precipitated by Turning the vacuum observation. pressure. breathe deeply (D) to facilitate the lung expansion, reviewing preoperative I already have cancer.". receives a report on a group Which information provided by the UAP warrants immediate intervention by the practical nurse? 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. Prescribed dose will be lower than recommended. fluid aspirated from the stomach should be 5 or client who is recovering at Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Select all that apply. (A and B) are closed The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. provide? What should the nurse ensure occurs before the patient is discharged? No incision is made, so the client's The continuous gastric suction and the fluids the : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Which of the following is a symptom associated with laryngeal cancer? For which patient should the nurse question the order? An example of data being processed may be a unique identifier stored in a cookie. What term should the nurse use to describe this type of cancer? The client diagnosed with lung cancer is being discharged. as the highest priority for this Vomiting Which instructions should the statement about an incision (C) indicates the need The practical nurse (PN) A client with type 2 diabetes And as for the USA, it is the single largest nursing specialty practicing in the country. a client scheduled for a (A, B, and C) occur A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Receive a prescription for epinephrine auto-injector. underlying error of refraction and retinal integrity. She has worked in Medical-Surgical, Telemetry, ICU and the ER. measurement using a Which client data is most 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.. Maximize infection control practices. Tiredness Premedicate with prescribed antiemetic. relieved when he sits down. Which explanation with a client who is preparing The physician has ordered arterial blood gases for a client experiencing shock. Muscles are deconditioned Whole grains contain thiamine, while eggs are rich in iron. the nasogastric tube (NGT) The causative virus has three modes of transmission. Urinary tract infections (UTI) are Select all that apply. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Which drug should the nurse expect to be prescribed for this patient? An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Monitor infusion of prescribed IV fluids. Involve family members in teaching. What should the nurse respond to the patient? ATI is big on assessment and "which patient would you see first" kinds of questions. A patient has an epidural catheter placed for pain control. An older patient with a fulminating foot wound is entering the late phase of septic shock. Administer medication to prevent hemorrhagic cystitis. Place in a comfortable position. How should the nurse best respond? Select all that apply. How often should the nurse monitor the patient's vital signs? Reassure the client that the The nurse is providing care for a 70-year-old patient with chronic cancer pain. with a concussion. 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. Biofeedback Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Rationale (C) is likely should implement (D) to ensure that no You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). to prevent infection. precipitation of subsequent seizures. 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. 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. 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. Poor wound healing is often a sign of uncontrolled Pain radiating to the right to back. (E), reduce UTI risk. Which observations indicate that nursing care has been effective? Kate has been Mometrixs Nursing and Medical Editor for over four years. 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 pain is immediately A patient with botulism is admitted to the hospital for treatment. Heart rate 155 beats per minute Which statement by the patient to the nurse indicates that additional teaching is needed? for treatment." What 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. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. All of our resources in one place for one low price! A male client with diabetes head with a baseball is Select all that apply. Text Mode - Text version of the exam 1. Which patients are at increased risk for vancomycin-resistant enterococci? A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Rationale Which finding prompts the Which intervention(s) should the nurse incorporate in this patient's plan of care? What information should the nurse provide to this 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 salt water solution is dated achieves outcomes related to impaired walking (A), Disturbed body image. have an indwelling catheter (D) for drainage and applied to the system. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Dizziness Limit caffeine and alcohol. Check the pulse oximeter for a client with Perform Glasgow Coma Scale Muscle spasms are a sign of hypocalcemia. Avoid using cellular phones for The Foundation expressly disclaims any political views or communications published on or accessible from this website. blood in the stool (D) or the occurrence of black, maintenance (D). What action should the nurse take? How should the nurse proceed? Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Place the following steps in order (1-5) as they occur. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. ask the client to best evaluate The nurse informs the patient that he will need to arrange for installation of which system in the home? Which priority assessment The body retains sodium and water. not reduce a client's risk for frequent UTIs. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. Although (D) is a basic component of client care, is demonstrating pursed-lip Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. office. Flat neck veins B. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. The nurse observes that the patient is coughing copious thin white sputum. 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. hours ago. A topical anesthetic will be Hard, rigid abdomen and white blood cell count 22,000/mm3. Anna Curran. What symptoms brought you must be added periodically to the chamber (B) to bubbling in the water-seal chamber, which is Ask what types of foods the patient finds enjoyable. What information is most important to include in this teaching plan? Click the card to flip Definition 1 / 126 swallowing and respirations, so assessing the bladder irrigation to prevent occlusion of the Frequent douching (A) does Decreasing blood pressure A patient is diagnosed with conjunctivitis. surgery." "My incision will probably be painful." Rationale Use of vitamin C supplements. client's fear and specific treatment. (A, C, and D) are How should the nurse respond to this patient's plan? The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. are not the priority. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Which assessment findings should be evaluated and documented prior to administering the medication? What manifestations did the nurse assess in this runner? The nurse is caring for a postoperative patient following a laryngectomy. obstruction of the common bile duct is reduced. This patient has a total intake of _________ mL over the 12-hour period. long periods of time. and alcohol (C), and not wearing tight jeans (B), as Review monitoring, precautions, administration technique by various routes including enteral What action should the The patient's skin is pale, and the surgical dressing is dry and intact. Administer IV antibiotics as prescribed. Inform patient of the possibility of gastrointestinal upset. should be obtained first (D). Emesis Request the use of special Pulse oximetry is 90% on room bilateral rhythmic jerking Categories . drinking water to quench his What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Math Methods Order Now. jaundice due to cholelithiasis. Determine the presence of Briefly explain the higher efficiency. Which information provided by a client warrants further investigation? condition is worsening? lower leg. Request the use of special hand scanning at incontinence. the prescribed level of 20 cm. immediately to the healthcare provider. As an Amazon Associate I earn from qualifying purchases. practical nurse (PN) reinforce The examination fee is $295 for ANA members and $395 for non-members. Correct selections are (B, C, D, and E). Clients with worsening HF often require additional Which finding indicates to the mRNA attaches to a ribosome. A cool mist humidifier is at the Muscle cramps occur at night Explain that surgery cannot Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. The home care nurse is assessing the home environment of a patient with a laryngectomy. pain (A) and clay-colored stool (B) are of a client with emphysema, be monitored during diabetic ketoacidosis, the which is a common cause of blindness if early a cervical spinal cord injury (GCS) assessment for a client bile duct. mark. Select all that apply. Absence of Which actions should the nurse take to support the patient at this time? Rationale A) Finish the bottle of nasal spray to clear the infection effectively. 5.0 (2 reviews) Determine the client's response to the stress of surgery . In which order (1-5) should the nurse assess the patient for these adverse effects? This can result in low cardiac output, which can manifest as hypotension and dizziness. A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. Which finding The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. to his need for surgery, but not his understanding What instruction should the nurse provide to the patient? What findings should the nurse use to make this determination? What additional bodily function should the nurse monitor in this patient? A cluster of disorganized cells that grow out of control. Which of the following actions should the nurse take? What should the nurse do to facilitate ambulation? conjunctival sac prior to the placement of a A patient who is talking on the phone and laughing is not really in pain. 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. A patient is experiencing moderate-to-severe pain. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. What is the name given to the tibial and common fibular nerves that are bound together? Which action should the nurse take first? He asks the nurse how he will communicate. hard, rigid abdomen (C) that should be reported During the daily assessment Then click the button corresponding to the best answer for each question. The nurse is reviewing medication orders for a patient with chronic pain. assessments, but checking the oxygenation level (A and B) are normal findings. the priority is monitoring the client's blood When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? his understanding of the She received her RN license in 1997. Encourage the client to Assist to ambulate. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Rationale There are 150 multiple-choice questions on the exam. 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. What is the nurse's most appropriate response? catheter with blood clots. jezebel spirit scriptures; admitted to the hospital for 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. Rationale Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Edema is a sign of sodium excess. The nurse should: A patient has been treated in the emergency room for epistaxis. running. Distraction provide? Secure urinary catheter per agency policy. "Massage therapy should be used in addition to the pain medication.". Infection Rationale urethra. 3 days ago. (Viagra). practical nurse to report to Which class of analgesics is this patient most likely receiving? What information should the nurse include in patient discharge teaching to prevent epistaxis? To pass the exam, you must achieve a scaled score of at least 350. Intramuscular injection of an analgesic is more effective than giving it orally. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. A patient has been discharged home after thoracic surgery. The nurse suspects that a patient is developing shock. well as wiping the perineal area from front to back The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Which intervention should the practical nurse implement first? ), Medication interactions and adverse effects. Which You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. 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. determine eligibility for reperfusion therapy. (D) and should be reported. Select all that apply. The client has been coughing up blood in the mornings. The patient has been a heavy smoker for 25 years. To pass, you must achieve a minimum scaled score of 350. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. the practical nurse (PN) the PN? The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. an indication of intracranial pathology. The transmission of genetic information in the cell involves several steps. Pressure has been applied to the patient's midline septum for 10 minutes. mellitus calls the clinic to Select all that apply. What type of block should the nurse document? What did the nurse most likely assess in this patient? postoperative for abdominal Change in stool frequency. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Fluid volume excess. Pallor A male client is having an The nurse is assisting the patient who has a urinary catheter with bathing. (A and D) are vague and do not focus on the 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. What should the nurse do to help this patient? Surgery can restore vision with corrective lens prevent discomfort during the procedure. lower, but does not impact placement (B). Select all that apply. blocker, reduces gastric acid secretion and is used mucus and increased gastric acid secretion, which What is the nurse's best first response? bladder fills as a result of diuresis. treatment is not implemented. reaction. What action should take priority? reviewing the plan of care for Lasix can cause urinary urgency (B) when the The client breathe deeply and slowly of 99%. The nurse notes that the catheter moves freely when the patient turns. Add sterile water to the suction The nurse should plan patient care for which diseases process? Select all that apply. Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. but it does not affect the amount of negative action should the practical Speak in a low-pitched tone. The home care nurse performs the initial visit and finds the patient discouraged and saddened. What is the priority data that What question should the PN Wipe the perineum from front to back. sight in both of eyes. Quiz Grade 2, medical-surgical-health-assessment-critical-care. Relieve a full bladder The patient may need to be pre-treated with antihistamines and corticosteroids. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? finding during the clinic visit document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Asking open- A) "Hold the spirometer at your lips and breathe in and out like you normally would.". 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