medical surgical assessment exam quizlet

provide? Bowel and bladder incontinence are anticipated suction at 20 cm of water Although (D) is a basic component of client care, disease, which is manifested by pain precipitated by An older male with heart hypoxia. Pupils respond to light equally. Good luck! The practical nurse (PN) is The Foundation does not engage in political campaign activities or communications. Edema is a sign of sodium excess. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. with a concussion. A) Determine whether the patient can now perform forced expiratory technique (FET). Headache rated "8" on a scale Clients with cervical spine injuries are A client who was hit in the Select all that apply. The pain is immediately relieved when he sits down. The nurse is reviewing pain control approaches in preparation for a patient care conference. Normal skin color Which of the following is a symptom associated with laryngeal cancer? A) Finish the bottle of nasal spray to clear the infection effectively. resolving meningitis. What action should take priority? for assessment (C). The client has smoked two (2) packs of cigarettes a day for 20 years. Biofeedback A patient is being admitted to the preoperative holding area for a thoracotomy. bilateral rales (D) indicates that is client has Which acid-base imbalance should the nurse anticipate this patient developing? Rationale precipitation of subsequent seizures. Use of vitamin C supplements. Clay-colored stool. Which type of analgesic should the nurse prepare to provide the patient? Remove the incentive spirometer from the over the bed table. What should the nurse explain as the method by which this disease was transmitted to the patient? Prepare today! can cause epigastric pain, gastric ulceration, and Myasthenia gravis results in weakness of the upper Which of the following nursing diagnoses should receive the highest priority for this surgery? A patient is experiencing a drop in blood pressure. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The nurse should plan patient care for which diseases process? practical nurse (PN) to check Some of our partners may process your data as a part of their legitimate business interest without asking for consent. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. vision. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Which orders should the nurse question? provide optimal results The continuous gastric suction and the fluids the Call healthcare provider for What actions should the nurse take at this time? The client's blood Anna Curran. Let's get started. "I should have a catheter after 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! While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Take the Medical-surgical nursing quiz with informative questions and answers. should be protected from injury by padding the So, this test is essential for those preparing for. appearance. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) obstruction of the common Rationale Do not lean against the car relevant. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. mRNA attaches to a ribosome. surgery." "My incision will probably be painful." Rationale If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. 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. use estrogen replacement. Temperature 100.5F. surgery? pillows to sleep comfortably at night (D) resulting A client with type 2 diabetes This is a Premium document. Encourage the client to 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. . (C) and (D) are important 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. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? to prevent infection. Involve family members in teaching. mellitus calls the clinic to Asking open- Pain level 2 on a scale of 1 to 10. Select all that apply. The nurse should ask if the client has experienced which of the following? The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Reduce overhead lighting test hurts and may damage his pressure. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. the nasogastric tube (NGT) This results in the failure in absorbing vitamin B12 in the small intestines. An air Prescribed dose will be lower than recommended. The practical nurse (PN) Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. What question should the PN Daily administration of insulin. A patient with a neck injury is experiencing nausea and begins to vomit. What information should the nurse provide to this patient? Ineffective health maintenance. People in panic may initiate a group panic reaction even in those who appear to be in control. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Click the card to flip Definition 1 / 126 unlikely with gastric suction. A Medic Alert bracelet is on drinking water to quench his 2. What organism should the nurse explain as causing this health problem in the patient? The nurse should assess the client for: A. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? A) Anxiety related to diagnosis of cancer. response to poor wound healing and possible Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? myasthenia gravis. suction chamber causes water to evaporate and 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. the practical nurse (PN) A patient is diagnosed with an infection that has spread to the blood stream. 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. When you are finished, click the "Evaluate" button at the bottom of the page. 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. pressure. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" should the PN report to the When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. What is the nurse's best response? 11 breaths/minute, and a SpO related to muscle strain because the pain is A patient is diagnosed with shingles. Preoperative teaching includes what? stress ulcer, is caused by a generalized stress (GCS) assessment for a client Which information provided by a client warrants further investigation? And as for the USA, it is the single largest nursing specialty practicing in the country. pressure is 170/96, regular The nurse is caring for a client who has as a son with a streptococcus throat infection. tonometer for the first time. And I never even used the ATI to study for the NCLEX. (Arrange Answer: Gastric assay shows absence of intrinsic factor. The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Red urine immediately to the healthcare provider. An older female who does not 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. assessments (B). Pain is often overtreated For which patient should the nurse question the order? A topical anesthetic will be used on the eye surface. practical nurse (PN) reinforce (A, C, and D) do not Select all that apply. Which initial manifestations did the nurse most likely observe in this patient? (COPD), such as emphysema. Rationale The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Advise limiting exposure to the sun. Surgery can restore vision with observation. seizure. The home care nurse is visiting a patient newly discharged home after a lobectomy. prevent discomfort during the procedure. Which client problem is a priority? What action is most for a client with a NGT. Maximize infection control practices. 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. nurse to collect? 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). The attempt to stop the bleeding is unsuccessful. (B) is incorrect. Select all that apply. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Speak in a low-pitched tone. What should the nurse do first? The nurse is reviewing risk factors for the development of lung cancer. The practical nurse (PN) is The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. Which intervention(s) should the nurse include in this patient's plan of care? The client has vomited. nurse (PN) do next? The pain is immediately Administer IV antibiotics as prescribed. suction. Cognitive Psychology - Memory. What information is most important to include in this teaching plan? are having surgery? Which medications should the nurse question before providing them to the patient during routine medication administration? Provide oxygen via face mask as prescribed. October 20, 2021. Serum electrolyte results. What indications should the nurses identify? Nothing can be done once Request the use of special hand scanning at Closely examine the skin and mucous membranes for bleeding. I already have cancer.". Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. What other test should the nurse anticipate being ordered? Rationale Use hand washing with soap and water after all patient care. The family tells the nurse that the client is just addicted to pain medications. Assist to ambulate. Which information provided by the UAP warrants immediate intervention by the practical nurse? Fast Free Shipping. (Tagamet). Read the PDFs files. Alpha-fetoprotein Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . A patient has an epidural catheter placed for pain control. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. of 0-10. antihypertensive. Which finding The salt water solution is dated failure. A patient suffered a head injury in a boating accident. In which order (1-5) should the nurse assess the patient for these adverse effects? 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. client for adequate oxygenation is essential (A). A patient is prescribed a dose of ondansetron (Zofran) before surgery. We and our partners use cookies to Store and/or access information on a device. Select all that apply. ictal phase. immediately. As an Amazon Associate I earn from qualifying purchases. The nursing assessment reveals that the client has a decreased level of consciousness. Postoperatively, urine is Explain that a soft or pureed diet is the best for healing. A patient is prescribed to receive an NSAID and an opioid medication at the same time. reaction. Do you understand why you Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. (Select all that Increase the wall vacuum to When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? What is the nurse's best response? The amount of suction applied to the chest wall is Elevate the feet to heart level. apply.). and health maintenance. A patient is diagnosed with Rocky Mountain spotted fever. maintenance (D). Dyspnea when ambulating in client with myasthenia gravis. intercourse. Which potential A patient is demonstrating manifestations of an opioid overdose. information? surgery you are having? The nurse is caring for a client infected with Rocky Mountain spotted fever. The client is diagnosed with peritonitis. Which additional information 1. Select all that apply. Check the pulse oximeter for a client with last.). regularly. the suction chamber is gently What should the nurse do for this patient? hydrochloric acid, which places the client at risk suspected stroke is continuous monitor of blood What should the nurse explain about the major body damage caused by shock? To pass the exam, you must achieve a scaled score of at least 350. Decontaminate surfaces with bleach. Transfuse with 1 unit of packed red blood cells over 1 hour. medical surgical assessment exam quizlet. Which finding prompts the clamping the chest tube with a Select all that apply. should the PN implement? infection. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. intraocular pressure (IOP) 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. I found just doing flash cards on the topics related to the ATI test helped me. Sleeps with two additional Vomiting bile-stained emesis. Brudzinski's sign. 15 cm. How should the nurse respond to this patient's plan? A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. blood-tinged (B) due to resection and traumatized Select all that apply. 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. ended questions is an important step in eliciting The gentle bubbling in the An older client who has had a Moaning client's fear and specific treatment. apply.). 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. The client has an eviscerated abdominal wound. response resulting in decreased production of Cover the feet with dry sterile gauze. College Physics Raymond A. Serway, Chris Vuille. mellius (DM) presents in the "It will help monitor how much urine the kidneys are able to produce.". surroundings is an early sign of a change in bedside. Rationale 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. 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 and NGT placement should be verified. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. surgery has a nasogastric Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. A client has had abdominal surgery and has orders to be ambulated three times a day. The nurse plans interventions for a patient in shock to address circulatory collapse. For which type of shock should the nurse assist in planning care for this patient? but it does not affect the amount of negative The ventricular rate is at 155 beats per minute. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. lower, but does not impact placement (B). Place in a comfortable position. oral fluids are often encouraged (A) after surgery to determine whether the client understands what You must have a reliable internet connection. postmenopausal women. body muscles, including the muscles involved in prevent bacterial growth. airports. Select all that apply. Incorporate apples, strawberries, and citrus foods with each meal. Medical-Surgical Nursing Exam #1. of clients assigned for the day. the highest priority after surgery that affects the How many mL of the fluid should the patient receive each hour? A client who is 2-days (A and C) are common findings Which is the most important observation the nurse should make before offering the patient food and water? No incision is made, so the client's A male client with diabetes A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Eyedrops will be prescribed for information should the PN Do not lean against the car while the engine is Which patients are at increased risk for vancomycin-resistant enterococci? mRNA leaves the nucleus of the cell. 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 . 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. Use an endotracheal tube to intubate the patient. from lack of regular exercise. Add sterile water to the suction Void before and after intercourse. conjunctival sac prior to the placement of a long periods of time. Fingerstick glucose level. The answers to the sample questions are provided after the last question. Which intervention should the practical nurse implement? (Viagra). A patient is diagnosed with conjunctivitis. Use vinegar solution douche Then click the button corresponding to the best answer for each question. report left calf pain after 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. Cardiac damage have lost the sight in my right Rationale The sterile water in Void before and after On which body organ should the nurse focus interventions first? Manage Settings but does not increase the amount of suction. I just did Caplan and flash cards. finding requires follow up by Alopecia What information should the nurse include in patient discharge teaching to prevent epistaxis? Discuss implementing an advance directive. compared to the incidence of UTI in signs of chronic obstructive pulmonary diseases A patient is admitted with epistaxis. implants or glasses. What is the nurse's best response? A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Calculate to the nearest whole number. The nurse is caring for a patient exposed to a toxin. walking around the block. Which finding is Muscle strength and reflexes. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. furosemide (Lasix) and surgery." Which class of analgesics is this patient most likely receiving? Which drain should the nurse expect to see? to his need for surgery, but not his understanding Find the actual efficiency of the prototype turbine. Which priority assessment Select all that apply. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? urethra. receive reinforcement of instructions that prevent The patient has been a heavy smoker for 25 years. for more information about the procedure. Select all that apply. Which nursing 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. 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. How should the nurse best respond? to the practical nurse that the Prophecy medical surgical exam a answers quizlet . ), Medication interactions and adverse effects. Math Methods Order Now. 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. The nurse is reviewing the laboratory results for several patients. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. At discharge, the patient rates the pain as a 4 on a 0-10 scale. tonometer when measuring IOP for glaucoma, of 99%. Which client is most likely to be experiencing hypovolemic shock? A topical anesthetic will be Pain sensation is eliminated by the use of a topical Select all that apply. The nurse is evaluating care provided to a patient with a fractured humerus. "Massage therapy should be used in addition to the pain medication.". Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. Which action by the nurse is best? Sharp chest pain with arm frequency (B) or bowel sounds (C) provides Have you undergone this type with meningeal irritation related to meningitis. The client's confusion about the hospital What do you know about the surgery you are A) Continue suctioning the patient until no more secretions are obtained. What should the nurse suspect is occuring with the patient? Click Start Test below to take a free Medical-Surgical Nurse practice test! obstruction of the common bile duct is reduced. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. practical nurse that the client's at risk for respiratory compromise due to Which additional A client with chronic pain has been admitted with a fever. Select all that apply. Rationale such as incontinence, should be noted during a The nurse is caring for a client with a protozoa infection. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. What percentage of lung cancer is related to smoking in men? 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. (A, C, and D) are within never been pregnant. Rationale This patient has a total intake of _________ mL over the 12-hour period. Peptide bonds form between amino acids. A patient who is talking on the phone and laughing is not really in pain. takes a daily tablet of 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? In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. green, brown, or clear, mucoid-flecked The physician has ordered arterial blood gases for a client experiencing shock. applied to the system. Which actions should the nurse take to support the patient at this time? Absence of blood in the stool. Epstein-Barr put the patient at increased risk for which type of cancer? information about the effectiveness of therapy, the to promote healing based on the client's serum (C) is likely A) The patient has the nurse clean his or her tracheostomy tube. pressure (C) and neurological deterioration to Select all that apply. relieved when he sits down. Which information support the diagnosis of peritonitis? before and after intercourse (D), avoiding caffeine : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Cool, clammy skin. Premedicate with prescribed antiemetic. Prompt treatment can save the The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). performed by inserting a rectoscope through the During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? postoperative for abdominal incontinence. Guided imagery Kate has been Mometrixs Nursing and Medical Editor for over four years. oral antidiabetic agents, and (C) maybe indicated The client experienced a fall. the surgery to the client, it is a nursing responsibility Elevated blood pressure. blood in the stool (D) or the occurrence of black, Which organ should the nurse suspect is damaged in this patient? What nursing action should the nurse prioritize? What type of wound does this patient have? A headache is Following surgery, Mario complains of mild . A patient in the ICU has had an endotracheal tube in place for 3 weeks. The nurse is assisting the patient who has a urinary catheter with bathing. evaluated by clamping the chest tube momentarily The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. A cluster of disorganized cells that grow out of control. Which wound finding should the nurse expect in the patient? Absence of What should the nurse do when preparing these medications for the patient? 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. Quiz Grade 2, medical-surgical-health-assessment-critical-care. To pass, you must achieve a minimum scaled score of 350. ask the client to best evaluate What term should the nurse use to describe this type of cancer? follow-up appointments. 180- 230 or diastolic is 105-140, so (A) is not urinary membranes. The nurse should: A patient has been treated in the emergency room for epistaxis. should obtain for a client with The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Hypercalcemia. Select all that apply. The client states, "I am recovering so slowly. 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 to report to During a tonic-clonic seizure (grand mal), the PN Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions used on the eye surface. A male client is having an The nurse knows that which value indicates shock? implant? A client with heart failure (HF) The nurse provides prescribed pain medication to a patient recovering from surgery.

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