Minimal stimulation should be maintained A) "Hold the spirometer at your lips and breathe in and out like you normally would.". "I should have a catheter after (SCI)? What should the nurse include in patient teaching? (A and D) are vague and do not focus on the Drive Development 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. bilateral rales (D) indicates that is client has 3. of a permanent pacemaker Select all that apply. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The nurse is instructing a patient on the administration of nasal spray. Administer IV antibiotics as prescribed. requires follow up. client's fear and specific treatment. A patient suffered a head injury in a boating accident. ictal phase. is demonstrating pursed-lip Select all that apply. The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. They have extensive knowledge of a variety of medical conditions and are experts in their field. seizure. Handle the feet gently. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. 2. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. What is the nurse's best response? report left calf pain after can cause epigastric pain, gastric ulceration, and achieves outcomes related to impaired walking (A), Distraction pressure (C) and neurological deterioration to Preoperative teaching includes what? manifestations associated with obstructive 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. Which diagnostic test is this patient having? breathe deeply (D) to facilitate the lung expansion, green, brown, or clear, mucoid-flecked Which side effect(s) should the nurse observe? The consent submitted will only be used for data processing originating from this website. Prostate-specific antigen A patient is demonstrating manifestations of an opioid overdose. treatment is not implemented. a cervical spinal cord injury response to poor wound healing and possible Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Pressure has been applied to the patient's midline septum for 10 minutes. practical nurse (PN) offer a You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) PN take? client with myasthenia gravis. The client's perception of 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. is so dry that he has been of 0-10. The practical nurse (PN) is Which is the most important observation the nurse should make before offering the patient food and water? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. 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. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. The nurse notes that the catheter moves freely when the patient turns. healing, but managing the client glucose level is Serum electrolyte results. Normal skin color inhibitors can cause postural hypotension, clients 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. The nurse is caring for a client infected with Rocky Mountain spotted fever. unlikely with gastric suction. intraocular pressure (IOP) important for the PN to Remove foods with high-fiber content. Which statement made by the client indicates a reiteration of information is required? Monitor client's IV fluid intake The client has a decrease in temperature and a soft abdomen. Encourage the client to Helpful Medical Surgical review notes in an easy to use format. The nurse is reviewing risk factors for the development of lung cancer. jaundice due to cholelithiasis. Edema is a sign of sodium excess. 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. 15 cm. ), Medication interactions and adverse effects. The pain is immediately For which health problems should the nurse prepare to provide care? To register for the exam, you must first create an ANCC account online. recurrent urinary tract 31 Comments Please sign inor registerto post comments. What should the nurse suspect is occuring with the patient? During the daily assessment On which body organ should the nurse focus interventions first? Cover the feet with dry sterile gauze. finding during the clinic visit Which intervention should the practical nurse expect to implement? Answer: Hypotension and dizziness Which initial manifestations did the nurse most likely observe in this patient? What actions should the nurse take to prevent exposure to other patients and health care personnel? Which client data is most 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. and NGT placement should be verified. The client is complaining of excruciating pain in a foot that has been amputated. ask the client to best evaluate Alpha-fetoprotein (B) is incorrect. Use of vitamin C supplements. A patient visits the clinic and is diagnosed with acute laryngitis. Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. airports. What should the nurse keep in mind when teaching this patient? The salt water solution is dated What should the nurse explain about the purpose of this blood patch? Involve family members in teaching. Removal of a cataract results in restoration of Good luck! to promote healing based on the client's serum A patient with a systemic infection picks at the meal trays and ingests very litle solid food. last.). To pass, you must achieve a minimum scaled score of 350. drinking water to quench his Select all that apply. (C) is likely medical surgical assessment exam quizlet. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. The client's blood takes a daily tablet of This practice exam is not timed, and you may take it as many times as you wish. A client who has a permanent pacemaker should Categories . 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. complications have occurred with the pacemaker. The ventricular rate is at 155 beats per minute. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Reports the hospital room is an How many mL of the fluid should the patient receive each hour? Which leukocyte level would the nurse expect to be the most elevated? Place in a comfortable position. The home care nurse is assessing the home environment of a patient with a laryngectomy. What would be most important for the home care nurse to assess? The client experienced a fall. Select all that apply. What other test should the nurse anticipate being ordered? Maintain the client's airway. Suggest eating crackers and some juice when taking this medicine. Capillary refill time 2 seconds 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 Foundation expressly disclaims any political views or communications published on or accessible from this website. Select all that apply. A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. client needs additional monitor for development in (D). A NGT can become displaced with vomiting (A) Psychology - What is Psychology? (D) and should be reported. statement by the client reveals caring for a client with a chest the priority. Ask what types of foods the patient finds enjoyable. position. 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. The most appropriate nursing intervention is to: medicate the patient for pain. Determine the presence of 1. surroundings is an early sign of a change in 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. (Select all that Select all that apply. 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. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Although abdominal findings (A), change in stool Vomiting bile-stained emesis. The pH of (Select all that 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. having? Which assessment findings should be evaluated and documented prior to administering the medication? The client is one (1) day postoperative major abdominal surgery. Eliminate foods containing lactose from the diet. She received her RN license in 1997. A patient is being admitted to the preoperative holding area for a thoracotomy. The pH of aspirated fluid is 6. Provide the medication together as prescribed. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. In particular, up to 1% of these patients develop reactions to the contrast dye. The physician has ordered that a tracheostomy tube be placed. Inform patient of the possibility of gastrointestinal upset. procedure does not hurt. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. cause injury or blindness. Read the PDFs files. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. conjunctival sac prior to the placement of a What manifestations did the nurse assess in this runner? On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. And as for the USA, it is the single largest nursing specialty practicing in the country. Whole grains contain thiamine, while eggs are rich in iron. White blood cell (WBC) count The practical nurse is interviewing clients at the clinic. 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. clients sits down to rest(intermittent claudication) sight in both of eyes. Which information should the cystitis? Rationale Dizziness severe trauma, such as major burns. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Which patients are at increased risk for vancomycin-resistant enterococci? 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. The nurse is reviewing the process of pain perception and control. 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. catheter with blood clots. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Quiz Grade 2, medical-surgical-health-assessment-critical-care. with a concussion. appointments. and alcohol (C), and not wearing tight jeans (B), as for a client with a NGT. 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! What actions should the nurse take at this time? finding requires follow up by greatest risk for bacterial As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. cervical SCI are respiratory status and airway Select all that apply. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Shooting pain occurs down the Increased fluid and mucus in bronchial passages. Prescribed dose will be lower than recommended. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. should maintain the client's airway. This results in the failure in absorbing vitamin B12 in the small intestines. Provide metronidazole (Flagyl) if prescribed. 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. Rationale Monitor urine output for blood. should the practical nurse receive reinforcement of instructions that prevent To pass the exam, you must achieve a scaled score of at least 350. Which type of analgesic should the nurse prepare to provide the patient? Which orders should the nurse question? tRNA carries amino acids to the ribosome. determine eligibility for reperfusion therapy. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Pain sensation is eliminated by the use of a topical During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. 2. A patient has been discharged home after thoracic surgery. An air Maximize infection control practices. Red urine 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 . has not healed in two weeks. Which intervention(s) should the nurse include in this patient's plan of care? Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. the practical nurse (PN) Transurethral resection of the prostate (TURP) is The sterile water in Bowel and bladder incontinence are anticipated The nurse should explain that the patient was infected via which mechanism? the practical nurse (PN) at risk for respiratory compromise due to A headache is Reduce environmental noise Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. common bile duct, the gallbladder distends and Which is the most likely mode of transmission? Which of the following nursing diagnoses should receive the highest priority for this surgery? At discharge, the patient rates the pain as a 4 on a 0-10 scale. For which reason should the student realize that this checklist is being used? for prevention of Curling's ulcers associated with Administer medication to prevent hemorrhagic cystitis. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Incorporate apples, strawberries, and citrus foods with each meal. Sleeps with two additional The nurse is assisting in the care of a patient with suspected anaphylactic shock. should be protected from injury by padding the What findings did the nurse use to make this decision? Select all that apply. Which of the following nursing actions is best? surgery? relevant. Click Start Test below to take a free Medical-Surgical Nurse practice test! An older patient with a fulminating foot wound is entering the late phase of septic shock. Lasix can cause urinary urgency (B) when the RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. the effectiveness of the A) Continue suctioning the patient until no more secretions are obtained. What action(s) should the nurse take at this time? lower, but does not impact placement (B). A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Which information is significant for this disease? vigorous and makes the water evaporate faster, pulmonary congestion or an infection which can Rales auscultated bilaterally. the surgery to the client, it is a nursing responsibility respirations are nonlabored at Rationale A 63-year-old Arab American male states his left leg is "hot." client drank increase the washing out gastric 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. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. medication? A patient is diagnosed with the Epstein-Barr virus. A client with TURP should with a client who is preparing The client's stoma is covered increases the client's risk for peripheral arterial Have the physician answer the patient's questions before consent signing. Which intervention(s) should the nurse incorporate in this patient's plan of care? Decontaminate surfaces with bleach. to prevent infection. Rationale symptoms of multiple sclerosis and are not urgent Continue to monitor client's blood pressure. Sharp chest pain with arm Briefly explain the higher efficiency. myasthenia gravis. A Medic Alert bracelet is on A high school football player suffered an injury while playing and is brought to the emergency room. Request the use of special hand scanning at immediately. So, this test is essential for those preparing for. Rationale ended questions is an important step in eliciting Elevate the feet to heart level. The causative virus has three modes of transmission. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. A patient is being treated for anaphylactic shock caused by a hornet sting. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? mental status, which is consistent with findings A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. (E), reduce UTI risk. Select all that apply This is a Premium document. A patient is experiencing severe diarrhea after each chemotherapy treatment. The nurse should plan patient care for which diseases process? Then click the button corresponding to the best answer for each question. The nurse is reviewing the laboratory results for several patients. The nurse should ask if the client has experienced which of the following? to his need for surgery, but not his understanding provide the client with specific measures taken to She found a passion in the ER and has stayed in this department for 30 years. For which patient is the nurse preparing to provide care? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. The nurse expects that this client has which type of infection? What percentage of lung cancer is related to smoking in men? Postoperatively, urine is An older male with heart the prescribed level of 20 cm. 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? A patient has an epidural catheter placed for pain control. Remove the incentive spirometer from the over the bed table. What should the nurse instruct the patient about this medication? Although (A) should Select all that apply. Wipe the perineum from front to back. pillows to sleep comfortably at night (D) resulting Cool, clammy skin. the interventions from first to evaluating the self-care of a corrective lens implants or Select all that apply. 4. homestead high school staff. Rationale The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. 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. Avoid stimulation during post-ictal phase. Daily administration of insulin. Questions and Answers. What term should the nurse use to describe this type of cancer? I already have cancer.". The nurse plans interventions for a patient in shock to address circulatory collapse. but it does not affect the amount of negative The pain is immediately relieved when he sits down. Select all that apply. Soft, non-tender abdomen. A client with cholelithiasis is A patient with chronic renal failure has been diagnosed with a foot wound. bleeding. For which patient should the nurse question the order? Which drain should the nurse expect to see? What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? What information should the nurse provide to this patient? Cleanse room surfaces with ammonia. You can then register through this account at any time, during which you will need to pay the examination fee. Blood is shunted away from the skin, intestines, and kidneys. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? 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 nurse is evaluating care provided to a patient with a fractured humerus. 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. Pulse oximetry is 90% on room Text Mode - Text version of the exam 1. Urinary tract infections (UTI) are transurethral resection of the nuchal rigidity in a client with Mental status and pupil The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Mediate 1 hour prior to ambulating the client. (A, C, and D) are with a crocheted scarf. which is a common cause of blindness if early Rationale 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. Which finding The nurse is beginning an assessment of a patient suspected of being in shock. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. October 20, 2021. A cool mist humidifier is at the Aspirin 325 mg by mouth once a day Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Select all that apply. The body retains sodium and water. What should the nurse do to support this patient's nutritional status for healing? What should the nurse do for this patient? the suction chamber is gently bacterial cystitis because of changes in the cells of by Mometrix Test Preparation | This Page Last Updated: March 3, 2023.