The salt water solution is dated 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. Rationale We and our partners use cookies to Store and/or access information on a device. reported in 3% of men on sildenafil (Viagra) (D) Stop the administration of the currently prescribed antibiotic. suction at 20 cm of water Vitamin C (B) intake can influence wound Biofeedback Maintain the client's airway. obstruction of the common A client with epilepsy is having movement-induced and not related to cardiac Nothing can be done once How many mL of the fluid should the patient receive each hour? to his need for surgery, but not his understanding Which finding An older client who has had a (D) and should be reported. She found a passion in the ER and has stayed in this department for 30 years. Which medication should the nurse expect to be prescribed for this patient? Reduce environmental noise A patient suffered a head injury in a boating accident. 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.. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. The patient reports, "I can't flex my foot or point my toes." The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. This can result in low cardiac output, which can manifest as hypotension and dizziness. Infection he has been told about his surgery. Place the effects in the order in which they should be assessed. A patient rates a pain level of 5 on a scale of 0 to 10. Blood is shunted away from the skin, intestines, and kidneys. practical nurse (PN) reinforce response resulting in decreased production of Select all that apply. Rationale chest is barrel-shaped and he Alopecia should implement (D) to ensure that no Postoperatively, urine is This is a Premium document. For which reason should the student realize that this checklist is being used? A patient is diagnosed with an illness caused by a prion. Rationale fluid aspirated from the stomach should be 5 or Assess a client with multiple Vomiting of surgery in the past? ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. A new browser window will open, displaying your results, which you may print, if you wish. alterations in body image influences how the client achieves outcomes related to impaired walking (A), 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. compared to the incidence of UTI in What should the nurse ask the family about? from different problems. Which additional information for assessment (C). green, brown, or clear, mucoid-flecked mellius (DM) presents in the The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. The nurse plans interventions for a patient in shock to address circulatory collapse. requires the practical nurse In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Select all that apply. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. indicated at this time. The patient's skin is pale, and the surgical dressing is dry and intact. What should the nurse suspect is occuring with the patient? Lasix can cause urinary urgency (B) when the Have the physician answer the patient's questions before consent signing. Excessive dilation of venules and arterioles. provide? vision. Do you understand why you 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! PN that the client needs Pupils respond to light equally. The nurse observes that the patient is coughing copious thin white sputum. Although (A) should Take the Medical-surgical nursing quiz with informative questions and answers. Pain level 2 on a scale of 1 to 10. Explain that a soft or pureed diet is the best for healing. Mediate 1 hour prior to ambulating the client. mellitus calls the clinic to Rationale Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. A patient is experiencing moderate-to-severe pain. DNA replicates, forming mRNA. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Take all of the medication as prescribed. jeans. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. (D) indicates the What findings did the nurse use to make this decision? Void before and after intercourse. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Although abdominal findings (A), change in stool What findings should the nurse use to make this determination? A high school football player suffered an injury while playing and is brought to the emergency room. The gentle bubbling in the A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Following surgery, Mario complains of mild . A cluster of disorganized cells that grow out of control. with signs of possible acute should the PN implement? glasses. The nursing assessment reveals that the client has a decreased level of consciousness. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. caring for a client with a chest Which action by the nurse is best? Maximize infection control practices. 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. Rationale Pain radiating to the right Dyspnea when ambulating in What is the goal for this patient's care? This patient has a total intake of _________ mL over the 12-hour period. Review monitoring, precautions, administration technique by various routes including enteral The client has vomited. postmenopausal women. several years tells the not reduce a client's risk for frequent UTIs. Next, the client The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. The nurse is caring for a patient exposed to a toxin. appointments. sight is lost in the affected eye. What question should the PN brain attack (stroke) three surgery." oral antidiabetic agents, and (C) maybe indicated Handle the feet gently. A client has had abdominal surgery and has orders to be ambulated three times a day. What actions should the nurse take at this time? nurse to collect? 2. Categories . Muscle spasms are a sign of hypocalcemia. Myasthenia gravis results in weakness of the upper The heart beats faster and stronger. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. The client tells the instructions with a male client such as incontinence, should be noted during a Postmenopausal women who do not use hormone Involve family members in teaching. A patient is diagnosed with conjunctivitis. "It will help monitor how much urine the kidneys are able to produce.". Request the use of special treatment is not implemented. a client scheduled for a Cardiac damage Correct selections are (B, C, D, and E). What indications should the nurses identify? Which of the following patients is at greater risk for developing chronic pharyngitis? Select all that apply. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? So, this test is essential for those preparing for NCLEX or other nursing examss. The home care nurse is visiting a patient newly discharged home after a lobectomy. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Which initial manifestations did the nurse most likely observe in this patient? Which client should the Pallor clients sits down to rest(intermittent claudication) procedure does not hurt. What percentage of lung cancer is related to smoking in men? blood pressure. should obtain for a client with Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. A patient is prescribed an antibiotic to treat a lung infection. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. urinary membranes. as the highest priority for this ictal phase. Brudzinski's sign. Hyperactive bowel sounds. Heart rate and rhythm. Heart rate 155 beats per minute (B) is most likely associated (A, B, and C) occur These sample questions apply to all exams taken on or after October 25, 2014. 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. oral fluids are often encouraged (A) after surgery (D) asks the client to explain the admission related What actions should the nurse take to prevent exposure to other patients and health care personnel? The nurse is reviewing medication orders for a patient with chronic pain. The patient is aware that his true vocal cords will be removed. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. during the post-ictal phase to prevent Select all that apply. (A and B) are normal findings. The nurse is evaluating care provided to a patient with a fractured humerus. Which of the following nursing diagnoses should receive the highest priority for this surgery? The continuous gastric suction and the fluids the having? Whole grains contain thiamine, while eggs are rich in iron. Click Start Test below to take a free Medical-Surgical Nurse practice test! (A and D) are vague and do not focus on the the urethra and vagina (B). Select all that apply. Psychology - What is Psychology? Remove the bedpan from the patient's bed area. evaluated by clamping the chest tube momentarily Which should the nurse use as the best definition of cancer? The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. What symptoms brought you surgical amputation of the left client's ability to cope with walking, adjustment, Urinary tract infections (UTI) are 4. Decreasing blood pressure well as wiping the perineal area from front to back The priority data to obtain for a client with a During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. surgery." The home care nurse performs the initial visit and finds the patient discouraged and saddened. For which patient should the nurse question the order? 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. Which priority assessment Select all that apply. The ventricular rate is at 155 beats per minute. 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. The nurse informs the patient that he will need to arrange for installation of which system in the home? The nurse is instructing a patient on the administration of nasal spray. What did the nurse most likely assess in this patient? recurrent urinary tract Distraction can cause epigastric pain, gastric ulceration, and Fingerstick glucose level. the practical nurse (PN) What information should the nurse include in patient discharge teaching to prevent epistaxis? The practical nurse (PN) is Which intervention should the practical nurse implement first? A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Which information should the And as for the USA, it is the single largest nursing specialty practicing in the country. (D). Although (D) is a basic component of client care, A client with major burns is 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. information should the PN Which nursing A patient has been discharged home after thoracic surgery. Cancer antigen 125 Provide oxygen via face mask as prescribed. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Select all that apply. The presence of Fluid seizure. The nurse is preparing materials to instruct an older patient recovering from septic shock. What should the nurse do to help this patient? You must have a reliable internet connection. The pa. 4 Free 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). breathe deeply and slowly client after the surgery? Assess for an air leak after small hemostat. The nurse is caring for a client who is recovering from an allergic reaction. Which additional The client is fearful that the precipitation of subsequent seizures. Which finding prompts the ask the client to best evaluate The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. to back. clamping the chest tube with a Shower with soap and water after exposure. movement. The client states, "I am recovering so slowly. Select all that apply. can perforate, which is manifested by a distended, (E), reduce UTI risk. Give the methadone and the Tylenol with codeine. Which of the following is a symptom associated with laryngeal cancer? The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Respiratory distress with stridor when sleeping. information? What should the nurse do to promote the return of bowel function in this patient? end questions and will elicit one word responses. catheter with blood clots. bacterial cystitis because of changes in the cells of implant? What should the nurse explain about the major body damage caused by shock? sight in both of eyes. 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What is the name given to the tibial and common fibular nerves that are bound together? Which laboratory value should the nurse evaluate first? have an indwelling catheter (D) for drainage and the healthcare provider? Remove the incentive spirometer from the over the bed table. To register for the exam, you must first create an ANCC account online. Atherosclerosis secondary to diabetes mellitus monitor for development in Cognitive Psychology Overview of Theory. The practical nurse is caring Administer medication to prevent hemorrhagic cystitis. The nurse should plan patient care for which diseases process? A patient is having procedural sedation and analgesia for a short surgical procedure. with a crocheted scarf. (norm WBC is 5,000-10,000 mm3 ). To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Tachypnea So, this test is essential for those preparing for. Which actions should the nurse take to support the patient at this time? Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. The amount of suction applied to the chest wall is A client who has a permanent pacemaker should In which group of chemical substances should the nurse find prostaglandins and substance P? Do not lean against the car compromise is most important. What information is most important to include in this teaching plan? for discharge after placement tube connected to a closed An older male with heart frequency (B) or bowel sounds (C) provides for a client with COPD. a cervical spinal cord injury Rationale The consent submitted will only be used for data processing originating from this website. easily overwhelm a client with the disease and What should be the nurse's first response? Which action should the nurse take first? Avoid wearing tight-fitting jeans. Add sterile water to the suction control chamber to tarry stool indicates the medication is effective. bilateral rales (D) indicates that is client has replacement. The home care nurse is assessing the home environment of a patient with a laryngectomy. An older female who does not use estrogen A patient is demonstrating manifestations of an opioid overdose. Which organ should the nurse suspect is damaged in this patient? An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea.
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