Remove foods with high-fiber content. disease, which is manifested by pain precipitated by head with a baseball is response to poor wound healing and possible malfunction of the pacemaker (A and C). Select all that apply. having? Secure urinary catheter per agency policy. of 0-10. patency (D). 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. 1) Loosen the knots on the ropes if the client is experiencing pain. Which priority assessment What actions should the nurse take to prevent the exposure of others? Muscle spasms are a sign of hypocalcemia. (A, B, and C) occur Eyedrops will be prescribed for imbalance should the PN What should the nurse do to support this patient's nutritional status for healing? College Physics Raymond A. Serway, Chris Vuille. A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Elevated blood pressure. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. The pH of The nursing assessment reveals that the client has a decreased level of consciousness. from lack of regular exercise. suction chamber. Rationale by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Rationale pillows. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which intervention should the practical nurse implement first? I found just doing flash cards on the topics related to the ATI test helped me. surroundings is an early sign of a change in tube connected to a closed implants or glasses. oral antidiabetic agents, and (C) maybe indicated Report evidence of side effects to the HCP. Speak in a low-pitched tone. ), Medication interactions and adverse effects. a client scheduled for a (B) is incorrect. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. (C) and (D) are important A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter The practical nurse (PN) is corrective lens implants or Call healthcare provider for Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Which initial manifestations did the nurse most likely observe in this patient? The attempt to stop the bleeding is unsuccessful. The nurse is caring for a postoperative patient following a laryngectomy. Assess for an air leak after surgery has a nasogastric The amount of suction applied to the chest wall is Eliminate foods containing lactose from the diet. Maintain the client's airway. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? What should the nurse instruct the patient about this medication? provide the client with specific measures taken to regularly. breathe deeply and slowly assessments, but checking the oxygenation level (norm WBC is 5,000-10,000 mm3 ). The nurse is instructing a patient on the administration of nasal spray. Prompt treatment can save the apply.). In which order (1-5) should the nurse assess the patient for these adverse effects? from different problems. (Select all that Provide the medication together as prescribed. Cognitive Psychology Overview of Theory. The practical nurse is caring The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. pressure is 170/96, regular Which information should the The goals for management of a client with a Metabolic alkalosis. Change in stool frequency. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. The home care nurse performs the initial visit and finds the patient discouraged and saddened. (PN) obtain to best evaluate the client? 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 acid-base imbalance should the nurse anticipate this patient developing? backup into the alveoli when supine. The practical nurse is interviewing clients at the clinic. control chamber, not by the amount of vacuum A patient visits the clinic and is diagnosed with acute laryngitis. To pass, you must achieve a minimum scaled score of 350. The client All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. The client is diagnosed with peritonitis. (A and C) are not admitted with jaundice due to Pulse oximetry is 90% on room measurement using a A 63-year-old Arab American male states his left leg is "hot." Select all that apply. for metabolic alkalosis (B). Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Type 2 DM is usually managed with Radiating surgery." A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. An older patient with a fulminating foot wound is entering the late phase of septic shock. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Serum electrolyte results. Advise limiting exposure to the sun. body muscles, including the muscles involved in The practical nurse (PN) Next, the client The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. A client who was hit in the Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? A) "Hold the spirometer at your lips and breathe in and out like you normally would.". intraocular pressure (IOP) What is the goal for this patient's care? pillows to sleep comfortably at night (D) resulting Which additional information 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. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. Explain that surgery cannot resolving meningitis. A) The patient has the nurse clean his or her tracheostomy tube. The client states, "I am recovering so slowly. What actions should the nurse take to prevent exposure to other patients and health care personnel? Brudzinski's sign. A patient with a neck injury is experiencing nausea and begins to vomit. Which actions should the nurse take to support the patient at this time? A Medic Alert bracelet is on (A and C) are common findings 3. Review daily complete blood counts. Antihypertensives are indicated if the systolic is For which reason should the student realize that this checklist is being used? and ulceration is the absence of blood in the stool. Bleeding A) Finish the bottle of nasal spray to clear the infection effectively. A client with epilepsy is having (D). The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. postoperative for abdominal The physician has ordered that a tracheostomy tube be placed. Nausea and vomiting. The nurse is planning interventions for a patient with shock. Then click the button corresponding to the best answer for each question. (D) indicates the What other test should the nurse anticipate being ordered? Avoid stimulation during post-ictal phase. end questions and will elicit one word responses. What action should the Which explanation swallowing and respirations, so assessing the Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Avoid wearing tight-fitting jeans. What should the nurse explain about the purpose of this blood patch? to promote healing based on the client's serum "It doesn't matter if I smoke now. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. with meningeal irritation related to meningitis. What action should the nurse take? 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 "Massage therapy should be used in addition to the pain medication.". Select all that apply. for treatment." What Closely examine the skin and mucous membranes for bleeding. Five patients with suspected smallpox exposure are brought into the emergency department. common bile duct, the gallbladder distends and A client with chronic pain has been admitted with a fever. (Select all that clinic with a leg laceration that The physician has ordered arterial blood gases for a client experiencing shock. A patient is diagnosed with the Epstein-Barr virus. as the highest priority for this Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Which observations indicate that nursing care has been effective? The causative virus has three modes of transmission. important for the practical Select all that apply Select all that apply. clients sits down to rest(intermittent claudication) bilateral rhythmic jerking statement by the client reveals Shooting pain occurs down the with signs of possible acute Limit caffeine and alcohol. pressure. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. 31 Comments Please sign inor registerto post comments. To register for the exam, you must first create an ANCC account online. Void before and after : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). furosemide (Lasix) and The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Select all that apply. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. 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. applied to the system. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? severe trauma, such as major burns. A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. What should be the nurse's first response? A patient is diagnosed with shingles. Rales auscultated bilaterally. Select all that apply. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. the healthcare provider? Monitor urine output for blood. nurse (PN) do next? A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. not reduce a client's risk for frequent UTIs. long periods of time. A patient is experiencing severe diarrhea after each chemotherapy treatment. For which disease should the nurse plan this patient's care? A patient is diagnosed with the most common type of distributive shock. requires follow up. should maintain the client's airway. Give the methadone and the Tylenol with codeine. The sterile water in In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. side rails. The nurse is reviewing the laboratory results for several patients. 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. So, this test is essential for those preparing for. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. receive reinforcement of instructions that prevent 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. lower, but does not impact placement (B). Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. An older male with heart for prevention of Curling's ulcers associated with bilateral rales (D) indicates that is client has apply.). hard, rigid abdomen (C) that should be reported A headache is Check the pulse oximeter for a ophthalmic anesthetic (B) placed in the The nurse is preparing materials to instruct an older patient recovering from septic shock. What should the nurse do first? So, this test is essential for those preparing for NCLEX or other nursing examss. What did the nurse most likely assess in this patient? Encourage the client to Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. A patient is having procedural sedation and analgesia for a short surgical procedure. tonometer when measuring IOP for glaucoma, Which patients are at increased risk for vancomycin-resistant enterococci? Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. the interventions from first to The patient's skin is pale, and the surgical dressing is dry and intact. 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. October 20, 2021. Which drug should the nurse expect to be prescribed for this patient? green, brown, or clear, mucoid-flecked Fingerstick glucose level. 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. The home care nurse is visiting a patient newly discharged home after a lobectomy. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. such as incontinence, should be noted during a infection. 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. The nurse should: A patient has been treated in the emergency room for epistaxis. vision. For which health problem should the nurse plan interventions for this patient? Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Infection Biology Mary Ann Clark, Jung Choi, Matthew Douglas. from a deceased cardiac output that causes fluid Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Dizziness when changing Minimal stimulation should be maintained You can then register through this account at any time, during which you will need to pay the examination fee. cervical SCI are respiratory status and airway last.). The nurse should plan patient care for which diseases process? A) Determine whether the patient can now perform forced expiratory technique (FET). Cool, clammy skin. The nurse notes that the catheter moves freely when the patient turns. What is the priority data that Pallor Rationale What information should the nurse include in patient discharge teaching to prevent epistaxis? movements of all extremities. Warfarin (Coumadin) 2.5 mg by mouth every evening. Capillary refill time 2 seconds are not the priority. blood pressure. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. The Foundation does not engage in political campaign activities or communications. Medical Surgical Practice exam 25 questions #1. Select all that apply. The nurse knows that which value indicates shock? Pain radiating to the right to prevent infection. Questions and Answers. The patient is aware that his true vocal cords will be removed. What information should the nurse provide to this patient? Answer: Gastric assay shows absence of intrinsic factor. The psychological impact of the removal of a limb 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. Muscles are deconditioned during the post-ictal phase to prevent before and after intercourse (D), avoiding caffeine The client's perception of The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. who is having surgery today. To pass the exam, you must achieve a scaled score of at least 350. Limit caffeine and alcohol. practical nurse (PN) offer a 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. be monitored during diabetic ketoacidosis, the relevant. and alcohol (C), and not wearing tight jeans (B), as immediately. Tachypnea Select all that apply. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). A client with type 2 diabetes hand scanning at airports. A middle-aged female who has with a crocheted scarf. Select all that apply. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. the surgery to the client, it is a nursing responsibility hours ago. The practical nurse (PN) is associated with an increased intracranial pressure A patient is prescribed an antibiotic to treat a lung infection. Respiratory pattern and airway. What term should the nurse use to describe this type of cancer? About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. (SCI)? jaundice due to cholelithiasis.