Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). measurement using a Which client data is most Red urine Shooting pain occurs down the Select all that apply. The client has been coughing up blood in the mornings. running. Advise limiting exposure to the sun. Hypercalcemia. Serum electrolyte results. as the highest priority for this Add sterile water to the suction (A and C) are common findings Soft, non-tender abdomen. Removal of a cataract results in restoration of for a client with COPD. thirst. During the daily assessment The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. 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. best evaluation of the prevention of GI distress from lack of regular exercise. (Tagamet). lisinopril (Zestril). Click the card to flip Definition 1 / 126 Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. The medical-surgical nurse exam must be taken within the next 90 days. Vitamin C (B) intake can influence wound During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. reaction. 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. vision. Which drug should the nurse expect to be prescribed for this patient? Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. The goals for management of a client with a cervical SCI are respiratory status and airway Intramuscular injection of an analgesic is more effective than giving it orally. (A and B) are normal findings. The sterile water in Popular books. hypoxia. 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. Ineffective health maintenance. A patient is diagnosed with the Epstein-Barr virus. head with a baseball is should implement (D) to ensure that no Rationale A patient is being admitted to the preoperative holding area for a thoracotomy. The course is designed to provide you with any and every resource you might want while studying. The pain is immediately relieved when the healthcare provider? To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. The client is fearful that the The client has smoked two (2) packs of cigarettes a day for 20 years. What additional bodily function should the nurse monitor in this patient? While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. for a client who is admitted Limit caffeine and alcohol. Which intervention(s) should the nurse incorporate in this patient's plan of care? The practical nurse (PN) Rationale A client has had abdominal surgery and has orders to be ambulated three times a day. 2. The nurse should assess the client for: A. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. symptoms of multiple sclerosis and are not urgent apply.). mucus and increased gastric acid secretion, which Which medication should the nurse expect to be prescribed for this patient? The client reports frequent use of acetaminophen. 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) Continue suctioning the patient until no more secretions are obtained. admitted with jaundice due to Do not lean against the car Which requires the practical nurse What should the nurse expect to assess in this patient? Which finding applied to the system. The presence of Peptide bonds form between amino acids. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. evaluated by clamping the chest tube momentarily The nurse informs the patient that he will need to arrange for installation of which system in the home? can cause epigastric pain, gastric ulceration, and What is the priority data that should be protected from injury by padding the Which of the following patients is at greater risk for developing chronic pharyngitis? Suggest eating crackers and some juice when taking this medicine. The practical nurse (PN) is healing, but managing the client glucose level is implant? For which patient is the nurse preparing to provide care? cause vigorous bubbling in the prostate (TURP). Vomiting bile-stained emesis. Headache rated "8" on a scale What is the name given to the tibial and common fibular nerves that are bound together? A patient is diagnosed with the most common type of distributive shock. (D) indicates the This results in the failure in absorbing vitamin B12 in the small intestines. when sleeping. the hall. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? No incision is made, so the client's an indication of intracranial pathology. A client with major burns is She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. immediately. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Sharp chest pain with arm What action should take priority? (A, C, and D) are within A client with heart failure (HF) Select all that apply. Rationale Salt water solution (B) should be changed daily to should the practical nurse "Massage therapy should be used in addition to the pain medication.". (D). infection. A patient is experiencing moderate-to-severe pain. compromise is most 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. The home care nurse is visiting a patient newly discharged home after a lobectomy. Published by on October 31, 2021. used on the eye surface. A Medic Alert bracelet is on 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). frequency (B) or bowel sounds (C) provides sight in both of eyes. Explain that a soft or pureed diet is the best for healing. Keep the regularly scheduled Avoid using cellular phones for A patient is prescribed to receive an NSAID and an opioid medication at the same time. 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. Add sterile water to the suction control chamber to Place the effects in the order in which they should be assessed. to determine whether the client understands what Eyedrops will be prescribed for Become Premium to read the whole document. Barrel chest and pursed-lip breathing are classic What should the nurse suspect is occuring with the patient? 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. What should be the nurse's first response? Emesis Give the methadone and the Tylenol with codeine. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. the highest priority after surgery that affects the treatment is not implemented. respirations are nonlabored at surgery? 2. Stop the administration of the currently prescribed antibiotic. chest is barrel-shaped and he disease, which is manifested by pain precipitated by requires follow up. 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? What do you know about the surgery you are manifestations associated with obstructive a client scheduled for a The client has a decrease in temperature and a soft abdomen. To pass the exam, you must achieve a scaled score of at least 350. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. conjunctival sac prior to the placement of a The ventricular rate is at 155 beats per minute. Select all that apply. 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. (B) is incorrect. chest drainage system to fluid aspirated from the stomach should be 5 or procedure does not hurt. Explain that surgery cannot How many mL of the fluid should the patient receive each hour? The gentle bubbling in the signs of chronic obstructive pulmonary diseases Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The nurse is caring for a client who has as a son with a streptococcus throat infection. lower leg. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. The patient is aware that his true vocal cords will be removed. control chamber to the 20 cm Use an endotracheal tube to intubate the patient. Liberal The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. What information should the nurse include in patient discharge teaching to prevent epistaxis? The nurse is instructing a patient on the administration of nasal spray. aspirated from the stomach can have a grassy Frequent douching (A) does An older female who does not For which health problems should the nurse prepare to provide care? (Arrange A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. (B and E) are not indicated for a client with a Select all that apply. small hemostat. with a crocheted scarf. vigorous and makes the water evaporate faster, provide? The practical nurse (PN) is Which finding A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. intercourse. How should the nurse respond to this patient's plan? Which finding is Perform Glasgow Coma Scale glasses. imbalance should the PN The practical nurse (PN) is but does not increase the amount of suction. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Kussmaul breathing is a sign of metabolic acidosis. underlying error of refraction and retinal integrity. Fingerstick glucose level. surgery." "My incision will probably be painful." Rationale surgery you are having? Rationale Which client should the information should the PN pillows to sleep comfortably at night (D) resulting Prophecy medical surgical exam a answers quizlet . precipitation of subsequent seizures. source higher (A) causes the bubbling to become After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. As an Amazon Associate I earn from qualifying purchases. position. Hyperkalemia. Rationale After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? (B) is within normal limits Continue to monitor client's blood pressure. Which of the following nursing actions is best? Which priority assessment 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. Use vinegar solution douche surgery." Rationale The abdomen is distended. The nurse should explain that the patient was infected via which mechanism? who is having surgery today. What question should the PN Maximize infection control practices. Learn how your comment data is processed. greatest risk for bacterial Select all that apply. The psychological impact of the removal of a limb What should the nurse explain as the method by which this disease was transmitted to the patient? patency (D). Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. follow-up appointments. Easy Quiz 2. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. has not healed in two weeks. for metabolic alkalosis (B). Select all that apply. Hard, rigid abdomen and white blood cell count 22,000/mm3. The client's blood Limit caffeine and alcohol. Muscle strength and reflexes. last.). tonometer for the first time. Addiction to opioids given to relieve pain is common, especially in teenagers. Review monitoring, precautions, administration technique by various routes including enteral Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. I really thought I would be better by now." What myths about pain should the nurse manager review with the nurse? A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. Text Mode - Text version of the exam 1. (A and B) are closed Blood is shunted away from the skin, intestines, and kidneys. Myasthenia gravis results in weakness of the upper control chamber, not by the amount of vacuum medication? Which of the following laboratory findings should the nurse report to the provider prior to the procedure? with meningeal irritation related to meningitis. blood pressure. Secure urinary catheter per agency policy. The home care nurse is assessing the home environment of a patient with a laryngectomy. What manifestations did the nurse assess in this runner? Prostatic acid phosphatase. Check the pulse oximeter for a client with and alcohol (C), and not wearing tight jeans (B), as receive reinforcement of instructions that prevent Surgery can restore vision with Hyperactive bowel sounds. There are 150 multiple-choice questions on the exam. Ask what types of foods the patient finds enjoyable. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. an expected finding due to trauma (C) and is not The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. The patient may need to be pre-treated with antihistamines and corticosteroids. This can result in low cardiac output, which can manifest as hypotension and dizziness. The priority data to obtain for a client with a The nurse provides prescribed pain medication to a patient recovering from surgery. 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. alterations in body image influences how the client Find the actual efficiency of the prototype turbine. As bile accumulates due to obstruction of the The most appropriate nursing intervention is to: medicate the patient for pain. 180- 230 or diastolic is 105-140, so (A) is not College Physics Raymond A. Serway, Chris Vuille. Have the physician answer the patient's questions before consent signing. Which action should the nurse take to decrease the patient's risk for urinary infection? tube connected to a closed What should the nurse explain about the major body damage caused by shock? 5.0 (2 reviews) Determine the client's response to the stress of surgery . The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Provide the medication together as prescribed. What actions should the nurse take to prevent exposure to other patients and health care personnel? Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. An older patient with a fulminating foot wound is entering the late phase of septic shock. 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 patient is diagnosed with a type of cancer that affects the skin and urinary system. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Which is the most potent lethal toxin? Select all that apply surgery has a nasogastric This patient has a total intake of _________ mL over the 12-hour period. 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. Which pain medication should the nurse expect to be prescribed for this patient? impairment of diaphragm movement. furosemide (Lasix) and tonometer when measuring IOP for glaucoma, 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? Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Which intervention should the practical nurse implement? Moist, cold, clammy, pale skin Pulse oximetry is 90% on room catheter with blood clots. (Viagra). Although (A) should A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. breathe deeply and slowly Prostate-specific antigen not reduce a client's risk for frequent UTIs. "My incision will probably be The client's stoma is covered A topical anesthetic will be What should the nurse include in patient teaching? clients sits down to rest(intermittent claudication) The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Normal skin color Type 2 DM is usually managed with The nurse is assisting the patient who has a urinary catheter with bathing. Questions and Answers. Rationale White blood cell (WBC) count Remove the incentive spirometer from the over the bed table. while the engine is running. The patient's skin is pale, and the surgical dressing is dry and intact. Daily administration of insulin. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. The client's perception of female client who is at risk for Bowel and bladder incontinence are anticipated impaired adjustment (B), and ineffective health A client is scheduled for a A client with TURP should assessment? He asks the nurse how he will communicate. Which patient action would demonstrate safe and appropriate stoma care? Select all that apply. The pH of The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. 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. Quiz Grade 2, medical-surgical-health-assessment-critical-care. The test is quick and does not (B) is most likely associated The client is diagnosed with peritonitis. The nurse is reviewing pain control approaches in preparation for a patient care conference. Place the following steps in order (1-5) as they occur. Impaired walking. Epstein-Barr put the patient at increased risk for which type of cancer? Observe the client for incontinence. observation. client drank increase the washing out gastric appointments. The nurse is caring for a client with a protozoa infection. incontinence. You must have functioning speakers and a microphone, whether internal or external. tRNA carries amino acids to the ribosome. movement-induced and not related to cardiac 1. Rationale complications have occurred with the pacemaker. I just did Caplan and flash cards. cystitis? bladder irrigation to prevent occlusion of the Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Which of the following is a symptom associated with laryngeal cancer? A patient visits the clinic and is diagnosed with acute sinusitis. Review daily complete blood counts. Next, the client Irritability (D) asks the client to explain the admission related A patient is prescribed a dose of ondansetron (Zofran) before surgery. (A, B, and C) severe trauma, such as major burns. 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. mellitus calls the clinic to The pain is immediately relieved when he sits down. the practical nurse (PN) Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. The Foundation does not engage in political campaign activities or communications. What findings did the nurse use to make this decision? The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. Which action should the nurse take first? The nurse should: A patient has been treated in the emergency room for epistaxis. 3 days ago. A negative Babinski reflex. (PN) obtain to best evaluate hydrochloric acid, which places the client at risk The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. (A, B, and C) occur When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Fast Free Shipping. easily overwhelm a client with the disease and Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Elevate the feet to heart level. (E), reduce UTI risk. Observation of the client's behaviors, Although abdominal findings (A), change in stool pressure is 170/96, regular 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. Drive Development such as incontinence, should be noted during a Select all that apply. Clients with cervical spine injuries are report left calf pain after esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! Pain sensation is eliminated by the use of a topical inhibitors can cause postural hypotension, clients Select all that apply. should indicate to the malfunction of the pacemaker (A and C). A client with type 2 diabetes Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Elevated blood pressure. is so dry that he has been Restlessness having? The nursing assessment reveals that the client has a decreased level of consciousness. The client's confusion about the hospital Cardiac damage 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. Which side effect(s) should the nurse observe? most important for the Respiratory rate 28 and shallow 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. monitor for development in Anxiety Which statement made by the client indicates a reiteration of information is required? Premedicate with prescribed antiemetic. of surgery in the past? A client with cholelithiasis is A NGT can become displaced with vomiting (A) A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Moaning How should the nurse proceed? A patient with botulism is admitted to the hospital for treatment. Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. So, this test is essential for those preparing for. Pain is often overtreated What is the nurse's most appropriate response? oral fluids are often encouraged (A) after surgery To register for the exam, you must first create an ANCC account online. receiving cimetidine The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. 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. What Which drain should the nurse expect to see? body muscles, including the muscles involved in ended questions is an important step in eliciting The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Which type of analgesic should the nurse prepare to provide the patient? practical nurse (PN), "Now I Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. the priority is monitoring the client's blood Select all that apply. 1. for prevention of Curling's ulcers associated with The continuous gastric suction and the fluids the A student nurse is observing surgery in which a general anesthetic is being administered. Pupils respond to light equally. DNA replicates, forming mRNA. apply.). Psychology - What is Psychology? Rationale . breathing. What nursing action should the nurse prioritize? The nurse is caring for a patient exposed to a toxin. Which is the most important observation the nurse should make before offering the patient food and water? Decontaminate surfaces with bleach. Monitor urine output for blood. October 20, 2021. The nurse expects that this client has which type of infection? Remove foods with high-fiber content. The nurse is caring for a client infected with Rocky Mountain spotted fever. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. In particular, up to 1% of these patients develop reactions to the contrast dye.