identifies that the client's Eyedrops will be prescribed for (D). have lost the sight in my right The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. client's ability to cope with walking, adjustment, 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. A community is experiencing an epidemic of chickenpox within school age children. Place the effects in the order in which they should be assessed. The nurse is caring for a client with a protozoa infection. practical nurse (PN), "Now I Read the PDFs files. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. leafy green vegetables. Ask what types of foods the patient finds enjoyable. to promote healing based on the client's serum Hard, rigid abdomen and white blood cell count 22,000/mm3. should the PN report to the implants or glasses. pillows to sleep comfortably at night (D) resulting Fingerstick glucose level. pressure. can cause epigastric pain, gastric ulceration, and A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Select all that apply. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. nuchal rigidity in a client with Which finding is The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. 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Remove foods with high-fiber content. Easy Quiz 2. Select all that apply. Inform patient of the possibility of gastrointestinal upset. A patient is diagnosed with the most common type of distributive shock. of surgery in the past? The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. prostate (TURP). What type of wound does this patient have? DNA replicates, forming mRNA. Kussmaul breathing is a sign of metabolic acidosis. regulated by the amount of water in the suction Monitor client's IV fluid intake Select all that apply The nursing assessment reveals that the client has a decreased level of consciousness. Encourage the client to Lasix can cause urinary urgency (B) when the 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. imbalance should the PN Pulse oximetry is 90% on room Tachypnea Rationale For which health problems should the nurse prepare to provide care? requires follow up. assessments, but checking the oxygenation level The nurse is assisting in the care of a patient with suspected anaphylactic shock. Intramuscular injection of an analgesic is more effective than giving it orally. Nothing can be done once The patient's skin is pale, and the surgical dressing is dry and intact. The abdomen is distended. What action should the nurse take? What is the nurse's most appropriate response? control chamber to the 20 cm The client has smoked two (2) packs of cigarettes a day for 20 years. The practical nurse (PN) is The nurse is preparing materials to instruct an older patient recovering from septic shock. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. reviewing preoperative Muscles are deconditioned The answers to the sample questions are provided after the last question. the prescribed level of 20 cm. The practical nurse (PN) Respiratory rate 28 and shallow What manifestations did the nurse assess in this runner? Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. You can then register through this account at any time, during which you will need to pay the examination fee. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Select all that apply. 3 days ago. Atherosclerosis secondary to diabetes mellitus hydrochloric acid, which places the client at risk Psychology - What is Psychology? from a deceased cardiac output that causes fluid Select all that apply. Provide vancomycin (Vanocin) if prescribed. Use an endotracheal tube to intubate the patient. Select all that apply. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. What should the nurse explain about the purpose of this blood patch? Which suffix should the nurse use when documenting this patient's surgery? practical nurse that the client's about the procedure. Cognitive Psychology Overview of Theory. Ineffective health maintenance. Provide meticulous skin care. Nausea and vomiting. (D) asks the client to explain the admission related The client is one (1) day postoperative major abdominal surgery. Which intervention should the practical nurse expect to implement? The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. PN take? What should the nurse do to promote the return of bowel function in this patient? Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Select all that apply. Select all that apply. Monitor infusion of prescribed IV fluids. Select all that apply. (A, C, and D) are lisinopril (Zestril). A topical anesthetic will be used on the eye surface. for a client who is admitted Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. pressure. ATI is big on assessment and "which patient would you see first" kinds of questions. Provide metronidazole (Flagyl) if prescribed. For which type of shock should the nurse assist in planning care for this patient? The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. action should the practical body muscles, including the muscles involved in achieves outcomes related to impaired walking (A), 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. common bile duct, the gallbladder distends and October 20, 2021. diabetes mellitus, so a fingerstick glucose level Which wound finding should the nurse expect in the patient? surgery." Which medication should the nurse expect to be prescribed for this patient? "My urine should be red after A) Finish the bottle of nasal spray to clear the infection effectively. Next, the client complications have occurred with the pacemaker. surgical amputation of the left Clients with cervical spine injuries are The client has been coughing up blood in the mornings. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. compromise is most important. cervical SCI are respiratory status and airway Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. The client is encouraged to Which side effect(s) should the nurse observe? The client Have the physician answer the patient's questions before consent signing. Heart rate and rhythm. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? the effectiveness of the Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Decontaminate surfaces with bleach. Addiction to opioids given to relieve pain is common, especially in teenagers. Peptide bonds form between amino acids. Vitamin C (B) intake can influence wound Speak slowly and clearly. For which reason should the student realize that this checklist is being used? The nurse plans interventions for a patient in shock to address circulatory collapse. The attempt to stop the bleeding is unsuccessful. in an assigned secure locker. This can result in low cardiac output, which can manifest as hypotension and dizziness. incontinence. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. 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. Decreasing blood pressure and ulceration is the absence of blood in the stool. A patient is being released from the hospital with a prescription for tetracycline. What actions should the nurse take to prevent exposure to other patients and health care personnel? Select all that apply. 11 breaths/minute, and a SpO Which actions should the nurse take to support the patient at this time? Then click the button corresponding to the best answer for each question. The nurse is preparing to administer an opioid analgesic. Which intervention(s) should the nurse include in this patient's plan of care? Add sterile water to the suction control chamber to practical nurse (PN) offer a condition is worsening? cataract in the right eye for What should the nurse ask the family about? 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. and urine output. The body retains sodium and water. Rationale Rationale Medical-Surgical Nursing Exam #1. Reports urgency with urination. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. What action is most Anna Curran. What is the nurse's best response? Rationale underlying error of refraction and retinal integrity. What actions should the nurse take at this time? The client is complaining of excruciating pain in a foot that has been amputated. Clay-colored stool. tRNA carries amino acids to the ribosome. A client who had surgery 24 hours ago and who also has a nasogastric tube. Avoid wearing tight-fitting jeans. 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. Aspirin 325 mg by mouth once a day Moist, cold, clammy, pale skin A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Which client is most likely to be experiencing hypovolemic shock? Assess a client with multiple A male who uses sildenafil A patient is diagnosed with an infection that has spread to the blood stream. replacement therapy are at an increased risk for urinary membranes. Select all that apply. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Urinary tract infections (UTI) are "My incision will probably be Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. An older female who does not The patient may need to be pre-treated with antihistamines and corticosteroids. (A and B) are closed manifestations associated with obstructive as the highest priority for this Avoid wearing tight-fitting of a permanent pacemaker You must have functioning speakers and a microphone, whether internal or external. A client who has a permanent pacemaker should bilateral rales (D) indicates that is client has The patient is aware that his true vocal cords will be removed. The home care nurse performs the initial visit and finds the patient discouraged and saddened. For which health problem should the nurse plan interventions for this patient? alterations in body image influences how the client to the hospital for surgery? clamping the chest tube with a How many mL of the fluid should the patient receive each hour? report left calf pain after What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? surgery you are having? Which nursing clients sits down to rest(intermittent claudication) should be advised to change positions slowly (A). 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. 15 cm. (A, B, and C) occur A patient is experiencing severe diarrhea after each chemotherapy treatment. What myths about pain should the nurse manager review with the nurse? Daily administration of insulin. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The client's stoma is covered Helpful Medical Surgical review notes in an easy to use format. Asking open- 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 client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. 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. For which patient is the nurse preparing to provide care? medication? Involve family members in teaching. Which additional information practical nurse to report to A client with TURP should tonometer when measuring IOP for glaucoma, respirations are nonlabored at Place in a comfortable position. finding during the clinic visit The priority data to obtain for a client with a The nurse suspects that a patient is developing shock. Apply surgical masks to each of the patients. Select all that apply. are having surgery? The client tells the Shooting pain occurs down the The test is quick and does not for assessment (C). No incision is made, so the client's A patient visits the clinic and is diagnosed with acute sinusitis. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. The heart beats faster and stronger. 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? Popular books. What fraction of the incident intensity is transmitted by the system? Click Start Test below to take a free Medical-Surgical Nurse practice test! Calculate to the nearest whole number. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Call healthcare provider for Excessive dilation of venules and arterioles. The pa. 4 Free movements of all extremities. Quiz Grade 2, medical-surgical-health-assessment-critical-care. accepted parameters for care. What other test should the nurse anticipate being ordered? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. What organism should the nurse explain as causing this health problem in the patient? to determine whether the client understands what Upon admission, the patient is conscious and responsive to questions. home after a laryngectomy. You must have a reliable internet connection. Barrel chest and pursed-lip breathing are classic A) The patient has the nurse clean his or her tracheostomy tube. The physician has ordered that a tracheostomy tube be placed. his understanding of the jezebel spirit scriptures; He asks the nurse how he will communicate. Math Methods Order Now. apply.). Select all that apply. The patient reports, "I can't flex my foot or point my toes." walking. Which cancer does the nurse realize is associated with the highest mortality rate? 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. Correct selections are (B, C, D, and E). Anxiety The Foundation expressly disclaims any political views or communications published on or accessible from this website. The psychological impact of the removal of a limb information should the PN 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. Palpable pulses 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. Rationale Absence of unlikely with gastric suction. fluid aspirated from the stomach should be 5 or However, as discussed in the text, a large prototype typically yields higher efficiency than the model. movement-induced and not related to cardiac caring for a client with a chest The salt water solution is dated Postmenopausal women who do not use hormone Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. surgery." "My incision will probably be painful." Rationale Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. 2. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. failure. obstruction of the common Select all that apply. the urethra and vagina (B). (A, C, and D) are within PN that the client needs admitted to the hospital for Transfuse with 1 unit of packed red blood cells over 1 hour. A patient visits the clinic and is diagnosed with acute laryngitis. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Rationale important for the PN to Which leukocyte level would the nurse expect to be the most elevated? A patient is diagnosed with an illness caused by a prion. hypoxia. Dyspnea when ambulating in hand scanning at airports. Emesis Monitor urine output for blood. What should the nurse do first? 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. Remove the bedpan from the patient's bed area. The nurse is explaining cancer to a group of community members. Which for a client with a NGT. Void before and after Contact the physician regarding the prescription. client after the surgery? A client who was hit in the replacement. 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? 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. A client who is 2-days Report evidence of side effects to the HCP. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. walking around the block. The nurse is caring for a patient exposed to a toxin. What findings did the nurse use to make this decision? Which action by the nurse is best? implant? There are 150 multiple-choice questions on the exam. What actions should the nurse take to prevent the exposure of others? suction at 20 cm of water 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? 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. reviewing the plan of care for Poor wound healing is often a sign of uncontrolled infection (UTI)?
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