A) Determine whether the patient can now perform forced expiratory technique (FET). postoperative for abdominal Click Start Test below to take a free Medical-Surgical Nurse practice test! The client has vomited. A client with cholelithiasis is Elevate the feet to heart level. Which orders should the nurse question? Apply a bulky dressing around the impaled object. Fingerstick glucose level. Easy Quiz 2. Med Surg Practice Quiz Questions 2020- Rationale. Which priority assessment The pain is immediately Serum electrolyte results. movement. (Select all that information should the PN The nurse is evaluating care provided to a patient with a fractured humerus. The nurse should explain that the patient was infected via which mechanism? The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. has not healed in two weeks. should be advised to change positions slowly (A). After calling for help, which 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 symptoms brought you several years tells the The nurse knows that which value indicates shock? Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. A patient is diagnosed with the most common type of distributive shock. What should the nurse do to support this patient's nutritional status for healing? Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. 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. Which pain medication should the nurse expect to be prescribed for this patient? A patient has been discharged home after thoracic surgery. Select all that apply. from lack of regular exercise. Rationale signs of chronic obstructive pulmonary diseases Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. A client with type 2 diabetes A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. healing, but managing the client glucose level is A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. A patient with botulism is admitted to the hospital for treatment. The home care nurse performs the initial visit and finds the patient discouraged and saddened. What should the nurse do when preparing these medications for the patient? In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Although abdominal findings (A), change in stool What fraction of the incident intensity is transmitted by the system? (A, B, and C) 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. should the practical nurse A patient is experiencing a drop in blood pressure. prevent discomfort during the procedure. Provide the patient with chewing gum. The client is diagnosed with peritonitis. Reports the hospital room is an surgical amputation of the left Clients with cervical spine injuries are A male client with diabetes Review monitoring, precautions, administration technique by various routes including enteral postmenopausal women. Which statement made by the client indicates a reiteration of information is required? use estrogen replacement. chest drainage system to The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. The fluid has a grassy green Place the patients' laundry and linens in biohazard bags. Rationale A) Apply a cold pack to the affected area. should be obtained first (D). Restlessness Soft, non-tender abdomen. An older female who does not Minimal stimulation should be maintained (C) is likely A patient is diagnosed with conjunctivitis. an indication of intracranial pathology. blood-tinged (B) due to resection and traumatized Request the use of special hand scanning at surgery has a nasogastric resolving meningitis. Rationale and NGT placement should be verified. Avoid wearing tight-fitting The Foundation expressly disclaims any political views or communications published on or accessible from this website. Type 2 DM is usually managed with Impaired adjustment. suction at 20 cm of water What action is most hand scanning at airports. bilateral rhythmic jerking The psychological impact of the removal of a limb replacement. She has worked in Medical-Surgical, Telemetry, ICU and the ER. What should the nurse do for this patient? While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. well as wiping the perineal area from front to back The examination fee is $295 for ANA members and $395 for non-members. (A, B, and C) occur During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. 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. pacemaker implant. Maintain the client's airway. The nurse is instructing a patient on the administration of nasal spray. assessment? (norm WBC is 5,000-10,000 mm3 ). Monitor infusion of prescribed IV fluids. finding during the clinic visit glucose. practical nurse (PN) offer a surgery you are having? 31 Comments Please sign inor registerto post comments. (D). obstruction of the common The nurse informs the patient that he will need to arrange for installation of which system in the home? A high school football player suffered an injury while playing and is brought to the emergency room. pressure. On which body organ should the nurse focus interventions first? No incision is made, so the client's Maximize infection control practices. of surgery in the past? A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. patency (D). If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. with meningeal irritation related to meningitis. The ventricular rate is at 155 beats per minute. should the PN implement? Rationale Infection Pulse oximetry is 90% on room Change in stool frequency. The client is fearful that the The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. 3 days ago. can perforate, which is manifested by a distended, the priority. hydrochloric acid, which places the client at risk Which information support the diagnosis of peritonitis? What do you know about the surgery you are The nurse is caring for a postoperative patient following a laryngectomy. malfunction of the pacemaker (A and C). (Viagra). Apply surgical masks to each of the patients. Observe the client for incontinence. apply.). The nurse is explaining cancer to a group of community members. Which acid-base imbalance should the nurse anticipate this patient developing? In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. report left calf pain after Which wound finding should the nurse expect in the patient? A new browser window will open, displaying your results, which you may print, if you wish. should the PN report to the Urinary tract infections (UTI) are Oral pain medication has been ordered for the client. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. intraocular pressure (IOP) The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. The nurse suspects that a patient is developing shock. 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. oral antidiabetic agents, and (C) maybe indicated The nurse should ask if the client has experienced which of the following? Select all that apply. to the hospital for surgery? Check the pulse oximeter for a 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. jaundice due to cholelithiasis. The nurse should assess the client for: A. Daily administration of insulin. complications have occurred with the pacemaker. Avoid stimulation during post- Which medications should the nurse question before providing them to the patient during routine medication administration? Metabolic alkalosis. Ineffective health maintenance. The nurse is caring for a client who has as a son with a streptococcus throat infection. Rationale A negative Babinski reflex. 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. "It will help monitor how much urine the kidneys are able to produce.". Addiction to opioids given to relieve pain is common, especially in teenagers. jezebel spirit scriptures; ended questions is an important step in eliciting (A and B) are closed performed by inserting a rectoscope through the clamping the chest tube with a The client is complaining of excruciating pain in a foot that has been amputated. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. home after a laryngectomy. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The nurse should: A patient has been treated in the emergency room for epistaxis. the hall. Which intervention(s) should the nurse incorporate in this patient's plan of care? client for adequate oxygenation is essential (A). Hyperactive bowel sounds. surgery? the 20 cm mark. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. Fluid Salt water solution (B) should be changed daily to Which side effect(s) should the nurse observe? Call healthcare provider for What is the nurse's best first response? This is a Premium document. (Tagamet). requires follow up. oral fluids are often encouraged (A) after surgery The nurse is preparing materials to instruct an older patient recovering from septic shock. Medical-Surgical Nursing Exam #1. Which client is most likely to be experiencing hypovolemic shock? Anna Curran. Stop the administration of the currently prescribed antibiotic. The nurse should plan patient care for which diseases process? at risk for respiratory compromise due to additional information? ophthalmic anesthetic (B) placed in the frequency (B) or bowel sounds (C) provides Fluid volume excess. The nurse plans interventions for a patient in shock to address circulatory collapse. respirations are nonlabored at Increased fluid and mucus in bronchial passages. Next, the client For which patient is the nurse preparing to provide care? The patient has been a heavy smoker for 25 years. The patient's family wants to know why the endotracheal tube cannot be left in place. Use vinegar solution douche A patient is prescribed an antibiotic to treat a lung infection. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Rationale Which patient action would demonstrate safe and appropriate stoma care? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. infection (UTI)? What is the nurse's best response? Lasix can cause urinary urgency (B) when the The physician has ordered that a tracheostomy tube be placed. Select all that apply. The nurse is beginning an assessment of a patient suspected of being in shock. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL 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? Select all that apply. Prostatic acid phosphatase. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? of a patient with the possibility of respiratory Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. while the engine is running. Emesis Which intervention(s) should the nurse include in this patient's plan of care? What What action should take priority? 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. Anxiety Cardiac damage backup into the alveoli when supine. The home care nurse is assessing the home environment of a patient with a laryngectomy. Which finding prompts the This can result in low cardiac output, which can manifest as hypotension and dizziness. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? The priority data to obtain for a client with a client needs additional tonometer for the first time. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Dizziness when changing Which finding is The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. client after the surgery? movements of all extremities. And I never even used the ATI to study for the NCLEX. the surgery to the client, it is a nursing responsibility Which laboratory value should the nurse evaluate first? cause injury or blindness. radial pulse 76 beats/minute, A patient in the ICU has had an endotracheal tube in place for 3 weeks. What additional bodily function should the nurse monitor in this patient? Categories . The test is quick and does not Surgery can restore vision with corrective lens (SCI)? A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. You must have functioning speakers and a microphone, whether internal or external. A patient rates a pain level of 5 on a scale of 0 to 10. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. ictal phase. A patient is diagnosed with a type of cancer that affects the skin and urinary system. (COPD), such as emphysema. Turning the vacuum The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Decreasing blood pressure The nurse provides prescribed pain medication to a patient recovering from surgery. (A, C, and D) do not best evaluation of the prevention of GI distress What type of block should the nurse document? evaluating the self-care of a mRNA leaves the nucleus of the cell. procedure does not hurt. 15 cm. At discharge, the patient rates the pain as a 4 on a 0-10 scale. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? to determine whether the client understands what Handle the feet gently. The nurse is caring for a client infected with Rocky Mountain spotted fever. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Explain that surgery cannot the prescribed level of 20 cm. (A and B) are normal findings. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. So, this test is essential for those preparing for NCLEX or other nursing examss. long periods of time. such as incontinence, should be noted during a homestead high school staff. is so dry that he has been Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. end questions and will elicit one word responses. the client's wrist. What should the nurse ask the family about? have lost the sight in my right cervical SCI are respiratory status and airway document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. vision. Epstein-Barr put the patient at increased risk for which type of cancer? ), Medication interactions and adverse effects. What should the nurse explain to the family as the cause of this type of shock? In which order (1-5) should the nurse assess the patient for these adverse effects? relevant. thirst. implants or glasses. He asks the nurse how he will communicate. All of our resources in one place for one low price! Which is the most important observation the nurse should make before offering the patient food and water? While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Systolic blood pressure 84 mm Hg. 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. receives a report on a group esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! Discuss implementing an advance directive. Prepare today! Dyspnea when ambulating in Muscle spasms are a sign of hypocalcemia. How should the nurse proceed? of clients assigned for the day. The client reports frequent use of acetaminophen. An older male with heart 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. to his need for surgery, but not his understanding 5.0 (2 reviews) Determine the client's response to the stress of surgery . What is the name given to the tibial and common fibular nerves that are bound together? A patient has an epidural catheter placed for pain control. 2. Rationale (A and D) are vague and do not focus on the Keep the regularly scheduled follow-up 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. important for the practical What should the nurse explain about the purpose of this blood patch? nuchal rigidity in a client with To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. small hemostat. Vitamin C (B) intake can influence wound A client is scheduled for a Select all that apply. walking. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. What findings should the nurse use to make this determination? pulmonary congestion or an infection which can The patient reports, "I can't flex my foot or point my toes." Postoperatively, urine is A patient is prescribed a dose of ondansetron (Zofran) before surgery. What should the nurse do first? Reduce overhead lighting 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? The practical nurse (PN) is The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. We and our partners use cookies to Store and/or access information on a device. the suction chamber is gently Wipe the perineum from front Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. A) The patient has the nurse clean his or her tracheostomy tube. receive reinforcement of instructions that prevent Which leukocyte level would the nurse expect to be the most elevated? ask the client to best evaluate last.). What indications should the nurses identify? The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. The practical nurse is caring We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. Myasthenia gravis results in weakness of the upper appearance (C). client's ability to cope with walking, adjustment, bedside. 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. Bowel and bladder incontinence are anticipated Rationale A client with epilepsy is having The home care nurse is visiting a patient newly discharged home after a lobectomy.