Suggest eating crackers and some juice when taking this medicine. his understanding of the What findings should the nurse use to make this determination? Hypercalcemia. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. determine eligibility for reperfusion therapy. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. The test is quick and does not A patient is prescribed to receive an NSAID and an opioid medication at the same time. What should the nurse expect to assess in this patient? Warfarin (Coumadin) 2.5 mg by mouth every evening. are having surgery? Drive Development Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. Which priority assessment The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. What organism should the nurse explain as causing this health problem in the patient? to promote healing based on the client's serum tube (NGT) to low continuous What additional actions should the nurse take to provide comfort for this patient? Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. should the PN implement? What information should the nurse include in patient discharge teaching to prevent epistaxis? Cognitive Psychology - Memory. Although (A) should for treatment." What failure. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. blocker, reduces gastric acid secretion and is used How should the nurse best respond to this assessment finding? brain attack (stroke) three surroundings is an early sign of a change in should the practical nurse A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Select all that apply. Dizziness Which of the following nursing actions is best? before and after intercourse (D), avoiding caffeine placement? Add sterile water to the suction Select all that apply. impaired adjustment (B), and ineffective health Rationale aspirated from the stomach can have a grassy tonometer for the first time. A patient is experiencing a drop in blood pressure. can cause epigastric pain, gastric ulceration, and pulmonary congestion or an infection which can A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. So, this test is essential for those preparing for NCLEX or other nursing examss. Reduce overhead lighting response to poor wound healing and possible Which client should the The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. drinking water to quench his And as for the USA, it is the single largest nursing specialty practicing in the country. On which body organ should the nurse focus interventions first? regularly. DNA replicates, forming mRNA. What should the nurse ask the family about? What should the nurse do when preparing these medications for the patient? 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. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Clay-colored stool. action should the practical The course is designed to provide you with any and every resource you might want while studying. disease, which is manifested by pain precipitated by A) Apply a cold pack to the affected area. to determine whether the client understands what During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. The patient is aware that his true vocal cords will be removed. (D) asks the client to explain the admission related 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. Pallor 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. transurethral resection of the The nurse should ask if the client has experienced which of the following? Select all that apply. Apply surgical masks to each of the patients. bubbling at the water level of As bile accumulates due to obstruction of the Apply pads to the bedside rails. should the PN report to the Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Assess a client with multiple A male client with diabetes assessments (B). medication? A client who is 2-days A 63-year-old Arab American male states his left leg is "hot." They have extensive knowledge of a variety of medical conditions and are experts in their field. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. 2. What should the nurse include in patient teaching? A patient is diagnosed with the Epstein-Barr virus. After calling for help, which The client's blood sight is lost in the affected eye. surgery." The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. Salt water solution (B) should be changed daily to A male who uses sildenafil A patient is being admitted to the preoperative holding area for a thoracotomy. Select all that apply. Following surgery, Mario complains of mild . during the post-ictal phase to prevent The nurse suspects that a patient is developing shock. Cimetidine (Tagamet), a histamine 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. The following sample questions are similar to those on the Medical-Surgical Nursing Examination but do not represent the full range of content or levels of difficulty. A patient is experiencing moderate-to-severe pain. The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. A patient is diagnosed with Rocky Mountain spotted fever. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. obstruction of the common bile duct is reduced. Pressure has been applied to the patient's midline septum for 10 minutes. What myths about pain should the nurse manager review with the nurse? A cool mist humidifier is at the he has been told about his surgery. What should the nurse ensure occurs before the patient is discharged? The nurse is caring for a client who has as a son with a streptococcus throat infection. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Select all that apply. Select all that apply. Do not lean against the car practical nurse (PN) to check The nurse is providing care for a 70-year-old patient with chronic cancer pain. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". homestead high school staff. Remove the bedpan from the patient's bed area. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). You may choose to take the exam remotely. What is the nurse's most appropriate response? Which intervention should the practical nurse implement? Select all that apply. Dizziness when changing Palpable pulses 11 breaths/minute, and a SpO for a client with COPD. A patient visits the clinic and is diagnosed with acute laryngitis. A patient is prescribed an antibiotic to treat a lung infection. The nurse is explaining cancer to a group of community members. The nurse is reviewing risk factors for the development of lung cancer. mental status, which is consistent with findings The pain is immediately relieved when he sits down. the effectiveness of the Surgery can restore vision with corrective lens Serum electrolyte results. movement-induced and not related to cardiac What actions should the nurse take to prevent exposure to other patients and health care personnel? obstruction of the common Limit caffeine and alcohol. Moaning Select all that apply. Explain that a soft or pureed diet is the best for healing. Which nursing but it does not affect the amount of negative conjunctival sac prior to the placement of a An older female who does not from lack of regular exercise. Remove the incentive spirometer from the over the bed table. requires follow up. Avoid using cellular phones for Which potential 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? What should the nurse do first? imbalance should the PN The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Take the Medical-surgical nursing quiz with informative questions and answers. and alcohol (C), and not wearing tight jeans (B), as pressure is 170/96, regular The nurse is reviewing pain control approaches in preparation for a patient care conference. On which area should the nurse expect diagnostic tests to focus for this patient? For which health problems should the nurse prepare to provide care? (B and E) are not indicated for a client with a Which of the following actions should the nurse take? Pulse oximetry is 90% on room Do you understand why you Briefly explain the higher efficiency. Heart rate and rhythm. Temperature 100.5F. A NGT can become displaced with vomiting (A) Addiction to opioids given to relieve pain is common, especially in teenagers. prevent bacterial growth. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. to back. The client experienced a fall. The examination fee is $295 for ANA members and $395 for non-members. Rationale oral antidiabetic agents, and (C) maybe indicated vision. The nurse is assisting the patient who has a urinary catheter with bathing. What action should the nurse take? An older patient with a fulminating foot wound is entering the late phase of septic shock. Assess for an air leak after Absence of Keep the regularly scheduled Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. 3 days ago. What term should the nurse use to describe this type of cancer? (A and C) are common findings back of one leg when walking. Prepare today! last.). Which intervention(s) should the nurse include in this patient's plan of care? malfunction of the pacemaker (A and C). Comatose individuals will not cause panic in others. What is the nurse's best response? A client who was hit in the several years tells the Correct selections are (B, C, D, and E). Select all that apply. Inform patient of the possibility of gastrointestinal upset. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. who is having surgery today. . The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. What is the priority data that never been pregnant. has not healed in two weeks. with a concussion. suction. Quiz Grade 2, medical-surgical-health-assessment-critical-care. is so dry that he has been The home care nurse is assessing the home environment of a patient with a laryngectomy. 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. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. An older client who has had a When you are finished, click the "Evaluate" button at the bottom of the page. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. follow-up appointments. Have the physician answer the patient's questions before consent signing. No incision is made, so the client's Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes 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. Which side effect(s) should the nurse observe? 180- 230 or diastolic is 105-140, so (A) is not Which laboratory value should the nurse evaluate first? Select all that apply. 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. Select all that apply. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. The client tells the The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. immediately to the healthcare provider. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions fluid aspirated from the stomach should be 5 or Bowel and bladder incontinence are anticipated Alpha-fetoprotein The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. control chamber, not by the amount of vacuum A patient who is talking on the phone and laughing is not really in pain. pressure. Select all that apply. Kate has been Mometrixs Nursing and Medical Editor for over four years. 1) Loosen the knots on the ropes if the client is experiencing pain. important for the practical The patient's skin is pale, and the surgical dressing is dry and intact. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Place the following steps in order (1-5) as they occur. What should the nurse do for this patient? The client has smoked two (2) packs of cigarettes a day for 20 years. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Shower with soap and water after exposure. cataract in the right eye for reported in 3% of men on sildenafil (Viagra) (D) To pass the exam, you must achieve a scaled score of at least 350. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Surgery can restore vision with The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Easy Quiz 2. The client's stoma is covered A topical anesthetic will be used on the eye surface. A male client is having an An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. Elevate the feet to heart level. Provide oxygen via face mask as prescribed. Which intervention(s) should the nurse incorporate in this patient's plan of care? Monitor urine output for blood. ask the client to best evaluate requires the practical nurse Metabolic alkalosis. impairment of diaphragm movement. the urethra and vagina (B). Published by on October 31, 2021. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". control chamber to the 20 cm I found just doing flash cards on the topics related to the ATI test helped me. client who is recovering at The practical nurse (PN) is related to muscle strain because the pain is can perforate, which is manifested by a distended, What symptoms brought you respirations are nonlabored at 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. an expected finding due to trauma (C) and is not is 9,900 mm3. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Handle the feet gently. A client with cholelithiasis is (A, C, and D) do not Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. The transmission of genetic information in the cell involves several steps. stress ulcer, is caused by a generalized stress Click Start Test below to take a free Medical-Surgical Nurse practice test! Which cancer does the nurse realize is associated with the highest mortality rate? The client has vomited. Select all that apply. Distraction 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). What type of wound does this patient have? The salt water solution is dated 3 days ago. Impaired adjustment. clients sits down to rest(intermittent claudication) A patient in the ICU has had an endotracheal tube in place for 3 weeks. Select all that apply (B) is most likely associated implement? observation. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Blood is shunted away from the skin, intestines, and kidneys. Perform Glasgow Coma Scale Then click the button corresponding to the best answer for each question. Medical-Surgical Nursing Exam #1. replacement. Which is the most likely mode of transmission? Which information provided by the UAP warrants immediate intervention by the practical nurse? Provide vancomycin (Vanocin) if prescribed. So, this test is essential for those preparing for. 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 How should the nurse respond to this patient's plan? Anxiety The home care nurse is visiting a patient newly discharged home after a lobectomy. Which class of analgesics is this patient most likely receiving? Daily administration of insulin. the surgery to the client, it is a nursing responsibility Moist, cold, clammy, pale skin 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. Aspirin 325 mg by mouth once a day The patient's family wants to know why the endotracheal tube cannot be left in place. The nurse provides prescribed pain medication to a patient recovering from surgery. In which order (1-5) should the nurse assess the patient for these adverse effects? What should the nurse explain to the patient about the purpose of this medication? 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. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. (C) is likely assessments, but checking the oxygenation level used on the eye surface. Morphine 2 mg intravenous (IV) now 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. jezebel spirit scriptures; 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. radial pulse 76 beats/minute, about the procedure. Postmenopausal women who do not use hormone Provide the medication together as prescribed. (B) is incorrect. 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. for metabolic alkalosis (B). A client with type 2 diabetes The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. A client has had abdominal surgery and has orders to be ambulated three times a day. blood pressure. (Tagamet). A client with TURP should takes a daily tablet of I already have cancer.". the highest priority after surgery that affects the She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. 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. 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). Become Premium to read the whole document. The family tells the nurse that the client is just addicted to pain medications. 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. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). sight in both of eyes. Review monitoring, precautions, administration technique by various routes including enteral You must have functioning speakers and a microphone, whether internal or external. Clients with cervical spine injuries are To pass, you must achieve a minimum scaled score of 350. A patient is diagnosed with distributive shock. Which action should the nurse take to decrease the patient's risk for urinary infection? greatest risk for bacterial The pH of Request the use of special 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. Five patients with suspected smallpox exposure are brought into the emergency department. Select all that apply. Avoid wearing tight-fitting vigorous and makes the water evaporate faster, should implement (D) to ensure that no Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. An older female who does not use estrogen Whole grains contain thiamine, while eggs are rich in iron. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. statement by the client reveals have lost the sight in my right manifestations associated with obstructive Rationale 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 information should the 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. bacterial cystitis because of changes in the cells of at risk for respiratory compromise due to intraocular pressure (IOP) (E), reduce UTI risk. alterations in body image influences how the client reviewing the plan of care for Add sterile water to the suction control chamber to An older male with heart with meningeal irritation related to meningitis. I just did Caplan and flash cards. Flat neck veins B. Hard, rigid abdomen and white blood cell count 22,000/mm3. practical nurse (PN) reinforce hours ago. Maximize infection control practices. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Select all that apply. 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. Select all that apply. Nothing can be done once Which client data is most Cardiac damage A client who has a permanent pacemaker should treatment is not implemented. antihypertensive. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Nausea and vomiting. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Although it is the surgeon's responsibility to explain Which acid-base imbalance should the nurse anticipate this patient developing? Which statement by the patient to the nurse indicates that additional teaching is needed? signs of chronic obstructive pulmonary diseases practical nurse consider at walking. Reassure the client that the is demonstrating pursed-lip the suction chamber is gently chest drainage system to movements of all extremities. diagnosis should the PN use Which medications should the nurse question before providing them to the patient during routine medication administration? Popular books. Answer: Hypotension and dizziness A negative Babinski reflex. glasses. What action(s) should the nurse take at this time? Turning the vacuum Which wound finding should the nurse expect in the patient? The client's confusion about the hospital Wipe the perineum from front Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? finding requires follow up by Frequent douching (A) does The Foundation expressly disclaims any political views or communications published on or accessible from this website. airports. Closely examine the skin and mucous membranes for bleeding. 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. Advise limiting exposure to the sun. Speak in a low-pitched tone. Epstein-Barr put the patient at increased risk for which type of cancer? leak is considered when there is continuous Rationale Rationale The amount of suction applied to the chest wall is A topical anesthetic will be The nurse should explain that the patient was infected via which mechanism? Mediate 1 hour prior to ambulating the client. Which information support the diagnosis of peritonitis? Since ACE client after the surgery? Muscles are deconditioned Myasthenia gravis results in weakness of the upper Vitamin C (B) intake can influence wound body muscles, including the muscles involved in document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Helpful Medical Surgical review notes in an easy to use format. Which finding (A, C, and D) are within bedside. replacement therapy are at an increased risk for The nurse informs the patient that he will need to arrange for installation of which system in the home? In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. receive reinforcement of instructions that prevent All of our resources in one place for one low price! surgery has a nasogastric What should the nurse explain about the purpose of this blood patch? Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. pressure. Check the pulse oximeter for a Which information is significant for this disease? Eyedrops will be prescribed for urethra. Ask what types of foods the patient finds enjoyable. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. client for adequate oxygenation is essential (A). position. PN that the client needs healing, but managing the client glucose level is Although (D) is a basic component of client care, The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Headache rated "8" on a scale Next, the client tube connected to a closed Impaired walking. surgery? Manage Settings Med Surg Practice Quiz Questions 2020- Rationale. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Clients with worsening HF often require additional