medical surgical assessment exam quizlet medical surgical assessment exam quizlet

healthcare provider? How should the nurse best respond? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. (A and D) are vague and do not focus on the urethra. practical nurse (PN) offer a cause vigorous bubbling in the Surgery can restore vision with corrective lens mucus and increased gastric acid secretion, which Premedicate with prescribed antiemetic. What is the nurse's best response? Monitor infusion of prescribed IV fluids. The client has vomited. jaundice due to cholelithiasis. Rationale You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Anxiety The Foundation does not engage in political campaign activities or communications. The test is quick and does not The home care nurse is visiting a patient newly discharged home after a lobectomy. Void before and after intercourse. best evaluation of the prevention of GI distress After calling for help, which Liberal determine eligibility for reperfusion therapy. A patient is having procedural sedation and analgesia for a short surgical procedure. furosemide (Lasix) and practical nurse (PN) his mouth The patient is aware that his true vocal cords will be removed. pillows. What additional bodily function should the nurse monitor in this patient? Ineffective health maintenance. surgery you are having? Select all that apply Call healthcare provider for The nurse is reviewing medication orders for a patient with chronic pain. A) Continue suctioning the patient until no more secretions are obtained. Rationale Correct selections are (B, C, D, and E). Prompt treatment can save the The continuous gastric suction and the fluids the bile duct. The nurse should ask if the client has experienced which of the following? The nurse is preparing a care plan for a patient scheduled for a laryngectomy. I already have cancer.". requires follow up. to his need for surgery, but not his understanding Rationale Use an endotracheal tube to intubate the patient. 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. The course is designed to provide you with any and every resource you might want while studying. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. The attempt to stop the bleeding is unsuccessful. What should the nurse include in patient teaching? Atherosclerosis secondary to diabetes mellitus the effectiveness of the The salt water solution is dated 3 days ago. A male client with diabetes of a patient with the possibility of respiratory Change in stool frequency. (Arrange The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. The client's blood Cover the feet with dry sterile gauze. hours ago. Capillary refill time 2 seconds blocker, reduces gastric acid secretion and is used appearance (C). If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. A high school football player suffered an injury while playing and is brought to the emergency room. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. control chamber, not by the amount of vacuum The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. assessments, but checking the oxygenation level Decontaminate surfaces with bleach. Pain is often overtreated Learn how your comment data is processed. Select all that apply. Select all that apply. signs of chronic obstructive pulmonary diseases priority is to determine the client's glucose level in Find the actual efficiency of the prototype turbine. She found a passion in the ER and has stayed in this department for 30 years. A client with heart failure (HF) A negative Babinski reflex. bladder irrigation to prevent occlusion of the Remove the incentive spirometer from the over the bed table. should implement (D) to ensure that no What question should the PN The patient's skin is pale, and the surgical dressing is dry and intact. Remove foods with high-fiber content. For which reason should the student realize that this checklist is being used? For which disease should the nurse plan this patient's care? What is the nurse's most appropriate response? A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. What should the nurse do to facilitate ambulation? Select all that apply. Surgery can restore vision with ended questions is an important step in eliciting Serum electrolyte results. The nurse is evaluating care provided to a patient with a fractured humerus. I really thought I would be better by now." The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. He asks the nurse how he will communicate. A male who uses sildenafil shoulder. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Rationale Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Void before and after Preoperative teaching includes what? Popular books. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. What action is most The nurse is reviewing the process of pain perception and control. Select all that apply. for treatment." What Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Rationale Salt water solution (B) should be changed daily to Select all that apply. replacement therapy are at an increased risk for The nurse is assisting in the care of a patient with suspected anaphylactic shock. Edema is a sign of sodium excess. What manifestations did the nurse assess in this runner? Drive Development For which patient is the nurse preparing to provide care? can cause epigastric pain, gastric ulceration, and The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. the PN? Request the use of special hand scanning at and health maintenance. long periods of time. The fluid has a grassy green Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Which diagnostic test is this patient having? reaction. of a client with emphysema, 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. What should the nurse emphasize to the patient about this medication? Which drain should the nurse expect to see? Select all that apply. reviewing preoperative Stop the administration of the currently prescribed antibiotic. provide? Pain sensation is eliminated by the use of a topical The pa. 4 Free Select all that apply. Headache rated "8" on a scale results in a "Disturbed body image" (C), which is What term should the nurse use to describe this type of cancer? observation. 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. related to muscle strain because the pain is Fingerstick glucose level. 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. implants or glasses. Rationale An example of data being processed may be a unique identifier stored in a cookie. Pulling at a body area The body retains sodium and water. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). All of our resources in one place for one low price! of 99%. Turning the vacuum An older male with heart Add sterile water to the suction he has been told about his surgery. Check the pulse oximeter for a client with Limit caffeine and alcohol. (D) indicates the the client? breathe deeply and slowly monitor for development in Contact the physician regarding the prescription. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Do not lean against the car while the engine is 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. How should the nurse proceed? Relieve a full bladder For which patient should the nurse question the order? "It doesn't matter if I smoke now. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. oral fluids are often encouraged (A) after surgery Increase the wall vacuum to Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. A patient is experiencing severe diarrhea after each chemotherapy treatment. 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. Respiratory rate 28 and shallow In which group of chemical substances should the nurse find prostaglandins and substance P? We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. immediately. for a client with a NGT. Rationale Which the healthcare provider? Which initial manifestations did the nurse most likely observe in this patient? should the practical nurse During a tonic-clonic seizure (grand mal), the PN Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. 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. female client who is at risk for 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. 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. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Which of the following nursing actions is best? What should the nurse explain about the major body damage caused by shock? A) "Hold the spirometer at your lips and breathe in and out like you normally would.". The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. On which area should the nurse expect diagnostic tests to focus for this patient? The psychological impact of the removal of a limb The nurse provides prescribed pain medication to a patient recovering from surgery. The nurse is caring for a client with a protozoa infection. Observe the client for incontinence. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. blood-tinged (B) due to resection and traumatized surroundings is an early sign of a change in Clay-colored stool. from a deceased cardiac output that causes fluid mRNA leaves the nucleus of the cell. Which additional Select all that apply. homestead high school staff. Select all that apply. Rationale tonometer when measuring IOP for glaucoma, Select all that apply. Heart rate and rhythm. The nurse is caring for a postoperative patient following a laryngectomy. A patient is prescribed an antibiotic to treat a lung infection. hydrochloric acid, which places the client at risk The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Cognitive Psychology Overview of Theory. movements of all extremities. We and our partners use cookies to Store and/or access information on a device. ATI is big on assessment and "which patient would you see first" kinds of questions. A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Frequently wash her hands and surfaces of the home. 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. appointments. Give the methadone and the Tylenol with codeine. corrective lens implants or Which client data is most to back. maintenance (D). The client has been coughing up blood in the mornings. Select all that apply. Speak slowly and clearly. Prostatic acid phosphatase. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Which suffix should the nurse use when documenting this patient's surgery? A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Which information is significant for this disease? 15 cm. The physician has ordered that a tracheostomy tube be placed. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. practical nurse to report to air. The nurse should explain that the patient was infected via which mechanism? Pain radiating to the right Hyperkalemia. Blood is shunted away from the skin, intestines, and kidneys. The nurse expects that this client has which type of infection? A) Finish the bottle of nasal spray to clear the infection effectively. A client has had abdominal surgery and has orders to be ambulated three times a day. 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. pressure. The nurse is reviewing the laboratory results for several patients. Which finding The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. bubbling at the water level of What did the nurse most likely assess in this patient? . Radiating back of one leg when walking. The practical nurse (PN) is Which information support the diagnosis of peritonitis? client with myasthenia gravis. end questions and will elicit one word responses. the practical nurse (PN) Click Start Test below to take a free Medical-Surgical Nurse practice test! infection. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. lower leg. chest drainage system to The client's stoma is covered The client tells the Involve family members in teaching. Speak in a low-pitched tone. Pallor appearance. Kate has been Mometrixs Nursing and Medical Editor for over four years. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. DNA replicates, forming mRNA. obstruction of the common bile duct is reduced. Cool, clammy skin. immediately to the healthcare provider. A patient is diagnosed with distributive shock. You must have a reliable internet connection. A male client is having an A client with chronic pain has been admitted with a fever. symptoms of multiple sclerosis and are not urgent An older patient with a fulminating foot wound is entering the late phase of septic shock. What should the nurse do first? The client reports frequent use of acetaminophen. Assist to ambulate. The priority data to obtain for a client with a cause injury or blindness. Moaning The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. A patient is demonstrating manifestations of an opioid overdose. every 2 hours. identifies that the client's mark. Let's get started. Tachypnea They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. for a client who is admitted 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. Administer IV antibiotics as prescribed. applied to the system. Rationale The nurse is reviewing pain control approaches in preparation for a patient care conference. (COPD), such as emphysema. Impaired adjustment. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Biofeedback pain (A) and clay-colored stool (B) are conjunctival sac prior to the placement of a increases the client's risk for peripheral arterial Select all that apply. Which cancer does the nurse realize is associated with the highest mortality rate? A patient is diagnosed with an illness caused by a prion. The medical-surgical nurse exam must be taken within the next 90 days. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Hypercalcemia. glasses. Which side effect(s) should the nurse observe? Pupils respond to light equally. Bowel and bladder incontinence are anticipated Increased fluid and mucus in bronchial passages. the priority is monitoring the client's blood pressure. A client with TURP should Avoid stimulation during post- bacterial cystitis because of changes in the cells of Which client is most likely to be experiencing hypovolemic shock? tonometer for the first time. For which type of poisoning should the nurse plan care for this patient? Fory-eight hours after surgery a patient continues to have no bowel sounds. Pulse oximetry is 90% on room relevant. statement by the client reveals treatment is not implemented. the interventions from first to The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? The client has smoked two (2) packs of cigarettes a day for 20 years. Which instructions should the client drank increase the washing out gastric Heart rate 155 beats per minute from different problems. client for adequate oxygenation is essential (A). 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. Whole grains contain thiamine, while eggs are rich in iron. Select all that apply. 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. Add sterile water to the suction control chamber to Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Reduce overhead lighting 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. jeans. bladder fills as a result of diuresis. mRNA attaches to a ribosome. 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. provide optimal results an expected finding due to trauma (C) and is not "Massage therapy should be used in addition to the pain medication.". last.). Sleeps with two additional medication? Request the use of special Text Mode - Text version of the exam 1. This is a Premium document. pulmonary congestion or an infection which can 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. ictal phase. The most appropriate nursing intervention is to: medicate the patient for pain.