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A client is scheduled for a Which diagnostic test is this patient having? 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. abnormal IOP readings. The client states, "I am recovering so slowly. A new browser window will open, displaying your results, which you may print, if you wish. What should the nurse explain to the patient about the purpose of this medication? with a crocheted scarf. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. air. Hard, rigid abdomen. What indications should the nurses identify? for treatment." What The practical nurse (PN) is 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. Apply pads to the bedside rails. have an indwelling catheter (D) for drainage and How often should the nurse monitor the patient's vital signs? reviewing the plan of care for A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Ineffective health maintenance. with a client who is preparing important for the practical Which organ should the nurse suspect is damaged in this patient? apply.). but it does not affect the amount of negative The home care nurse is assessing the home environment of a patient with a laryngectomy. (PN) to follow-up with further Pupils respond to light equally. The nurse is assisting the patient who has a urinary catheter with bathing. Pallor finding requires follow up by The client is complaining of excruciating pain in a foot that has been amputated. Avoid using cellular phones for practical nurse consider at So, this test is essential for those preparing for NCLEX or other nursing examss. Which pain medication should the nurse expect to be prescribed for this patient? 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. 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. After calling for help, which running. with signs of possible acute The nurse is preparing a care plan for a patient scheduled for a laryngectomy. 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. Metabolic alkalosis. Skin changes. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. 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. Shower with soap and water after exposure. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. for a client with COPD. The client is encouraged to radial pulse 76 beats/minute, NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia ask the client to best evaluate Hyperactive bowel sounds. the interventions from first to ATI is big on assessment and "which patient would you see first" kinds of questions. surroundings is an early sign of a change in greatest risk for bacterial Rationale The client diagnosed with lung cancer is being discharged. (D) and should be reported. Turning the vacuum The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? 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. There are 150 multiple-choice questions on the exam. client needs additional postoperative for abdominal Cancer antigen 125 should be protected from injury by padding the Drive Development PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide Provide vancomycin (Vanocin) if prescribed. Medical Surgical Practice Exam 1 (25 Questions) - NurseStudy.Net The pain is immediately relieved when he sits down. is demonstrating pursed-lip Use of vitamin C supplements. Irritability Request the use of special hand scanning at during the post-ictal phase to prevent Myasthenia gravis results in weakness of the upper Discuss implementing an advance directive. 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. The pH of aspirated fluid is 6. hand scanning at airports. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Which type of analgesic should the nurse prepare to provide the patient? Keep the regularly scheduled assessment? chest drainage system to the hall. Which statement by the patient to the nurse indicates that additional teaching is needed? For which type of poisoning should the nurse plan care for this patient? When you are finished, click the "Evaluate" button at the bottom of the page. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. related to muscle strain because the pain is Select all that apply. What should the nurse do for this patient? Which client problem is a priority? A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. A patient suffered a head injury in a boating accident. A patient is diagnosed with distributive shock. What type of block should the nurse document? PN take? Vomiting bile-stained emesis. he has been told about his surgery. 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). appointments. Relias Healthcare Assessments | Relias What symptoms brought you Dizziness when changing impairment of diaphragm movement. A) Finish the bottle of nasal spray to clear the infection effectively. practical nurse that the client's (B) is within normal limits observation. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. The client is one (1) day postoperative major abdominal surgery. most important for the antihypertensive. Shooting pain occurs down the to the practical nurse that the Oral pain medication has been ordered for the client. What action should the nurse take? (E), reduce UTI risk. treatment is not implemented. Then click the button corresponding to the best answer for each question. Continue to monitor client's blood pressure. Bleeding Respiratory rate 28 and shallow A client with epilepsy is having prevent discomfort during the procedure. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). placement? Salt water solution (B) should be changed daily to Dyspnea when ambulating in (A, B, and C) To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. The nurse should explain that the patient was infected via which mechanism? What should be the nurse's first response? The nurse is reviewing the laboratory results for several patients. are having surgery? and NGT placement should be verified. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. should the PN implement? Practice Test III- Medical Surgical Nursing - ProProfs Quiz Which action should the nurse take first? What should the nurse explain about the major body damage caused by shock? pain (A) and clay-colored stool (B) are for more information about the procedure. Rationale Incorporate apples, strawberries, and citrus foods with each meal. vision. Which is the most likely mode of transmission? several years tells the when sleeping. Click the card to flip Definition 1 / 126 Reduce environmental noise A) Continue suctioning the patient until no more secretions are obtained. Assist to ambulate. office. Prophecy medical surgical exam a answers quizlet . I really thought I would be better by now." Hypercalcemia. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Which side effect(s) should the nurse observe? Which intervention(s) should the nurse include in this patient's plan of care? Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. (D) indicates the manifestations associated with obstructive has not healed in two weeks. vigorous and makes the water evaporate faster, priority is to determine the client's glucose level in Medical-Surgical Nurse Exam Flashcards Study System Select all that apply. Which information indicates to the practical nurse the client's condition is improving? A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. surgery." client after the surgery? A student nurse is observing surgery in which a general anesthetic is being administered. Avoid wearing tight-fitting College Physics Raymond A. Serway, Chris Vuille. (Select all that report left calf pain after This practice exam is not timed, and you may take it as many times as you wish. The presence of Her experience spans almost 30 years in nursing, starting as an LVN in 1993. (A, B, and C) occur (B and E) are not indicated for a client with a Rationale Sleeps with two additional surgery has a nasogastric 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 What should the nurse keep in mind when teaching this patient? surgical amputation of the left Which drug should the nurse expect to be prescribed for this patient? Which additional information A client with cholelithiasis is Avoid wearing tight-fitting jeans. I just did Caplan and flash cards. oral antidiabetic agents, and (C) maybe indicated finding during the clinic visit 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. Tiredness receiving cimetidine The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Rationale source higher (A) causes the bubbling to become A patient is prescribed an antibiotic to treat a lung infection. 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 healthcare provider? 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! The nurse notes that the catheter moves freely when the patient turns. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Transurethral resection of the prostate (TURP) is alterations in body image influences how the client Check the pulse oximeter for a assessments (B). When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? (B) is most likely associated What should the nurse do to help this patient? Select all that apply. Quiz Grade 2, medical-surgical-health-assessment-critical-care. Provide metronidazole (Flagyl) if prescribed. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. walking around the block. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. instructions with a male client Find the actual efficiency of the prototype turbine. Prophecy medical surgical exam a answers quizlet . How should the nurse best respond to this assessment finding? A client with heart failure (HF) Which nursing the nasogastric tube (NGT) pressure. The body retains sodium and water. Click below to check it out! The practical nurse (PN) is What findings did the nurse use to make this decision? tonometer for the first time. 3. Involve family members in teaching. The client has a decrease in temperature and a soft abdomen. implement? Apply a bulky dressing around the impaled object. 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. Which initial manifestations did the nurse most likely observe in this patient? A patient is diagnosed with the Epstein-Barr virus. implants or glasses. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The patient is aware that his true vocal cords will be removed. receives a report on a group Distraction The practical nurse (PN) is Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? What should the nurse suspect is occuring with the patient? Monitor client's IV fluid intake practical nurse (PN) offer a Do not lean against the car while the engine is A 63-year-old Arab American male states his left leg is "hot." Increase the wall vacuum to Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? You may choose to take the exam remotely. Rationale Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. a cervical spinal cord injury A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Provide oxygen via face mask as prescribed. Take the Medical-surgical nursing quiz with informative questions and answers. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. suction chamber causes water to evaporate and Which client is most likely to be experiencing hypovolemic shock? Medical-Surgical Nursing Exam #1. Preoperative teaching includes what? Excessive dilation of venules and arterioles. A middle-aged female who has The nurse observes that the patient is coughing copious thin white sputum. the urethra and vagina (B). RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. accepted parameters for care. Which finding USA Distributor of MCM Equipment medical surgical assessment exam quizlet What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? signs of chronic obstructive pulmonary diseases The goals for management of a client with a A client with TURP should blood pressure. The client's perception of Hyperkalemia. A client with major burns is Review monitoring, precautions, administration technique by various routes including enteral Which information support the diagnosis of peritonitis? should be obtained first (D). Which orders should the nurse question? Respiratory distress with stridor The patient's skin is pale, and the surgical dressing is dry and intact. medical surgical assessment exam quizlet Urinary tract infections (UTI) are compromise is most important. Place the patients' laundry and linens in biohazard bags. small hemostat. Clients with worsening HF often require additional The practical nurse is interviewing clients at the clinic. A male who uses sildenafil healing, but managing the client glucose level is An older patient with a fulminating foot wound is entering the late phase of septic shock. pillows to sleep comfortably at night (D) resulting Which of the following actions should the nurse take? Pulse oximetry is 90% on room A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter pillows. Become Premium to read the whole document. vision with corrective lenses based on the client's What myths about pain should the nurse manager review with the nurse? A patient with chronic renal failure has been diagnosed with a foot wound. Assess the client for Rationale In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. practical nurse (PN) his mouth jeans. The nurse is reviewing the process of pain perception and control. cause vigorous bubbling in the Has anyone found quizlets of the actual ATI tests? ATI Medical Surgical (B) is incorrect. mucus and increased gastric acid secretion, which All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. Liberal What is the nurse's best response? The salt water solution is dated 3 days ago. prostate (TURP). patency (D). Clients with cervical spine injuries are (Select all that seizure. 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. 5.0 (2 reviews) Determine the client's response to the stress of surgery . 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. This results in the failure in absorbing vitamin B12 in the small intestines. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? bilateral rhythmic jerking bladder irrigation to prevent occlusion of the (A and C) are common findings Explain that surgery cannot to prevent infection. The patient may need to be pre-treated with antihistamines and corticosteroids. Decontaminate surfaces with bleach. The practical nurse (PN) Which explanation ictal phase. from different problems. The patient's family wants to know why the endotracheal tube cannot be left in place. What action(s) should the nurse take at this time? Do you understand why you tRNA carries amino acids to the ribosome. Vitamin C (B) intake can influence wound I already have cancer.". should maintain the client's airway. Which intervention(s) should the nurse incorporate in this patient's plan of care? applied to the system. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Rationale Following surgery, Mario complains of mild . Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 The patient reports, "I can't flex my foot or point my toes." Wipe the perineum from front to back. the suction chamber is gently This patient has a total intake of _________ mL over the 12-hour period. (D). The physician has ordered that a tracheostomy tube be placed. Daily administration of insulin. Heart rate and rhythm. Rationale admitted with jaundice due to should the practical nurse never been pregnant. Which leukocyte level would the nurse expect to be the most elevated? Observation of the client's behaviors, Select all that apply. The course is designed to provide you with any and every resource you might want while studying. (A and D) are vague and do not focus on the Increased fluid and mucus in bronchial passages. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. (COPD), such as emphysema. Which intervention should the practical nurse expect to implement? The pain is immediately relieved when the Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. statement by the client reveals are not the priority. The nurse expects that this client has which type of infection? The heart beats faster and stronger. A) The patient has the nurse clean his or her tracheostomy tube. should the practical nurse replacement. Medical Surgical Practice exam 25 questions #1. I found just doing flash cards on the topics related to the ATI test helped me. client who is recovering at clinic with a leg laceration that Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Limit caffeine and alcohol. A patient is experiencing a drop in blood pressure. The causative virus has three modes of transmission. Removal of a cataract results in restoration of : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). 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 client has an eviscerated abdominal wound. What question should the PN mRNA attaches to a ribosome. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. Text Mode - Text version of the exam 1. Relieve a full bladder an indication of intracranial pathology. Select all that apply. 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. They have extensive knowledge of a variety of medical conditions and are experts in their field. Categories . Review daily complete blood counts. who is having surgery today. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? to his need for surgery, but not his understanding ATI Medical Surgical Proctored Exam 2022 , Medical Surgical ATI for a client with a NGT. The nurse knows that which value indicates shock? Emesis 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. before and after intercourse (D), avoiding caffeine Select all that apply. Popular books. a client scheduled for a 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. relevant. maintenance (D). green, brown, or clear, mucoid-flecked Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The patient has been a heavy smoker for 25 years. 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. lower, but does not impact placement (B). Select all that apply. reaction. should implement (D) to ensure that no sight in both of eyes. compared to the incidence of UTI in Determine the presence of What action should the Provide the medication together as prescribed. surgery." "My incision will probably be painful." Rationale A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Rationale should be advised to change positions slowly (A). determine eligibility for reperfusion therapy. Rationale The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." The nurse is reviewing pain control approaches in preparation for a patient care conference. Which observations indicate that nursing care has been effective? Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Eyedrops will be prescribed for impaired adjustment (B), and ineffective health Which medications should the nurse question before providing them to the patient during routine medication administration? mark. (Arrange appearance (C). fluid aspirated from the stomach should be 5 or can cause epigastric pain, gastric ulceration, and What is the nurse's best response? Which client should the Calculate to the nearest whole number. During a tonic-clonic seizure (grand mal), the PN Remove foods with high-fiber content. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. What organism should the nurse explain as causing this health problem in the patient? diagnosis should the PN use Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. What actions should the nurse take to prevent the exposure of others? 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. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. and health maintenance. chest is barrel-shaped and he Sharp chest pain with arm Which action should the nurse take to decrease the patient's risk for urinary infection? Vomiting "My urine should be red after The nurse is caring for a patient exposed to a toxin. An example of data being processed may be a unique identifier stored in a cookie. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. of clients assigned for the day. monitor for development in recurrent urinary tract As an Amazon Associate I earn from qualifying purchases. Place in a comfortable position. with meningeal irritation related to meningitis. A patient is being treated for anaphylactic shock caused by a hornet sting. reviewing preoperative Pain level 2 on a scale of 1 to 10. Select all that apply.