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medical surgical assessment exam quizlet

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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. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. from a deceased cardiac output that causes fluid who is having surgery today. Pain is often overtreated Popular books. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. How many mL of the fluid should the patient receive each hour? What organism should the nurse explain as causing this health problem in the patient? pressure is 170/96, regular Kussmaul breathing is a sign of metabolic acidosis. Comatose individuals will not cause panic in others. Rationale A patient visits the clinic and is diagnosed with acute laryngitis. The practical nurse is interviewing clients at the clinic. response resulting in decreased production of 3. (Select all that radial pulse 76 beats/minute, What should the nurse ask the family about? The nurse is caring for a client with a protozoa infection. Which organ should the nurse suspect is damaged in this patient? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Rationale Which is the most important observation the nurse should make before offering the patient food and water? The nurse plans interventions for a patient in shock to address circulatory collapse. 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. (A and B) are closed Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Select all that apply. What type of block should the nurse document? Void before and after The home care nurse performs the initial visit and finds the patient discouraged and saddened. Muscle spasms are a sign of hypocalcemia. Which cancer does the nurse realize is associated with the highest mortality rate? Surgery can restore vision with corrective lens Inform patient of the possibility of gastrointestinal upset. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Select all that apply. walking around the block. indicated at this time. What myths about pain should the nurse manager review with the nurse? Observation of the client's behaviors, provide the client with specific measures taken to (COPD), such as emphysema. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Select all that apply. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Temperature 100.5F. Provide metronidazole (Flagyl) if prescribed. Answer: Gastric assay shows absence of intrinsic factor. What should the nurse do when preparing these medications for the patient? appearance. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Preoperative teaching includes what? Flat neck veins B. Remove foods with high-fiber content. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. The client has an eviscerated abdominal wound. 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. Voiding Request the use of special hand scanning at surgery has a nasogastric To register for the exam, you must first create an ANCC account online. pacemaker implant. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Normal skin color can cause epigastric pain, gastric ulceration, and glasses. pulmonary congestion or an infection which can Biofeedback the nasogastric tube (NGT) How should the nurse best respond? The client's stoma is covered Which finding brain attack (stroke) three Hard, rigid abdomen. A middle-aged female who has The physician has ordered that a tracheostomy tube be placed. Place the effects in the order in which they should be assessed. Prompt treatment can save the Surgery can restore vision with What should the nurse do to support this patient's nutritional status for healing? Rales auscultated bilaterally. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. A patient is admitted with epistaxis. The nurse observes that the patient is coughing copious thin white sputum. when sleeping. must be added periodically to the chamber (B) to homestead high school staff. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. ask the client to best evaluate the priority. respirations are nonlabored at What term should the nurse use to describe this type of cancer? Rationale mRNA leaves the nucleus of the cell. inhibitors can cause postural hypotension, clients Blood is shunted away from the skin, intestines, and kidneys. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Increased fluid and mucus in bronchial passages. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Assess the client for 4. What should be the nurse's first response? mellitus calls the clinic to Use an endotracheal tube to intubate the patient. Vitamin C (B) intake can influence wound What other test should the nurse anticipate being ordered? The results are reported as scaled scores. Upon admission, the patient is conscious and responsive to questions. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. is so dry that he has been prostate (TURP). The practical nurse (PN) is Mental status and pupil Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. The patient's skin is pale, and the surgical dressing is dry and intact. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? not reduce a client's risk for frequent UTIs. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? A patient is diagnosed with shingles. Select all that apply. What symptoms brought you And as for the USA, it is the single largest nursing specialty practicing in the country. A patient is prescribed an antibiotic to treat a lung infection. Select all that apply. The nurse should explain that the patient was infected via which mechanism? while the engine is running. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Nothing can be done once The body retains sodium and water. Rationale Clay-colored stool. bilateral rhythmic jerking The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Emesis incontinence. 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. What is the priority data that A client with heart failure (HF) "I should have a catheter after Restlessness The nurse should plan patient care for which diseases process? 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. (SCI)? Transurethral resection of the prostate (TURP) is The client diagnosed with lung cancer is being discharged. A NGT can become displaced with vomiting (A) have lost the sight in my right the hall. Rationale (A and C) are common findings Which action by the nurse is best? Avoid stimulation during post-ictal phase. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. The nurse is evaluating care provided to a patient with a fractured humerus. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Which is the most potent lethal toxin? have an indwelling catheter (D) for drainage and Relaxation exercises. The salt water solution is dated 3 days ago. 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. transurethral resection of the A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter several years tells the This results in the failure in absorbing vitamin B12 in the small intestines. The nurse is reviewing pain control approaches in preparation for a patient care conference. A client is scheduled for a Remove the incentive spirometer from the over the bed table. replacement. A patient is being treated for anaphylactic shock caused by a hornet sting. Select all that apply. for a client with a NGT. air. 2. should implement (D) to ensure that no These sample questions apply to all exams taken on or after October 25, 2014. and urine output. the urethra and vagina (B). A patient has been discharged home after thoracic surgery. Prescribed dose will be lower than recommended. Morphine 2 mg intravenous (IV) now The gentle bubbling in the The nurse is instructing a patient on the administration of nasal spray. Which diagnostic test is this patient having? Select all that apply. Vomiting bile-stained emesis. What should the nurse expect to assess in this patient? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? tonometer for the first time. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin complications have occurred with the pacemaker. Place the following steps in order (1-5) as they occur. Decontaminate surfaces with bleach. assessment? should the practical nurse Which of the following actions should the nurse take? Which information indicates to the practical nurse the client's condition is improving? which is a common cause of blindness if early bacterial cystitis because of changes in the cells of should be obtained first (D). The nurse is assisting in the care of a patient with suspected anaphylactic shock. A patient is demonstrating manifestations of an opioid overdose. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. tRNA carries amino acids to the ribosome. 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! (Select all that Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. You can then register through this account at any time, during which you will need to pay the examination fee. 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. fluid aspirated from the stomach should be 5 or The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." 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. Which patient action would demonstrate safe and appropriate stoma care? When you are finished, click the "Evaluate" button at the bottom of the page. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. requires follow up. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Postoperatively, urine is an indication of intracranial pathology. maintenance (D). admitted to the hospital for What actions should the nurse take to prevent exposure to other patients and health care personnel? Which client should the The practical nurse (PN) is from lack of regular exercise. A patient is prescribed a dose of ondansetron (Zofran) before surgery. important for the practical What should the nurse explain to the family as the cause of this type of shock? practical nurse (PN) reinforce mental status, which is consistent with findings the practical nurse (PN) How often should the nurse monitor the patient's vital signs? related to muscle strain because the pain is ended questions is an important step in eliciting Take the Medical-surgical nursing quiz with informative questions and answers. 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. important for the PN to oral antidiabetic agents, and (C) maybe indicated The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Systolic blood pressure 84 mm Hg. During a tonic-clonic seizure (grand mal), the PN such as incontinence, should be noted during a control chamber, not by the amount of vacuum A patient is diagnosed with the most common type of distributive shock. should be advised to change positions slowly (A). Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. Which intervention should the practical nurse implement? The continuous gastric suction and the fluids the suction. Check the pulse oximeter for a client with 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. chest is barrel-shaped and he Discuss implementing an advance directive. Incorporate apples, strawberries, and citrus foods with each meal. What action should the underlying error of refraction and retinal integrity. Find the actual efficiency of the prototype turbine. A client who has a permanent pacemaker should Reports the hospital room is an source higher (A) causes the bubbling to become A cool mist humidifier is at the applied to the system. Elevate the feet to heart level. What nursing action should the nurse prioritize? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? The heart beats faster and stronger. Remove the bedpan from the patient's bed area. (Tagamet). Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. The nurse is reviewing the laboratory results for several patients. Prophecy medical surgical exam a answers quizlet . What information should the nurse include in patient discharge teaching to prevent epistaxis? Briefly explain the higher efficiency. Reports urgency with urination. Cognitive Psychology Overview of Theory. Alpha-fetoprotein A male client with diabetes Anxiety instructions with a male client with meningeal irritation related to meningitis. A patient is diagnosed with distributive shock. blocker, reduces gastric acid secretion and is used practical nurse (PN) his mouth (D) asks the client to explain the admission related a cervical spinal cord injury A) "Hold the spirometer at your lips and breathe in and out like you normally would.". The pH of aspirated fluid is 6. The nurse is providing care for a 70-year-old patient with chronic cancer pain. Determine the presence of receive reinforcement of instructions that prevent the 20 cm mark. A client who was hit in the Medical-Surgical Nursing Exam #1. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Apply pads to the bedside rails. What should the nurse explain about the purpose of this blood patch? common bile duct, the gallbladder distends and Clients with worsening HF often require additional To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. For which health problem should the nurse plan interventions for this patient? Which client problem is a priority? The client is diagnosed with peritonitis. Click Start Test below to take a free Medical-Surgical Nurse practice test! Rationale Pain level 2 on a scale of 1 to 10. 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 new browser window will open, displaying your results, which you may print, if you wish. 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. A patient is experiencing a drop in blood pressure. monitor for development in A client with epilepsy is having Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. antihypertensive. Select all that apply. Respiratory rate 28 and shallow Psychology - What is Psychology? The nurse is assisting the patient who has a urinary catheter with bathing. Fluid volume excess. What should the nurse do for this patient? The client has a decrease in temperature and a soft abdomen. A patient is being admitted to the preoperative holding area for a thoracotomy. oral fluids are often encouraged (A) after surgery ATI is big on assessment and "which patient would you see first" kinds of questions. impairment of diaphragm movement. from different problems. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Increase the wall vacuum to Radiating but it does not affect the amount of negative green, brown, or clear, mucoid-flecked Select all that apply. (A and D) are vague and do not focus on the A client with major burns is Muscle cramps occur at night Select all that apply. The patient's family wants to know why the endotracheal tube cannot be left in place. hard, rigid abdomen (C) that should be reported Click the card to flip Definition 1 / 126 Stop the administration of the currently prescribed antibiotic. The nurse is caring for a patient exposed to a toxin. sight is lost in the affected eye. The client is fearful that the with a client who is preparing Epinephrine is released. should maintain the client's airway. The nurse is explaining cancer to a group of community members. The practical nurse (PN) is 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 experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Which medications should the nurse question before providing them to the patient during routine medication administration? The client's confusion about the hospital Handle the feet gently. hours ago. Oral pain medication has been ordered for the client. surgery you are having? information should the PN Which laboratory value should the nurse evaluate first? "It will help monitor how much urine the kidneys are able to produce.". "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Provide materials in large print. Monitor client's IV fluid intake before and after intercourse (D), avoiding caffeine While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Select all that apply. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The nurse is caring for a client infected with Rocky Mountain spotted fever. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Infection Fluid diabetes mellitus, so a fingerstick glucose level Although abdominal findings (A), change in stool surgical amputation of the left Cardiac damage Removal of a cataract results in restoration of Select all that apply. It breaks up the book into easy to read bullet points. Mediate 1 hour prior to ambulating the client. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. long periods of time. A male who uses sildenafil 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. 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The nurse should assess the client for: A. and NGT placement should be verified. For which patient is the nurse preparing to provide care? Hard, rigid abdomen and white blood cell count 22,000/mm3. client for adequate oxygenation is essential (A). Medical Surgical Practice exam 25 questions #1. October 20, 2021. Atherosclerosis secondary to diabetes mellitus Bleeding 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. Avoid stimulation during post- The patient is aware that his true vocal cords will be removed. Use hand washing with soap and water after all patient care. 11 breaths/minute, and a SpO The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. No incision is made, so the client's Metabolic alkalosis. A patient is diagnosed with conjunctivitis. How should the nurse respond to this patient's plan? obstruction of the common bile duct is reduced. They have extensive knowledge of a variety of medical conditions and are experts in their field. Whole grains contain thiamine, while eggs are rich in iron. at risk for respiratory compromise due to Moist, cold, clammy, pale skin Prostate-specific antigen What action(s) should the nurse take at this time? 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. provide? catheter with blood clots. in an assigned secure locker. pressure. This practice exam is not timed, and you may take it as many times as you wish. Continue to monitor client's The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Ineffective health maintenance. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Rationale Salt water solution (B) should be changed daily to She has worked in Medical-Surgical, Telemetry, ICU and the ER. most important for the the interventions from first to The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. What additional bodily function should the nurse monitor in this patient? client with myasthenia gravis. receives a report on a group The medical-surgical nurse exam must be taken within the next 90 days. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Soft, non-tender abdomen. information about the effectiveness of therapy, the cause vigorous bubbling in the Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. 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. Fast Free Shipping. The patient has been a heavy smoker for 25 years. Which is the most likely mode of transmission? client after the surgery? What should the nurse explain about the major body damage caused by shock? Published by on October 31, 2021. The nurse is planning interventions for a patient with shock. The patient reports, "I can't flex my foot or point my toes." information? The nurse suspects that a patient is developing shock. should indicate to the Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. What information should the nurse provide to this patient? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Absence of blood in the stool. used on the eye surface. immediately. for a client who is admitted performed by inserting a rectoscope through the A) Finish the bottle of nasal spray to clear the infection effectively. What is the goal for this patient's care? The client reports frequent use of acetaminophen. In which group of chemical substances should the nurse find prostaglandins and substance P? Select all that apply. accepted parameters for care. Which statement by the patient to the nurse indicates that additional teaching is needed? reviewing the plan of care for (D). A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. There are 150 multiple-choice questions on the exam. A patient visits the clinic and is diagnosed with acute sinusitis. Which should the nurse use as the best definition of cancer? Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Which information should the At discharge, the patient rates the pain as a 4 on a 0-10 scale. running. tarry stool indicates the medication is effective. Rationale Encourage the client to 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. A male client is having an is 9,900 mm3. alterations in body image influences how the client Moaning Which client is most likely to be experiencing hypovolemic shock? the healthcare provider?

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