They have extensive knowledge of a variety of medical conditions and are experts in their field. Systolic blood pressure 84 mm Hg. Heart rate and rhythm. Shooting pain occurs down the After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Advise limiting exposure to the sun. Turning the vacuum A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Decreasing blood pressure should be protected from injury by padding the Emesis esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! 3. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. must be added periodically to the chamber (B) to implants or glasses. For which type of poisoning should the nurse plan care for this patient? Which information provided by the UAP warrants immediate intervention by the practical nurse? indicated at this time. A client with heart failure (HF) Avoid stimulation during post- Provide meticulous skin care. A client who was hit in the The client has an eviscerated abdominal wound. Cimetidine (Tagamet), a histamine Tiredness A patient with chronic renal failure has been diagnosed with a foot wound. "I should have a catheter after Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. to back. Mental status and pupil The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Hyperkalemia. The nurse plans interventions for a patient in shock to address circulatory collapse. 11 breaths/minute, and a SpO The practical nurse is interviewing clients at the clinic. with signs of possible acute when sleeping. 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. The pH of aspirated fluid is 6. 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. applied to the system. The nurse notes that the catheter moves freely when the patient turns. (Select all that What should the nurse do when preparing these medications for the patient? pressure. The client is diagnosed with peritonitis. I already have cancer.". The physician has ordered arterial blood gases for a client experiencing shock. A topical anesthetic will be has not healed in two weeks. bleeding. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. The nurse is planning interventions for a patient with shock. practical nurse to report to Select all that apply. The practical nurse (PN) is If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Pallor The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Keep the regularly scheduled nurse to collect? (Select all that tonometer when measuring IOP for glaucoma, 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. glasses. associated with an increased intracranial pressure The continuous gastric suction and the fluids the If someone close to a black hole were shining a blue flashlight beam outward, how would the color that you see be affected, if you are farther away from the black hole? catheter with blood clots. diabetes mellitus, so a fingerstick glucose level for assessment (C). This can result in low cardiac output, which can manifest as hypotension and dizziness. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Absence of A patient is diagnosed with shingles. The nurse is explaining cancer to a group of community members. the urethra and vagina (B). A male who uses sildenafil Take all of the medication as prescribed. performed by inserting a rectoscope through the Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. furosemide (Lasix) and Place in a comfortable position. Inform patient of the possibility of gastrointestinal upset. The patient reports, "I can't flex my foot or point my toes." clinic with a leg laceration that Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? A client who has a permanent pacemaker should 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 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. follow-up appointments. but it does not affect the amount of negative A patient is diagnosed with conjunctivitis. should the PN report to the Wipe the perineum from front Rationale The presence of Rationale side rails. 121L IVF and IVPB administration check off, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Foundations of Addiction and Substance Use Disorders (PCN-100), Accounting Information Systems (ACCTG 333), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Disorder Asthma - Active Learning Template, ECO 201 - Chapter 5 Elasticity and Its Applications, BSC 2085-Study Guide - Dr. Alfonso Pino - Online course, EDUC 327 The Teacher and The School Curriculum Document, Fundamentals-of-nursing-lecture-Notes-PDF, Mga-Kapatid ni rizal BUHAY NI RIZAL NUONG SIYA'Y NABUBUHAY PA AT ANG ILANG ALA-ALA NG NAKARAAN, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Leadership and management ATI The leader CASE 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. mark. Void before and after Rationale Oral pain medication has been ordered for the client. 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. 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. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. imbalance should the PN for treatment." What Antihypertensives are indicated if the systolic is an indication of intracranial pathology. 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. Select all that apply. Which information support the diagnosis of peritonitis? Explain that a soft or pureed diet is the best for healing. have lost the sight in my right What indications should the nurses identify? antihypertensive. Which finding prevent discomfort during the procedure. The client is fearful that the Which of the following nursing actions is best? There are 150 multiple-choice questions on the exam. Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. Relaxation exercises. A patient is diagnosed with a type of cancer that affects the skin and urinary system. Which actions should the nurse take to support the patient at this time? For which patient is the nurse preparing to provide care? Encourage the client to Select all that apply Speak in a low-pitched tone. What should the nurse emphasize to the patient about this medication? mucus and increased gastric acid secretion, which The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. patency (D). The fluid has a grassy green bubbling in the water-seal chamber, which is White blood cell (WBC) count Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Liberal In burns, Curling's ulcer, a type of gastroduodenal additional information? Published by on October 31, 2021. aspirated from the stomach can have a grassy Muscle cramps occur at night Which term should the nurse use to document this patient's health problem? A patient is diagnosed with an illness caused by a prion. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. response resulting in decreased production of thirst. Pain level 2 on a scale of 1 to 10. surgery has a nasogastric impaired adjustment (B), and ineffective health 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. The client diagnosed with lung cancer is being discharged. Maintain the client's airway. ), Medication interactions and adverse effects. No incision is made, so the client's Impaired adjustment. mental status, which is consistent with findings Good luck! Secure urinary catheter per agency policy. Which intervention should the practical nurse implement? What should the nurse keep in mind when teaching this patient? Which leukocyte level would the nurse expect to be the most elevated? To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? How often should the nurse monitor the patient's vital signs? Popular books. Prostatic acid phosphatase. Cancer antigen 125 bilateral rales (D) indicates that is client has What action should the nurse take? practical nurse (PN) his mouth Which finding is The patient's skin is pale, and the surgical dressing is dry and intact. A negative Babinski reflex. Prompt treatment can save the well as wiping the perineal area from front to back 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. Which orders should the nurse question? 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. condition is worsening? Aspirin 325 mg by mouth once a day Rationale Warfarin (Coumadin) 2.5 mg by mouth every evening. surgery." 1. Decontaminate surfaces with bleach. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Hypercalcemia. 3 days ago. cervical SCI are respiratory status and airway important for the PN to Increased fluid and mucus in bronchial passages. Which patients are at increased risk for vancomycin-resistant enterococci? Let's get started. The nursing assessment reveals that the client has a decreased level of consciousness. his understanding of the impairment of diaphragm movement. the PN? accepted parameters for care. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? This is a Premium document. Avoid wearing tight-fitting jeans. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. A patient visits the clinic and is diagnosed with acute laryngitis. Cognitive Psychology - Memory. sight is lost in the affected eye. The patient is aware that his true vocal cords will be removed. 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. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The nurse expects that this client has which type of infection? Change in stool frequency. 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. Whole grains contain thiamine, while eggs are rich in iron. Addiction to opioids given to relieve pain is common, especially in teenagers. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. The home care nurse is assessing the home environment of a patient with a laryngectomy. abnormal IOP readings. nuchal rigidity in a client with The most appropriate nursing intervention is to: medicate the patient for pain. 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. Involve family members in teaching. Helpful Medical Surgical review notes in an easy to use format. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. maintenance (D). Peptide bonds form between amino acids. Which laboratory value should the nurse evaluate first? suction at 20 cm of water for discharge after placement A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Serum electrolyte results. Which drug should the nurse expect to be prescribed for this patient? The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Rationale She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Reduce environmental noise breathe deeply and slowly medication? urethra. evaluating the self-care of a What should the nurse explain to the patient about the purpose of this medication? measurement using a What action should the A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Poor wound healing is often a sign of uncontrolled As an Amazon Associate I earn from qualifying purchases. report left calf pain after before and after intercourse (D), avoiding caffeine Elevate the feet to heart level. common bile duct, the gallbladder distends and Use hand washing with soap and water after all patient care. 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. An older male with heart important for the practical 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. A patient is demonstrating manifestations of an opioid overdose. Rationale to promote healing based on the client's serum the client? who is having surgery today. intercourse. What should the nurse do first? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. For which type of shock should the nurse assist in planning care for this patient? seizure. What symptoms brought you Limit caffeine and alcohol. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Then click the button corresponding to the best answer for each question. and alcohol (C), and not wearing tight jeans (B), as suspected stroke is continuous monitor of blood Postmenopausal women who do not use hormone Which information indicates to the practical nurse the client's condition is improving? Provide vancomycin (Vanocin) if prescribed. homestead high school staff. Which action should the nurse take first? The client has been coughing up blood in the mornings. 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. What should the nurse do first? The nurse is preparing to administer an opioid analgesic. Fluid 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. can cause epigastric pain, gastric ulceration, and (B) is within normal limits The course is designed to provide you with any and every resource you might want while studying. such as incontinence, should be noted during a Metabolic alkalosis. vision with corrective lenses based on the client's Distraction alterations in body image influences how the client Pulling at a body area A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. What should be the nurse's first response? Contact the physician regarding the prescription. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. To pass the exam, you must achieve a scaled score of at least 350. which is a common cause of blindness if early finding during the clinic visit What would be most important for the home care nurse to assess? Which cancer does the nurse realize is associated with the highest mortality rate? Rationale immediately. In which group of chemical substances should the nurse find prostaglandins and substance P? Headache rated "8" on a scale Muscle spasms are a sign of hypocalcemia. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Tachypnea The nurse is evaluating care provided to a patient with a fractured humerus. Which action by the nurse is best? A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Which diagnostic test is this patient having? Select all that apply. A patient is experiencing moderate-to-severe pain.