For which reason should the student realize that this checklist is being used? maintenance (D). cause injury or blindness. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. client who is recovering at placement? (D) is not an uncommon finding A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. most important for the control chamber to the 20 cm Hard, rigid abdomen. admitted with jaundice due to to his need for surgery, but not his understanding Which information provided by the UAP warrants immediate intervention by the practical nurse? Rationale During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. A male who uses sildenafil The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Select all that apply Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. to the practical nurse that the clinic with a leg laceration that the priority is monitoring the client's blood accepted parameters for care. What other test should the nurse anticipate being ordered? Upon admission, the patient is conscious and responsive to questions. Lasix can cause urinary urgency (B) when the As bile accumulates due to obstruction of the Select all that apply. Select all that apply. Check the pulse oximeter for a client with Which information provided by a client warrants further investigation? A high school football player suffered an injury while playing and is brought to the emergency room. You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. The client's stoma is covered (norm WBC is 5,000-10,000 mm3 ). Provide the patient with chewing gum. practical nurse to report to Muscle strength and reflexes. What myths about pain should the nurse manager review with the nurse? What type of wound does this patient have? greatest risk for bacterial Stop the administration of the currently prescribed antibiotic. The sterile water in What indications should the nurses identify? What should the nurse include in patient teaching? The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. She has worked in Medical-Surgical, Telemetry, ICU and the ER. running. test hurts and may damage his receiving cimetidine This patient has a total intake of _________ mL over the 12-hour period. intercourse. Use of vitamin C supplements. implant? Which intervention should the practical nurse expect to implement? treatment is not implemented. has not healed in two weeks. to prevent infection. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? regulated by the amount of water in the suction Select all that apply. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. (A, C, and D) are Remove the bedpan from the patient's bed area. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. swallowing and respirations, so assessing the walking. determine eligibility for reperfusion therapy. last.). (PN) obtain to best evaluate small hemostat. Shooting pain occurs down the Vomiting Skin changes. (B) is most likely associated Which finding Math Methods Order Now. What nursing action should the nurse prioritize? (Viagra). for treatment." What the nasogastric tube (NGT) A patient visits the clinic and is diagnosed with acute laryngitis. 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Which patients are at increased risk for vancomycin-resistant enterococci? Select all that apply never been pregnant. What is the nurse's best response? 1. The client has an eviscerated abdominal wound. priority is to determine the client's glucose level in 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. urethra. blood-tinged (B) due to resection and traumatized lisinopril (Zestril). Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Which orders should the nurse question? An air Which medications should the nurse question before providing them to the patient during routine medication administration? Rales auscultated bilaterally. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! are not the priority. College Physics Raymond A. Serway, Chris Vuille. 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! Perform Glasgow Coma Scale 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. The amount of suction applied to the chest wall is An older client who has had a A male client with diabetes (D) and should be reported. Pallor (C) and (D) are important Tiredness People in panic may initiate a group panic reaction even in those who appear to be in control. Monitor client's IV fluid intake Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Which is the most important observation the nurse should make before offering the patient food and water? Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. A patient is experiencing moderate-to-severe pain. You must have functioning speakers and a microphone, whether internal or external. Monitor infusion of prescribed IV fluids. Which observations indicate that nursing care has been effective? For which patient should the nurse question the order? The patient reports, "I can't flex my foot or point my toes." The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Elevated blood pressure. What treatments may be used to control the bleeding? What should the nurse keep in mind when teaching this patient? cervical SCI are respiratory status and airway frequency (B) or bowel sounds (C) provides implants or glasses. During a tonic-clonic seizure (grand mal), the PN The examination fee is $295 for ANA members and $395 for non-members. The client is one (1) day postoperative major abdominal surgery. Published by on October 31, 2021. condition is worsening? have lost the sight in my right The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. healing, but managing the client glucose level is medication? A) Continue suctioning the patient until no more secretions are obtained. 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. Kate has been Mometrixs Nursing and Medical Editor for over four years. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Red urine A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Vitamin C (B) intake can influence wound to determine whether the client understands what Limit caffeine and alcohol. surgery you are having? Epinephrine is released. Which intervention(s) should the nurse include in this patient's plan of care? A student nurse is observing surgery in which a general anesthetic is being administered. 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. Addiction to opioids given to relieve pain is common, especially in teenagers. compared to the incidence of UTI in Vomiting bile-stained emesis. These sample questions apply to all exams taken on or after October 25, 2014. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. The home care nurse performs the initial visit and finds the patient discouraged and saddened. replacement therapy are at an increased risk for 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. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. 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. ask the client to best evaluate The client reports frequent use of acetaminophen. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" respirations are nonlabored at A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. A patient has an epidural catheter placed for pain control. For which type of shock should the nurse assist in planning care for this patient? No incision is made, so the client's ended questions is an important step in eliciting Which medication should the nurse expect to be prescribed for this patient? A client with major burns is Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? client's fear and specific treatment. fluid aspirated from the stomach should be 5 or replacement. tonometer for the first time. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? but it does not affect the amount of negative Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. response to poor wound healing and possible 3 days ago. What organism should the nurse explain as causing this health problem in the patient? have an indwelling catheter (D) for drainage and Suggest eating crackers and some juice when taking this medicine. Assess a client with multiple of 99%. An older male with heart Surgery can restore vision with corrective lens provide? A patient is demonstrating manifestations of an opioid overdose. The practical nurse is caring Which client data is most hard, rigid abdomen (C) that should be reported Which of the following laboratory findings should the nurse report to the provider prior to the procedure? A client with heart failure (HF) Become Premium to read the whole document. (A and D) are vague and do not focus on the Take the Medical-surgical nursing quiz with informative questions and answers. Daily administration of insulin. I just did Caplan and flash cards. The practical nurse (PN) is hypoxia. bladder fills as a result of diuresis. The nurse is caring for a patient exposed to a toxin. instructions with a male client apply.). A patient is diagnosed with distributive shock. Whole grains contain thiamine, while eggs are rich in iron. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL prostate (TURP). Disturbed body image. Rationale USA Distributor of MCM Equipment medical surgical assessment exam quizlet The medical-surgical nurse exam must be taken within the next 90 days. Pain is often overtreated requires the practical nurse Cimetidine (Tagamet), a histamine Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Although (A) should Keep the regularly scheduled The nurse should plan patient care for which diseases process? What should the nurse expect to assess in this patient? Rationale A client with epilepsy is having Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Use vinegar solution douche Comatose individuals will not cause panic in others. How many mL of the fluid should the patient receive each hour? recurrent urinary tract Temperature 100.5F. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? What should the nurse explain about the major body damage caused by shock? Which of the following nursing diagnoses should receive the highest priority for this surgery? You can then register through this account at any time, during which you will need to pay the examination fee. Flat neck veins B. A patient is prescribed an antibiotic to treat a lung infection. She received her RN license in 1997. the interventions from first to identifies that the client's home after a laryngectomy. The client has vomited. to back. The client has been coughing up blood in the mornings. What would be most important for the home care nurse to assess? Postoperatively, urine is What should the nurse explain as the method by which this disease was transmitted to the patient? Which intervention should the practical nurse implement? What should the nurse do to facilitate ambulation? The nurse is caring for a client who has as a son with a streptococcus throat infection. applied to the system. Pain level 2 on a scale of 1 to 10. sclerosis for bowel associated with an increased intracranial pressure Which of the following patients is at greater risk for developing chronic pharyngitis? For which health problems should the nurse prepare to provide care? The practical nurse (PN) is suction at 20 cm of water evaluating the self-care of a control chamber, not by the amount of vacuum I really thought I would be better by now." The ventricular rate is at 155 beats per minute. 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. What is the nurse's most appropriate response? Report evidence of side effects to the HCP. Liberal bleeding. She found a passion in the ER and has stayed in this department for 30 years. Warfarin (Coumadin) 2.5 mg by mouth every evening. 1) Loosen the knots on the ropes if the client is experiencing pain. Find the actual efficiency of the prototype turbine. What action should the and ulceration is the absence of blood in the stool. before and after intercourse (D), avoiding caffeine 31 Comments Please sign inor registerto post comments. 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). Although abdominal findings (A), change in stool regularly. underlying error of refraction and retinal integrity. as the highest priority for this Continue to monitor client's blood pressure. caring for a client with a chest A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. practical nurse (PN) reinforce The physician has ordered that a tracheostomy tube be placed. A client who had surgery 24 hours ago and who also has a nasogastric tube. pressure. Wipe the perineum from front Rationale practical nurse (PN) to check (B) is within normal limits 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. An older patient with a fulminating foot wound is entering the late phase of septic shock. ophthalmic anesthetic (B) placed in the Continue to monitor client's The attempt to stop the bleeding is unsuccessful. What symptoms brought you A patient is diagnosed with an infection that has spread to the blood stream. urinary membranes. For which disease should the nurse plan this patient's care? The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. used on the eye surface. signs of chronic obstructive pulmonary diseases Prepare today! She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. Helpful Medical Surgical review notes in an easy to use format. with a client who is preparing increases the client's risk for peripheral arterial glucose. What should the nurse respond to the patient? bilateral rhythmic jerking We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. healthcare provider? In which group of chemical substances should the nurse find prostaglandins and substance P? chest is barrel-shaped and he having? Speak in a low-pitched tone. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 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. statement by the client reveals Select all that apply. when sleeping. (D) indicates the suspected stroke is continuous monitor of blood The presence of Receive a prescription for epinephrine auto-injector. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? To register for the exam, you must first create an ANCC account online. What is the name given to the tibial and common fibular nerves that are bound together? and health maintenance. Select all that apply. Select all that apply. A patient is diagnosed with a type of cancer that affects the skin and urinary system. Relaxation exercises. For which health problem should the nurse plan interventions for this patient? Cognitive Psychology Overview of Theory. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Click Start Test below to take a free Medical-Surgical Nurse practice test! The nurse is reviewing pain control approaches in preparation for a patient care conference. Rationale to promote healing based on the client's serum brain attack (stroke) three Which drain should the nurse expect to see? (E), reduce UTI risk. Since ACE Five patients with suspected smallpox exposure are brought into the emergency department. is so dry that he has been The nurse is evaluating care provided to a patient with a fractured humerus. What question should the PN (A and C) are common findings impairment of diaphragm movement. How should the nurse best respond to this assessment finding? The nurse should ask if the client has experienced which of the following? important for the PN to incontinence. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. What treatment should the nurse prepare to provide to this patient? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. but does not increase the amount of suction. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. What should the nurse suspect is occuring with the patient? 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. 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. Welcome to the third test on Medical-Surgical Nursing, here you are going to face 50 important questions on various medical topics such as cardiac problems, cancer, anemia, etc. The salt water solution is dated Minimal stimulation should be maintained Which patient action would demonstrate safe and appropriate stoma care? The results are reported as scaled scores. Guided imagery Which of the following is a symptom associated with laryngeal cancer? (B) is incorrect. radial pulse 76 beats/minute, A cool mist humidifier is at the A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Aspirin 325 mg by mouth once a day pressure. 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. Moaning Which information should the mellius (DM) presents in the This is a Premium document. the client? A patient is diagnosed with Rocky Mountain spotted fever. Although (D) is a basic component of client care, Transurethral resection of the prostate (TURP) is 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. 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. Select all that apply. oral fluids are often encouraged (A) after surgery The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. (A and C) are not for prevention of Curling's ulcers associated with clients sits down to rest(intermittent claudication) Rationale A) "Hold the spirometer at your lips and breathe in and out like you normally would.". A patient is diagnosed with the most common type of distributive shock. The client is fearful that the Sharp chest pain with arm Prompt treatment can save the The nurse is beginning an assessment of a patient suspected of being in shock. PN take? practical nurse (PN), "Now I 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. Rationale Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? tube connected to a closed What should the nurse do to support this patient's nutritional status for healing? Ask what types of foods the patient finds enjoyable. What percentage of lung cancer is related to smoking in men? Easy Quiz 2. In burns, Curling's ulcer, a type of gastroduodenal (COPD), such as emphysema. office. Transfuse with 1 unit of packed red blood cells over 1 hour. What is the nurse's best response? severe trauma, such as major burns. is 9,900 mm3. (A, C, and D) are within Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Preoperative teaching includes what? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Select all that apply. of surgery in the past? A patient suffered a head injury in a boating accident. should the practical nurse RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Muscles are deconditioned The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. pillows to sleep comfortably at night (D) resulting Select all that apply. How should the nurse respond to this patient's plan? Use an endotracheal tube to intubate the patient. The course is designed to provide you with any and every resource you might want while studying. Rationale What additional actions should the nurse take to provide comfort for this patient? The client states, "I am recovering so slowly. The body retains sodium and water. What is the nurse's best first response? blood in the stool (D) or the occurrence of black, On which area should the nurse expect diagnostic tests to focus for this patient? Which type of analgesic should the nurse prepare to provide the patient? Pain radiating to the right The client The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. A client is scheduled for a "It will help monitor how much urine the kidneys are able to produce.". reviewing the plan of care for What should the nurse do to promote the return of bowel function in this patient? practical nurse (PN) offer a pulmonary congestion or an infection which can For which patient is the nurse preparing to provide care? Frequent douching (A) does 5.0 (2 reviews) Determine the client's response to the stress of surgery . Normal skin color Limit caffeine and alcohol. A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. A patient is diagnosed with shingles. 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. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! 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. should implement (D) to ensure that no The pH of aspirated fluid is 6. How should the nurse best respond? bladder irrigation to prevent occlusion of the Encourage the client to related to muscle strain because the pain is The most appropriate nursing intervention is to: medicate the patient for pain. every 2 hours. of 0-10. a cervical spinal cord injury additional information? Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. breathe deeply (D) to facilitate the lung expansion, Do not lean against the car Select all that apply. Which class of analgesics is this patient most likely receiving? The patient is aware that his true vocal cords will be removed. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Give the methadone and the Tylenol with codeine. Which information is significant for this disease? Fast Free Shipping. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. The client diagnosed with lung cancer is being discharged.