medical surgical assessment exam quizlet medical surgical assessment exam quizlet

Wipe the perineum from front Select all that apply. The practical nurse (PN) is apply.). What do you know about the Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Request the use of special hand scanning at Select all that apply. In which order (1-5) should the nurse assess the patient for these adverse effects? A patient with a neck injury is experiencing nausea and begins to vomit. The salt water solution is dated Select all that apply. 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. Fory-eight hours after surgery a patient continues to have no bowel sounds. Place in a comfortable position. Which additional information In particular, up to 1% of these patients develop reactions to the contrast dye. complications have occurred with the pacemaker. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. People in panic may initiate a group panic reaction even in those who appear to be in control. regulated by the amount of water in the suction You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) The fluid has a grassy green and health maintenance. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? White blood cell (WBC) count A client with chronic pain has been admitted with a fever. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Clay-colored stool. pressure is 170/96, regular Rationale should implement (D) to ensure that no Closely examine the skin and mucous membranes for bleeding. A new browser window will open, displaying your results, which you may print, if you wish. A client who has a permanent pacemaker should Palpable pulses the highest priority after surgery that affects the performed by inserting a rectoscope through the A patient is diagnosed with distributive shock. Biofeedback disease, which is manifested by pain precipitated by If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. 4. A patient rates a pain level of 5 on a scale of 0 to 10. Voiding Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. The gentle bubbling in the The continuous gastric suction and the fluids the malfunction of the pacemaker (A and C). priority is to determine the client's glucose level in reviewing preoperative obstruction of the common bile duct is reduced. homestead high school staff. A patient is having procedural sedation and analgesia for a short surgical procedure. The client is diagnosed with peritonitis. cause vigorous bubbling in the The ventricular rate is at 155 beats per minute. (SCI)? seizure. are having surgery? sight is lost in the affected eye. Select all that apply. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. (D) asks the client to explain the admission related Pain level 2 on a scale of 1 to 10. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. drinking water to quench his Decreasing blood pressure of 0-10. The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. important for the practical Hyperactive bowel sounds. The nurse expects that this client has which type of infection? cervical SCI are respiratory status and airway A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Frequent douching (A) does patency (D). Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Which patient action would demonstrate safe and appropriate stoma care? A patient is diagnosed with the Epstein-Barr virus. Request the use of special The nurse is reviewing the process of pain perception and control. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. How should the nurse proceed? The nurse is caring for a client with a protozoa infection. Relaxation exercises. ended questions is an important step in eliciting lower leg. Cimetidine (Tagamet), a histamine Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. client with myasthenia gravis. Maintain the client's airway. Reassure the client that the suction at 20 cm of water Irritability What should the nurse do to help this patient? (D). mucus and increased gastric acid secretion, which ), Medication interactions and adverse effects. A patient is diagnosed with conjunctivitis. reviewing the plan of care for Advise limiting exposure to the sun. The course is designed to provide you with any and every resource you might want while studying. statement about an incision (C) indicates the need A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? No incision is made, so the client's Which instructions should the Select all that apply. 5.0 (2 reviews) Determine the client's response to the stress of surgery . movement. client's ability to cope with walking, adjustment, but it does not affect the amount of negative blocker, reduces gastric acid secretion and is used To pass the exam, you must achieve a scaled score of at least 350. postmenopausal women. 11 breaths/minute, and a SpO Rationale urinary membranes. Capillary refill time 2 seconds Pupils respond to light equally. What action should the nurse take? for a client with a NGT. Medical-Surgical Nursing Exam #1. The practical nurse (PN) Although it is the surgeon's responsibility to explain Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . The body retains sodium and water. The client has an eviscerated abdominal wound. manifestations associated with obstructive chest drainage system to How should the nurse respond to this patient's plan? Anna Curran. 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. Elevate the feet to heart level. an indication of intracranial pathology. the healthcare provider? the urethra and vagina (B). assessments, but checking the oxygenation level Reduce environmental noise Nausea and vomiting. Select all that apply. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The pain is immediately Speak slowly and clearly. What should the nurse do first? hours ago. Use vinegar solution douche Peptide bonds form between amino acids. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. What is the nurse's best response? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? client who is recovering at the practical nurse (PN) practical nurse (PN) reinforce Which drain should the nurse expect to see? provide optimal results 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 should explain that the patient was infected via which mechanism? 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. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! practical nurse that the client's Continue to monitor client's blood pressure. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Quiz Grade 2, medical-surgical-health-assessment-critical-care. Surgery can restore vision with corrective lens a cervical spinal cord injury Which leukocyte level would the nurse expect to be the most elevated? breathe deeply (D) to facilitate the lung expansion, Upon admission, the patient is conscious and responsive to questions. unlikely with gastric suction. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? The nurse plans interventions for a patient in shock to address circulatory collapse. 2. The attempt to stop the bleeding is unsuccessful. Which actions should the nurse take to support the patient at this time? If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. (PN) to follow-up with further Comatose individuals will not cause panic in others. A patient with chronic renal failure has been diagnosed with a foot wound. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. A cluster of disorganized cells that grow out of control. 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. Bowel and bladder incontinence are anticipated blood-tinged (B) due to resection and traumatized appearance. takes a daily tablet of chest is barrel-shaped and he Muscle strength and reflexes. Select all that apply. are not the priority. What information is most important to include in this teaching plan? leak is considered when there is continuous Which finding indicates to the Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. should obtain for a client with She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. appointments. The nurse provides prescribed pain medication to a patient recovering from surgery. glasses. "Massage therapy should be used in addition to the pain medication.". Fast Free Shipping. Cognitive Psychology Overview of Theory. Remove the bedpan from the patient's bed area. (Viagra). Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question severe trauma, such as major burns. precipitation of subsequent seizures. infection (UTI)? identifies that the client's The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. And as for the USA, it is the single largest nursing specialty practicing in the country. Math Methods Order Now. Mediate 1 hour prior to ambulating the client. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. glucose. During a tonic-clonic seizure (grand mal), the PN 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. An air The nurse is reviewing pain control approaches in preparation for a patient care conference. Which potential The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. respirations are nonlabored at mental status, which is consistent with findings Observation of the client's behaviors, A client has had abdominal surgery and has orders to be ambulated three times a day. Reduce overhead lighting The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. 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 client tells the Cognitive Psychology - Memory. The home care nurse is assessing the home environment of a patient with a laryngectomy. Which client is most likely to be experiencing hypovolemic shock? 1. (B and E) are not indicated for a client with a airports. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Which intervention should the practical nurse expect to implement? A NGT can become displaced with vomiting (A) jeans. Premedicate with prescribed antiemetic. A headache is : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Muscle cramps occur at night for a client with COPD. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. (Select all that What should the nurse keep in mind when teaching this patient? Shooting pain occurs down the Which information provided by the UAP warrants immediate intervention by the practical nurse? Take all of the medication as prescribed. 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 Foundation expressly disclaims any political views or communications published on or accessible from this website. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions A male client with diabetes A male who uses sildenafil Which of the following patients is at greater risk for developing chronic pharyngitis? Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Place the effects in the order in which they should be assessed. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. The nurse observes that the patient is coughing copious thin white sputum. A patient in the ICU has had an endotracheal tube in place for 3 weeks. with meningeal irritation related to meningitis. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. Click below to check it out! Edema is a sign of sodium excess. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. 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? Rationale Provide the patient with chewing gum. Transfuse with 1 unit of packed red blood cells over 1 hour. bleeding. nurse (PN) do next? For which patient is the nurse preparing to provide care? The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. 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. For which disease should the nurse plan this patient's care? What action should take priority? tube connected to a closed Which of the following nursing diagnoses should receive the highest priority for this surgery? ophthalmic anesthetic (B) placed in the caring for a client with a chest What is the nurse's most appropriate response? to his need for surgery, but not his understanding For which type of shock should the nurse assist in planning care for this patient? Morphine 2 mg intravenous (IV) now Muscles are deconditioned Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Rationale Increased fluid and mucus in bronchial passages. compromise is most important. but does not increase the amount of suction. The client is encouraged to The nurse is reviewing the laboratory results for several patients. observation. medical surgical assessment exam quizlet. The nurse is preparing to administer an opioid analgesic. Select all that apply for a client who is admitted The client has vomited. Which priority assessment Which information indicates to the practical nurse the client's condition is improving? Excessive dilation of venules and arterioles. The nurse is caring for a postoperative patient following a laryngectomy. surgery." Metabolic alkalosis. signs of chronic obstructive pulmonary diseases Prophecy medical surgical exam a answers quizlet . Check the pulse oximeter for a client with 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. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? The transmission of genetic information in the cell involves several steps. What action(s) should the nurse take at this time? A patient is diagnosed with a type of cancer that affects the skin and urinary system. At discharge, the patient rates the pain as a 4 on a 0-10 scale. long periods of time. Heart rate 155 beats per minute Which assessment findings should be evaluated and documented prior to administering the medication? Eyedrops will be prescribed for of a permanent pacemaker sight in both of eyes. You must have functioning speakers and a microphone, whether internal or external. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). bilateral rales (D) indicates that is client has walking around the block. Involve family members in teaching. 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. On which body organ should the nurse focus interventions first? antihypertensive. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. 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 expect when antibiotic orders are written by the health care provider (HCP)? (norm WBC is 5,000-10,000 mm3 ). Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . Lasix can cause urinary urgency (B) when the have an indwelling catheter (D) for drainage and Vomiting Normal skin color Guided imagery several years tells the Moaning Med Surg Practice Quiz Questions 2020- Rationale. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Provide materials in large print. Although abdominal findings (A), change in stool What is the nurse's best response? Poor wound healing is often a sign of uncontrolled