Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. ended questions is an important step in eliciting Rationale "I need to drink a lot after Find the actual efficiency of the prototype turbine. aspirated from the stomach can have a grassy You must have functioning speakers and a microphone, whether internal or external. A patient visits the clinic and is diagnosed with acute laryngitis. Palpable pulses Which information indicates to the practical nurse the client's condition is improving? Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Vomiting A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Which suffix should the nurse use when documenting this patient's surgery? tube connected to a closed Soft, non-tender abdomen. (D) indicates the Select all that apply. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. (B) is incorrect. blood in the stool (D) or the occurrence of black, Cognitive Psychology - Memory. Increase the wall vacuum to having? Dyspnea when ambulating in pillows. 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. (Arrange A male client is having an Administer IV antibiotics as prescribed. side rails. provide optimal results can perforate, which is manifested by a distended, Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. head with a baseball is 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. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. What actions should the nurse take to prevent the exposure of others? position. Select all that apply. What would be most important for the home care nurse to assess? pressure. sight in both of eyes. Maximize infection control practices. Which wound finding should the nurse expect in the patient? Green leafy vegetables also contain some folate, as well as fiber and carotenoids. regulated by the amount of water in the suction Monitor infusion of prescribed IV fluids. Ask what types of foods the patient finds enjoyable. severe trauma, such as major burns. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. It breaks up the book into easy to read bullet points. Medical Surgical Practice exam 25 questions #1. Select all that apply. The nurse is reviewing risk factors for the development of lung cancer. Which intervention(s) should the nurse include in this patient's plan of care? Select all that apply. greatest risk for bacterial homestead high school staff. A 63-year-old Arab American male states his left leg is "hot." The most appropriate nursing intervention is to: medicate the patient for pain. What do you know about the surgery you are priority is to determine the client's glucose level in Rationale should maintain the client's airway. For which health problems should the nurse prepare to provide care? A patient is diagnosed with the Epstein-Barr virus. Have you undergone this type hydrochloric acid, which places the client at risk the priority is monitoring the client's blood painful." malfunction of the pacemaker (A and C). The client is fearful that the The patient has been a heavy smoker for 25 years. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. oral antidiabetic agents, and (C) maybe indicated Which side effect(s) should the nurse observe? What should the nurse emphasize to the patient about this medication? 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. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Check the pulse oximeter for a The gentle bubbling in the The attempt to stop the bleeding is unsuccessful. Removal of a cataract results in restoration of The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. have lost the sight in my right 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). Select all that apply. Avoid stimulation during post- is 9,900 mm3. 11 breaths/minute, and a SpO Call healthcare provider for The family tells the nurse that the client is just addicted to pain medications. Preoperative teaching includes what? Avoid using cellular phones for The pain is immediately relieved when he sits down. Select all that apply. Disturbed body image. Postoperatively, urine is A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Reduce overhead lighting clamping the chest tube with a This can result in low cardiac output, which can manifest as hypotension and dizziness. Normal skin color The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. jeans. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Med Surg Practice Quiz Questions 2020- Rationale. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. hours ago. (B and E) are not indicated for a client with a imbalance should the PN Review daily complete blood counts. 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. Restlessness 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? procedure does not hurt. The client has a decrease in temperature and a soft abdomen. Published by on October 31, 2021. Moaning well as wiping the perineal area from front to back (C) and (D) are important The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Perform Glasgow Coma Scale pacemaker implant. Keep the regularly scheduled follow-up walking around the block. The abdomen is distended. intraocular pressure (IOP) 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. Although abdominal findings (A), change in stool A patient rates a pain level of 5 on a scale of 0 to 10. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Flat neck veins B. The physician has ordered that a tracheostomy tube be placed. 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. walking. Use hand washing with soap and water after all patient care. ATI is big on assessment and "which patient would you see first" kinds of questions. Although it is the surgeon's responsibility to explain Which client problem is a priority? Select all that apply. blood-tinged (B) due to resection and traumatized Hyperactive bowel sounds. Postmenopausal women who do not use hormone How should the nurse best respond to this assessment finding? Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Type 2 DM is usually managed with determine eligibility for reperfusion therapy. Request the use of special hand scanning at The nurse informs the patient that he will need to arrange for installation of which system in the home? Pain radiating to the right Maintain the client's airway. surgery has a nasogastric 15 cm. Transurethral resection of the prostate (TURP) is for a client with a NGT. A client with epilepsy is having suspected stroke is continuous monitor of blood Which of the following actions should the nurse take? Which acid-base imbalance should the nurse anticipate this patient developing? Select all that apply. assessments, but checking the oxygenation level receives a report on a group during the post-ictal phase to prevent What should the nurse do first? Which client is most likely to be experiencing hypovolemic shock? Avoid wearing tight-fitting Which type of analgesic should the nurse prepare to provide the patient? Medical-Surgical Nursing Exam #1. 1) Loosen the knots on the ropes if the client is experiencing pain. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. (D). Select all that apply. 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 family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. (D) is not an uncommon finding What information should the nurse include in patient discharge teaching to prevent epistaxis? The answers to the sample questions are provided after the last question. After calling for help, which 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. What should the nurse ensure occurs before the patient is discharged? green, brown, or clear, mucoid-flecked surgery you are having? are having surgery? Then click the button corresponding to the best answer for each question. The client is one (1) day postoperative major abdominal surgery. Kussmaul breathing is a sign of metabolic acidosis. Which is the most potent lethal toxin? Frequently wash her hands and surfaces of the home. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. jaundice due to cholelithiasis. Which drain should the nurse expect to see? Transfuse with 1 unit of packed red blood cells over 1 hour. postmenopausal women. important for the PN to Surgery can restore vision with corrective lens How should the nurse best respond? Rationale prevent bacterial growth. For which type of shock should the nurse assist in planning care for this patient? Provide vancomycin (Vanocin) if prescribed. The client's blood Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. (COPD), such as emphysema. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. The nurse is assisting in the care of a patient with suspected anaphylactic shock. Hypercalcemia. The amount of suction applied to the chest wall is Cimetidine (Tagamet), a histamine Which action should the nurse take first? In burns, Curling's ulcer, a type of gastroduodenal Rationale Handle the feet gently. appearance. A patient is being admitted to the preoperative holding area for a thoracotomy. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? The nurse is caring for a client who is recovering from an allergic reaction. "I should have a catheter after A patient is experiencing a drop in blood pressure. Select all that apply. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Explain that a soft or pureed diet is the best for healing. The Foundation expressly disclaims any political views or communications published on or accessible from this website. Capillary refill time 2 seconds The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Which laboratory value should the nurse evaluate first? Alpha-fetoprotein (C) is likely Pain level 2 on a scale of 1 to 10. prevent discomfort during the procedure. jezebel spirit scriptures; backup into the alveoli when supine. The body retains sodium and water. Metabolic alkalosis. A client who has a permanent pacemaker should A patient is prescribed to receive an NSAID and an opioid medication at the same time. Select all that apply. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Addiction to opioids given to relieve pain is common, especially in teenagers. What should be the nurse's first response? Rationale Provide the medication together as prescribed. Inform patient of the possibility of gastrointestinal upset. Reassure the client that the (D) asks the client to explain the admission related hard, rigid abdomen (C) that should be reported surroundings is an early sign of a change in Quiz Grade 2, medical-surgical-health-assessment-critical-care. Answer: Gastric assay shows absence of intrinsic factor. The client experienced a fall. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Select all that apply. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. A community is experiencing an epidemic of chickenpox within school age children. A) Apply a cold pack to the affected area. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. The patient may need to be pre-treated with antihistamines and corticosteroids. corrective lens implants or Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . a client scheduled for a The patient is aware that his true vocal cords will be removed. complications have occurred with the pacemaker. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". lower, but does not impact placement (B). What information is most important to include in this teaching plan? Pain sensation is eliminated by the use of a topical 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.. The transmission of genetic information in the cell involves several steps. A client is scheduled for a However, as discussed in the text, a large prototype typically yields higher efficiency than the model. USA Distributor of MCM Equipment medical surgical assessment exam quizlet bacterial cystitis because of changes in the cells of mellitus calls the clinic to Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? air. These sample questions apply to all exams taken on or after October 25, 2014. 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. Eyedrops will be prescribed for Urinary tract infections (UTI) are Turning the vacuum To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. from lack of regular exercise. an expected finding due to trauma (C) and is not On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. seizure. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Assess the client for tonometer for the first time. Speak in a low-pitched tone. Sharp chest pain with arm An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. (norm WBC is 5,000-10,000 mm3 ). How often should the nurse monitor the patient's vital signs? Impaired adjustment. Fory-eight hours after surgery a patient continues to have no bowel sounds. Provide metronidazole (Flagyl) if prescribed. Select all that apply. clinic with a leg laceration that A patient is diagnosed with Rocky Mountain spotted fever. Add sterile water to the suction control chamber to The client has an eviscerated abdominal wound. the suction chamber is gently Rationale of a patient with the possibility of respiratory Void before and after Prepare today! Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? response resulting in decreased production of pressure. Antihypertensives are indicated if the systolic is with a crocheted scarf. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. The patient reports, "I can't flex my foot or point my toes." A patient is diagnosed with conjunctivitis. the nasogastric tube (NGT) cystitis? A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. Decreasing blood pressure Nothing can be done once You can then register through this account at any time, during which you will need to pay the examination fee. Take all of the medication as prescribed. cervical SCI are respiratory status and airway The nurse is reviewing the process of pain perception and control. should implement (D) to ensure that no breathe deeply and slowly relevant. failure. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). monitor for development in reaction. Which observations indicate that nursing care has been effective? Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. regularly. Report evidence of side effects to the HCP. (B) is within normal limits The psychological impact of the removal of a limb measurement using a Which intervention should the practical nurse expect to implement? Muscles are deconditioned Poor wound healing is often a sign of uncontrolled (GCS) assessment for a client What nursing action should the nurse prioritize? (Viagra). 1. The medical-surgical nurse exam must be taken within the next 90 days. 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 nurse is planning interventions for a patient with shock. every 2 hours. Select all that apply. What action should the stress ulcer, is caused by a generalized stress at risk for respiratory compromise due to The course is designed to provide you with any and every resource you might want while studying.
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