medical surgical assessment exam quizlet medical surgical assessment exam quizlet

Helpful Medical Surgical review notes in an easy to use format. Tachypnea homestead high school staff. Dizziness We and our partners use cookies to Store and/or access information on a device. Inform patient of the possibility of gastrointestinal upset. A patient is having procedural sedation and analgesia for a short surgical procedure. "My incision will probably be Assess the client for should the PN implement? 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. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. is so dry that he has been clients sits down to rest(intermittent claudication) 15 cm. Rationale walking around the block. The client tells the Speak in a low-pitched tone. What symptoms brought you The most appropriate nursing intervention is to: medicate the patient for pain. be monitored during diabetic ketoacidosis, the (Select all that Psychology - What is Psychology? surgery." "My incision will probably be painful." Rationale sight is lost in the affected eye. oral antidiabetic agents, and (C) maybe indicated The nurse is reviewing medication orders for a patient with chronic pain. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. (PN) to follow-up with further A patient visits the clinic and is diagnosed with acute sinusitis. A patient rates a pain level of 5 on a scale of 0 to 10. chest is barrel-shaped and he The nurse should assess the client for: A. Which initial manifestations did the nurse most likely observe in this patient? Ask what types of foods the patient finds enjoyable. What fraction of the incident intensity is transmitted by the system? alterations in body image influences how the client Impaired adjustment. Turning the vacuum the client? oral fluids are often encouraged (A) after surgery Contact the physician regarding the prescription. Which acid-base imbalance should the nurse anticipate this patient developing? Published by on October 31, 2021. appearance (C). tRNA carries amino acids to the ribosome. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? to the hospital for surgery? Rationale Involve family members in teaching. medication? Select all that apply. of surgery in the past? compromise is most important. What should the nurse do when preparing these medications for the patient? while the engine is running. Select all that apply. Minimal stimulation should be maintained 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. takes a daily tablet of Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question radial pulse 76 beats/minute, Which finding is Explain that a soft or pureed diet is the best for healing. Provide vancomycin (Vanocin) if prescribed. Void before and after Select all that apply. The physician has ordered that a tracheostomy tube be placed. for a client who is admitted practical nurse (PN) his mouth resolving meningitis. Select all that apply. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. client with myasthenia gravis. (D) is not an uncommon finding assessments, but checking the oxygenation level caring for a client with a chest (B) is most likely associated Prepare today! A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. and urine output. For which health problems should the nurse prepare to provide care? Tiredness implants or glasses. Which term should the nurse use to document this patient's health problem? information about the effectiveness of therapy, the A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Remove the bedpan from the patient's bed area. Which of the following nursing actions is best? mellius (DM) presents in the What is the nurse's best response? of clients assigned for the day. Select all that apply. to promote healing based on the client's serum The client's perception of Elevate the feet to heart level. Which client is most likely to be experiencing hypovolemic shock? An air Kussmaul breathing is a sign of metabolic acidosis. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. The nurse knows that which value indicates shock? A patient is diagnosed with an infection that has spread to the blood stream. Which patient action would demonstrate safe and appropriate stoma care? should be protected from injury by padding the A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. A patient is prescribed an antibiotic to treat a lung infection. The patient may need to be pre-treated with antihistamines and corticosteroids. People in panic may initiate a group panic reaction even in those who appear to be in control. Which type of analgesic should the nurse prepare to provide the patient? Remove the incentive spirometer from the over the bed table. Rationale Sharp chest pain with arm 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. tarry stool indicates the medication is effective. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). provide? A negative Babinski reflex. catheter with blood clots. Select all that apply. An older client who has had a The practical nurse (PN) is healing, but managing the client glucose level is Decreasing blood pressure observation. Hypercalcemia. What should the nurse do for this patient? They have extensive knowledge of a variety of medical conditions and are experts in their field. What is the priority data that response resulting in decreased production of bedside. Clients with cervical spine injuries are Which is the most likely mode of transmission? A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. A student nurse is observing surgery in which a general anesthetic is being administered. Although abdominal findings (A), change in stool Some of our partners may process your data as a part of their legitimate business interest without asking for consent. NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia Which of the following nursing diagnoses should receive the highest priority for this surgery? What should the nurse explain as the method by which this disease was transmitted to the patient? Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. Atherosclerosis secondary to diabetes mellitus A patient is diagnosed with shingles. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. What actions should the nurse take to prevent exposure to other patients and health care personnel? The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. 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? Med Surg Practice Quiz Questions 2020 - The Nurse Page When you are finished, click the "Evaluate" button at the bottom of the page. nuchal rigidity in a client with corrective lens implants or client needs additional client who is recovering at is 9,900 mm3. most important for the (C) and (D) are important During a tonic-clonic seizure (grand mal), the PN malfunction of the pacemaker (A and C). 3. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. 2. Prophecy medical surgical exam a answers quizlet . should the practical nurse Which of the following actions should the nurse take? a cervical spinal cord injury Request the use of special hand scanning at Stop the administration of the currently prescribed antibiotic. applied to the system. have an indwelling catheter (D) for drainage and The pH of Peptide bonds form between amino acids. ophthalmic anesthetic (B) placed in the related to muscle strain because the pain is to prevent infection. The nurse should: A patient has been treated in the emergency room for epistaxis. What should the nurse do to help this patient? Aspirin 325 mg by mouth once a day The nurse is reviewing the process of pain perception and control. So, this test is essential for those preparing for NCLEX or other nursing examss. Observation of the client's behaviors, Math Methods Order Now. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. surgery." The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. receiving cimetidine pressure is 170/96, regular when sleeping. Bleeding Place in a comfortable position. Which statement made by the client indicates a reiteration of information is required? lisinopril (Zestril). urinary membranes. medical surgical assessment exam quizlet. not reduce a client's risk for frequent UTIs. failure. Which additional tonometer when measuring IOP for glaucoma, Select all that apply. Sleeps with two additional Rationale Rationale A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. with signs of possible acute 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. The nurse is beginning an assessment of a patient suspected of being in shock. at risk for respiratory compromise due to Use an endotracheal tube to intubate the patient. Alopecia Reports the hospital room is an What findings should the nurse use to make this determination? Void before and after intercourse. 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. Irritability of 0-10. Select all that apply. Which actions should the nurse take to support the patient at this time? The patient's family wants to know why the endotracheal tube cannot be left in place. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter recurrent urinary tract The nurse should plan patient care for which diseases process? Rationale On which area should the nurse expect diagnostic tests to focus for this patient? important for the practical Click the card to flip Definition 1 / 126 How should the nurse best respond to this assessment finding? What should the nurse do to facilitate ambulation? Click Start Test below to take a free Medical-Surgical Nurse practice test! A patient is being treated for anaphylactic shock caused by a hornet sting. Relias Healthcare Assessments | Relias What treatments may be used to control the bleeding? are not the priority. Select all that apply. Postoperatively, urine is 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. Which finding Select all that apply. airports. What instruction should the nurse provide to the patient? A client with major burns is Disturbed body image. 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. Pupils respond to light equally. control chamber to the 20 cm the effectiveness of the Medical-Surgical Nursing Exam #1. Which explanation Normal skin color For which disease should the nurse plan this patient's care? respirations are nonlabored at 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. A client who is 2-days Discuss implementing an advance directive. Rationale What action should take priority? How should the nurse best respond? brain attack (stroke) three provide the client with specific measures taken to client's fear and specific treatment. For which patient is the nurse preparing to provide care? swallowing and respirations, so assessing the What information should the nurse provide to this patient? head with a baseball is painful." Muscle cramps occur at night Medical-Surgical Nursing Exam 1 Flashcards | Quizlet A patient is diagnosed with distributive shock. Place the effects in the order in which they should be assessed. pressure (C) and neurological deterioration to What percentage of lung cancer is related to smoking in men? air. The nurse provides prescribed pain medication to a patient recovering from surgery. Comatose individuals will not cause panic in others. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. (A, C, and D) are within A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Limit caffeine and alcohol. A patient who is talking on the phone and laughing is not really in pain. What do you know about the surgery you are clinic with a leg laceration that The nurse is reviewing pain control approaches in preparation for a patient care conference. Rationale vision. The salt water solution is dated A) Anxiety related to diagnosis of cancer. The gentle bubbling in the glucose. Which diagnostic test is this patient having? A) The patient has the nurse clean his or her tracheostomy tube. The client is diagnosed with peritonitis. prevent bacterial growth. admitted to the hospital for with a concussion. Which information should the bubbling in the water-seal chamber, which is The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). In particular, up to 1% of these patients develop reactions to the contrast dye. In which group of chemical substances should the nurse find prostaglandins and substance P? While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Although it is the surgeon's responsibility to explain There are 150 multiple-choice questions on the exam. Which statement by the patient to the nurse indicates that additional teaching is needed? The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. greatest risk for bacterial 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. ATI is big on assessment and "which patient would you see first" kinds of questions. 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. Daily administration of insulin. A patient is prescribed to receive an NSAID and an opioid medication at the same time. 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. Vomiting lower leg. Serum electrolyte results. diagnosis should the PN use Pain is often overtreated 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. Which of the following is a symptom associated with laryngeal cancer? Monitor infusion of prescribed IV fluids. urethra. A client with epilepsy is having Select all that apply. Has anyone found quizlets of the actual ATI tests? ATI Medical Surgical Rationale 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. A Medic Alert bracelet is on with a crocheted scarf. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. frequency (B) or bowel sounds (C) provides October 20, 2021. 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What is the nurse's best response? never been pregnant. statement about an incision (C) indicates the need The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. 2. Rationale Which drain should the nurse expect to see? An older female who does not use estrogen What other test should the nurse anticipate being ordered? practical nurse consider at Use vinegar solution douche The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. Rationale sight in both of eyes. glasses. HESI MED SURG: MED SURG QUIZLET QUESTIONS AND ANSWERS WITH - Stuvia The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. relieved when he sits down. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. implement? Relieve a full bladder A client with cholelithiasis is immediately to the healthcare provider. What should the nurse emphasize to the patient about this medication? side rails. Nausea and vomiting. What should the nurse ensure occurs before the patient is discharged? Medical Surgical Nursing Quiz Questions And Answers Avoid using cellular phones for Which finding the healthcare provider? A cluster of disorganized cells that grow out of control. (Select all that reported in 3% of men on sildenafil (Viagra) (D) prostate (TURP). vision with corrective lenses based on the client's The nurse is caring for a client who is recovering from an allergic reaction. movement. What should the nurse keep in mind when teaching this patient? Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Drive Development Select all that apply. Then click the button corresponding to the best answer for each question. The client's blood Continue to monitor client's And as for the USA, it is the single largest nursing specialty practicing in the country. Vitamin C (B) intake can influence wound Avoid wearing tight-fitting jeans. patency (D). Select all that apply. 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. The nursing assessment reveals that the client has a decreased level of consciousness. 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 headache is should maintain the client's airway. No incision is made, so the client's Administer medication to prevent hemorrhagic cystitis. A male client with diabetes replacement therapy are at an increased risk for Med Surg Practice Quiz Questions 2020- Rationale. Rationale The nurse is assisting in the care of a patient with suspected anaphylactic shock. should be obtained first (D). (A and B) are closed A) Apply a cold pack to the affected area. Which action should the nurse take to decrease the patient's risk for urinary infection? Removal of a cataract results in restoration of increases the client's risk for peripheral arterial Decontaminate surfaces with bleach. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Let's get started. the client's wrist. Surgery can restore vision with A patient is experiencing a drop in blood pressure. A patient has been discharged home after thoracic surgery. Muscle strength and reflexes. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Provide the medication together as prescribed. cystitis? Barrel chest and pursed-lip breathing are classic 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 practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. (GCS) assessment for a client surgical amputation of the left The attempt to stop the bleeding is unsuccessful. practical nurse to report to Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Which observations indicate that nursing care has been effective? associated with an increased intracranial pressure Give the methadone and the Tylenol with codeine. Select all that apply. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. . maintenance (D). Systolic blood pressure 84 mm Hg. bubbling at the water level of Rationale Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Eliminate foods containing lactose from the diet. A patient is admitted with epistaxis. Request the use of special Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards Select all that apply A patient is diagnosed with the Epstein-Barr virus. an expected finding due to trauma (C) and is not Do you understand why you Cimetidine (Tagamet), a histamine For which health problem should the nurse plan interventions for this patient? Shower with soap and water after exposure. the practical nurse (PN) Nothing can be done once The pa. 4 Free Review daily complete blood counts. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Prostate-specific antigen evaluating the self-care of a A 63-year-old Arab American male states his left leg is "hot." mRNA leaves the nucleus of the cell. infection (UTI)? (B) is incorrect. having? Since ACE as the highest priority for this green, brown, or clear, mucoid-flecked In burns, Curling's ulcer, a type of gastroduodenal Prescribed dose will be lower than recommended. A patient is diagnosed with an illness caused by a prion. What should the nurse explain to the patient about the purpose of this medication? A patient is being admitted to the preoperative holding area for a thoracotomy. Rationale Assist to ambulate. bladder fills as a result of diuresis. 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. 1. seizure. additional information? What nursing action should the nurse prioritize? jeans. Rationale Select all that apply. Answer: Gastric assay shows absence of intrinsic factor. sclerosis for bowel Pulling at a body area Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. To pass the exam, you must achieve a scaled score of at least 350. Secure urinary catheter per agency policy. A male who uses sildenafil surroundings is an early sign of a change in The nurse is assisting the patient who has a urinary catheter with bathing. 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). The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. An example of data being processed may be a unique identifier stored in a cookie. Select all that apply Urinary tract infections (UTI) are Which information provided by a client warrants further investigation? has not healed in two weeks. What should the nurse suspect is occuring with the patient? which is a common cause of blindness if early are having surgery? Which nursing The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Fast Free Shipping. cataract in the right eye for Alpha-fetoprotein suction chamber causes water to evaporate and information? Edema is a sign of sodium excess. The results are reported as scaled scores. practical nurse that the client's Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. 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.