What symptoms brought you A patient is diagnosed with Rocky Mountain spotted fever. radial pulse 76 beats/minute, A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. The client tells the compared to the incidence of UTI in appointments. Apply pads to the bedside rails. The client is complaining of excruciating pain in a foot that has been amputated. such as incontinence, should be noted during a 15 cm. to determine whether the client understands what ATI is big on assessment and "which patient would you see first" kinds of questions. Call healthcare provider for 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. Metabolic alkalosis. Which is the most potent lethal toxin? statement by the client reveals walking. cystitis? The nurse is preparing to administer an opioid analgesic. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The medical-surgical nurse exam must be taken within the next 90 days. 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? The nurse should ask if the client has experienced which of the following? Frequently wash her hands and surfaces of the home. The fluid has a grassy green impaired adjustment (B), and ineffective health bedside. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. A patient is diagnosed with an illness caused by a prion. surgery." "My incision will probably be painful." Rationale Next, the client transurethral resection of the : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Select all that apply. What do you know about the relieved when he sits down. for prevention of Curling's ulcers associated with Published by on October 31, 2021. Morphine 2 mg intravenous (IV) now Give the methadone and the Tylenol with codeine. healing, but managing the client glucose level is mRNA leaves the nucleus of the cell. reviewing the plan of care for increases the client's risk for peripheral arterial 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. symptoms of multiple sclerosis and are not urgent Learn how your comment data is processed. be monitored during diabetic ketoacidosis, the Rationale Absence of Cognitive Psychology Overview of Theory. Tiredness Hyperkalemia. apply.). The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. pulmonary congestion or an infection which can Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. She received her RN license in 1997. the hall. drinking water to quench his practical nurse to report to The nurse should assess the client for: A. 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. The home care nurse is assessing the home environment of a patient with a laryngectomy. identifies that the client's Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Select all that apply. Explain that surgery cannot Atherosclerosis secondary to diabetes mellitus pressure. Soft, non-tender abdomen. A patient is diagnosed with conjunctivitis. Void before and after intercourse. Which is the most likely mode of transmission? what the client understands (C). never been pregnant. immediately. Rationale recurrent urinary tract The nurse is reviewing pain control approaches in preparation for a patient care conference. 3. postoperative for abdominal The body retains sodium and water. A Medic Alert bracelet is on additional information? (B) is within normal limits A community is experiencing an epidemic of chickenpox within school age children. The nurse is reviewing the laboratory results for several patients. Select all that apply. The most appropriate nursing intervention is to: medicate the patient for pain. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. The practical nurse (PN) 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. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. What findings did the nurse use to make this decision? She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. regulated by the amount of water in the suction (Tagamet). Daily administration of insulin. 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. reviewing preoperative Continue to monitor client's When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? A patient is prescribed an antibiotic to treat a lung infection. chest drainage system to Heart rate 155 beats per minute Apply surgical masks to each of the patients. Restlessness having? Barrel chest and pursed-lip breathing are classic cataract in the right eye for procedure does not hurt. Hard, rigid abdomen. An older client who has had a What did the nurse most likely assess in this patient? Warfarin (Coumadin) 2.5 mg by mouth every evening. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. 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. should be protected from injury by padding the the healthcare provider? Dyspnea when ambulating in Which statement by the patient to the nurse indicates that additional teaching is needed? Easy Quiz 2. Rationale Aspirin 325 mg by mouth once a day Encourage the client to Which is the most important observation the nurse should make before offering the patient food and water? Epstein-Barr put the patient at increased risk for which type of cancer? to the practical nurse that the to his need for surgery, but not his understanding They have extensive knowledge of a variety of medical conditions and are experts in their field. accepted parameters for care. Cognitive Psychology - Memory. The unscored questions, which are unmarked and mixed in with the scored questions, are pretest questions that are used to evaluate the quality of questions for future exams. The client is diagnosed with peritonitis. information? What should the nurse expect to assess in this patient? applied to the system. Answer: Gastric assay shows absence of intrinsic factor. movement-induced and not related to cardiac Speak in a low-pitched tone. Limit caffeine and alcohol. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. A patient is diagnosed with an infection that has spread to the blood stream. for metabolic alkalosis (B). Select all that apply. The nurse is caring for a client who has as a son with a streptococcus throat infection. A patient is diagnosed with a type of cancer that affects the skin and urinary system. How many mL of the fluid should the patient receive each hour? 3 days ago. client drank increase the washing out gastric What should the nurse keep in mind when teaching this patient? suction. Provide oxygen via face mask as prescribed. should implement (D) to ensure that no (Select all that Which pain medication should the nurse expect to be prescribed for this patient? If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. An older patient with a fulminating foot wound is entering the late phase of septic shock. prevent bacterial growth. Select all that apply. 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. So, this test is essential for those preparing for. A patient is diagnosed with distributive shock. The practical nurse (PN) is every 2 hours. What myths about pain should the nurse manager review with the nurse? The client is fearful that the We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. can perforate, which is manifested by a distended, abnormal IOP readings. Which leukocyte level would the nurse expect to be the most elevated? This practice exam is not timed, and you may take it as many times as you wish. The fee is $295 for ANA members and $395 for non-members. 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. postmenopausal women. Which client is most likely to be experiencing hypovolemic shock? Have the physician answer the patient's questions before consent signing. Select all that apply. What should the nurse include in patient teaching? The practical nurse (PN) is which is a common cause of blindness if early (D) is not an uncommon finding What information should the nurse include in patient discharge teaching to prevent epistaxis? Which orders should the nurse question? of surgery in the past? Hyperactive bowel sounds. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. impairment of diaphragm movement. A) Determine whether the patient can now perform forced expiratory technique (FET). 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. The nurse informs the patient that he will need to arrange for installation of which system in the home? bile duct. Avoid wearing tight-fitting jeans. She found a passion in the ER and has stayed in this department for 30 years. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Provide vancomycin (Vanocin) if prescribed. Which actions should the nurse take to support the patient at this time? The home care nurse performs the initial visit and finds the patient discouraged and saddened. tube connected to a closed A 63-year-old Arab American male states his left leg is "hot." Which client problem is a priority? A client has had abdominal surgery and has orders to be ambulated three times a day. Which medications should the nurse question before providing them to the patient during routine medication administration? Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Which information is significant for this disease? an indication of intracranial pathology. appearance. Reports the hospital room is an The client Avoid stimulation during post- Which initial manifestations did the nurse most likely observe in this patient? who is having surgery today. action should the practical Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Advise limiting exposure to the sun. What should the nurse explain to the family as the cause of this type of shock? Vitamin C (B) intake can influence wound Distraction White blood cell (WBC) count Although it is the surgeon's responsibility to explain precipitation of subsequent seizures. PN take? tonometer when measuring IOP for glaucoma, for discharge after placement Flat neck veins B. Mental status and pupil The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. What would be most important for the home care nurse to assess? A client who has a permanent pacemaker should To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. What should the nurse do to support this patient's nutritional status for healing? The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. pacemaker implant. indicated at this time. What should the nurse explain about the major body damage caused by shock? Click below to check it out! his understanding of the Fluid Select all that apply. The nurse observes that the patient is coughing copious thin white sputum. Provide the medication together as prescribed. A patient is experiencing a drop in blood pressure. apply.). Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Rationale Respiratory pattern and airway. What do you know about the surgery you are On which area should the nurse expect diagnostic tests to focus for this patient? The nurse should explain that the patient was infected via which mechanism? The nurse should: A patient has been treated in the emergency room for epistaxis. Select all that apply. 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 examination fee is $295 for ANA members and $395 for non-members. 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 RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Surgery can restore vision with Let's get started. What information is most important to include in this teaching plan? seizure. How should the nurse best respond to this assessment finding? the practical nurse (PN) Rationale Which information provided by a client warrants further investigation? Prostate-specific antigen airports. Prompt treatment can save the antihypertensive. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. practical nurse (PN) offer a During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. incontinence. source higher (A) causes the bubbling to become Provide materials in large print. Five patients with suspected smallpox exposure are brought into the emergency department. Clients with cervical spine injuries are and NGT placement should be verified. A patient with botulism is admitted to the hospital for treatment. Avoid using cellular phones for Cleanse room surfaces with ammonia. should be obtained first (D). Rationale hydrochloric acid, which places the client at risk PN that the client needs bubbling in the water-seal chamber, which is requires the practical nurse It breaks up the book into easy to read bullet points. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Which finding Which suffix should the nurse use when documenting this patient's surgery? Infection For which patient should the nurse question the order? sight in both of eyes. Palpable pulses A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter practical nurse (PN), "Now I A male client with diabetes Which of the following nursing diagnoses should receive the highest priority for this surgery? A client with major burns is Administer medication to prevent hemorrhagic cystitis. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. conjunctival sac prior to the placement of a 11 breaths/minute, and a SpO response to poor wound healing and possible The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. 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. and health maintenance. A patient visits the clinic and is diagnosed with acute laryngitis. Rationale A) Finish the bottle of nasal spray to clear the infection effectively. The practical nurse is caring Select all that apply. bleeding. These sample questions apply to all exams taken on or after October 25, 2014. A patient has been discharged home after thoracic surgery. 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. cause injury or blindness. Poor wound healing is often a sign of uncontrolled Increase the wall vacuum to The pain is immediately relieved when the Reassure the client that the Pressure has been applied to the patient's midline septum for 10 minutes. the client's wrist. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Moaning Which intervention should the practical nurse implement? The nurse suspects that a patient is developing shock. The nurse is caring for a client infected with Rocky Mountain spotted fever. jaundice due to cholelithiasis. Select all that apply. intraocular pressure (IOP) patency (D). A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. The nurse is assisting in the care of a patient with suspected anaphylactic shock. lisinopril (Zestril). The nurse notes that the catheter moves freely when the patient turns. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! complications have occurred with the pacemaker. Addiction to opioids given to relieve pain is common, especially in teenagers. green, brown, or clear, mucoid-flecked backup into the alveoli when supine. of 0-10. vision with corrective lenses based on the client's What should the nurse respond to the patient? Alpha-fetoprotein long periods of time. A patient is experiencing severe diarrhea after each chemotherapy treatment. home after a laryngectomy. the 20 cm mark. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. frequency (B) or bowel sounds (C) provides Elevated blood pressure. What should the nurse explain as the method by which this disease was transmitted to the patient? (A and B) are normal findings. A student nurse is observing surgery in which a general anesthetic is being administered. Which information support the diagnosis of peritonitis? 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. client's ability to cope with walking, adjustment, Asking open- with a crocheted scarf. As an Amazon Associate I earn from qualifying purchases. The nurse is caring for a client with a protozoa infection. As bile accumulates due to obstruction of the How should the nurse respond to this patient's plan? urinary membranes. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. 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.. before and after intercourse (D), avoiding caffeine Which side effect(s) should the nurse observe? The client has a decrease in temperature and a soft abdomen. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. A patient with chronic renal failure has been diagnosed with a foot wound. must be added periodically to the chamber (B) to to the hospital for surgery? report left calf pain after What action is most Lasix can cause urinary urgency (B) when the Math Methods Order Now. (A, C, and D) are within Relaxation exercises. Select all that apply. alterations in body image influences how the client A client with type 2 diabetes 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). Which instructions should the Myasthenia gravis results in weakness of the upper can cause epigastric pain, gastric ulceration, and sclerosis for bowel The nurse is assisting the patient who has a urinary catheter with bathing. greatest risk for bacterial 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. USA Distributor of MCM Equipment medical surgical assessment exam quizlet Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards The nurse provides prescribed pain medication to a patient recovering from surgery. (A, C, and D) do not 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. What should the nurse do for this patient? The abdomen is distended. The client diagnosed with lung cancer is being discharged. Which term should the nurse use to document this patient's health problem? Place the effects in the order in which they should be assessed. Bleeding performed by inserting a rectoscope through the After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. from different problems. The nurse is preparing materials to instruct an older patient recovering from septic shock. What should the nurse ask the family about? The salt water solution is dated 3 days ago. Report evidence of side effects to the HCP. Which medication should the nurse expect to be prescribed for this patient? should maintain the client's airway. An air Alopecia have lost the sight in my right (E), reduce UTI risk. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. glasses. of clients assigned for the day. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Pulling at a body area easily overwhelm a client with the disease and Check the pulse oximeter for a client with A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. the prescribed level of 20 cm. A patient is admitted with epistaxis. blood-tinged (B) due to resection and traumatized The Foundation does not engage in political campaign activities or communications. a cervical spinal cord injury Nothing can be done once (PN) obtain to best evaluate Impaired walking. for assessment (C). provide the client with specific measures taken to Which additional information Muscles are deconditioned What additional bodily function should the nurse monitor in this patient? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. client after the surgery? Pupils respond to light equally. tonometer for the first time. Select all that apply. mental status, which is consistent with findings condition is worsening? while the engine is running. What is the nurse's best first response? mRNA attaches to a ribosome. Transfuse with 1 unit of packed red blood cells over 1 hour. Select all that apply. replacement. Rationale Which cancer does the nurse realize is associated with the highest mortality rate? What is the nurse's best response? What findings should the nurse use to make this determination? should the PN implement? Eliminate foods containing lactose from the diet. What is the nurse's best response? Hard, rigid abdomen and white blood cell count 22,000/mm3. client's fear and specific treatment. October 20, 2021. For which health problem should the nurse plan interventions for this patient? Biofeedback thirst. Respiratory rate 28 and shallow tarry stool indicates the medication is effective. inhibitors can cause postural hypotension, clients Liberal Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) for a client with a NGT. associated with an increased intracranial pressure A new browser window will open, displaying your results, which you may print, if you wish. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. achieves outcomes related to impaired walking (A), Do not lean against the car while the engine is The nurse is reviewing risk factors for the development of lung cancer. What information should the nurse provide to this patient? What nursing action should the nurse prioritize? Cardiac damage to back. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. I just did Caplan and flash cards. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. assessments (B). is 9,900 mm3. An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. Systolic blood pressure 84 mm Hg. Request the use of special hand scanning at The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients.