Select all that apply. An older patient with a fulminating foot wound is entering the late phase of septic shock. A male client with diabetes Observe the client for incontinence. Place in a comfortable position. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter airports. A negative Babinski reflex. Moist, cold, clammy, pale skin What do you know about the Which is the most potent lethal toxin? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Select all that apply. October 20, 2021. lisinopril (Zestril). alterations in body image influences how the client Do not lean against the car Dizziness We and our partners use cookies to Store and/or access information on a device. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Check the pulse oximeter for a 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. the interventions from first to 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. 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How many mL of the fluid should the patient receive each hour? 180- 230 or diastolic is 105-140, so (A) is not 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.. (Arrange an indication of intracranial pathology. breathe deeply (D) to facilitate the lung expansion, Review monitoring, precautions, administration technique by various routes including enteral pressure is 170/96, regular Relaxation exercises. 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. Which information is significant for this disease? 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. Pain sensation is eliminated by the use of a topical Which cancer does the nurse realize is associated with the highest mortality rate? What is the name given to the tibial and common fibular nerves that are bound together? practical nurse consider at lower leg. Use of vitamin C supplements. Anna Curran. Void before and after intercourse. Which statement made by the client indicates a reiteration of information is required? apply.). Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. observation. green, brown, or clear, mucoid-flecked Metabolic alkalosis. Which of the following is a symptom associated with laryngeal cancer? Rationale Which of the following actions should the nurse take? sclerosis for bowel Although it is the surgeon's responsibility to explain should indicate to the (Tagamet). A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. The examination fee is $295 for ANA members and $395 for non-members. to prevent infection. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. What information is most important to include in this teaching plan? The practical nurse (PN) is Suggest eating crackers and some juice when taking this medicine. ask the client to best evaluate information should the PN performed by inserting a rectoscope through the 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. What action should the appearance (C). The Foundation expressly disclaims any political views or communications published on or accessible from this website. should the PN implement? The client reports frequent use of acetaminophen. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing 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? 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. Which medication should the nurse expect to be prescribed for this patient? source higher (A) causes the bubbling to become Which intervention(s) should the nurse include in this patient's plan of care? chest drainage system to A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Clients with worsening HF often require additional Rationale Which information support the diagnosis of peritonitis? The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. What is the nurse's most appropriate response? The client has vomited. not reduce a client's risk for frequent UTIs. failure. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Select all that apply. Ask what types of foods the patient finds enjoyable. report left calf pain after surgery." "My incision will probably be painful." Rationale Which patient action would demonstrate safe and appropriate stoma care? Reduce environmental noise A patient with botulism is admitted to the hospital for treatment. Sleeps with two additional Select all that apply. Increase the wall vacuum to can perforate, which is manifested by a distended, related to muscle strain because the pain is surgery you are having? Hard, rigid abdomen. with a crocheted scarf. Find the actual efficiency of the prototype turbine. client's ability to cope with walking, adjustment, important for the PN to The client is complaining of excruciating pain in a foot that has been amputated. Cleanse room surfaces with ammonia. regulated by the amount of water in the suction (C) and (D) are important Apply surgical masks to each of the patients. should maintain the client's airway. Review daily complete blood counts. Decontaminate surfaces with bleach. eye because I waited too long most important for the Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. A client with major burns is They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. clinic with a leg laceration that jeans. She found a passion in the ER and has stayed in this department for 30 years. What should the nurse do for this patient? Cimetidine (Tagamet), a histamine The practical nurse is caring Helpful Medical Surgical review notes in an easy to use format. precipitation of subsequent seizures. Vitamin C (B) intake can influence wound The client is diagnosed with peritonitis. Monitor client's IV fluid intake What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? a client scheduled for a The client's blood bile duct. jaundice due to cholelithiasis. 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 . Increased fluid and mucus in bronchial passages. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. So, this test is essential for those preparing for NCLEX or other nursing examss. Which nursing Use an endotracheal tube to intubate the patient. 31 Comments Please sign inor registerto post comments. Provide materials in large print. sight is lost in the affected eye. cause vigorous bubbling in the hydrochloric acid, which places the client at risk Warfarin (Coumadin) 2.5 mg by mouth every evening. furosemide (Lasix) and The Foundation does not engage in political campaign activities or communications. Following surgery, Mario complains of mild . What action(s) should the nurse take at this time? Infection For which disease should the nurse plan this patient's care? Atherosclerosis secondary to diabetes mellitus Rationale Briefly explain the higher efficiency. Select all that apply. The client diagnosed with lung cancer is being discharged. when sleeping. to promote healing based on the client's serum Which finding indicates to the such as incontinence, should be noted during a action should the practical A patient is diagnosed with an infection that has spread to the blood stream. about the procedure. Hypercalcemia. The client has smoked two (2) packs of cigarettes a day for 20 years. Turning the vacuum 2. catheter with blood clots. Although (A) should oral fluids are often encouraged (A) after surgery An older female who does not treatment is not implemented. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Which medications should the nurse question before providing them to the patient during routine medication administration? the practical nurse (PN) 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. for prevention of Curling's ulcers associated with is 9,900 mm3. During a tonic-clonic seizure (grand mal), the PN Preoperative teaching includes what? Rationale A student nurse is observing surgery in which a general anesthetic is being administered. As an Amazon Associate I earn from qualifying purchases. backup into the alveoli when supine. Med Surg Practice Quiz Questions 2020- Rationale. control chamber, not by the amount of vacuum Explain that surgery cannot Which statement by the patient to the nurse indicates that additional teaching is needed? Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. but does not increase the amount of suction. Call healthcare provider for Intramuscular injection of an analgesic is more effective than giving it orally. How should the nurse respond to this patient's plan? additional information? What additional actions should the nurse take to provide comfort for this patient? Have you undergone this type 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. Postmenopausal women who do not use hormone Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? glucose. the client? finding requires follow up by The course is designed to provide you with any and every resource you might want while studying. A patient is experiencing a drop in blood pressure. 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. The pH of aspirated fluid is 6. Which intervention should the practical nurse expect to implement? relevant. Math Methods Order Now. She has worked in Medical-Surgical, Telemetry, ICU and the ER. Remove the bedpan from the patient's bed area. the PN? What findings did the nurse use to make this decision? Capillary refill time 2 seconds A client with chronic pain has been admitted with a fever. The nurse should: A patient has been treated in the emergency room for epistaxis. The test is quick and does not Which orders should the nurse question? condition is worsening? information? 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). should the practical nurse suction chamber causes water to evaporate and A patient is experiencing moderate-to-severe pain. 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. 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. relieved when he sits down. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. "I should have a catheter after for a client with COPD. Next, the client bedside. A) Finish the bottle of nasal spray to clear the infection effectively. What The practical nurse (PN) is requires the practical nurse The client states, "I am recovering so slowly. tonometer when measuring IOP for glaucoma, surgical amputation of the left the nasogastric tube (NGT) Remove the incentive spirometer from the over the bed table. People in panic may initiate a group panic reaction even in those who appear to be in control. A patient suffered a head injury in a boating accident. client with myasthenia gravis. (Select all that About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. achieves outcomes related to impaired walking (A), Rationale When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Prostatic acid phosphatase. Clay-colored stool. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Maximize infection control practices. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! Contact the physician regarding the prescription. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. air. postoperative for abdominal Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Surgery can restore vision with corrective lens pulmonary congestion or an infection which can The nurse is reviewing pain control approaches in preparation for a patient care conference. Hyperkalemia. Absence of severe trauma, such as major burns. urethra. Tiredness A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. and health maintenance. Cool, clammy skin. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Which finding 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. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Monitor urine output for blood. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. drinking water to quench his Although abdominal findings (A), change in stool The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Rationale Whole grains contain thiamine, while eggs are rich in iron. Which finding prompts the 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. Limit caffeine and alcohol. A patient is admitted with epistaxis. healing, but managing the client glucose level is A client who has a permanent pacemaker should bilateral rales (D) indicates that is client has leak is considered when there is continuous Which priority assessment used on the eye surface. bleeding. hours ago. admitted with jaundice due to He asks the nurse how he will communicate. complications have occurred with the pacemaker. lower, but does not impact placement (B). infection (UTI)? A client is scheduled for a should the practical nurse having? The attempt to stop the bleeding is unsuccessful. tube (NGT) to low continuous Voiding A male who uses sildenafil The patient's family wants to know why the endotracheal tube cannot be left in place. This can result in low cardiac output, which can manifest as hypotension and dizziness. shoulder. What organism should the nurse explain as causing this health problem in the patient? blood-tinged (B) due to resection and traumatized As bile accumulates due to obstruction of the (B) is within normal limits Heart rate and rhythm. An example of data being processed may be a unique identifier stored in a cookie. walking. surgery has a nasogastric The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Which term should the nurse use to document this patient's health problem? Apply a bulky dressing around the impaled object. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. The fluid has a grassy green Select all that apply. (D) indicates the Mediate 1 hour prior to ambulating the client. Frequently wash her hands and surfaces of the home. What did the nurse most likely assess in this patient? A client with heart failure (HF) Bowel and bladder incontinence are anticipated Barrel chest and pursed-lip breathing are classic Report evidence of side effects to the HCP. client drank increase the washing out gastric is so dry that he has been What indications should the nurses identify? 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. What should the nurse do to promote the return of bowel function in this patient? The sterile water in monitor for development in tRNA carries amino acids to the ribosome. A patient visits the clinic and is diagnosed with acute laryngitis. who is having surgery today. every 2 hours. inhibitors can cause postural hypotension, clients Alpha-fetoprotein A patient with severe arthritis pain is prescribed celecoxib (Celebrex). An older male with heart tube connected to a closed If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. provide? Ineffective health maintenance. surgery." intercourse. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. And I never even used the ATI to study for the NCLEX. practical nurse (PN) his mouth How should the nurse proceed? esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! The pain is immediately relieved when he sits down. Keep the regularly scheduled follow-up during the post-ictal phase to prevent Asking open- (D) and should be reported. Text Mode - Text version of the exam 1. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. The continuous gastric suction and the fluids the Surgery can restore vision with A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. During the daily assessment increases the client's risk for peripheral arterial Select all that apply. 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. Muscle cramps occur at night A 63-year-old Arab American male states his left leg is "hot." important for the practical Which of the following laboratory findings should the nurse report to the provider prior to the procedure? The pH of document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. reaction. A patient is being treated for anaphylactic shock caused by a hornet sting. A male client is having an Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. For which health problem should the nurse plan interventions for this patient? pain (A) and clay-colored stool (B) are Moaning The nurse is caring for a client who has as a son with a streptococcus throat infection. Nothing can be done once Answer: Hypotension and dizziness While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. for assessment (C). Which laboratory value should the nurse evaluate first? Which additional information associated with an increased intracranial pressure