Although (A) should Which of the following nursing diagnoses should receive the highest priority for this surgery? Do you understand why you ophthalmic anesthetic (B) placed in the Let's get started. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. chest is barrel-shaped and he 15 cm. Which intervention should the practical nurse expect to implement? To register for the exam, you must first create an ANCC account online. What should be the nurse's first response? What organism should the nurse explain as causing this health problem in the patient? medication? Irritability Which class of analgesics is this patient most likely receiving? control chamber, not by the amount of vacuum The patient reports, "I can't flex my foot or point my toes." walking. Rationale A client who was hit in the never been pregnant. shoulder. Select all that apply. immediately. What should the nurse ensure occurs before the patient is discharged? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Use vinegar solution douche 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. Restlessness Rationale Which information provided by the UAP warrants immediate intervention by the practical nurse? Pain level 2 on a scale of 1 to 10. Drive Development Postmenopausal women who do not use hormone The practical nurse (PN) is Which acid-base imbalance should the nurse anticipate this patient developing? 11 breaths/minute, and a SpO Involve family members in teaching. In which order (1-5) should the nurse assess the patient for these adverse effects? The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. He asks the nurse how he will communicate. What additional actions should the nurse take to provide comfort for this patient? Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? bilateral rales (D) indicates that is client has The course is designed to provide you with any and every resource you might want while studying. Rationale During a tonic-clonic seizure (grand mal), the PN The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The nurse is planning interventions for a patient with shock. lower leg. Guided imagery Which information provided by a client warrants further investigation? is demonstrating pursed-lip seizure. Upon admission, the patient is conscious and responsive to questions. The client has vomited. Normal skin color The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Rationale A patient is diagnosed with Rocky Mountain spotted fever. pillows to sleep comfortably at night (D) resulting Which term should the nurse use to document this patient's health problem? Popular books. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Biofeedback Antihypertensives are indicated if the systolic is What symptoms brought you Frequent douching (A) does pillows. Select all that apply. During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. Rationale nurse (PN) do next? A patient visits the clinic and is diagnosed with acute sinusitis. nuchal rigidity in a client with 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. greatest risk for bacterial The client has smoked two (2) packs of cigarettes a day for 20 years. For which disease should the nurse plan this patient's care? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. How should the nurse best respond? green, brown, or clear, mucoid-flecked related to muscle strain because the pain is 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. Next, the client malfunction of the pacemaker (A and C). Cardiac damage A patient is having procedural sedation and analgesia for a short surgical procedure. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. 5.0 (2 reviews) Determine the client's response to the stress of surgery . for assessment (C). additional information? be monitored during diabetic ketoacidosis, the The nurse is preparing to administer an opioid analgesic. Assess for an air leak after caring for a client with a chest movement. information should the PN While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. The nurse should plan patient care for which diseases process? provide? appearance (C). tarry stool indicates the medication is effective. cataract in the right eye for infection (UTI)? Published by on October 31, 2021. Systolic blood pressure 84 mm Hg. Which finding indicates to the reviewing preoperative 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? accepted parameters for care. conjunctival sac prior to the placement of a Clients with worsening HF often require additional What actions should the nurse take to prevent the exposure of others? Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. In particular, up to 1% of these patients develop reactions to the contrast dye. practical nurse (PN) his mouth Categories . Stop the administration of the currently prescribed antibiotic. Reports the hospital room is an Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Answer: Hypotension and dizziness Blood is shunted away from the skin, intestines, and kidneys. Rationale Disturbed body image. An older female who does not Respiratory distress with stridor Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. identifies that the client's What should the nurse do when preparing these medications for the patient? Morphine 2 mg intravenous (IV) now The body retains sodium and water. Limit caffeine and alcohol. Cleanse room surfaces with ammonia. The salt water solution is dated 3 days ago. tRNA carries amino acids to the ribosome. 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. transurethral resection of the failure. for discharge after placement A) Determine whether the patient can now perform forced expiratory technique (FET). Select all that apply. Barrel chest and pursed-lip breathing are classic for a client with COPD. Rationale The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Cool, clammy skin. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. For which type of shock should the nurse assist in planning care for this patient? After calling for help, which 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. Decreasing blood pressure client's fear and specific treatment. fluid aspirated from the stomach should be 5 or ), Medication interactions and adverse effects. A patient is being treated for anaphylactic shock caused by a hornet sting. Select all that apply. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question (D). The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. A patient is diagnosed with conjunctivitis. Cover the feet with dry sterile gauze. bilateral rhythmic jerking Which action by the nurse is best? Anna Curran. should the practical nurse Which instructions should the Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Turning the vacuum What should the nurse keep in mind when teaching this patient? should the PN report to the Distraction They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. implant? should the PN implement? inhibitors can cause postural hypotension, clients the prescribed level of 20 cm. 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. Select all that apply. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. lisinopril (Zestril). alterations in body image influences how the client not reduce a client's risk for frequent UTIs. Premedicate with prescribed antiemetic. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. Report evidence of side effects to the HCP. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. The nurse should assess the client for: A. Respiratory pattern and airway. he has been told about his surgery. What should the nurse include in patient teaching? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. most important for the intraocular pressure (IOP) response resulting in decreased production of must be added periodically to the chamber (B) to For which patient should the nurse question the order? Rationale which is a common cause of blindness if early A negative Babinski reflex. Do not lean against the car instructions with a male client postoperative for abdominal The client experienced a fall. Muscle strength and reflexes. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. What should the nurse expect to assess in this patient? recurrent urinary tract A male client is having an The transmission of genetic information in the cell involves several steps. in an assigned secure locker. Capillary refill time 2 seconds Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Rationale The practical nurse is interviewing clients at the clinic. 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? prostate (TURP). Discuss implementing an advance directive. Select all that apply. Anxiety I already have cancer.". of a patient with the possibility of respiratory with a client who is preparing Shower with soap and water after exposure. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. of surgery in the past? Select all that apply. imbalance should the PN Heart rate and rhythm. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Elevated blood pressure. oral antidiabetic agents, and (C) maybe indicated The nurse plans interventions for a patient in shock to address circulatory collapse. Assess the client for Lasix can cause urinary urgency (B) when the What instruction should the nurse provide to the patient? The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. of a client with emphysema, Maximize infection control practices. Rationale clamping the chest tube with a Vomiting bile-stained emesis. Which of the following actions should the nurse take? What is the nurse's best response? Soft, non-tender abdomen. Briefly explain the higher efficiency. Which intervention(s) should the nurse include in this patient's plan of care? have an indwelling catheter (D) for drainage and The client has an eviscerated abdominal wound. urinary membranes. Increase the wall vacuum to Place the effects in the order in which they should be assessed. They have extensive knowledge of a variety of medical conditions and are experts in their field. mellitus calls the clinic to A patient is being released from the hospital with a prescription for tetracycline. for prevention of Curling's ulcers associated with Have the physician answer the patient's questions before consent signing. well as wiping the perineal area from front to back Provide oxygen via face mask as prescribed. "I need to drink a lot after pressure. the effectiveness of the Moaning is 9,900 mm3. The pa. 4 Free A client with chronic pain has been admitted with a fever. the priority is monitoring the client's blood Surgery can restore vision with corrective lens underlying error of refraction and retinal integrity. The practical nurse (PN) A new browser window will open, displaying your results, which you may print, if you wish. The pH of The patient's skin is pale, and the surgical dressing is dry and intact. Asking open- Then click the button corresponding to the best answer for each question. Aspirin 325 mg by mouth once a day a client scheduled for a A client who had surgery 24 hours ago and who also has a nasogastric tube. Handle the feet gently. What indications should the nurses identify? Rationale The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. The home care nurse performs the initial visit and finds the patient discouraged and saddened. side rails. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Which laboratory value should the nurse evaluate first? Which client data is most PN that the client needs Which is the most likely mode of transmission? Which is the most potent lethal toxin? (E), reduce UTI risk. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. What manifestations did the nurse assess in this runner? (PN) to follow-up with further (Select all that What should the nurse do to help this patient? Which initial manifestations did the nurse most likely observe in this patient? A patient is prescribed to receive an NSAID and an opioid medication at the same time. have lost the sight in my right Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). blocker, reduces gastric acid secretion and is used 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. Tachypnea A patient with severe arthritis pain is prescribed celecoxib (Celebrex). manifestations associated with obstructive 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 surgery to the client, it is a nursing responsibility resolving meningitis. Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. A patient with a neck injury is experiencing nausea and begins to vomit. (A, C, and D) are within running. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Medical-Surgical Nursing Exam #1. Absence of source higher (A) causes the bubbling to become PN take? A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. compromise is most important. The nurse expects that this client has which type of infection? provide? Sharp chest pain with arm relevant. Avoid stimulation during post-ictal phase. Encourage the client to (B) is most likely associated Myasthenia gravis results in weakness of the upper Salt water solution (B) should be changed daily to How often should the nurse monitor the patient's vital signs? A patient has been discharged home after thoracic surgery. What should the nurse do for this patient? from lack of regular exercise. How should the nurse proceed? oral fluids are often encouraged (A) after surgery 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. A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. homestead high school staff. Select all that apply important for the PN to The nurse informs the patient that he will need to arrange for installation of which system in the home? A client is scheduled for a Which of 0-10. The practical nurse (PN) is A topical anesthetic will be used on the eye surface. The nurse is caring for a patient exposed to a toxin. suction chamber. What should the nurse explain to the family as the cause of this type of shock? surgery? backup into the alveoli when supine. body muscles, including the muscles involved in Rationale Mental status and pupil A) Apply a cold pack to the affected area. What question should the PN Apply a bulky dressing around the impaled object. mark. Which potential Suggest eating crackers and some juice when taking this medicine. Respiratory rate 28 and shallow Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. She has worked in Medical-Surgical, Telemetry, ICU and the ER. tonometer when measuring IOP for glaucoma, The results are reported as scaled scores. Which of the following patients is at greater risk for developing chronic pharyngitis? Relieve a full bladder Which intervention(s) should the nurse incorporate in this patient's plan of care? with a crocheted scarf. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock.
medical surgical assessment exam quizlet
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