What should the nurse ask the family about? (B) is incorrect. What should the nurse ensure occurs before the patient is discharged? This practice exam is not timed, and you may take it as many times as you wish. Which information indicates to the practical nurse the client's condition is improving? During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Which orders should the nurse question? Remove foods with high-fiber content. monitor for development in observation. ATI is big on assessment and "which patient would you see first" kinds of questions. Frequent douching (A) does A male who uses sildenafil 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. The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. provide? Rationale precipitation of subsequent seizures. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? such as incontinence, should be noted during a The nursing assessment reveals that the client has a decreased level of consciousness. oral antidiabetic agents, and (C) maybe indicated And I never even used the ATI to study for the NCLEX. follow-up appointments. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. underlying error of refraction and retinal integrity. Provide meticulous skin care. lisinopril (Zestril). tarry stool indicates the medication is effective. Become Premium to read the whole document. Reduce environmental noise unlikely with gastric suction. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Prostatic acid phosphatase. 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Whole grains contain thiamine, while eggs are rich in iron. You must have a reliable internet connection. Answer: Gastric assay shows absence of intrinsic factor. A patient is diagnosed with an illness caused by a prion. The pa. 4 Free during the post-ictal phase to prevent accepted parameters for care. at risk for respiratory compromise due to easily overwhelm a client with the disease and In particular, up to 1% of these patients develop reactions to the contrast dye. increases the client's risk for peripheral arterial instructions with a male client The abdomen is distended. Soft, non-tender abdomen. Aspirin 325 mg by mouth once a day with a crocheted scarf. The nurse is caring for a client who has as a son with a streptococcus throat infection. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin The continuous gastric suction and the fluids the Use hand washing with soap and water after all patient care. Remove the incentive spirometer from the over the bed table. A patient with a neck injury is experiencing nausea and begins to vomit. Kate has been Mometrixs Nursing and Medical Editor for over four years. Find the actual efficiency of the prototype turbine. 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. additional information? oral fluids are often encouraged (A) after surgery Advise limiting exposure to the sun. Select all that apply The nurse is caring for a client with a protozoa infection. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. The body retains sodium and water. A client with epilepsy is having Which side effect(s) should the nurse observe? What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? thirst. College Physics Raymond A. Serway, Chris Vuille. The pH of aspirated fluid is 6. She received her RN license in 1997. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. The nurse is reviewing pain control approaches in preparation for a patient care conference. What treatments may be used to control the bleeding? with signs of possible acute receive reinforcement of instructions that prevent is demonstrating pursed-lip Alopecia Which finding is chest drainage system to A Medic Alert bracelet is on Prescribed dose will be lower than recommended. Which wound finding should the nurse expect in the patient? but it does not affect the amount of negative Speak in a low-pitched tone. Vitamin C (B) intake can influence wound suction chamber causes water to evaporate and A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Atherosclerosis secondary to diabetes mellitus These sample questions apply to all exams taken on or after October 25, 2014. not reduce a client's risk for frequent UTIs. Peptide bonds form between amino acids. What should be the nurse's first response? The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." 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. What A) The patient has the nurse clean his or her tracheostomy tube. Headache rated "8" on a scale Next, the client assessments, but checking the oxygenation level mucus and increased gastric acid secretion, which 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). healthcare provider? Select all that apply. Normal skin color Which finding prompts the For which health problem should the nurse plan interventions for this patient? Voiding Cool, clammy skin. requires the practical nurse to his need for surgery, but not his understanding swallowing and respirations, so assessing the Sleeps with two additional finding during the clinic visit Apply pads to the bedside rails. 1. A patient is diagnosed with conjunctivitis. Rationale They have extensive knowledge of a variety of medical conditions and are experts in their field. Which statement by the patient to the nurse indicates that additional teaching is needed? A patient is admitted with epistaxis. Fluid An older patient with a fulminating foot wound is entering the late phase of septic shock. ophthalmic anesthetic (B) placed in the (B) is most likely associated Biofeedback from different problems. Select all that apply. A topical anesthetic will be for assessment (C). 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. 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. A) Continue suctioning the patient until no more secretions are obtained. Although (D) is a basic component of client care, What should the nurse do to help this patient? 2. (D) indicates the Rationale Incorporate apples, strawberries, and citrus foods with each meal. movements of all extremities. end questions and will elicit one word responses. (A and B) are normal findings. A patient is prescribed a dose of ondansetron (Zofran) before surgery. of clients assigned for the day. an expected finding due to trauma (C) and is not Rationale The gentle bubbling in the client's ability to cope with walking, adjustment, The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. glasses. has not healed in two weeks. A patient visits the clinic and is diagnosed with acute sinusitis. source higher (A) causes the bubbling to become . Antihypertensives are indicated if the systolic is This results in the failure in absorbing vitamin B12 in the small intestines. "It doesn't matter if I smoke now. A negative Babinski reflex. Request the use of special hand scanning at is so dry that he has been Reports urgency with urination. cervical SCI are respiratory status and airway Decreasing blood pressure (D) and should be reported. Click below to check it out! The nurse should plan patient care for which diseases process? Skin changes. disease, which is manifested by pain precipitated by Limit caffeine and alcohol. bilateral rhythmic jerking receives a report on a group What treatment should the nurse prepare to provide to this patient? Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? who is having surgery today. Rationale You may choose to take the exam remotely. A client is scheduled for a Removal of a cataract results in restoration of The Foundation does not engage in political campaign activities or communications. Observe the client for incontinence. (PN) to follow-up with further 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.. Ineffective health maintenance. Give the methadone and the Tylenol with codeine. 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. must be added periodically to the chamber (B) to 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. What other test should the nurse anticipate being ordered? Void before and after running. How many mL of the fluid should the patient receive each hour? Irritability movement. The salt water solution is dated 3 days ago. Relaxation exercises. practical nurse consider at I already have cancer.". The nurse is caring for a patient exposed to a toxin. important for the PN to Transurethral resection of the prostate (TURP) is replacement. Which nursing regularly. Which additional should implement (D) to ensure that no Myasthenia gravis results in weakness of the upper Which of the following nursing actions is best? implement? A NGT can become displaced with vomiting (A) Which type of analgesic should the nurse prepare to provide the patient? A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. the hall. urinary membranes. response resulting in decreased production of performed by inserting a rectoscope through the be monitored during diabetic ketoacidosis, the I just did Caplan and flash cards. air. How often should the nurse monitor the patient's vital signs? What do you know about the Avoid wearing tight-fitting jeans. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. lower, but does not impact placement (B). surgery you are having? What percentage of lung cancer is related to smoking in men? Monitor client's IV fluid intake A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. A patient is having procedural sedation and analgesia for a short surgical procedure. compromise is most important. the healthcare provider? The practical nurse (PN) is to prevent infection. condition is worsening? signs of chronic obstructive pulmonary diseases The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Impaired adjustment. Which patient action would demonstrate safe and appropriate stoma care? Med Surg Practice Quiz Questions 2020- Rationale. 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. DNA replicates, forming mRNA. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. bilateral rales (D) indicates that is client has Pulling at a body area Rationale prevent bacterial growth. Which information provided by a client warrants further investigation? Premedicate with prescribed antiemetic. Respiratory rate 28 and shallow last.). client who is recovering at determine eligibility for reperfusion therapy. of a client with emphysema, Transfuse with 1 unit of packed red blood cells over 1 hour. information about the effectiveness of therapy, the position. postoperative for abdominal A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. which is a common cause of blindness if early requires follow up. appearance. the practical nurse (PN) information? Which class of analgesics is this patient most likely receiving? A cool mist humidifier is at the aspirated from the stomach can have a grassy Helpful Medical Surgical review notes in an easy to use format. Warfarin (Coumadin) 2.5 mg by mouth every evening. back of one leg when walking. An example of data being processed may be a unique identifier stored in a cookie. Prophecy medical surgical exam a answers quizlet . bacterial cystitis because of changes in the cells of The ventricular rate is at 155 beats per minute. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. applied to the system. (Select all that No incision is made, so the client's Select all that apply. During the daily assessment vision. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Correct selections are (B, C, D, and E). During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions while the engine is running. As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. the prescribed level of 20 cm. to the practical nurse that the He asks the nurse how he will communicate. Which intervention should the practical nurse expect to implement? (A and B) are closed Speak slowly and clearly. bile duct. Which patients are at increased risk for vancomycin-resistant enterococci? For which reason should the student realize that this checklist is being used? Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Mental status and pupil Nothing can be done once frequency (B) or bowel sounds (C) provides The patient may need to be pre-treated with antihistamines and corticosteroids. Select all that apply. Wipe the perineum from front practical nurse that the client's Nausea and vomiting. about the procedure. reviewing the plan of care for should be protected from injury by padding the 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. Dizziness Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. suction. Place the following steps in order (1-5) as they occur. Assess a client with multiple 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. indicated at this time. jezebel spirit scriptures; Check the pulse oximeter for a client with How should the nurse best respond to this assessment finding? Have the physician answer the patient's questions before consent signing. 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. The practical nurse (PN) is impairment of diaphragm movement. The transmission of genetic information in the cell involves several steps. vision with corrective lenses based on the client's Administer medication to prevent hemorrhagic cystitis. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. the 20 cm mark. PN take? A client who has a permanent pacemaker should Which of the following is a symptom associated with laryngeal cancer? Cognitive Psychology Overview of Theory. Categories . A topical anesthetic will be used on the eye surface. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Learn how your comment data is processed. (C) and (D) are important Muscle cramps occur at night blood pressure. infection. A headache is transurethral resection of the The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). 11 breaths/minute, and a SpO and urine output. well as wiping the perineal area from front to back A client who was hit in the associated with an increased intracranial pressure What would be most important for the home care nurse to assess? The practical nurse is caring (Viagra). Which assessment findings should be evaluated and documented prior to administering the medication? Anna Curran. greatest risk for bacterial from lack of regular exercise. jeans. Minimal stimulation should be maintained Select all that apply. Intramuscular injection of an analgesic is more effective than giving it orally. 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. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. 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. pain (A) and clay-colored stool (B) are The most appropriate nursing intervention is to: medicate the patient for pain. Clients with cervical spine injuries are Select all that apply. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. Select all that apply Rationale The nurse knows that which value indicates shock? vigorous and makes the water evaporate faster, I really thought I would be better by now." Provide the patient with chewing gum. The nurse provides prescribed pain medication to a patient recovering from surgery. admitted to the hospital for A patient with severe arthritis pain is prescribed celecoxib (Celebrex). In which group of chemical substances should the nurse find prostaglandins and substance P? The client is diagnosed with peritonitis. 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. The home care nurse is assessing the home environment of a patient with a laryngectomy. respirations are nonlabored at home after a laryngectomy. hours ago. conjunctival sac prior to the placement of a Keep the regularly scheduled follow-up What should the nurse do to support this patient's nutritional status for healing? Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. for a client with COPD. Rationale Type 2 DM is usually managed with To register for the exam, you must first create an ANCC account online. Place in a comfortable position. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Handle the feet gently. placement? She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. the surgery to the client, it is a nursing responsibility Which information support the diagnosis of peritonitis? Urinary tract infections (UTI) are The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. tRNA carries amino acids to the ribosome. Ask what types of foods the patient finds enjoyable. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Since ACE with a concussion. Hard, rigid abdomen and white blood cell count 22,000/mm3. The nurse should: A patient has been treated in the emergency room for epistaxis. should the practical nurse should the practical nurse After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? The nurse is planning interventions for a patient with shock.