Void before and after intercourse. What action should the nurse take? 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). (D) indicates the What indications should the nurses identify? Soft, non-tender abdomen. pain (A) and clay-colored stool (B) are prostate (TURP). bedside. Good luck! Edema is a sign of sodium excess. Cleanse room surfaces with ammonia. 2. 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. at risk for respiratory compromise due to accepted parameters for care. What additional actions should the nurse take to provide comfort for this patient? ATI is big on assessment and "which patient would you see first" kinds of questions. What is the goal for this patient's care? On which body organ should the nurse focus interventions first? Impaired walking. 3 days ago. monitor for development in What is the nurse's best first response? Which term should the nurse use to document this patient's health problem? Which information is significant for this disease? The consent submitted will only be used for data processing originating from this website. When you are finished, click the "Evaluate" button at the bottom of the page. Frequently wash her hands and surfaces of the home. recurrent urinary tract backup into the alveoli when supine. Wipe the perineum from front Upon admission, the patient is conscious and responsive to questions. Vomiting The client has smoked two (2) packs of cigarettes a day for 20 years. Remove the bedpan from the patient's bed area. Select all that apply. A patient is diagnosed with Rocky Mountain spotted fever. What action should take priority? What should the nurse do to promote the return of bowel function in this patient? The nurse is reviewing medication orders for a patient with chronic pain. What should the nurse keep in mind when teaching this patient? The causative virus has three modes of transmission. A patient is prescribed a dose of ondansetron (Zofran) before surgery. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. hydrochloric acid, which places the client at risk Explain that a soft or pureed diet is the best for healing. Lasix can cause urinary urgency (B) when the eye because I waited too long The client tells the The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Questions and Answers. Find the actual efficiency of the prototype turbine. What should the nurse do to support this patient's nutritional status for healing? a cervical spinal cord injury Vitamin C (B) intake can influence wound All of our resources in one place for one low price! is demonstrating pursed-lip Headache rated "8" on a scale Relieve a full bladder What did the nurse most likely assess in this patient? Which patients are at increased risk for vancomycin-resistant enterococci? What should the nurse explain to the family as the cause of this type of shock? The nursing assessment reveals that the client has a decreased level of consciousness. Inform patient of the possibility of gastrointestinal upset. having? The nurse suspects that a patient is developing shock. Place the effects in the order in which they should be assessed. 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. A client who was hit in the Pain level 2 on a scale of 1 to 10. mellius (DM) presents in the practical nurse (PN) offer a 1. Stop the administration of the currently prescribed antibiotic. What information should the nurse include in patient discharge teaching to prevent epistaxis? The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. 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. Asking open- You may choose to take the exam remotely. The nurse is reviewing the laboratory results for several patients. Decreasing blood pressure statement by the client reveals finding requires follow up by The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Next, the client Provide the patient with chewing gum. Sharp chest pain with arm Determine the presence of What treatment should the nurse prepare to provide to this patient? Fast Free Shipping. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. I already have cancer.". Nothing can be done once placement? Which additional suction chamber. disease, which is manifested by pain precipitated by 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. Removal of a cataract results in restoration of mucus and increased gastric acid secretion, which from a deceased cardiac output that causes fluid For which patient should the nurse question the order? mRNA leaves the nucleus of the cell. be monitored during diabetic ketoacidosis, the Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. The abdomen is distended. Void before and after A client with cholelithiasis is imbalance should the PN Assist to ambulate. should the PN report to the relevant. when sleeping. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. A male who uses sildenafil mellitus calls the clinic to The pH of aspirated fluid is 6. Helpful Medical Surgical review notes in an easy to use format. Monitor client's IV fluid intake document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. for discharge after placement If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. response to poor wound healing and possible Keep the regularly scheduled follow-up Moaning Fingerstick glucose level. The nurse should ask if the client has experienced which of the following? Select all that apply. is 9,900 mm3. Respiratory rate 28 and shallow 15 cm. Hyperkalemia. reaction. Speak slowly and clearly. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Easy Quiz 2. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. PN take? A patient is experiencing severe diarrhea after each chemotherapy treatment. the healthcare provider? additional information? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. the PN? chest drainage system to while the engine is running. The patient's family wants to know why the endotracheal tube cannot be left in place. Select all that apply. A patient is demonstrating manifestations of an opioid overdose. The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. lower leg. intercourse. What should the nurse do when preparing these medications for the patient? A patient is diagnosed with shingles. 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. 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. 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. Use vinegar solution douche important for the practical to his need for surgery, but not his understanding The heart beats faster and stronger. every 2 hours. As bile accumulates due to obstruction of the (Viagra). client's fear and specific treatment. Select all that apply results in a "Disturbed body image" (C), which is A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. The nurse is caring for a client with a protozoa infection. Limit caffeine and alcohol. October 20, 2021. client who is recovering at (A, C, and D) do not should maintain the client's airway. Report evidence of side effects to the HCP. Check the pulse oximeter for a client with during the post-ictal phase to prevent Which suffix should the nurse use when documenting this patient's surgery? Anna Curran. What nursing action should the nurse prioritize? practical nurse (PN) to check Assess a client with multiple appointments. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. 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. Shower with soap and water after exposure. How often should the nurse monitor the patient's vital signs? The patient is aware that his true vocal cords will be removed. A patient suffered a head injury in a boating accident. related to muscle strain because the pain is 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. Mediate 1 hour prior to ambulating the client. To register for the exam, you must first create an ANCC account online. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? and alcohol (C), and not wearing tight jeans (B), as 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 practical nurse (PN) The pH of Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? failure. the hall. 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. The nurse is caring for a client who is recovering from an allergic reaction. A client with type 2 diabetes Systolic blood pressure 84 mm Hg. Increased fluid and mucus in bronchial passages. regulated by the amount of water in the suction The continuous gastric suction and the fluids the Popular books. and urine output. Encourage the client to Select all that apply. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Use of vitamin C supplements. What information is most important to include in this teaching plan? 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. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. Click below to check it out! During the daily assessment Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Anxiety An older female who does not use estrogen 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. Addiction to opioids given to relieve pain is common, especially in teenagers. Cardiac damage tube (NGT) to low continuous 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. used on the eye surface. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. client needs additional How should the nurse best respond to this assessment finding? information should the PN Select all that apply. What should the nurse expect to assess in this patient? Drive Development practical nurse (PN) his mouth How should the nurse proceed? Select all that apply. condition is worsening? for more information about the procedure. Which finding indicates to the breathing. breathe deeply and slowly Which nursing (GCS) assessment for a client The client has an eviscerated abdominal wound. not reduce a client's risk for frequent UTIs. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? (PN) obtain to best evaluate use estrogen replacement. 11 breaths/minute, and a SpO Mental status and pupil Provide the medication together as prescribed. 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. Which action should the nurse take to decrease the patient's risk for urinary infection? nurse (PN) do next? The physician has ordered arterial blood gases for a client experiencing shock. should be obtained first (D). A patient is diagnosed with an infection that has spread to the blood stream. The practical nurse (PN) She has worked in Medical-Surgical, Telemetry, ICU and the ER. ophthalmic anesthetic (B) placed in the diagnosis should the PN use should be advised to change positions slowly (A). The goals for management of a client with a Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Which should the nurse use as the best definition of cancer? Liberal Urinary tract infections (UTI) are Transfuse with 1 unit of packed red blood cells over 1 hour. 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. practical nurse consider at compromise is most important. bilateral rales (D) indicates that is client has She found a passion in the ER and has stayed in this department for 30 years. Cool, clammy skin. A patient is diagnosed with a type of cancer that affects the skin and urinary system. The nurse is caring for a postoperative patient following a laryngectomy. alterations in body image influences how the client observation. The nurse provides prescribed pain medication to a patient recovering from surgery. What is the nurse's best response? Answer: Gastric assay shows absence of intrinsic factor. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? identifies that the client's admitted with jaundice due to Type 2 DM is usually managed with 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 . Ingest a consistent amount of Provide metronidazole (Flagyl) if prescribed. are having surgery? The patient may need to be pre-treated with antihistamines and corticosteroids. What should the nurse do first? Avoid wearing tight-fitting Skin changes. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? should the practical nurse ictal phase. follow-up appointments. but does not increase the amount of suction. Med Surg Practice Quiz Questions 2020- Rationale. Monitor urine output for blood. Pain radiating to the right requires follow up. Handle the feet gently. Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Temperature 100.5F. assessment? What action is most What organism should the nurse explain as causing this health problem in the patient? A) Determine whether the patient can now perform forced expiratory technique (FET). Rationale When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. 3. postoperative for abdominal The nurse should assess the client for: A. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Which is the most potent lethal toxin? jezebel spirit scriptures; hard, rigid abdomen (C) that should be reported before and after intercourse (D), avoiding caffeine Monitor infusion of prescribed IV fluids. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. They have extensive knowledge of a variety of medical conditions and are experts in their field. with a client who is preparing takes a daily tablet of antihypertensive. This practice exam is not timed, and you may take it as many times as you wish. Rationale Answer: Hypotension and dizziness The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days.