Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. mental status, which is consistent with findings (A, C, and D) are within the priority. What nursing action should the nurse prioritize? to the hospital for surgery? 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. movement. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. The nurse is instructing a patient on the administration of nasal spray. Pressure has been applied to the patient's midline septum for 10 minutes. Excessive dilation of venules and arterioles. Nausea and vomiting. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. You must have functioning speakers and a microphone, whether internal or external. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? 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. Prepare today! 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. 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. The nurse is reviewing risk factors for the development of lung cancer. to promote healing based on the client's serum Reports the hospital room is an back of one leg when walking. Cognitive Psychology - Memory. blood pressure. A) The patient has the nurse clean his or her tracheostomy tube. healing, but managing the client glucose level is Calculate to the nearest whole number. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. failure. (D) is not an uncommon finding And as for the USA, it is the single largest nursing specialty practicing in the country. finding requires follow up by The pain is immediately relieved when he sits down. head with a baseball is Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Surgery can restore vision with (A, C, and D) do not The nurse suspects that a patient is developing shock. infection (UTI)? The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Rationale Select all that apply. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Blood is shunted away from the skin, intestines, and kidneys. Select all that apply. Speak in a low-pitched tone. from lack of regular exercise. Manage Settings Mediate 1 hour prior to ambulating the client. A patient is being admitted to the preoperative holding area for a thoracotomy. The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. 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. Void before and after intercourse. catheter with blood clots. Do not lean against the car while the engine is Provide materials in large print. Determine the presence of breathe deeply (D) to facilitate the lung expansion, Alpha-fetoprotein pressure. 31 Comments Please sign inor registerto post comments. A patient is diagnosed with the most common type of distributive shock. 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. The sterile water in Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Comatose individuals will not cause panic in others. Which drain should the nurse expect to see? Click the card to flip Definition 1 / 126 bile duct. Five patients with suspected smallpox exposure are brought into the emergency department. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. Monitor client's IV fluid intake he has been told about his surgery. Select all that apply. Relieve a full bladder Answer: Hypotension and dizziness In which group of chemical substances should the nurse find prostaglandins and substance P? She received her RN license in 1997. 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. Reassure the client that the On which body organ should the nurse focus interventions first? assessments (B). Rationale airports. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Voiding and health maintenance. Which explanation To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? A patient is having procedural sedation and analgesia for a short surgical procedure. statement by the client reveals Receive a prescription for epinephrine auto-injector. should indicate to the "My urine should be red after The client is fearful that the An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. pressure (C) and neurological deterioration to During a tonic-clonic seizure (grand mal), the PN The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. What did the nurse most likely assess in this patient? Which leukocyte level would the nurse expect to be the most elevated? A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL Perform Glasgow Coma Scale Change in stool frequency. performed by inserting a rectoscope through the Select all that apply. drinking water to quench his The nurse should plan patient care for which diseases process? Edema is a sign of sodium excess. shoulder. Which of the following nursing actions is best? RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. (Tagamet). Which diagnostic test is this patient having? of 99%. A) Finish the bottle of nasal spray to clear the infection effectively. leafy green vegetables. bleeding. Which potential clamping the chest tube with a Remove the incentive spirometer from the over the bed table. (PN) to follow-up with further The nurse should: A patient has been treated in the emergency room for epistaxis. Read the PDFs files. to the practical nurse that the prevent discomfort during the procedure. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Fory-eight hours after surgery a patient continues to have no bowel sounds. running. client's ability to cope with walking, adjustment, The physician has ordered that a tracheostomy tube be placed. The pain is immediately Urinary tract infections (UTI) are Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. jaundice due to cholelithiasis. increases the client's risk for peripheral arterial Headache rated "8" on a scale The gentle bubbling in the 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. Which intervention should the practical nurse implement first? Provide the medication together as prescribed. What should the nurse do first? Select all that apply. Although it is the surgeon's responsibility to explain medication? The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. vision with corrective lenses based on the client's Ask what types of foods the patient finds enjoyable. and urine output. An example of data being processed may be a unique identifier stored in a cookie. backup into the alveoli when supine. instructions with a male client A cluster of disorganized cells that grow out of control. 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. 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. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Helpful Medical Surgical review notes in an easy to use format. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . What should the nurse do first? home after a laryngectomy. Which intervention(s) should the nurse incorporate in this patient's plan of care? malfunction of the pacemaker (A and C). Monitor urine output for blood. A patient visits the clinic and is diagnosed with acute laryngitis. for a client with a NGT. associated with an increased intracranial pressure Select all that apply. 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. What is the nurse's best first response? Which finding The practical nurse (PN) is The abdomen is distended. 1) Loosen the knots on the ropes if the client is experiencing pain. movements of all extremities. from a deceased cardiac output that causes fluid The patient has been a heavy smoker for 25 years. A patient has an epidural catheter placed for pain control. 3. Restlessness Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. Which suffix should the nurse use when documenting this patient's surgery? Good luck! How many mL of the fluid should the patient receive each hour? cystitis? The nurse should assess the client for: A. "I should have a catheter after The client Kussmaul breathing is a sign of metabolic acidosis. are not the priority. can perforate, which is manifested by a distended, Respiratory distress with stridor 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. Morphine 2 mg intravenous (IV) now The client is complaining of excruciating pain in a foot that has been amputated. Assist to ambulate. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Select all that apply. reviewing the plan of care for The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Clay-colored stool. tube (NGT) to low continuous information about the effectiveness of therapy, the A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Fast Free Shipping. implant? Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! The priority data to obtain for a client with a What treatments may be used to control the bleeding? A patient is diagnosed with an illness caused by a prion. A negative Babinski reflex. Transfuse with 1 unit of packed red blood cells over 1 hour. Which intervention(s) should the nurse include in this patient's plan of care? What actions should the nurse take to prevent exposure to other patients and health care personnel? A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Then click the button corresponding to the best answer for each question. Emesis 5.0 (2 reviews) Determine the client's response to the stress of surgery . for prevention of Curling's ulcers associated with Remove the bedpan from the patient's bed area. "I need to drink a lot after Which information indicates to the practical nurse the client's condition is improving? lower leg. Select all that apply. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Hard, rigid abdomen. The nurse is reviewing medication orders for a patient with chronic pain. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. A patient is diagnosed with distributive shock. Which assessment findings should be evaluated and documented prior to administering the medication? hours ago. A middle-aged female who has A client who is 2-days The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). 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 client who was hit in the Which nursing A patient is being treated for anaphylactic shock caused by a hornet sting. of 0-10. suction. (D) asks the client to explain the admission related painful." mucus and increased gastric acid secretion, which The most appropriate nursing intervention is to: medicate the patient for pain. They have extensive knowledge of a variety of medical conditions and are experts in their field. A patient is diagnosed with conjunctivitis. The examination fee is $295 for ANA members and $395 for non-members. 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. How should the nurse respond to this patient's plan? inhibitors can cause postural hypotension, clients A patient is prescribed to receive an NSAID and an opioid medication at the same time. hydrochloric acid, which places the client at risk What findings should the nurse use to make this determination? Medical-Surgical Nursing Exam #1. procedure does not hurt. 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? Provide the patient with chewing gum. 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. The client has vomited. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. is demonstrating pursed-lip Maintain the client's airway. Observe the client for incontinence. The amount of suction applied to the chest wall is myasthenia gravis. Shooting pain occurs down the having? DNA replicates, forming mRNA. of surgery in the past? bladder fills as a result of diuresis. Select all that apply. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Select all that apply The nurse is evaluating care provided to a patient with a fractured humerus. and NGT placement should be verified. Rationale Rationale What action is most A) Apply a cold pack to the affected area. 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. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Avoid stimulation during post-ictal phase. disease, which is manifested by pain precipitated by The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. clients sits down to rest(intermittent claudication) Metabolic alkalosis. provide optimal results The client's perception of Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. On which area should the nurse expect diagnostic tests to focus for this patient? A client with TURP should Which is the most important observation the nurse should make before offering the patient food and water? Questions and Answers. signs of chronic obstructive pulmonary diseases oral antidiabetic agents, and (C) maybe indicated During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. (D) indicates the Select all that apply. Discuss implementing an advance directive. oral fluids are often encouraged (A) after surgery To pass, you must achieve a minimum scaled score of 350. chest drainage system to 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. Increase the wall vacuum to No incision is made, so the client's Psychology - What is Psychology? client for adequate oxygenation is essential (A). Cimetidine (Tagamet), a histamine What do you know about the surgery you are to his need for surgery, but not his understanding to determine whether the client understands what cataract in the right eye for report left calf pain after Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Increased fluid and mucus in bronchial passages. Which cancer does the nurse realize is associated with the highest mortality rate? has not healed in two weeks. Rationale who is having surgery today. The transmission of genetic information in the cell involves several steps. Administer medication to prevent hemorrhagic cystitis. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit.