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. Med Surg Quick Notes Page 2 of 638 Simplenursing.com 82% or Higher on Your Next Nursing Test © 2013 SimpleNursing.com All Rights Reserved. 4. 18. You have completed The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery? 10. Perfusion can be best estimated by blood pressure, which is an indirect reflection of the adequacy of cardiac output. Absence seizure Please wait while the activity loads. Which drain should the nurse expect to see? Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Regular insulin 12. Intestinal obstruction Nurse Annie responds that recent research indicates that peptic ulcers are the result of which of the following:AHelicobacter pylori infectionBStressCDiet high in fatDGenetic defect in gastric mucosaQuestion 43 Explanation: Most peptic ulcer is caused by Helicopter pylori which is a gram negative bacterium.Question 44A client has Gastroesophageal Reflux Disease (GERD). You scored %%SCORE%% out of %%TOTAL%%. Metabolic acidosis is anaerobic metabolism caused by lack of ability of the body to use circulating glucose. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. What should the nurse do to help this patient? 9. Level of consciousness In caring for this client, the nurse should plan to:AApplication of elastic stockings to prevent flaccid by muscleBDo passive range of motion exerciseCUse a bed cradle to prevent dorsiflexion of feetD Use hand roll and extend the left upper extremity on a pillow to prevent contractionsQuestion 41 Explanation: The left side of the body will be affected in a right-sided brain attack.Question 42What would be the primary goal of therapy for a client with pulmonary edema and heart failure?A Enhance comfortB Improve respiratory statusC Peripheral edema decreasedD Increase cardiac outputQuestion 42 Explanation: The primary goal of therapy for the client with pulmonary edema or heart failure is increasing cardiac output. Not Attempted 13. What myths about pain should the nurse manager review with the nurse? What would be the primary goal of therapy for a client with pulmonary edema and heart failure? Assessing for an open airway is the priority. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. To promote good dental care in client with mitral stenosis in teaching plan should include proper use of…. A female client is experiencing painful and rigid abdomen and is diagnosed with perforated peptic ulcer. Discomfort or pain is a problem that originates in the kidney. John suddenly experiences a seizure, and Nurse Gina notice that John exhibits uncontrollable jerking movements. The client reports frequent use of acetaminophen. A 4.5 pound weight loss equals to approximately 2L.Question 16During the second day of hospitalization of the client after a Myocardial Infarction. Which action should the nurse take to decrease the patient's risk for urinary infection? 17. What should the nurse do first? Oranges and grapefruit Able to sips clear liquid Which nursing intervention ensures adequate ventilating exchange after surgery? Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Watery stool The nurse plans interventions for a patient in shock to address circulatory collapse. Which of the following is best recommended for the client?A Watching circusBLifting objectsCBending overDWatching TVQuestion 35 Explanation: Watching TV is permissible because the eye does not need to move rapidly with this activity, and it does not increase intraocular pressure.Question 36Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). Our hottest nursing game is out now in the App Store. The nurse suspects which of the following complications? A client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Which is the most potent lethal toxin? During pre cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is….. Which information is significant for this disease? A patient is demonstrating manifestations of an opioid overdose. Oral pain medication has been ordered for the client. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. 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 client who has been diagnosed of hypertension is being taught to restrict intake of sodium. Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). Which organ should the nurse suspect is damaged in this patient? Pulmonary edema is an acute medical emergency requiring immediate intervention. ← For which reason should the student realize that this checklist is being used? For which disease should the nurse plan this patient's care? We created the MSNCB FailSafe Certification Program TM to lift those barriers and make getting certified safer and easier for everyone.. Dorsal recumbent position 0.3 L Med Surg Exam #1 - Professor Martinez, Assessment of Cardiovascular Function Study Guide Exam 2 Summer 2016 Exam 3 - Summary Primary Concepts Of Adult Nursing Exam 2 - Exam 2, Professor Povea Med-Surg Exam 1 - Summary Brunner and Suddarth's Textbook of Medical-Surgical Nursing Med Surg Exam 2 PDF - Summary Brunner and Suddarth's Textbook of Medical-Surgical Nursing What percentage of lung cancer is related to smoking in men? Nurse Perry is evaluating the renal function of a male client. Which of the following nursing assessment findings indicates hypovolemic shock? View Answers A family member of a patient in shock says that being in shock should not be that critical because it can be treated. After surgery, nasal packing will be in place 8 to 10 days It is felt at the costovertebral angle on the affected side. Which of the following should the nurse teach the client about the signs of digitalis toxicity? The nurse should teach the client that after every meals, the client should…. To figure out whether the current problem is in renal origin, the nurse should assess whether the client has discomfort or pain in the…ARight or left costovertebral angleBUrinary meatusCPain in the LabiumDSuprapubic areaQuestion 18 Explanation: Discomfort or pain is a problem that originates in the kidney. Sprain The client asks Nurse Annie the causes of peptic ulcer. On which area should the nurse expect diagnostic tests to focus for this patient? A client has 15% blood loss. Which of the following is the most essential nursing action?AObtaining serum potassium levels dailyBMonitoring urine output frequentlyCMonitoring blood pressure every 4 hoursDObtaining infusion pump for the medicationQuestion 29 Explanation: Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication.Question 30Which of the following compilations should the nurse carefully monitors a client with acute pancreatitis.APneumoniaBCirrhosisCMyocardial InfarctionDPeptic ulcerQuestion 30 Explanation: A client with acute pancreatitis is prone to complications associated with respiratory system.Question 31Which of the following statements should the nurse teach the neutropenic client and his family to avoid?APerforming oral hygiene after every mealB Using suppositories or enemasC Performing perineal hygiene after each bowel movementDUsing a filter maskQuestion 31 Explanation: Neutropenic client is at risk for infection especially bacterial infection of the gastrointestinal and respiratory tract.Question 32The client asks Nurse Annie the causes of peptic ulcer. Osmosis 15. Ryan has undergone subtotal gastrectomy. How many mL of the fluid should the patient receive each hour? Watching TV is permissible because the eye does not need to move rapidly with this activity, and it does not increase intraocular pressure. Sample Decks: Chapter 1 Professional Nursing Practice Exam 1, Chapter 14 Infection and Human Immunodeficiency Virus Infection and Chapter 13, Immune Terminology Show Class Med-Surg 3 During pre cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is…..ATo determine the existence of CHDBTo obtain the heart chambers pressureCTo visualize the disease process in the coronary arteriesDTo measure oxygen content of different heart chambersQuestion 2 Explanation: The lumen of the arteries can be assessed by cardiac catheterization. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Attempted Questions Wrong Among the following signs and symptoms, which would most likely be present in a client with mitral gurgitation? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Questions on this exam are taken from random various nursing concepts: 1. Jessie weighed 210 pounds on admission to the hospital. You have completed 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. After 2 days of diuretic therapy, Jessie weighs 205.5 pounds. The client is one (1) day postoperative major abdominal surgery. Hourly urine output A. Protamine Sulfate is used to prevent continuous bleeding in client who has undergone open heart surgery. Which wound finding should the nurse expect in the patient? Complications of acute appendicitis are peritonitis, perforation and abscess development. Learn vocabulary, terms, and more with flashcards, games, and other study tools. A patient is diagnosed with an infection that has spread to the blood stream. Intravenous therapy When diuretics are taken in the morning, client will void frequently during daytime and will not need to void frequently at night. I took the CSMRN exam in May 2019 and failed with a standard score of 90. A patient is experiencing moderate-to-severe pain. “I should avoid fatty foods as long as I live” Normal saline nose drops will need to be administered preoperatively Monitor clients temperature every hour The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. B. What type of block should the nurse document? Medical Surgical Nursing Practice Test Part 1 (Practice Mode)- Rnpedia 13 Questions | By Rnpedia | Last updated: Sep 21, 2017 | Total Attempts: 13420 Questions All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions 11 questions 12 questions 13 questions Nurse Joy assesses for which sign and symptom that indicates complication associated with crutch walking? Jerry has diagnosed with appendicitis. Which of the following is the most essential nursing action?AObtaining serum potassium levels dailyBObtaining infusion pump for the medicationCMonitoring urine output frequentlyDMonitoring blood pressure every 4 hoursQuestion 26 Explanation: Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication.Question 27A male client with a history of cirrhosis and alcoholism is admitted with severe dyspnea resulted to ascites. 3. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. 1) Loosen the knots on the ropes if the client is experiencing pain. Not Attempted Marquez tells a client that an increase intake of foods that are rich in Vitamin E and beta-carotene are important for healthier skin. During pre cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is….. To visualize the disease process in the coronary arteries, To measure oxygen content of different heart chambers. A. C. Wheat cereal has a low sodium content. Kate who has undergone mitral valve replacement suddenly experiences continuous bleeding from the surgical incision during postoperative period. Skin rash over the chest and back The nurse should teach the client that after every meals, the client should…. Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit? It is felt at the costovertebral angle on the affected side. A client has 15% blood loss. Assess for hypoventilation by auscultating the lungs, Maintain humidified oxygen via nasal canula, Position client laterally with the neck extended, Remove the airway only when client is fully conscious. Dr. Marquez tells a client that an increase intake of foods that are rich in Vitamin E and beta-carotene are important for healthier skin. The patient reports, "I can't flex my foot or point my toes." Nurse Lucy is planning to give pre operative teaching to a client who will be undergoing rhinoplasty. George who has undergone thoracic surgery has chest tube connected to a water-seal drainage system attached to suction. A patient is prescribed a dose of ondansetron (Zofran) before surgery. The answers to the sample questions are provided after the last question. To promote good dental care in client with mitral stenosis in teaching plan should include proper use of…A Electric toothbrushB Dental flossC Irrigation deviceDManual toothbrushQuestion 4 Explanation: The use of electronic toothbrush, irrigation device or dental floss may cause bleeding of gums, allowing bacteria to enter and increasing the risk of endocarditis.Question 5A client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Wonder why students struggle in med-surg nursing? You Selected 41. Which intervention(s) should the nurse incorporate in this patient's plan of care? Shaded items are complete. B. Attempted Questions Correct After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function.APulse rateBBlood pressureCConsciousnessDDistension of the bladderQuestion 26 Explanation: Perfusion can be best estimated by blood pressure, which is an indirect reflection of the adequacy of cardiac output.Question 27Nurse Jamie should explain to male client withdiabetes that self-monitoring of blood glucose is preferred to urine glucose testing because…A It is not influenced by drugsBIt is easy to performCMore accurateDCan be done by the clientQuestion 27 Explanation: Urine testing provides an indirect measure that maybe influenced by kidney function while blood glucose testing is a more direct and accurate measure.Question 28What would be the primary goal of therapy for a client with pulmonary edema and heart failure?A Increase cardiac outputB Improve respiratory statusC Peripheral edema decreasedD Enhance comfortQuestion 28 Explanation: The primary goal of therapy for the client with pulmonary edema or heart failure is increasing cardiac output. 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. The nurse is planning interventions for a patient with shock. Enlarged cirrhotic liver impinges the portal system causing increased hydrostatic pressure resulting to ascites. 29. Success is walking from failure to failure with no loss of enthusiasm. "It doesn't matter if I smoke now. Ryan has undergone subtotal gastrectomy. 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. Your answers are highlighted below. Once you are finished, click the button below. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. Nurse Betty informs the client that the following maybe experienced as side effects of this medication:APartial bowel obstructionBPeptic ulcer diseaseCGI bleedingDAbdominal crampsQuestion 48 Explanation: The most frequent side effects of Cascara Sagrada (Laxative) is abdominal cramps and nausea.Question 49Nurse Jamie should explain to male client withdiabetes that self-monitoring of blood glucose is preferred to urine glucose testing because…AMore accurateBCan be done by the clientCIt is easy to performD It is not influenced by drugsQuestion 49 Explanation: Urine testing provides an indirect measure that maybe influenced by kidney function while blood glucose testing is a more direct and accurate measure.Question 50Kate who has undergone mitral valve replacement suddenly experiences continuous bleeding from the surgical incision during postoperative period. Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. Which information provided by the UAP warrants immediate intervention by the practical nurse? Able to turn side to side Which intervention should the practical nurse expect to implement? B. Date A surgery has been scheduled and a nasogastric tube is inserted. Left sided heart failure causes fluid accumulation in the capillary network of the lung. Upon admission, the patient is conscious and responsive to questions. The primary goal of therapy for the client with pulmonary edema or heart failure is increasing cardiac output. Weak biceps brachii Wrong Which term should the nurse use to document this patient's health problem? 19. Maternal and Child Health Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), MSN Exam for Benign Prostatic Hypertrophy or Hyperplasia. Question 1Kris with a history of chronic infection of the urinary system complains of urinary frequency and burning sensation. Score What would be the primary goal of therapy for a client with pulmonary edema and heart failure? Choose from 500 different sets of med surg exam 1 flashcards on Quizlet. Which observations indicate that nursing care has been effective? Increase cardiac output After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function. List Peptic ulcer disease By the 2nd day of hospitalization after suffering a Myocardial Infarction, Clients are able to perform care without chest pain The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. This course is designed to provide nurses with the tools, confidence and knowledge to successfully complete the Medical-Surgical Nursing Exam.
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