Nurse Jenny avoids doing which of the following as part of the procedure, Pacing the tip of the dropper on the edge of ear canal. Manual toothbrush The practical nurse is interviewing clients at the clinic. Lie down at least 30 minutes The nurse teaches the client that excellent food sources of both of these substances are:AFish and fruit jamB Carrots and potatoesCOranges and grapefruitDSpinach and mangoesQuestion 41 Explanation: Beta-carotene and Vitamin E are antioxidants which help to inhibit oxidation. What should the nurse emphasize to the patient about this medication? Interstitial osmotic pressure A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Sprain Nurse Gina documents that John experienced which type of seizure? Which of the following is an expected outcome? 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). Also, this page requires javascript. Learn more After gastroscopy, an adaptation that indicates major complication would be: Abdominal distension may be associated with pain, may indicate perforation, a complication that could lead to peritonitis. A patient is prescribed to receive an NSAID and an opioid medication at the same time. The nurse prepares which of the following medications as an initial treatment for this problem? Which should the nurse use as the best definition of cancer? A male client with a history of cirrhosis and alcoholism is admitted with severe dyspnea resulted to ascites. The nurse would know that the teachings are effective if the client states that…AI can eat celery sticks and carrotsBI can eat broiled scallopsCI can eat shredded wheat cerealDI can eat spaghetti on rye breadQuestion 5 Explanation: Wheat cereal has a low sodium content.Question 6Nurse Lilly has been assigned to a client with Raynaud’s disease. D. Clay colored stools are indicative of hepatic obstruction Decrease the amount of suction pressure 34. Good luck! The nurse is caring for a client with a protozoa infection. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Which of the following is the most essential nursing action? Application of elastic stockings to prevent flaccid by muscle Which leukocyte level would the nurse expect to be the most elevated? Which suffix should the nurse use when documenting this patient's surgery? Oral pain medication has been ordered for the client. What should the nurse instruct the patient about this medication? Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. Date 6. Medical-Surgical Nursing Exam Sample Questions. Our hottest nursing game is out now in the App Store. Wrong The nurse should place the client before surgery in Helicobacter pylori infection → 1.5 L 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. Able to perform self-care activities without pain Start It is not influenced by drugs A patient with a neck injury is experiencing nausea and begins to vomit. Success is walking from failure to failure with no loss of enthusiasm. After 2 days of diuretic therapy, Jessie weighs 205.5 pounds. Med Surg Exam 1 - Nursing 170 with Reynolds at Galen College of Nursing - StudyBlue Flashcards Obtaining infusion pump for the medication A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. The nurse should be aware that the ascites is most likely the result of increased…. Nurse Joy assesses for which sign and symptom that indicates complication associated with crutch walking? The CMSRN exam is the only medical-surgical certification exam endorsed by AMSN. What other test should the nurse anticipate being ordered? An older patient with a fulminating foot wound is entering the late phase of septic shock. Enhance comfort Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that: “Most people can tolerate regular diet after this type of surgery”, “I should avoid fatty foods as long as I live”, “I should not eat those foods that upset me before the surgery”, “Most people need to eat a high protein diet for 12 months after surgery”. The nurse could estimate the amount of fluid Jessie has lost…. Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit? The nurse could estimate the amount of fluid Jessie has lost…A1.5 LB0.3 LC 3.5 LD2.0 LQuestion 20 Explanation: One liter of fluid approximately weighs 2.2 pounds. 32. Kate who has undergone mitral valve replacement suddenly experiences continuous bleeding from the surgical incision during postoperative period. Nurse Lucy is planning to give pre operative teaching to a client who will be undergoing rhinoplasty. A client with chronic pain has been admitted with a fever. Epstein-Barr put the patient at increased risk for which type of cancer? In caring for this client, the nurse should plan to:AUse a bed cradle to prevent dorsiflexion of feetBApplication of elastic stockings to prevent flaccid by muscleC Use hand roll and extend the left upper extremity on a pillow to prevent contractionsDDo passive range of motion exerciseQuestion 37 Explanation: The left side of the body will be affected in a right-sided brain attack.Question 38Jerry has diagnosed with appendicitis. Presence of excessive bubbling is identified in water-seal chamber, the nurse should…A Check the system for air leaksB“Strip” the chest tube catheterCDecrease the amount of suction pressureDRecognize the system is functioning correctlyQuestion 23 Explanation: Excessive bubbling indicates an air leak which must be eliminated to permit lung expansion.Question 24Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Attempted Questions Wrong Once you are finished, click the button below. 27. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by: 22. Roles & Duties of a Medical Surgical Nurse Because the work of a med-surg RN is so broad, it can be hard to compile a comprehensive list of all possible cares and duties. What does the nurse assess first after the procedure? Which action should the nurse take first? Place the following steps in order (1-5) as they occur. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. The nurse should teach the client that after every meals, the client should…. Bile green Quinidine Sulfate Which drug should the nurse expect to be prescribed for this patient? After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function.APulse rateBBlood pressureCConsciousnessDDistension of the bladderQuestion 37 Explanation: Perfusion can be best estimated by blood pressure, which is an indirect reflection of the adequacy of cardiac output.Question 38Myrna a 52 year old client with a fractured left tibia has a long leg cast and she is using crutches to ambulate. To promote good dental care in client with mitral stenosis in teaching plan should include proper use of…. Which of the following is an expected outcome? 5. You Selected B. Bright red C O M Chapter 1: Foundations for Medical-Surgical Nursing Answer Section MULTIPLE CHOICE 1. You can become certified by successfully completing the CMSRN examination which validates proficiency in medical-surgical nursing. A client suffered from a lower leg injury and seeks treatment in the emergency room. Which of the following should be included?AAspirin containing medications should not be taken 14 days before surgeryBResults of the surgery will be immediately noticeable postoperativelyCAfter surgery, nasal packing will be in place 8 to 10 daysDNormal saline nose drops will need to be administered preoperativelyQuestion 33 Explanation: Aspirin containing medications should not be taken 14 days before surgery to decrease the risk of bleeding.Question 34A client has 15% blood loss. Which of the following should be included? Tonic seizure If loading fails, click here to try again. A surgery has been scheduled and a nasogastric tube is inserted. What findings did the nurse use to make this decision? Pacing the tip of the dropper on the edge of ear canal Which of the following should be included?AAspirin containing medications should not be taken 14 days before surgeryBResults of the surgery will be immediately noticeable postoperativelyCNormal saline nose drops will need to be administered preoperativelyDAfter surgery, nasal packing will be in place 8 to 10 daysQuestion 48 Explanation: Aspirin containing medications should not be taken 14 days before surgery to decrease the risk of bleeding.Question 49Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. Calculate to the nearest whole number. 103 pages. Time allowed Good luck! To figure out whether the current problem is in renal origin, the nurse should assess whether the client has discomfort or pain in the…. 21. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. The nurse is caring for a patient exposed to a toxin. The transmission of genetic information in the cell involves several steps. The family tells the nurse that the client is just addicted to pain medications. Which information indicates to the practical nurse the client's condition is improving? Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate?A Vitamin CBCoumadinCProtamine SulfateDQuinidine SulfateQuestion 45 Explanation: Protamine Sulfate is used to prevent continuous bleeding in client who has undergone open heart surgery.Question 46A newly admitted client is diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. You have not finished your quiz. A 63-year-old Arab American male states his left leg is "hot." In caring for this client, the nurse should plan to: 11. 40. Lifting objects A client has 15% blood loss. 50. This is done to assess the effectiveness of the remaining kidney also to detect renal failure early. Cirrhosis What additional actions should the nurse take to provide comfort for this patient? The nurse should place the client before surgery inADorsal recumbent positionBSupine positionCSims positionDSemi-fowlers positionQuestion 13 Explanation: Semi-fowlers position will localize the spilled stomach contents in the lower part of the abdominal cavity.Question 14After gastroscopy, an adaptation that indicates major complication would be:ADifficulty in swallowingBAbdominal distentionCNausea and vomitingDIncreased GI motilityQuestion 14 Explanation: Abdominal distension may be associated with pain, may indicate perforation, a complication that could lead to peritonitis.Question 15Nurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. Gravity speeds up digestion and prevents reflux of stomach contents into the esophagus. Excrete excessive fluids accumulated at night 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. Which of the following nursing assessment findings indicates hypovolemic shock?ARespiratory rate of 4 breath/minBPupils unequally dilatedCSystolic blood pressure less than 90mm HgDPulse rate less than 60bpmQuestion 34 Explanation: Typical signs and symptoms of hypovolemic shock includes systolic blood pressure of less than 90 mm Hg.Question 35Which of the following compilations should the nurse carefully monitors a client with acute pancreatitis.APeptic ulcerBMyocardial InfarctionCPneumoniaDCirrhosisQuestion 35 Explanation: A client with acute pancreatitis is prone to complications associated with respiratory system.Question 36Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. The affected leg is painful, swollen and beginning to become ecchymotic. Fory-eight hours after surgery a patient continues to have no bowel sounds. Prevents shock and relieves pain There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter that the other leg. A patient with chronic renal failure has been diagnosed with a foot wound. Watery stool Nurse Perry is evaluating the renal function of a male client. Saunders and the other book the review and rationales book helped. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter that the other leg. Wonder why students struggle in med-surg nursing? https://www.rnpedia.com/.../medical-surgical-nursing-exam-1 Which of the following should the nurse teach the client about the signs of digitalis toxicity? Assessing for an open airway is the priority. Production of serum albumin Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The nurse is reviewing the laboratory results for several patients. Episodic vasospastic disorder of the aorta A patient is diagnosed with the most common type of distributive shock. Bending over You have completed How should the nurse best respond? A patient has an epidural catheter placed for pain control. The one that should be reported immediately to the physician is: 41. After 2 days of diuretic therapy, Jessie weighs 205.5 pounds. Streptomycin is an aminoglycoside and damage on the 8th cranial nerve (ototoxicity) is a common side effect of aminoglycosides. You have not finished your quiz. It is felt at the costovertebral angle on the affected side. Obtaining infusion pump for the medication. Which information provided by a client warrants further investigation? D. Seeing yellow spots and colored vision are common symptoms of digitalis toxicity A newly admitted client is diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. Discuss implementing an advance directive. 44. Metabolic acidosis is anaerobic metabolism caused by lack of ability of the body to use circulating glucose. Contusion Start Excessive bubbling indicates an air leak which must be eliminated to permit lung expansion. Bowel ischemia Forearm muscle weakness is a probable sign of radial nerve injury caused by crutch pressure on the axillae. What is the nurse's best response? Systolic blood pressure less than 90mm Hg Upper extremity flexion with lower extremity flexion The Medical-Surgical Nursing Certification Board (MSNCB) recognizes there can be barriers to becoming certified. Administration of insulin corrects this problem.Question 37A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. This course is designed to provide nurses with the tools, confidence and knowledge to successfully complete the Medical-Surgical Nursing Exam. The nurse should be aware that the ascites is most likely the result of increased…ASecretion of bile saltsBInterstitial osmotic pressureCProduction of serum albuminDPressure in the portal veinQuestion 3 Explanation: Enlarged cirrhotic liver impinges the portal system causing increased hydrostatic pressure resulting to ascites.Question 4Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?AAbsence of drainage from the ileostomy for 6 or more hoursBPassage of liquid stool in the stomaCA temperature of 37.6 °CDOccasional presence of undigested foodQuestion 4 Explanation: Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed.Question 5A client who has been diagnosed of hypertension is being taught to restrict intake of sodium. A patient with botulism is admitted to the hospital for treatment. Can access both website for free MORE test bank at testbankgo.info Open any Nursing Test Bank to Start Free. 48. ATI Med-Surg Proctored Exam (Detail Solutions and Resource for the test) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Nurse Jamie should explain to male client with diabetes that self-monitoring of blood glucose is preferred to urine glucose testing because… Pulmonary edema is an acute medical emergency requiring immediate intervention.Question 43The client asks Nurse Annie the causes of peptic ulcer. The one that should be reported immediately to the physician is:AYellow urineBClay- colored stoolsCNauseaDRestlessnessQuestion 15 Explanation: Clay colored stools are indicative of hepatic obstructionQuestion 16Mrs. Food sources of beta-carotene include dark green vegetables, carrots, mangoes and tomatoes.Question 42Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?AYellow scleraBTarry stoolCWatery stoolDShortness of breathQuestion 42 Explanation: Liver inflammation and obstruction block the normal flow of bile. Return Question Details While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. D. Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication. The nurse is caring for a client who is recovering from an allergic reaction. A client who had surgery 24 hours ago and who also has a nasogastric tube. C. 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. A 4.5 pound weight loss equals to approximately 2L.Question 21Jerry has diagnosed with appendicitis. 12. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The Certified Medical-Surgical Registered Nurse (CMSRN®) credential recognizes that the highest standards of medical-surgical nursing practice have been achieved. A client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Medical and Surgical Nursing (NCLEX Exams). Aspirin containing medications should not be taken 14 days before surgery to decrease the risk of bleeding. A. Protamine Sulfate is used to prevent continuous bleeding in client who has undergone open heart surgery. The nurse is evaluating care provided to a patient with a fractured humerus. D. Beta-carotene and Vitamin E are antioxidants which help to inhibit oxidation. Absence of drainage from the ileostomy for 6 or more hours Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The causative virus has three modes of transmission. Streptomycin 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 preparing to provide acetaminophen (Tylenol) as needed to the following patients. The affected leg is painful, swollen and beginning to become ecchymotic. TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN NURSINGTB.COM. Correct Answer During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. Among the following signs and symptoms, which would most likely be present in a client with mitral gurgitation? The reason for this is to help…AExcrete excessive fluids accumulated at nightBPrevents sleep disturbances during nightCPrevention of electrolyte imbalanceDRetard rapid drug absorptionQuestion 36 Explanation: When diuretics are taken in the morning, client will void frequently during daytime and will not need to void frequently at night.Question 37Nurse Perry is evaluating the renal function of a male client. The nurse is planning interventions for a patient with shock. Monitoring blood pressure every 4 hours Warming the solution to room temperature Jessie weighed 210 pounds on admission to the hospital. C. Assessing for an open airway is the priority. Exceptional Dyspnea 18. What myths about pain should the nurse manager review with the nurse? Nurse Donna is aware that the shift of body fluids associated with Intravenous administration of albumin occurs in the process of: Osmosis is the movement of fluid from an area of lesser solute concentration to an area of greater solute concentration. Apical pulse is taken to detect dysrhythmias related to cardiac irritability.Question 30Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse is caring for a client who has as a son with a streptococcus throat infection. Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate? Nurse Liza’s highest priority would be…. The procedure involves the neck, the anesthesia may have affected the swallowing reflex or the inflammation may have closed in on the airway leading to ineffective air exchange. Nurse Liza’s highest priority would be… After surgery, nasal packing will be in place 8 to 10 days Apply a bulky dressing around the impaled object. Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom? The client has smoked two (2) packs of cigarettes a day for 20 years. A male client with a history of cirrhosis and alcoholism is admitted with severe dyspnea resulted to ascites. Diabetes 3. Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication. It is easy to perform The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Left leg discomfort Exam Mode Electric toothbrush A. A client has had abdominal surgery and has orders to be ambulated three times a day. What should the nurse explain about the major body damage caused by shock? Rest in sitting position The nurse should teach the client that after every meals, the client should…ALie down at least 30 minutesBTake a short walkCDrink plenty of waterDRest in sitting positionQuestion 44 Explanation: Gravity speeds up digestion and prevents reflux of stomach contents into the esophagus.Question 45Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?AOccasional presence of undigested foodBA temperature of 37.6 °CCAbsence of drainage from the ileostomy for 6 or more hoursDPassage of liquid stool in the stomaQuestion 45 Explanation: Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed.Question 46During the second day of hospitalization of the client after a Myocardial Infarction.
Code Vein Romance, Perito Moreno Glacier Facts, Frigidaire 18,000 Btu Air Conditioner With Heat, Ham And Mozzarella Rolls, Takeaway Deals Singapore, How To Use Pasilla Peppers,
