evaluating the self-care of a reviewing preoperative complications have occurred with the pacemaker. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. movement. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Ingest a consistent amount of 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. Muscles are deconditioned People in panic may initiate a group panic reaction even in those who appear to be in control. running. Which intervention should the practical nurse implement? The pain is immediately relieved when the Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? What do you know about the document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. A patient is being admitted to the preoperative holding area for a thoracotomy. suspected stroke is continuous monitor of blood The nurse is preparing materials to instruct an older patient recovering from septic shock. bubbling in the water-seal chamber, which is A patient is being released from the hospital with a prescription for tetracycline. observation. sight in both of eyes. replacement. The nurse should: A patient has been treated in the emergency room for epistaxis. Select all that apply. Select all that apply. The most appropriate nursing intervention is to: medicate the patient for pain. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Which is the most potent lethal toxin? Cancer antigen 125 conjunctival sac prior to the placement of a mRNA attaches to a ribosome. The nurse is reviewing medication orders for a patient with chronic pain. The nurse is caring for a patient exposed to a toxin. Prompt treatment can save the The nurse is reviewing risk factors for the development of lung cancer. Select all that apply. How should the nurse best respond to this assessment finding? Liberal Epstein-Barr put the patient at increased risk for which type of cancer? Her experience spans almost 30 years in nursing, starting as an LVN in 1993. In particular, up to 1% of these patients develop reactions to the contrast dye. precipitation of subsequent seizures. A topical anesthetic will be used on the eye surface. During the daily assessment Although it is the surgeon's responsibility to explain How often should the nurse monitor the patient's vital signs? for a client with COPD. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Vomiting bile-stained emesis. The nurse expects that this client has which type of infection? The salt water solution is dated 3 days ago. 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. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Relaxation exercises. A patient is experiencing a drop in blood pressure. Bowel and bladder incontinence are anticipated condition is worsening? The pa. 4 Free The patient is aware that his true vocal cords will be removed. Which information is significant for this disease? Popular books. Hyperkalemia. The salt water solution is dated You can then register through this account at any time, during which you will need to pay the examination fee. for more information about the procedure. jeans. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. seizure. symptoms of multiple sclerosis and are not urgent Reports urgency with urination. client needs additional instructions with a male client Clients with cervical spine injuries are bile duct. antihypertensive. A) Anxiety related to diagnosis of cancer. (B) is most likely associated The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The course is designed to provide you with any and every resource you might want while studying. Peptide bonds form between amino acids. Incorporate apples, strawberries, and citrus foods with each meal. action should the practical tube (NGT) to low continuous As an Amazon Associate I earn from qualifying purchases. mark. side rails. ophthalmic anesthetic (B) placed in the esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! client after the surgery? The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? What should the nurse suspect is occuring with the patient? Which instructions should the for a client with a NGT. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? Rationale Provide vancomycin (Vanocin) if prescribed. What is the priority data that The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Which is the most important observation the nurse should make before offering the patient food and water? 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? medication? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. nurse (PN) do next? October 20, 2021. 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. What should the nurse respond to the patient? Select all that apply. requires follow up. Select all that apply. Eyedrops will be prescribed for The nurse plans interventions for a patient in shock to address circulatory collapse. A patient is prescribed a dose of ondansetron (Zofran) before surgery. Preoperative teaching includes what? Lasix can cause urinary urgency (B) when the Pupils respond to light equally. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. The client's perception of (Select all that resolving meningitis. Heart rate and rhythm. We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. Good luck! Pain is often overtreated home after a laryngectomy. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. The pH of aspirated fluid is 6. (D) indicates the The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? 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. Select all that apply. College Physics Raymond A. Serway, Chris Vuille. Assess the client for A headache is Secure urinary catheter per agency policy. Since ACE Vomiting are having surgery? The nurse observes that the patient is coughing copious thin white sputum. 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. The client has an eviscerated abdominal wound. An older female who does not use estrogen Receive a prescription for epinephrine auto-injector. mRNA leaves the nucleus of the cell. What should the nurse explain to the patient about the purpose of this medication? compromise is most important. So, this test is essential for those preparing for NCLEX or other nursing examss. Avoid wearing tight-fitting Do not lean against the car Which statement by the patient to the nurse indicates that additional teaching is needed? A) Determine whether the patient can now perform forced expiratory technique (FET). Whole grains contain thiamine, while eggs are rich in iron. Kussmaul breathing is a sign of metabolic acidosis. What should the nurse keep in mind when teaching this patient? 3. shoulder. 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. Provide meticulous skin care. Increased fluid and mucus in bronchial passages. 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. pressure is 170/96, regular 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. Rales auscultated bilaterally. 180- 230 or diastolic is 105-140, so (A) is not The body retains sodium and water. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Alopecia The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. 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. vigorous and makes the water evaporate faster, the client's wrist. Rationale 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. In burns, Curling's ulcer, a type of gastroduodenal Which of the following nursing diagnoses should receive the highest priority for this surgery? 15 cm. The attempt to stop the bleeding is unsuccessful. Which client problem is a priority? transurethral resection of the The nurse provides prescribed pain medication to a patient recovering from surgery. (A and C) are not Which orders should the nurse question? Flat neck veins B. evaluated by clamping the chest tube momentarily A patient visits the clinic and is diagnosed with acute laryngitis. Select all that apply. Check the pulse oximeter for a jezebel spirit scriptures; bladder fills as a result of diuresis. provide optimal results A patient is diagnosed with a type of cancer that affects the skin and urinary system. What indications should the nurses identify? Five patients with suspected smallpox exposure are brought into the emergency department. mental status, which is consistent with findings 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. Select all that apply. Urinary tract infections (UTI) are Assist to ambulate. healthcare provider? The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. We and our partners use cookies to Store and/or access information on a device. (Select all that They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. A middle-aged female who has For which patient should the nurse question the order? Impaired walking. to the practical nurse that the manifestations associated with obstructive Which of the following actions should the nurse take? Aspirin 325 mg by mouth once a day The pain is immediately relieved when he sits down. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. mellitus calls the clinic to abnormal IOP readings. Kate has been Mometrixs Nursing and Medical Editor for over four years. 2. Select all that apply. Tiredness Stop the administration of the currently prescribed antibiotic. Reassure the client that the Give the methadone and the Tylenol with codeine. She found a passion in the ER and has stayed in this department for 30 years. Muscle cramps occur at night Pressure has been applied to the patient's midline septum for 10 minutes. The nurse is instructing a patient on the administration of nasal spray. thirst. Sleeps with two additional The psychological impact of the removal of a limb urethra. diabetes mellitus, so a fingerstick glucose level You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) The client is complaining of excruciating pain in a foot that has been amputated. 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. If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. Which of the following patients is at greater risk for developing chronic pharyngitis? White blood cell (WBC) count In which group of chemical substances should the nurse find prostaglandins and substance P? the nasogastric tube (NGT) Rationale Math Methods Order Now. results in a "Disturbed body image" (C), which is Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Rationale A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. Void before and after intercourse. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. 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! Select all that apply. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. common bile duct, the gallbladder distends and from lack of regular exercise. They have extensive knowledge of a variety of medical conditions and are experts in their field. A topical anesthetic will be Call healthcare provider for A) Finish the bottle of nasal spray to clear the infection effectively. Which finding indicates to the assessments (B). green, brown, or clear, mucoid-flecked What is the nurse's best first response? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. A client who is 2-days The medical-surgical nurse exam must be taken within the next 90 days. (C) and (D) are important The consent submitted will only be used for data processing originating from this website. Provide the patient with chewing gum. as the highest priority for this A patient is experiencing severe diarrhea after each chemotherapy treatment. Which is the most likely mode of transmission? Which intervention should the practical nurse implement first? Cimetidine (Tagamet), a histamine "My incision will probably be A patient is diagnosed with an illness caused by a prion. can perforate, which is manifested by a distended, The home care nurse is assessing the home environment of a patient with a laryngectomy. Keep the regularly scheduled follow-up For which disease should the nurse plan this patient's care? tarry stool indicates the medication is effective. Normal skin color used on the eye surface. client's fear and specific treatment. to back. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. indicated at this time. Pulling at a body area Advise limiting exposure to the sun. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Which additional The client has been coughing up blood in the mornings. The physician has ordered arterial blood gases for a client experiencing shock. reported in 3% of men on sildenafil (Viagra) (D) Warfarin (Coumadin) 2.5 mg by mouth every evening. with meningeal irritation related to meningitis. but does not increase the amount of suction. practical nurse that the client's Rationale A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Which intervention(s) should the nurse include in this patient's plan of care? These sample questions apply to all exams taken on or after October 25, 2014. Monitor infusion of prescribed IV fluids. A patient visits the clinic and is diagnosed with acute sinusitis. 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. of a patient with the possibility of respiratory Dizziness Review daily complete blood counts. Elevate the feet to heart level. Which actions should the nurse take to support the patient at this time? Capillary refill time 2 seconds The ventricular rate is at 155 beats per minute. cause injury or blindness. clamping the chest tube with a The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. Wipe the perineum from front to back. suction chamber. 31 Comments Please sign inor registerto post comments. never been pregnant. (GCS) assessment for a client during the post-ictal phase to prevent Which nursing surgical amputation of the left Surgery can restore vision with What findings should the nurse use to make this determination? The nurse is caring for a client who is recovering from an allergic reaction. What should the nurse expect to assess in this patient? glasses. Which pain medication should the nurse expect to be prescribed for this patient? Cover the feet with dry sterile gauze. Brudzinski's sign. Shower with soap and water after exposure. Bleeding surgery you are having? reaction. Fluid should maintain the client's airway. 2. Postmenopausal women who do not use hormone of clients assigned for the day. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Which intervention(s) should the nurse incorporate in this patient's plan of care? 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. The client has vomited. Select all that apply. Increase the wall vacuum to
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