What additional bodily function should the nurse monitor in this patient? Friction rubs A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Dorsal recumbent position 6. Which is the most potent lethal toxin? The ANCC Medical-Surgical Nursing board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty after initial RN licensure. The physician has ordered arterial blood gases for a client experiencing shock. Do passive range of motion exercise A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Which of the following statements should the nurse teach the neutropenic client and his family to avoid? 44. You scored %%SCORE%% out of %%TOTAL%%. 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. Nurse Donna is aware that the shift of body fluids associated with Intravenous administration of albumin occurs in the process of: Which of the following is best recommended for the client?A Watching circusBBending overCWatching TVDLifting objectsQuestion 28 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 29During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…AElevate clients bed at 45°BMonitor clients temperature every hourCInstruct the client to cough and deep breathe every 2 hoursDFrequently monitor client’s apical pulse and blood pressureQuestion 29 Explanation:  Blood pressure is monitored to detect hypotension which may indicate shock or hemorrhage. What myths about pain should the nurse manager review with the nurse? If loading fails, click here to try again Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. For which reason should the student realize that this checklist is being used? As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. 50. 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 A female client is taking Cascara Sagrada. A patient is experiencing moderate-to-severe pain. 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. Nurse Jenny avoids doing which of the following as part of the procedureAPlacing client in side lying positionBPacing the tip of the dropper on the edge of ear canalCPulling the auricle backward and upwardDWarming the solution to room temperatureQuestion 31 Explanation:  The dropper should not touch any object or any part of the client’s ear.Question 32John suddenly experiences a seizure, and Nurse Gina notice that John exhibits uncontrollable jerking movements. 44. Nurse Perry is evaluating the renal function of a male client. 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. Bile green The nurse is assisting the patient who has a urinary catheter with bathing. What would be the primary goal of therapy for a client with pulmonary edema and heart failure? Access to all Test Banks Below for Free testbankgo.info You have free access to ALL test banks below. A. A surgery has been scheduled and a nasogastric tube is inserted. Severe chest pain Correct Answer The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Apply a bulky dressing around the impaled object. Secretion of bile salts Which of the following nursing actions is best? Which patients are at increased risk for vancomycin-resistant enterococci? Excess bilirubin turns the skin and sclera yellow and the urine dark and frothy. Rest in sitting position Nurse Perry is evaluating the renal function of a male client. Able to perform self-care activities without pain Watching circus Answer Choice(s) Selected Good luck! Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Contains thousands and the most comprehensive medical surgical nursing NCLEX practice exam . If you leave this page, your progress will be lost. Fish and fruit jam Hourly urine output Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. Presence of excessive bubbling is identified in water-seal chamber, the nurse should…, 30. Clonic seizure Shaded items are complete. The nurse is reviewing pain control approaches in preparation for a patient care conference. What should the nurse keep in mind when teaching this patient? Success is walking from failure to failure with no loss of enthusiasm. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. 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. Pressure in the portal vein A patient with botulism is admitted to the hospital for treatment. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by: 22. Nurse Gina documents that John experienced which type of seizure?AMyoclonic seizureBTonic seizureCAbsence seizureDClonic seizureQuestion 32 Explanation:  Myoclonic seizure is characterized by sudden uncontrollable jerking movements of a single or multiple muscle group.Question 33Nurse Lucy is planning to give pre operative teaching to a client who will be undergoing rhinoplasty. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Increase creatine phospholinase concentration. You have not finished your quiz. A 4.5 pound weight loss equals to approximately 2L.Question 16During the second day of hospitalization of the client after a Myocardial Infarction. Genetic defect in gastric mucosa Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication. Congratulations - you have completed Medical-Surgical Nursing Exam 1 (PM). Learn med surg exam 1 with free interactive flashcards. Positioning the client laterally with the neck extended does not obstruct the airway so that drainage of secretions and oxygen and carbon dioxide exchange can occur. C. The most frequent side effects of Cascara Sagrada (Laxative) is abdominal cramps and nausea. D. 12 to 24 hours after subtotal gastrectomy gastric drainage is normally brown, which indicates digested food. What does the nurse assess first after the procedure? Perfusion can be best estimated by blood pressure, which is an indirect reflection of the adequacy of cardiac output. Ibuprofen The lumen of the arteries can be assessed by cardiac catheterization. A client with acute pancreatitis is prone to complications associated with respiratory system. 27. Nurse Jamie should explain to male client with diabetes that self-monitoring of blood glucose is preferred to urine glucose testing because…, 23. Exceptional Dyspnea Fory-eight hours after surgery a patient continues to have no bowel sounds. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery? A patient is diagnosed with a type of cancer that affects the skin and urinary system. Monitoring urine output frequently We created the MSNCB FailSafe Certification Program TM to lift those barriers and make getting certified safer and easier for everyone.. Excessive bubbling indicates an air leak which must be eliminated to permit lung expansion. Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that: 40. Hepatitis 4. Among the following signs and symptoms, which would most likely be present in a client with mitral gurgitation? Bowel ischemia Text Mode Visual disturbances such as seeing yellow spots 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.Question 13A female client is experiencing painful and rigid abdomen and is diagnosed with perforated peptic ulcer. The client has an eviscerated abdominal wound. 12. Nurse Lucy is planning to give pre operative teaching to a client who will be undergoing rhinoplasty. Pupils unequally dilated The nursing assessment reveals that the client has a decreased level of consciousness. Ryan has undergone subtotal gastrectomy. Secure urinary catheter per agency policy. Systolic blood pressure less than 90mm Hg. He develops a fever, hypotension and tachycardia. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. Seeing yellow spots and colored vision are common symptoms of digitalis toxicity. 9. 22. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. 21. Watery stool D. Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication. 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. Text Mode – Text version of the exam. Intravenous therapy Which of the following is an expected outcome?ASevere chest painBCan recognize the risk factors of Myocardial InfarctionCAble to perform self-care activities without painDCan Participate in cardiac rehabilitation walking programQuestion 46 Explanation:  By the 2nd day of hospitalization after suffering a Myocardial Infarction, Clients are able to perform care without chest painQuestion 47Which of the following should the nurse teach the client about the signs of digitalis toxicity?AElevated blood pressureBSkin rash over the chest and backCVisual disturbances such as seeing yellow spotsDIncreased appetiteQuestion 47 Explanation:  Seeing yellow spots and colored vision are common symptoms of digitalis toxicity.Question 48A female client is taking Cascara Sagrada. The nurse would know that the teachings are effective if the client states that…. C. Wheat cereal has a low sodium content.
2020 med surg nursing exam 1