Consult with the health care provider about administering both drugs to the client. Which clinical manifestations are correctly paired with the physiologic changes of compartment syndrome? c. Post-microvascular bone transfer client whose distal leg is cool and pale. Increased pulmonary pressure creating a higher workload on the right side of the heart. While a co-worker calls the surgeon, what action by the nurse is best? To ensure the best experience, please update your browser. What is nurses best action? (Select all that apply.). What comfort measures can the nurse delegate to the unlicensed assistive personnel (UAP)? Client had a subtotal thyroidectomy & now has tingling around lips-nursing intervention? What action by the nurse is best? What action by the nurse takes priority? M/S, Respiratory. What response by the nurse is best? What response by the nurse is best? I only use my inhaler when I have an attack. The nurse notes the clients blood glucose readings have been elevated. Avoid acetaminophen in over-the-counter medications. D. Perform ADLs for the client. What education to give for thrombocytopenia? Which assessment should alert the nurse to take immediate action? b.Cohort the clients in the same area of the unit. Which client should the nurse identify as at highest risk for developing deep vein thrombosis? A trauma nurse cares for several clients with fractures. Don't smoke w/ it on & remove old before putting new. How should the nurse respond? c. Notify the surgeon or anesthesia provider immediately. Which interventions should the nurse include in this clients plan of care? Which client should the nurse see first? (Select all that apply. -fight off infection by deactivating toxins released by infection. A nurse is caring for a client with systemic sclerosis. (Select all that apply.). Diabetic neuropathy- check feet for injuries. A nurse assesses a client after an open lung biopsy. Instructions for someone starting phenytoin to treat epilepsy? (Select all that apply. What precautions to take for client w/ secondary syphilis? c. Wheezes are heard in central areas. A nurse assesses a clients respiratory status. What teaching by the nurse is most appropriate? Client w/ PAD is to undergo peripheral angioplasty, what to monitor? How should the nurse respond? A client is admitted with a large draining wound on the leg. Which action should the nurse take first? A nurse cares for a client placed in skeletal traction. ), a. The nurse instructs a client on how to correctly use an inhaler with a spacer. 532 Cards – 9 Decks – 12 Learners What occurs in this disease? Hesi MedSurg Medical Surgery 2016 2017 2018 questions and answers. (Select all that apply. Upon assessment, the nurse notes the clients face is puffy and the eyelids are swollen. A nurse assesses clients on the medical-surgical unit. The nurse is caring for a client with lung cancer who states, I dont want any pain medication because I am afraid Ill become addicted. c. Client has reduced breath sounds. (Select all that apply.). Why does client w/ hypoglycemia need glucagon? Rigidity, mask like face, pill rolling, shuffled gait, Blurred vision, halo around lights, haziness/whiteness of cornea/pupil, ABC's, Maslows hierarchy, culture before antibiotics. A nurse reviews prescriptions for an 82-year-old client with a fractured left hip. c.I will take this medication on an empty stomach. ), A nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate (MTX) (Rheumatrex) for disease control. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? Expected physical findings of Parkinson's? A nurse assesses a client with a cast for potential compartment syndrome. Apply an abduction pillow to the clients legs. At risk for infection, so should ask about sputum characteristics- has color changed? (Select all that apply.). b. Assess the clients cardiac and respiratory systems. Ask about medications the client is currently taking. Put bolt locks on doors to prevent escape, Changes in motor skills, vision & sensations, and nystagmus. A nurse observes that a clients anteroposterior (AP) chest diameter is the same as the lateral chest diameter. An unlicensed assistive personnel (UAP) was feeding a client with a tracheostomy. A client has been hospitalized with tuberculosis (TB). A client is in the family practice clinic reporting a severe cold that started 4 days ago. Which statement should the nurse include in this clients teaching? a. c. A 55-year-old woman who is 50 pounds overweight. A client has rheumatoid arthritis (RA) and the visiting nurse is conducting a home assessment. Sample Decks: Midterm Exam, Midterm ATI Questions, Exam One Show Class MedSurge. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. It looks like your browser needs an update. Apply water-soluble ointment to nares and lips. a. I always wear long sleeves, pants, and a hat when outdoors. What to tell client worried about getting flu? What action by the nurse is most important? Start studying Med/surg II Final exam. d. Keep padded clamps at the bedside for use if the drainage system is interrupted. Avoid overuse of antacids , can lead to metabolic alkalosis. (Select all that apply. Teach to avoid large crowds, provide antipyretic for fever, provide calm/quite environment, limit visitors, semi fowlers position, frequent nuero checks. In addition to inquiring about calcium, the nurse also assesses for which other dietary components? (Select all that apply.). Perform ADLs for the client. Which statement by the client indicates a need for additional teaching? Which assessment findings require immediate intervention? (Select all that apply. b. A nurse is providing community education about preventing traumatic musculoskeletal injuries related to car crashes. Edema= R sided HF. Which conditions in the clients history should the nurse identify as potential contributors to this problem? The answers to the sample questions are provided after the last question. (Select all that apply.). Which action should the nurse take first? Older adult client w/ frequent asthma Attacks & arthritic pain, what to ask? (Select all that apply.). Exam also composed of specific topics that you can choose from. c. This medication will promote daytime wakefulness. c. Do you experience shortness of breath with basic activities? What precautions to take? What drugs should the nurse anticipate administering? Which action should the nurse take first? Which symptoms require the nurses immediate intervention? 49 terms. Stress seems to exacerbate the condition. What actions may the nurse delegate to unlicensed assistive personnel (UAP)? c. Assess the clients gag reflex before giving any food or water. b. What action by the nurse is best? Difficulty. katwoman201. A nurse is teaching a client who has cystic fibrosis (CF). a. Administer additional opioids as prescribed. Normal age-related decrease in serum calcium, When assessing gait, what features does the nurse inspect? What action does the nurse. What is info most pertinent for client w/ COPD who displays increase in cough & low grade temp? Which finding should the nurse expect to assess? What does the nurse understand about this clients ability to perform activities of daily living (ADLs)? Which action should the nurse take first? d. Storing the CPM machine under the bed after removal. What action by the UAP warrants intervention by the nurse? A student is practicing suctioning a tracheostomy in the skills laboratory. NUR 317: Med Surg Final Exam ATI. Which action should the nurse take first when admitting this client to a pulmonary care unit? A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. Which action by the nurse is best? b. Client w/ migraines is placed on a BB, what do they need to know? A nurse teaches a client about prosthesis care after amputation. a. The provider asks the nurse to assess for odynophagia. D. Perform ADLs for the client. What action by the nurse is best? YOU MIGHT ALSO LIKE... Med-Surg Evolve Questions ch. An older adult is brought to the emergency department by a family member, who reports a moderate change in mental status and mild cough. What is meneires disease? A nurse cares for a client who has a pleural chest tube. Med Surg Final Neuro: Constricted pupils= miosis dilated pupils= mydriasis Patient has unequal pupils first ask for baseline. What action by the nurse is most appropriate? Med Surg Exam 2 Questions. A client is scheduled to have a hip replacement. (Select all that apply. Client w/ PID from gonorrhea asks how it can cause sterility? A client is started on etanercept (Enbrel). The clients surgical leg is visibly shorter than the other one and the client reports extreme pain. Upon assessing client w/ COPD, find they have clubbing nails, bilateral dependent leg edema, chest 2/2-what finding is most alarming? Which assessment finding is correctly matched to the nurses primary intervention? What action by the nurse is best? A nurse cares for a client who has packing inserted for posterior nasal bleeding. a. A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). The nurse finds the left lower leg to be pale and cool, with 1+/4+ pedal pulses. a. Which assessment finding should the nurse identify as a complication of this injury? A nurse cares for a client recovering from an above-the-knee amputation of the right leg. (Select all that apply. A nurse delegates care of a client in traction to an unlicensed assistive personnel (UAP). Which action should the nurse take prior to surgery? B. Visually impaired diabetic asks if daughter came come fill his syringes ahead of time, what instructions to give? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the lower chest tube is dislodged. The nurse is working with clients who have connective tissue diseases. A nurse is caring for a client after joint replacement surgery. Here is a practice Med-Surg Final Exam :) with NO answers:o . What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met? How should the nurse respond? a. ), a. Edema Increased capillary permeability, A nurse teaches a client who is at risk for carpal tunnel syndrome. a. b. A nurse cares for a client with a fractured fibula. The client also has osteoarthritis (OA). kimmydang. (Select all that apply.). A nurse sees clients in an osteoporosis clinic. a. I should have died during the surgery. (Select all that apply. The client wants to finish quilting a baby blanket before the birth of her grandchild. Play as. Which information is of highest priority for the nurse to obtain? Which question should the nurse ask the client in response to this finding? All the questions and answers to be found on the HESI Medical Surgery Specialty Exam. Questions Settings. An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: b. N100 Whole Book Practice NCLEX Exam 1, 2 and 3. Medical Surgical. A client has newly diagnosed systemic lupus erythematosus (SLE). b. Autoimmune response where immune system attacks/destroys myelin sheeths of muscles, results in weakened muscles & paralysis. Keep an intravenous line dedicated strictly to the infusion. Integrate a daily exercise routine. Recommend a community support group. b. Cholinergic antagonist Causes bronchodilation by inhibiting the parasympathetic nervous system. ), The nurse is assessing a client for chronic osteomyelitis. A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD). monty1179. A nurse is teaching a client with psoriatic arthritis about the medication golimumab (Simponi). Which health promotion activities should the nurse include in this clients teaching? Preoperatively, the client is found to be mildly anemic and the surgeon states the client may need a blood transfusion during or after the surgery. (Select all that apply.). What is difference between early onset manifestations of MLS & ALS? & risks associated w/ abnormal values? Care of the Endocrine System An older clients serum calcium level is 8.7 mg/dL. Match. b. a. Elevate heels off the bed with a pillow. A nurse assesses a client with a rotator cuff injury. A nurse is caring for an older adult client who has a pulmonary infection. A client is distressed at body changes related to kyphosis. c. Tying a square knot at the back of the neck. What question by the nurse is most important? Client teachings? What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? Diabetes Mellitus 4. Which statement should the nurse include when delegating care for this client to an unlicensed assistive personnel (UAP)? d. Client with a spinal cord injury who cannot tolerate sitting up. Diabetic of 15 years notes decrease in tactile sensation in foot, what is this an indicator of? a. Administer preoperative antibiotic as ordered. She is at high risk for osteomalacia. d. Roast beef with low-fat milk and a vitamin C supplement. The client also requests the celecoxib in addition to the morphine. A nurse obtains the health history of a client with a fractured femur. -don't bend @ knees, avoid coughing/blowing nose, take stool softners, avoid tight collars/ties. a. I held the clients morning bronchodilator medication. The client reports pain and it is not yet time for more medication. What action by the nurse takes priority? Uncategorized. Nurses next action? Older man asks why prostate causes him so much trouble when trying to urinate? Respiratory depression, which can lead to respiratory acidosis r/t not enough CO2 being released. The nurse notes that the skin around the clients pin sites is swollen, red, and crusty with dried drainage. The nurse notes that the tracheostomy tube is pulsing with the heartbeat as the clients pulse is being taken. The charge nurse on a medical unit is preparing to admit several clients who have possible pandemic flu during a preparedness drill. Increase fluid intake to @ least 2-3L/day. A client is having a myelography. a. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. What are the various functions of antibodies? ), An older client returning to the postoperative nursing unit after a hip replacement is disoriented and restless. MedSurge Flashcard Maker: David Bracho. What laboratory results correlate to this, b.International normalized ratio (INR): 6.3, A client has been diagnosed with an empyema. 1 Med Surg Final Exam Study Questions 1) What does GERD stand for? ), The nurse working in the rheumatology clinic assesses clients with rheumatoid arthritis (RA) for late manifestations. Which statements should the nurse include in this clients teaching? A nurse cares for a client who has a chest tube. Raises blood sugar by stimulating release of glucagon from liver. c. Use a cloth-covered pillow to elevate the clients leg. The client states that he no longer enjoys going out with his friends. Which signs/symptoms are considered late manifestations of RA? A client has the diagnosis of valley fever accompanied by myalgias and arthralgias. A nurse assesses a client who has a mediastinal chest tube. ), A nurse is teaching a client about possible complications and hazards of home oxygen therapy. b. b. A nurse has educated a client on isoniazid (INH). A nurse is discharging a client after a total hip replacement. A nurse is caring for several older clients in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia. c. It is unlikely you will become addicted when taking medicine for pain. A nurse assesses a client with a pelvic fracture. Cover the insertion site with sterile gauze. The nursing student studying rheumatoid arthritis (RA) learns which facts about the disease? c. Handling and disposing of chemotherapeutic agents per policy. Applying water-soluble lip balm to the clients lips, A client is being discharged home after having a tracheostomy placed. How should the nurse respond? (Select all that apply. c. Administer oxygen to keep saturations greater than 94%. Which action should the nurse take first? d. A 74-year-old man who smokes and has a fractured pelvis. ), A client with chronic osteomyelitis is being discharged from the hospital. Body burns fat for energy instead of sugar/carbs resulting in ketones in blood. The client calls the clinic and asks the nurse why an antidepressant drug has been prescribed. For which client would bisphosphonates not be a good option? The nurse is asked to assess the client for Heberdens nodules. Have adequate help to transfer the client. What action by the nurse is most appropriate? What response by the nurse is best? 2. A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Avoid drinking fluids just before and during meals. lgripe. The client asks, How will this medication help me? (Select all that apply. Which actions should the nurse take? A client has scoliosis with a 65-degree curve to the spine. d. Providing a verbal hand-off report to the facility. An older client with diabetes is admitted with a heavily draining leg wound. After a knee replacement, the health care provider has prescribed morphine sulfate for postoperative pain relief. b)hypertension. A nurse coordinates care for a client with a wet plaster cast. b. Patient-controlled analgesia (PCA) pump with morphine. College Physics Raymond A. Serway, Chris Vuille. A nurse assesses a client with asthma and notes bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. What action by the nurse is best? Which statement by the client indicates a need for additional teaching? (Select all that apply.). Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. a.Ask the spouse to explain the fear of visiting in further detail. This module contains 300 multiple-choice review questions with detailed answer explanations to ensure comprehension of the material. a. Which prescribed medication should the nurse administer first? A nursing student studying the musculoskeletal system learns about important related hormones. A nurse is assessing clients on a rehabilitation unit. In which order should these steps occur? Which intervention should the nurse complete prior to the procedure? A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. c. Your risk for chronic obstructive pulmonary disease is higher, especially if you smoke. Contains thousands and the most comprehensive medical surgical nursing NCLEX practice exam . A 24-year-old with a traumatic brain injury. A client has been diagnosed with tuberculosis (TB). A nurse plans care for a client who is recovering from a below-the-knee amputation of the left leg. Which actions should the nurse take? Take @ same time everyday, wear medical alert bracelet, do not drive, keep seizure diary, avoid caffeine & do not stop taking. a. A client has a tracheostomy that is 3 days old. What action by the nurse is most important? The nurse instructs a client on the steps needed to obtain a peak expiratory flow rate. Collect the nasal drainage on a piece of filter paper. A client in a nursing home refuses to take medications. c. Strengthening exercises are important. d. A 27-year-old client with a heart rate of 120 beats/min. For which manifestations should the nurse immediately intervene? A nurse is working with a community group promoting healthy aging. Have you been taking glucosamine supplements? A school nurse is conducting scoliosis screening. d. Ensure that the weights remain freely hanging at all times. PID r/t scar tissue blocking fallopian tubes. Which action should the nurse take to ensure safe use of this equipment? Which assessments should the nurse monitor to prevent a complication of this injury? Included topics in this practice quiz are: 1. The client is anxious and restless. What symptoms experienced in early 20's would indicate risk for endometriosis? a. Ask the client to explain more about these feelings. b. Which laboratory values and their related connective tissue diseases (CTDs) are correctly matched? Thyroid/TSH deficiency is most critical (hypothyroidism). A client is scheduled to have a tracheostomy placed in an hour. Client w/ wound is worried about drainage being present, best response by nurse? What action by the student demonstrates that more teaching is needed? A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. I can say I've been in both sides now, but still I see writing as a means of venting things out and touching lives, helping each struggling individual decipher the ever growing body of health care education. A nurse assesses a client who is 6 hours post-surgery for a nasal fracture and has nasal packing in place. (Select all that apply.). Pharm Chp 33. Which clients should the RN delegate to a licensed practical nurse (LPN)? A client is undergoing computed tomography (CT) of a joint. What to include in planning care of client w/bacterial meningitis? Which technique should the nurse teach the client to prevent aspiration? Which prescription should alert the nurse to contact the provider and express concerns for client safety? Which action should the nurse take first? ), A nurse plans care for a client who is at high risk for a pulmonary infection. 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. ), A nurse assesses a client who has a chest tube. In which order should these steps occur? What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP)? What action by the nurse takes priority? The client reports pain in the right foot. After teaching a client who is prescribed voice rest therapy for vocal cord polyps, a nurse assesses the clients understanding. How should the nurse respond? c.Try warm, moist heat packs on your face. These sample questions apply to all exams taken on or after October 25, 2014. c. I plan to use cotton balls to cushion the oxygen tubing on my ears. A chest x-ray reveals mediastinal widening. (Select all that apply. (Select all that apply. What to teach someone undergoing hypovasectomy? A nurse cares for a client who tests positive for alpha1-antitrypsin (AAT) deficiency. Which action should the nurse take next? The nurse sees several clients with osteoporosis. A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA) about drugs used to treat the disease. The nurse is teaching a client with gout dietary strategies to prevent exacerbations or other problems. After teaching a client who is recovering from a vertebroplasty, the nurse assesses the clients understanding. Female client w/ chest pain-what would note need for EKG? Hypoxia and hypercapnia will affect mental status. A nurse cares for an older adult client with multiple fractures. ), a. Opportunistic infections -pneumonistic, C diff etc. Ensure informed consent is on the chart. Integrate a daily exercise routine. A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. d. Obtain a prescription to culture the drainage. The client places his or her hands on his or her abdomen. Test. A nurse is providing care after auscultating clients breath sounds. Ensure the client gets 15 minutes of sun exposure daily. What intervention by the nurse is most important to prevent injury? (Select all that apply. The client does not allow smoking in the house. a. (Select all that apply. b. Which action by the nurse is most important? What action by the nurse is best? What hormones are affected by a dysfunction/hyper function of anterior pituitary? Encourage deep breathing and coughing. Answer: Tell the patient dry mouth is an expected side effect. (Select all that apply. A nurse cares for a client who had a wrist cast applied 3 days ago. A client had a bunionectomy with osteotomy. The nurse notes the clients fingers are pale, cool, and slightly swollen. A nurse cares for a client with a 40-year smoking history who is experiencing distended neck veins and dependent edema. Which action should the nurse take to manage this clients pain? A client has been diagnosed with rheumatoid arthritis. Which action should the nurse take first? To prevent clotting around valve-lifelong therapy. A client who has had systemic lupus erythematosus (SLE) for many years is in the clinic reporting hip pain with ambulation. What recommendation is best to help prevent osteoarthritis (OA)? The client states, I dont want to live with only one leg. When the nurse suctions the client, food particles are noted. (Select all that apply. Determine if the client can switch to a nasal cannula during the meal. Now the table is turned, nurses may turn to medical doctors, and I'm one of them.
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