What action by the nurse is most important? A client with HIV wasting syndrome has inadequate nutrition. "I'll start to urinate in the toilet, stop, and then urinate into the cup.". The nurse knows that a client with prolonged prothrombin time (PT) values (not related to medication) probably has dysfunction in which organ? Med Surg 2 Final Practice Questions 1. Select all that apply. What action by the nurse is best? Since this is a review, answers and rationales are shown after you click on the "Check" button. Which teaching should the nurse provide when the client returns? Upon assessing radiology results the nurse notes a enlarged LV and a enlarged LA. Select all that apply. The nurse is teaching the main principles of hemodialysis to a client with chronic kidney disease. Medical-Surgical Nurse Exam Secrets Study Guide: Med-Surg Test Review for the Medical-Surgical Nurse Examination 1 Stg Edition. The pt is diaphoretic. Counsel the client on safer sex practices/abstinence. Select all that apply. What action should the nurse take first? Select all that apply. (Select all that apply. Learn vocabulary, terms, and more with flashcards, games, and other study tools. What physical assessment would be most consistent with this condition? What assessment finding requires the most rapid communication with the provider? The client has returned form a captopril renal scan. Sudden onset of symptoms b. Reversible c. Slow and progressive course d. No cure e. Secondary to an underlying cause 2. Select all that apply. Which of the following is the priority nursing intervention? "I should take a stool softener every morning to avoid constipation". In planning discharge instructions, which information does the nurse include? When reviewing the medical record for a client with polycystic kidney disease who is scheduled for computed tomography (CT) angiography with contrast, it is essential for the nurse to perform which intervention? Right Sided heart failure will most typically present with pulmonary issues, and left sided heart failure will most typically present with systemic and body issues like Liver problems. Which response indicates that an individual should be cared for first? What assessment finding by the nurse best indicates that goals have been met for this client problem? The nurse taking care of a patient with heart failure recognizes which series of lab values as the most troubling and consults the doctor? Medical Surgical. Select the BEST answer. The nurse understands this patient to be having what kind of Angina. "Drink more water and empty your bladder more frequently during the day.". Crackles in the bases of the lungs. Choose the BEST answer. Which method for achieving continence does a nurse include in the client's care plan? World's Hardest Science Quiz You'll Ever Take! Read the following report and determine the issue associated with the patient....Pt has reported to the ED with a Cap Refill >3 seconds. 2. What actions should the nurse perform to maintain blood pressure? A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient Select all that apply. In addition to practice test questions, it provides a detailed explanation of each answer. The hyperatrophied ventricle has decreased contractility at this point and thus has a decreased CO. A decrease in CO stimulates the SNS to release NE, this NE causes a increase in HR as well as a increase in contractility and vasoconstriction. The patient pt reports that they workout frequently to lose weight but noticed they have gained about 7 pounds just this week. (Select all that apply. When asked about the length of the pain its been 25 mins since it started. The client experiences hyperacute rejection. Software Design Methodologies And Project Management Test, English Grammar- Past Perfect Or Past Simple Quiz. A nurse is assessing a client for acute rejection of a kidney transplant. B. Kidney ultrasounds are noninvasive procedures without complications; the LPN/LVN can provide this care. Which laboratory study should the nurse monitor? What is the priority action by the nurse? The nurse notes bleeding from the client's nose and around the intravenous catheter. Edema Muscle spasms Kussmaul breathing Abdominal distension. A client is taking prednisone to prevent transplant rejection. The pt with right sided HF would likely be found to be acidotic. The hyperatrophied ventricle has increased contractility at this point and thus has a increased CO. A increase in CO stimulates the SNS to release Epinephrine, this Epinephrine causes a increase in HR as well as a increase in contractility and vasoconstriction. On assessment, the nurse finds a bulging, pulsating mass in the abdomen. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Now the table is turned, nurses may turn to medical doctors, and I'm one of them. Which teaching by the nurse will help the client prevent renal osteodystrophy? After a MI a pt is said to be clear to increase activity at what point? A client with human immune deficiency virus is admitted to the hospital with fever, night sweats, and severe cough. Blood has pooled into the thoracic cavity. The nurse has the following assignment. A nurse is assessing an older client for the presence of infection. Which urinary assessment information indicates the potential need for increased fluids in the client? When performing bladder scanning to detect residual urine in a female client, the nurse must first assess which of these? A client with human immune deficiency virus infection is hospitalized for an unrelated condition, and several medications are prescribed in addition to the regimen already being used. Vasoconstriction increases the venous return of the body to the heart which increases ventricle filling. Cancer & Oncology Nursing NCLEX Practice Quizzes. 1. Medical-Surgical Nursing Exam Sample Questions. When caring for a group of clients, the nurse recognizes that which clients are at risk for acute kidney injury (AKI)? A newly admitted client who is diabetic and has pyelonephritis and prescriptions for intravenous antibiotics, blood glucose monitoring every 2 hours, and insulin administration should be cared for by which staff member? The nurse needs further education on the topic of the bodys natural compensation to HF when she explains it in which way? Which client should the nurse assess first upon initial rounding? There are 175 questions on this examination. What response by the nurse is best? To ensure the best experience, please update your browser. The client with a recently created vascular access for hemodialysis is being discharged. Questions Settings. The abundance of blood overfills the heart causing the myocardial tissue to atrophy. The nurse would anticipate the patient to be exeperiencing what issue? To test the strength of their lungs under the pressures of surgery. The nurse is caring for a client diagnosed with human immune deficiency virus. prepare protamine sulfate for administration. Your pt reports with Left sided HF and as a result is having trouble breathing and has been determined to be experiencing pulm edema. Contains thousands and the most comprehensive medical surgical nursing NCLEX practice exam . Administer naloxone (Narcan). Select the BEST answer(s). A nurse is caring for a client who is scheduled for a dose of cefazolin and vitamins at this time. Which of these staff members should be assigned to a client who has benign prostatic hyperplasia and hydronephrosis and needs an indwelling catheter inserted? A client who has been taking antibiotics reports severe, watery diarrhea. The hyperatrophied ventricle has decreased contractility at this point and thus has a increased CO. Help the heart eject more blood from the ventricle, BP- 169/100, HR-87, Ejection Fraction from a recent ECHO of 32 , S.O.B, BP- 120/80, HR-115, Ejection Fraction from a recent ECHO of 53, BP- 200/113, HR-87, Ejection Fraction from a recent ECHO of 45 , S.O.B, BP- 110/78, HR-59, Ejection Fraction from a recent ECHO of 71, Pt has Unstable Angina. Which statement by the client demonstrates a correct understanding of the teaching? Difficulty. Study Flashcards On HESI Evolve MED Surg Mini questions at Cram.com. When teaching a patient with atherosclerosis on how they can help themselves with the disease the nurse picks which options? Nursing N201 Med-Surg 2 Practice Questions & Answers CHAPTER 5 CHRONIC ILLNESS AND OLDER ADULTS 1. An 83-year-old woman is being discharged from the hospital following stabilization of her international normalized ratio INR levels used to assess the effectiveness of warfarin therapy. A nurse evaluates a client with acute glomerulonephritis (GN). Oh no! The student nurse understands that the best thing we could do for the pt is to help the heart perform which action? The client's temperature is 97.6° F (36.4° C). Hemodialysis for this client is also scheduled in 60 minutes. I was really worried about that result What action by the nurse is most important? To prevent prerenal acute kidney injury, which person is encouraged to increase fluid consumption? A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to drink. Education Details: Test Prep Books' Med Surg Study Guide: CMSRN Review Book and Medical Surgical Nursing Certification Prep (RN-BC) with Practice Test Questions [4th Edition] Made by Test Prep Books experts for test takers trying to achieve a great score on the Med Surg exam. Choose the BEST answer. Dynamic Path presents our test prep module for the Certified Medical-Surgical Registered Nurse (CMSRN) exam administered by the MSNCB. - adjust the rate of extracorporeal blood flow, A client is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. The test is negative and the client states Whew! A client has just had a central line catheter placed that is specific for hemodialysis. About which test does the nurse teach the client? What action by the nurse is the priority? The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human immune deficiency virus (HIV) from clients. Which of the following would be appropriate nursing diagnoses. "Arise slowly and call for assistance when ambulating.". The book contains a summary of the crucial components of the Med Surg exam. The client is scheduled for intravenous urography. The nurse anticipates which medications to be ordered? 8. take a sample of the effluent and send to the laboratory. The nurse receives report on a client with hydronephrosis. Which statement by the client indicates that teaching was effective? A client has been on dialysis for many years and now is receiving a kidney transplant. The majority of the material on the HESI is Medical Surgical material, which makes sense because you will use medical surgical in almost every field of nursing. When questioned the 22 year old UF Student was playing Call of Duty. The Medical-Surgical Nursing Exam is Neurological Disorders includes 34 multiple choice questions in 3 sections Medical-Surgical Nursing Exam: Neurological Disorders (Sections 1) * You are creating a teaching plan for a patient with newly diagnosed migraine headaches. When caring for the client with acute kidney injury and a temporary subclavian hemodialysis catheter, which of these should the nurse report to the provider? This nursing test bank includes 170 practice questions … It looks like your browser needs an update. Which manifestation should the nurse recognize as a positive response to the prescribed treatment? Decreasing Preload is the most common therapeutic practice to ensure a HF patient has a good quality of life. When teaching the client who is to undergo kidney transplant surgery, the nurse includes which of these in the teaching session?A. "Your diseased kidneys will be removed at the same time the transplantation is performed.". He went to the student health center at his university, was referred to a local physician and was admitted to the hospital for a left orchiectomy and lymph node resection. 1. The best way to practice taking a test is by going through lots of practice test questions. This module contains 300 multiple-choice review questions with detailed answer explanations to ensure comprehension of the material. Trivia Quiz. What action by the nurse is best?a. 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. The charge nurse is orienting a float nurse to an assigned client with an arteriovenous (AV) fistula for hemodialysis in her left arm. After a cardiac catheterization, the client complains of tingling sensations in the affected leg. To determine if the patient will be able to be extubated post-op. Consult with the pharmacy about drug interactions. (Select all that apply. Play as. Luis, 32 years old, obtained a third-degree circumferential arm burn after a pot of boiling oil … (Select all that apply. Read and understand each question before choosing the best answer. Which precautions does the nurse take? Its important to increase the preload because its directly correlated to a increase in CO and thats always good. The hyperatrophied ventricle has decreased contractility at this point and thus has a decreased CO. A decrease in CO stimulates the SNS to release NE, this NE causes a increase in HR as well as a increase in contractility and vasoconstriction. When changing these dressings, which action is most important? The nurse anticipates a chest tube to be placed in which location? Vasodilation increases the venous return of the body to the heart which increases ventricle filling. Hold the metformin 24 hours before and on the day of the procedure. Quiz 1: Gastrointestinal System Disorders NCLEX Practice Quiz (25 Questions) Quiz 2: Gastrointestinal System Disorders NCLEX Practice Quiz (25 Questions) Guidelines. Place the client under Airborne Precautions. Which additional assessment is warranted? Select the BEST answer. The nurse working with clients who have autoimmune diseases understands that what component of cell-mediated immunity is the problem? Laboratory results include a CD4+ cell count of 180/mm3 and a negative tuberculosis (TB) skin test 4 days ago. For a person to be immunocompetent, which processes need to be functional and interact appropriately with each other? A nurse is caring for a patient with Parkinson’s disease. The nurse understands that 1 hour after a MI the pt is at risk for which dysryhthmia? The abundance of blood overfills the heart causing the myocardial tissue to atrophy. Join NURSING.com and try SIMCLEX® (the most realistic NCLEX® simulation software) and NPQ™, the largest Nursing Practice Question Database. The nurse knows to ready what med for the surgeon towards the end of the surgery? Which statements about HIV infection are correct? Which client should be encouraged to consume 2 to 3 liters of fluid each day? When a disaster occurs, the nurse may have to treat mass hysteria first. During the Quiz End of Quiz. Med-Surg 2 Practice questions CHAPTER 5 CHRONIC ILLNESS AND OLDER ADULTS 1. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? The nurse recognizes that which symptom(s) may be consistent with an acute infection, following infection with HIV? An HIV-positive client is admitted to the hospital with Toxoplasma gondii infection. a. 10 Med Surg NCLEX® Questions Take the Pop Quiz and see how good you are at Med Surg NCLEX® Questions. The sternum can only be surgically opened 3 times. Which action by the nurse is most appropriate? All the questions and answers to be found on the HESI Medical Surgery Specialty Exam. Looking for Medical Surgical Nursing Questions and Answers then you are on the right page. The nurse best understands the importance of managing a patient with heart failure when she says which statement? Start studying Med-Surg Exam 2 Practice Questions. The charge nurse is making client assignments for the day shift. The nurse in the transplantation unit assesses for which of these signs and symptoms of rejection of the transplanted kidney. ), - CD4+ cell count less than 200/mm3 or less than 14%, A client with acquired immune deficiency syndrome has oral thrush and difficulty eating. After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the client's understanding. Start studying med surg 2 final exam Iggy practice questions. A nurse is teaching a client about pelvic muscle exercises. The nurse notes an opaque color to the effluent. The client's CD4+ cell count is 399/mm3. What action by the nurse is the priority? Nursing: Making Connections to Practice 2nd edition Hoffman Sullivan Test Bank Chapter 1: Foundations for Medical-Surgical Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. … The intensity has not changed. Medical-Surgical Nurse Exam Practice Questions are the simplest way to prepare for the Medical-Surgical Nurse Examination. Trivia Quiz, How Well Do You Know About Health And Fitness? (Select all that apply. Do not touch the inside of the container. When caring for the client with a left forearm arteriovenous (AV) fistula created for hemodialysis, the nurse must do which of these? The nurse is teaching a client how to increase the flow of dialysate into the peritoneal cavity during dialysis. A. The nurse is caring for four clients with chronic kidney disease. Which instruction does the nurse give the client who needs a clean catch urine specimen? Practice is an essential part of preparing for a test and improving a test taker's chance of success. Med Surg Study Guide: CMSRN Review Book and Medical . "This drug helps treat the pain from nerve irritation. hold all medications since both cefazolin and vitamins are dialyzable. A nurse is talking with a client about a negative enzyme-linked immunosorbent assay (ELISA) test for human immune deficiency virus (HIV) antibodies. These sample questions are not a requirement to sit for the actual CCMSRN certification examination and do not imply … Vasoconstriction increases the venous return of the body to the heart which increases ventricle filling. Which type of incontinence benefits from pelvic floor muscle (Kegel) exercise? Which Naruto Character Are You Most Like? This video discusses how to study for medical surgical nursing as a nursing student in nursing school. These sample questions apply to all exams taken on or after October 25, 2014. The client has lost 11 pounds in the past 10 days. The client with chronic kidney disease reports chest pain. med surg study guide pdf Which of the following are true of delirium? During the assessment, the nurse notes a previous reaction of urticaria, itching, and sneezing to contrast dye. ), - Assist the client with oral care every 2 hours, A patient tells the nurse that she has recently engaged in unprotected sexual intercourse. The length of time worked in medical-surgical nursing for the new grad group of 45 was 0 – 1 years, with a M = .2 years, and SD = .4 years Note: The correlation of time working in medical-surgical nursing of the new grads and their scores on the MED-SURG …
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