Infection present in Fallopian tubes can cause scarring & blockage of tubes. NCLEX Practice Test For Medical Surgical Nursing 2 (Exam Mode) By Rnpedia.Com 13 Questions | By Rnpedia | Last updated: Jun 5, 2015 | Total Attempts: 7339 Questions All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions 11 questions 12 questions 13 questions After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse assesses the clients understanding. Oh no! A nurse cares for a client with chronic obstructive pulmonary disease (COPD). 2. Hypoxia and hypercapnia will affect mental status. A client has been hospitalized with tuberculosis (TB). Feedback. In client w/ CAD, what shows stable angina rather than MI? A client has a tracheostomy that is 3 days old. Body burns fat for energy instead of sugar/carbs resulting in ketones in blood. Planning to teach about bisphosphonates. c. Handle the affected extremity with caution. Avoid drinking fluids just before and during meals. The final section of the Medical Surgical Nursing Exam revolves around your Skills and Knowledge of the “Professional Role.” You will answer 15 questions regarding your skill at: Therapeutic communication; And your knowledge of: Nursing ethics; With so much material covered on the medical-surgical nursing exam, adequate preparation is crucial. a. Meperidine (Demerol) 50 mg IV every 4 hours. Which symptoms require the nurses immediate intervention? Female client w/ chest pain-what would note need for EKG? What statement by the client indicates teaching has been effective? a. c. Assist the client to choose a communication method. What nonpharmacologic measures can the nurse suggest to help manage this condition? A nurse auscultates a harsh hollow sound over a clients trachea and larynx. The client asks why healing may take up to 3 months. The clients alkaline phosphatase level is 180 units/L. Integrate a daily exercise routine. (Select all that apply.). Questions Settings. A school nurse is conducting scoliosis screening. (Select all that apply.). Which action should the nurse take first? An older client with diabetes is admitted with a heavily draining leg wound. A client has been admitted for suspected inhalation anthrax infection. What action by the nurse is best? A nurse assesses a client who has a nasal fracture. c. This drug works in the brain to decrease pain. The client also has osteoarthritis (OA). What action by the nurse takes priority? A nurse cares for a female client who has a family history of cystic fibrosis. The client asks, How will this medication help me? Join NURSING.com and try SIMCLEX® (the most realistic NCLEX® simulation software) and NPQ™, the largest Nursing Practice Question Database. Which manifestations should the nurse identify as adverse effects of this medication? Which action should the nurse take next? What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met? c. Try a paraffin wax dip 20 minutes before you quilt. Why does client w/ hypoglycemia need glucagon? What is meneires disease? A nurse cares for an older adult client with multiple fractures. Client w/ asthma experiencing dyspnea, absent lung sounds. a. Which statement indicates the client needs further teaching? For msncb certification practice questions free you must go through real exam. Are you taking any anticoagulant/anti platelet drugs? A nurse cares for an older adult client who is recovering from a leg amputation surgery. What laboratory results need to be reported to the health care provider immediately? Autoimmune response where immune system attacks/destroys myelin sheeths of muscles, results in weakened muscles & paralysis. A nurse teaches a client who is interested in smoking cessation. YOU MIGHT ALSO LIKE... Med-Surg Evolve Questions ch. c. Tying a square knot at the back of the neck. What action does the nurse. How should the nurse respond? The client is anxious and restless. What action by the nurse is best? What recommendation is best to help prevent osteoarthritis (OA)? The client states, My arm feels really tight and puffy. Which statement should the nurse include in this clients teaching? Which actions should the nurse take? Applying suction while inserting the catheter. (Select all that apply. After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the clients understanding. Which intervention should the nurse complete prior to the procedure? A nurse sees clients in an osteoporosis clinic. What action by the student requires intervention by the instructor? Client data. a. I always wear long sleeves, pants, and a hat when outdoors. A nurse working in a geriatric clinic sees clients with cold symptoms and rhinitis. Which action should the nurse take first? Respiratory depression, which can lead to respiratory acidosis r/t not enough CO2 being released. (Select all that apply.). What explanation by the nurse is best? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. a. A client with osteoporosis is going home, where the client lives alone. The client asks, What does this mean? (Select all that apply. c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty. An older clients serum calcium level is 8.7 mg/dL. a. About what diagnostic testing does the nurse educate the client? MED SURG FINAL EXAM QUESTION BANK (From Exams 1-3 & ATI’s) Exam 1 1. The clinic nurse assesses a client with diabetes during a checkup. A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Exam also composed of specific topics that you can choose from. What action does the nurse delegate to the unlicensed assistive personnel (UAP) after the affected leg is placed in the machine while the client is in bed? The elder is expected to attend social events and make community decisions. a. Assess the clients coping skills and support systems. She uses the ATI grade as a final exam grade for the course. (Select all that apply.). Which assessments should the nurse monitor to prevent a complication of this injury? What action by the nurse is most important? b)hypertension. Teach to avoid large crowds, provide antipyretic for fever, provide calm/quite environment, limit visitors, semi fowlers position, frequent nuero checks. What precautions to take for client w/ secondary syphilis? About what self-management measure does the nurse teach the client? ), A client is suspected to have muscular dystrophy. (Select all that apply. A nurse is teaching a client who has cystic fibrosis (CF). Difficulty. ), a. Which action by the nurse is best? The client states, I cannot seem to catch my breath and I feel a bit light-headed. After a total knee replacement, a client is on the postoperative nursing unit with a continuous femoral nerve blockade. Client has venous ulcer on LLE, what else should be expected? 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. Priority action by nurse for client w/ compromised immune system? The client does not allow smoking in the house. An older client has returned to the surgical unit after a total hip replacement. ). (Select all that apply.). c. Share any thoughts and feelings that cause you to limit social activities. The device has been custom made specifically for you. What occurs in this disease? Which action should the nurse take first? After teaching a client who is prescribed voice rest therapy for vocal cord polyps, a nurse assesses the clients understanding. A nurse plans care for a client who is recovering from open reduction and internal fixation (ORIF) surgery for a right hip fracture. Ask the client to drink 2 liters of fluids daily. c. Post-microvascular bone transfer client whose distal leg is cool and pale. Client w/ ruptured ear drum asks how it will affect them long term? What action by the nurse is best? d. Stay with the client and have someone else call the provider immediately. A nurse assesses a client with asthma and notes bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which assessment finding is matched with the correct intervention? A nurse cares for a client who is experiencing epistaxis. katwoman201. Ensure that informed consent is on the chart. a. Assess the clients culture more thoroughly. On assessment, the nurse notes the clients pulses are 2+/4+ bilaterally; the skin is pale pink, warm, and dry; and the client is unable to dorsiflex or plantarflex the affected foot. A nurse cares for a client with arthritis who reports frequent asthma attacks. 49 terms. Med-Surg Final Practice Questions. 1. Now the table is turned, nurses may turn to medical doctors, and I'm one of them. (Select all that apply.). Too much growth hormone being released from anterior pituitary. 40-60 minutes before meals to enable better swallowing ability. A nurse assesses clients on the medical-surgical unit. The nurse is caring for a client using a continuous passive motion (CPM) machine and has delegated some tasks to the unlicensed assistive personnel (UAP). What support system do you have to help you cope? The client admits to not doing the prescribed exercises. Client w/ migraines is placed on a BB, what do they need to know? Start studying Med/surg II Final exam. Which action should the nurse take? What referral by the nurse is most appropriate? Medical-Surgical Nurse Exam Practice Questions In order to be eligible to take the Medical-Surgical Nurse Exam, you must have an RN license, have worked as a full-time registered nurse for two years, have at least 2,000 hours of clinical practice in medical-surgical nursing in the last three years, and a minimum of 30 hours of continuing education in medical-surgical nursing in the … Ensure that a consent for transfusion is on the chart. Final Review online. ), A client with chronic osteomyelitis is being discharged from the hospital. Which reported laboratory value requires the nurse to assess the client further? What action by the nurse is most appropriate? d. Obtain a prescription to culture the drainage. At risk for infection, so should ask about sputum characteristics- has color changed? Which dietary choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture? Client has order for artovastatin-what lab value indicates adverse effect is occurring? Which client should the nurse assess first? What clients would be considered a priority when administering the pneumonia vaccination? Opportunistic infections -pneumonistic, C diff etc. Upon assessment, the nurse notes the clients face is puffy and the eyelids are swollen. Twenty minutes after an opioid pain medication is administered, the client reports pain in the site of the fracture. The clients vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78 mm Hg, and SpO2 88%. The client reports a sore throat. How should the nurse respond? 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. To prevent clotting around valve-lifelong therapy. Older man asks why prostate causes him so much trouble when trying to urinate? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. (Select all that apply. Which statements should the nurse include in this clients teaching? No other abnormal findings are noted. A nurse teaches a client with a fractured tibia about external fixation. A nurse cares for a client who has a pleural chest tube. The client states, The medication is too expensive to use every day. (Select all that apply. Which diet selection should the nurse provide for this client? (Select all that apply. Testing latest RN VATI Adult Medical Surgical final exam CLOSE Question 90 loaded rationals provided Question: 90 of 90 CORRECT • Time Remaining: 00:38:42 • Pause Remaining: 00:05:00 PAUSE FLAG A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment. A nurse observes that a clients anteroposterior (AP) chest diameter is the same as the lateral chest diameter. After consulting with a registered dietitian for appropriate nutrition, what other consultation should the nurse facilitate? Which technique should the nurse teach the client to prevent aspiration? 59 terms. What action by the nurse takes priority? Drug Descriptions - pharmacology 2 final exam notes Med Surg 2 Exam 3 Final Review Antihypertensive Agents Chart SET 2 - Deanne Roopnarine SET 2 - Professor Eric Hasselhoff Quick Brain Overview CH 31 GI TEST Review-PDF Diabetes Outline Cardiomyopathy Notes SET 8 - Prof Daniel Fluids and elec unanswered Cardiac Assessment Med surg 2 Chapter 28 Safety Practice Questions … The nurse instructs a client on how to correctly use an inhaler with a spacer. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? a. The client states that he no longer enjoys going out with his friends. A client who has had systemic lupus erythematosus (SLE) for many years is in the clinic reporting hip pain with ambulation. Let's say you get a 65 (level 1) on it, she'll most likely give you like a 70-73 as your final exam grade. What action by the nurse is best? Which actions should the nurse take? Which statements should the nurse include in communications with the respiratory therapist prior to the tests? Start. What hormones are affected by a dysfunction/hyper function of anterior pituitary? A nurse cares for a client who had a long-leg cast applied last week. (Select all that apply. Increased pulmonary pressure creating a higher workload on the right side of the heart. A client with systemic lupus erythematosus (SLE) was recently discharged from the hospital after an acute exacerbation. c. Since you have a family history of cystic fibrosis, I would encourage you and your partner to be tested. A nurse is assessing a community group for dietary factors that contribute to osteoporosis. b. Recommend a community support group. What action by the nurse takes highest priority? A nurse cares for a client placed in skeletal traction. Med Surg 2 Exam 2 . The client states that all food tastes bland. (Select all that apply.). A nurse teaches a client about prosthesis care after amputation. A hospitalized clients strength of the upper extremities is rated at 3. Which client is at greatest risk for development of obstructive sleep apnea? Encourage deep breathing and coughing. Diabetic neuropathy- check feet for injuries. C. Provide a walker for ambulation. Which action is most important for the nurse to take when interviewing this client? 2. (Select all that apply.). a. Assess the client for the presence of subcutaneous nodules or Bakers cysts. 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. Smoking while taking this medication will increase your risk of a stroke. Med Surg II Final Exam Flashcard Maker: Katherine Ussery. ), A client in the emergency department is taking rifampin (Rifadin) for tuberculosis. What interventions should the nurse anticipate providing to this client? 43 terms. A chest x-ray reveals mediastinal widening. A client comes to the family medicine clinic and reports joint pain and stiffness. Which interventions should the nurse include in this clients plan of care? A nurse cares for a client with a 40-year smoking history who is experiencing distended neck veins and dependent edema. b.Older people often have vague symptoms, so an x-ray is essential. Which interventions should the nurse include in this clients plan of care? Older adult client w/ frequent asthma Attacks & arthritic pain, what to ask? a. Which action demonstrates that the client correctly understands the teaching? The client places his or her hands on his or her abdomen. Bone changes lead to potential safety risks. While obtaining a clients health history, the client states, I am allergic to avocados. a. The nurse is working with clients who have connective tissue diseases. What action by the preoperative nurse is most important? What assessment technique is most appropriate? b. Assess the clients level of consciousness. A hospitalized client is being treated for Ewings sarcoma. ), A home health care nurse is visiting a client discharged home after a hip replacement. Which statements related to nutrition should the nurse include in this clients teaching? Which action should the nurse take to ensure safe use of this equipment? What is nurses best action? b. A client is receiving oxygen at 4 liters per nasal cannula. LauraDLayton. A nurse cares for a client who had a partial laryngectomy 10 days ago. Always assume neuro problem until proven otherwise. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Ask the client to gargle with mouthwash containing lidocaine. 2. Client w/ PID from gonorrhea asks how it can cause sterility? A nurse cares for a client in skeletal traction. A client is in the family medicine clinic reporting a dry, sore throat. A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. Raise the arm above the level of the heart. c. Place the client on contact isolation. What does the nurse understand about this clients ability to perform activities of daily living (ADLs)? A nurse evaluates the following arterial blood gas and vital sign results for a client with chronic obstructive pulmonary disease (COPD): d. Initiate oxygenation therapy to increase saturation to 92%. c. Raise the lower siderail on the affected side. She is at high risk for osteomalacia. The nurse notes that the tracheostomy tube is pulsing with the heartbeat as the clients pulse is being taken. Hesi MedSurg Medical Surgery 2016 2017 2018 questions and answers. d. A 74-year-old man who smokes and has a fractured pelvis. A nurse coordinates care for a client with a wet plaster cast. Most commonly used drug to treat status epilepticus? Which physiologic process should the nurse correlate with this clients history and clinical manifestations? What assessment would be most important for the client whose chart contains the diagnosis of Sjgrens syndrome? The nurse is assessing four clients with musculoskeletal disorders. d. Roast beef with low-fat milk and a vitamin C supplement. Stress seems to exacerbate the condition. Which client should the nurse see first? The client reports numbness and tingling in the affected leg. a. Assess medication records for steroid use. The clients chart indicates genu varum. A client has a possible connective tissue disease and the nurse is reviewing the clients laboratory values. Put bolt locks on doors to prevent escape, Changes in motor skills, vision & sensations, and nystagmus. d. Schedule for pin care to be provided every shift. What type of seizures cause periods of jerking then periods of stiffened/rigid muscles? c. I will take this medication every morning to help prevent an acute attack. 65 terms. c. Handling and disposing of chemotherapeutic agents per policy. Medsurge FINAL EXAM. c. Client has reduced breath sounds. When the nurse starts an IV to give fluids, the client questions this action, saying I have been drinking tons of water. When I speak, I will whisper rather than use a normal tone of voice. Consult with the provider about an x-ray. -fight off infection by deactivating toxins released by infection. Which conditions in the clients history should the nurse identify as potential contributors to this problem? a. Administer additional opioids as prescribed. (Select all that apply.
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