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ANMAC Registered Nurse (ANMAC) Practice Tests & Test Prep by Exam Edge - Free Test


Our free ANMAC Nursing and Midwifery Accreditation Registered Nurse (ANMAC) Practice Test was created by experienced educators who designed them to align with the official Australian Nursing & Midwifery Accreditation Council content guidelines. They were built to accurately mirror the real exam's structure, coverage of topics, difficulty, and types of questions.

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ANMAC Nursing and Midwifery Accreditation Registered Nurse - Free Test Sample Questions

The RN is assigned to a client who was admitted for appendicitis and who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. When the nurse finds that the client's abdomen is distended and the bowel sounds are diminished, what should she do?





Correct Answer:
notify the physician.
when an rn is caring for a client scheduled for appendectomy due to appendicitis, a sudden increase in abdominal pain and new onset of vomiting are critical symptoms that require immediate attention.

in this scenario, the nurse observes additional alarming signs such as a distended abdomen and diminished bowel sounds. these symptoms suggest a possible complication related to appendicitis, such as perforation of the appendix, which can lead to peritonitis—an inflammation of the peritoneum (the lining of the abdominal cavity). peritonitis is a medical emergency as it can rapidly lead to sepsis and other life-threatening complications.

given these developments, the most appropriate and immediate action for the nurse is to notify the physician. this step is crucial because it allows for rapid reassessment of the client's condition by the physician, who can then decide on the necessary interventions. these might include advancing the timing of surgery or ordering additional diagnostic tests to confirm the diagnosis of peritonitis or other complications.

administering pain medication without a physician's reassessment could mask symptoms that are vital for diagnosing and evaluating the progression of the condition. similarly, applying heat to the abdomen is contraindicated because it could potentially worsen the situation, such as by causing the inflamed appendix to rupture if it hasn’t already.

it is not within the nurse's scope of practice to directly call the surgical team to schedule or expedite surgery. the decision to modify the surgical schedule based on a patient's changing condition rests with the physician after a thorough assessment.

in summary, notifying the physician immediately is the correct and safe response when a patient with pending appendectomy presents with signs suggestive of complications like peritonitis. this action ensures that the patient receives the most appropriate and timely medical intervention, adhering to the principles of patient safety and professional nursing responsibilities.