Question 1

To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

Accepted Answer

A)  verbally state the location of the surgical site and the expected procedure. 
B)  when still conscious participate in marking the surgical site. 
C)  have the unit nurse confirm their identity. 
D)  have a photograph of the surgical site in the medical record. 
A)  verbally state the location of the surgical site and the expected procedure. 
B)  when still conscious participate in marking the surgical site. 
C)  have the unit nurse confirm their identity. 
D)  have a photograph of the surgical site in the medical record.

Question 2

A patient is ready for discharge following same day surgery. The education plan for this patient includes:

Accepted Answer

A)  limiting wine intake for 12 hours. 
B)  reporting temperatures greater than 99° F. 
C)  not driving or making important decisions for 24 hours. 
D)  that vomiting might be an expected symptom. 
A)  limiting wine intake for 12 hours. 
B)  reporting temperatures greater than 99° F. 
C)  not driving or making important decisions for 24 hours. 
D)  that vomiting might be an expected symptom.

Question 3

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

Accepted Answer

A)  nausea and vomiting. 
B)  hydration issues. 
C)  delayed healing. 
D)  anorexia. 
A)  nausea and vomiting. 
B)  hydration issues. 
C)  delayed healing. 
D)  anorexia.

Question 4

A patient who has recently arrived on the surgical unit after being transferred from the postanesthesia care unit asks for a drink. The nurse should first check the:

Accepted Answer

A)  status of the IV fluids. 
B)  ability to swallow. 
C)  nursing progress notes. 
D)  anesthesia record. 
A)  status of the IV fluids. 
B)  ability to swallow. 
C)  nursing progress notes. 
D)  anesthesia record.

Question 5

The circulating nurse notes that the anesthetized patient has tensed muscles and irregular respirations. The nurse is aware that the patient has reached stage:

Accepted Answer

A)  I and the patient's hearing is amplified. 
B)  II and the surgical environment should be kept quiet. 
C)  III and the patient has depressed reflexes. 
D)  IV and the patient will not depend on the anesthesia machine of oxygenations. 
A)  I and the patient's hearing is amplified. 
B)  II and the surgical environment should be kept quiet. 
C)  III and the patient has depressed reflexes. 
D)  IV and the patient will not depend on the anesthesia machine of oxygenations.

Question 6

A nurse is instructing a patient who had surgical removal of a brain tumor on how to prevent respiratory complications from surgery. The nurse would teach the patient to:

Accepted Answer

A)  turn, cough, and deep breathe. 
B)  use humidified oxygen. 
C)  turn gently from side to side. 
D)  use deep breathing and an incentive spirometer. 
A)  turn, cough, and deep breathe. 
B)  use humidified oxygen. 
C)  turn gently from side to side. 
D)  use deep breathing and an incentive spirometer.

Question 7

The circulating nurse is responsible for:

Accepted Answer

A)  preparing the sterile field. 
B)  assisting with sterile draping of the patient. 
C)  maintaining an accurate count of sponges. 
D)  pointing out the observation of contamination immediately to the personnel involved. 
A)  preparing the sterile field. 
B)  assisting with sterile draping of the patient. 
C)  maintaining an accurate count of sponges. 
D)  pointing out the observation of contamination immediately to the personnel involved.

Question 8

When the patient is ready to return from the postanesthesia care unit (PACU), a minimal Aldrete score of _______ is an indicator that the patient is ready to return to the floor.

Accepted Answer

A)  2 to 4 
B)  4 to 8 
C)  9 to 10 
D)  11 to 12 
A)  2 to 4 
B)  4 to 8 
C)  9 to 10 
D)  11 to 12

Exam 37: Care of the Surgical Patient

To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

A patient is ready for discharge following same day surgery. The education plan for this patient includes:

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

A patient who has recently arrived on the surgical unit after being transferred from the postanesthesia care unit asks for a drink. The nurse should first check the:

The circulating nurse notes that the anesthetized patient has tensed muscles and irregular respirations. The nurse is aware that the patient has reached stage:

A nurse is instructing a patient who had surgical removal of a brain tumor on how to prevent respiratory complications from surgery. The nurse would teach the patient to:

The circulating nurse is responsible for:

When the patient is ready to return from the postanesthesia care unit (PACU), a minimal Aldrete score of _______ is an indicator that the patient is ready to return to the floor.

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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