Question 1

The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions?

Accepted Answer

A)  Disregard appearance of edema above the stocking 
B)  Massage legs to smooth wrinkles out of stockings 
C)  Wring stockings thoroughly before hanging to dry 
D)  Wash stockings in warm water and mild soap 
A)  Disregard appearance of edema above the stocking 
B)  Massage legs to smooth wrinkles out of stockings 
C)  Wring stockings thoroughly before hanging to dry 
D)  Wash stockings in warm water and mild soap D

Question 2

Frequent assessment of a postoperative patient is essential.What is one of the first signs and symptoms of hemorrhage?

Accepted Answer

A)  Increasing blood pressure 
B)  Decreasing pulse 
C)  Restlessness 
D)  Weakness,apathy 
A)  Increasing blood pressure 
B)  Decreasing pulse 
C)  Restlessness 
D)  Weakness,apathy C

Question 3

______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem.

Accepted Answer

Palliative
Palliative therapy is designed to relieve or reduce intensity of uncomfortable symptoms without cure.

Question 4

Place the instructions for controlled coughing in the correct sequence.(Separate letters by a comma and space as follows: A,B,C,D)
A) Inhale deeply and hold breath for a count of three
B) Document exercise and patient reaction
C) Cough 2 or 3 times without inhaling then relax
D) Take several deep breaths
E) Inhale through nose
F) Exhale through pursed lips

Accepted Answer

D,E,F,A,C,B
The patient should be instru

Question 5

When the patient asks the nurse to make sure no one sees her with her dentures out,the nurse recognizes the common preoperative fear of:

Accepted Answer

A)  anesthesia. 
B)  loss of control. 
C)  fear of separation from family. 
D)  mutilation. 
A)  anesthesia. 
B)  loss of control. 
C)  fear of separation from family. 
D)  mutilation.

Question 6

The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP)would be:

Accepted Answer

A)  coughing every 2 hours. 
B)  turning every 2 hours. 
C)  monitoring intravenous therapy at 50 ml/hr. 
D)  assessing vital signs every 2 hours. 
A)  coughing every 2 hours. 
B)  turning every 2 hours. 
C)  monitoring intravenous therapy at 50 ml/hr. 
D)  assessing vital signs every 2 hours.

Question 7

A patient is transferred from the operating room to the recovery room after undergoing an amputation of his left foot.Place the interventions in the correct order for immediate assessment once the patient enters the PACU.(Separate letters by a comma and space as follows: A,B,C,D)
A) System review
B) Breathing
C) Circulation
D) Airway
E) Level of consciousness

Accepted Answer

D,B,E,C,A
The assessment of an

Question 8

The nurse clarifies that serum potassium levels are determined before surgery to:

Accepted Answer

A)  assess kidney function. 
B)  determine respiratory insufficiency. 
C)  prevent arrhythmias related to anesthesia. 
D)  measure functional liver capability. 
A)  assess kidney function. 
B)  determine respiratory insufficiency. 
C)  prevent arrhythmias related to anesthesia. 
D)  measure functional liver capability.

Question 9

The nurse acting as a circulating nurse has a responsibility for:

Accepted Answer

A)  observing for breaks in sterile technique. 
B)  identifying and handling surgical specimens correctly. 
C)  assisting with surgical draping of the patient. 
D)  maintaining count of sponges,needles,and instruments during surgery. 
A)  observing for breaks in sterile technique. 
B)  identifying and handling surgical specimens correctly. 
C)  assisting with surgical draping of the patient. 
D)  maintaining count of sponges,needles,and instruments during surgery.

Question 10

A postoperative patient who had a left inguinal hernia repair is ready for his discharge instructions.Which information should the nurse provide? (Select all that apply. )

Accepted Answer

A)  Care of the wound site and any dressings 
B)  When he may operate a motor vehicle 
C)  Signs and symptoms to report to the physician 
D)  Call the physician's office once he arrives home 
E)  Report bowel movements to the physician
F) Actions and side effects of any medications 
A)  Care of the wound site and any dressings 
B)  When he may operate a motor vehicle 
C)  Signs and symptoms to report to the physician 
D)  Call the physician's office once he arrives home 
E)  Report bowel movements to the physician
F) Actions and side effects of any medications

Question 11

Which of the following early postoperative observations should be reported immediately?

Accepted Answer

A)  "Coffee ground" emesis 
B)  Shivering 
C)  Scanty urine output 
D)  Evidence of pain 
A)  "Coffee ground" emesis 
B)  Shivering 
C)  Scanty urine output 
D)  Evidence of pain

Question 12

In performing the preoperative assessment,the nurse discovers that the patient is allergic to latex.What should the nurse do initially?

Accepted Answer

A)  Notify the diet kitchen to omit peaches from diet tray 
B)  Apply a medical alert band to patient's wrist 
C)  Tag chart with allergy alert 
D)  Place patient in an isolation room 
A)  Notify the diet kitchen to omit peaches from diet tray 
B)  Apply a medical alert band to patient's wrist 
C)  Tag chart with allergy alert 
D)  Place patient in an isolation room

Question 13

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for:

Accepted Answer

A)  a flushing of the face and torso. 
B)  numbness of the perineum. 
C)  complaint of thirst. 
D)  a sudden drop in blood pressure. 
A)  a flushing of the face and torso. 
B)  numbness of the perineum. 
C)  complaint of thirst. 
D)  a sudden drop in blood pressure.

Question 14

What should the nurse do to minimize the potential for venous stasis?

Accepted Answer

A)  Place pillows under the knee in a position of comfort 
B)  Assist patient to sit with feet flat on the floor 
C)  Assist with early ambulation 
D)  Perform gentle leg massage 
A)  Place pillows under the knee in a position of comfort 
B)  Assist patient to sit with feet flat on the floor 
C)  Assist with early ambulation 
D)  Perform gentle leg massage

Question 15

The patient is brought into PACU still unconscious.What should the nurse do when the nurse assesses an oral temperature of 94° F?

Accepted Answer

A)  Notify the charge nurse immediately 
B)  Offer warm fluids through a straw 
C)  Do nothing,this is a normal reaction to anesthesia 
D)  Cover with a warm blanket 
A)  Notify the charge nurse immediately 
B)  Offer warm fluids through a straw 
C)  Do nothing,this is a normal reaction to anesthesia 
D)  Cover with a warm blanket

Question 16

The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.

Accepted Answer

potassium
The injure

Question 17

The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.

Accepted Answer

A)  general 
B)  regional 
C)  specific 
D)  preoperative 
A)  general 
B)  regional 
C)  specific 
D)  preoperative

Question 18

The removal of a nondiseased appendix during a hysterectomy is classified as:

Accepted Answer

A)  major,emergency,diagnostic 
B)  major,urgent,palliative 
C)  minor,elective,ablative 
D)  minor,urgent,reconstructive 
A)  major,emergency,diagnostic 
B)  major,urgent,palliative 
C)  minor,elective,ablative 
D)  minor,urgent,reconstructive

Question 19

Which interventions in preparing the patient for abdominal surgery may be delegated to unlicensed assistive personnel (UAP)?

Accepted Answer

A)  Vital signs 
B)  Insertion of N/G tube 
C)  Enema 
D)  Height and weight 
E)  Obtaining operative consent
F) Sterile gowning 
A)  Vital signs 
B)  Insertion of N/G tube 
C)  Enema 
D)  Height and weight 
E)  Obtaining operative consent
F) Sterile gowning

Question 20

Discharge planning for a surgical procedure begins in the ______________ period and continues through the _____________ period.

Accepted Answer

preoperative,recuperative
When discharge

The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions?

Frequent assessment of a postoperative patient is essential.What is one of the first signs and symptoms of hemorrhage?

______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem.

When the patient asks the nurse to make sure no one sees her with her dentures out,the nurse recognizes the common preoperative fear of:

The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP)would be:

The nurse clarifies that serum potassium levels are determined before surgery to:

The nurse acting as a circulating nurse has a responsibility for:

A postoperative patient who had a left inguinal hernia repair is ready for his discharge instructions.Which information should the nurse provide? (Select all that apply. )

Which of the following early postoperative observations should be reported immediately?

In performing the preoperative assessment,the nurse discovers that the patient is allergic to latex.What should the nurse do initially?

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for:

What should the nurse do to minimize the potential for venous stasis?

The patient is brought into PACU still unconscious.What should the nurse do when the nurse assesses an oral temperature of 94° F?

The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.

The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.

The removal of a nondiseased appendix during a hysterectomy is classified as:

Which interventions in preparing the patient for abdominal surgery may be delegated to unlicensed assistive personnel (UAP)?

Discharge planning for a surgical procedure begins in the __ period and continues through the _ period.

Introduction to Anatomy and Physiology

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Filters

Exam 2: Care of the Surgical Patient

The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions?

Frequent assessment of a postoperative patient is essential.What is one of the first signs and symptoms of hemorrhage?

______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem.

When the patient asks the nurse to make sure no one sees her with her dentures out,the nurse recognizes the common preoperative fear of:

The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP)would be:

The nurse clarifies that serum potassium levels are determined before surgery to:

The nurse acting as a circulating nurse has a responsibility for:

A postoperative patient who had a left inguinal hernia repair is ready for his discharge instructions.Which information should the nurse provide? (Select all that apply. )

Which of the following early postoperative observations should be reported immediately?

In performing the preoperative assessment,the nurse discovers that the patient is allergic to latex.What should the nurse do initially?

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for:

What should the nurse do to minimize the potential for venous stasis?

The patient is brought into PACU still unconscious.What should the nurse do when the nurse assesses an oral temperature of 94° F?

The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.

The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.

The removal of a nondiseased appendix during a hysterectomy is classified as:

Which interventions in preparing the patient for abdominal surgery may be delegated to unlicensed assistive personnel (UAP)?

Discharge planning for a surgical procedure begins in the ______________ period and continues through the _____________ period.

Introduction to Anatomy and Physiology

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Filters

Discharge planning for a surgical procedure begins in the __ period and continues through the _ period.