Question 1

A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?

Accepted Answer

A)  Palliative 
B)  Diagnostic 
C)  Reconstructive 
D)  Ablative 
A)  Palliative 
B)  Diagnostic 
C)  Reconstructive 
D)  Ablative D

Question 2

In preparation for the return of the surgical patient, the patient's bed and equipment should be in what position?

Accepted Answer

A)  Lowest position with side rails elevated with oxygen and suction equipment available 
B)  Highest position with side rails elevated with IV pole and pump at bedside 
C)  Lowest position with side rails down on the receiving side 
D)  Highest position with the side rails down on receiving side and up on opposite side 
A)  Lowest position with side rails elevated with oxygen and suction equipment available 
B)  Highest position with side rails elevated with IV pole and pump at bedside 
C)  Lowest position with side rails down on the receiving side 
D)  Highest position with the side rails down on receiving side and up on opposite side D

Question 3

A male patient, age 80, has had a total hip replacement. Anxiety, hypotension, and jarring during transfer from the recovery room to his room can cause a postoperative increase in which of his vital signs?

Accepted Answer

A)  Pulse rate 
B)  Temperature 
C)  Blood pressure 
D)  Pain 
A)  Pulse rate 
B)  Temperature 
C)  Blood pressure 
D)  Pain A

Question 4

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

Accepted Answer

Palliative
Palliative therapy

Question 5

A patient, age 65, underwent a right hemicolectomy. On postoperative day 4, her surgical wound dehisced. This means that

Accepted Answer

A)  there is partial or complete wound separation. 
B)  there has been inadequate wound closure. 
C)  abdominal viscera protrude through the walls. 
D)  the wound will not heal well when it is resutured. 
A)  there is partial or complete wound separation. 
B)  there has been inadequate wound closure. 
C)  abdominal viscera protrude through the walls. 
D)  the wound will not heal well when it is resutured.

Question 6

When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?

Accepted Answer

A)  Only when the patient asks. 
B)  Regularly every three to four hours before pain gets severe. 
C)  Only when the physician orders. 
D)  Only when the patient is in severe pain. 
A)  Only when the patient asks. 
B)  Regularly every three to four hours before pain gets severe. 
C)  Only when the physician orders. 
D)  Only when the patient is in severe pain.

Question 7

What nursing interventions will minimize the effects of venous stasis?

Accepted Answer

A)  Pillows under the knee in a position of comfort 
B)  Sitting with the feet flat on the floor 
C)  Early ambulation 
D)  Gentle leg massage 
A)  Pillows under the knee in a position of comfort 
B)  Sitting with the feet flat on the floor 
C)  Early ambulation 
D)  Gentle leg massage

Question 8

Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be

Accepted Answer

A)  Impaired verbal communication. 
B)  Impaired gas exchange. 
C)  Deficient knowledge, postoperative. 
D)  Acute pain. 
A)  Impaired verbal communication. 
B)  Impaired gas exchange. 
C)  Deficient knowledge, postoperative. 
D)  Acute pain.

Question 9

The Patient's Bill of Rights states that a patient must give his or her permission for any specific test or procedure to be performed. What is the legal term for this permission?

Accepted Answer

A)  Verbal consent 
B)  Medical documentation 
C)  Informed consent 
D)  Informed decision 
A)  Verbal consent 
B)  Medical documentation 
C)  Informed consent 
D)  Informed decision

Question 10

Frequent monitoring of the postoperative patient's vital signs assesses which body system?

Accepted Answer

A)  Gastrointestinal 
B)  Endocrine 
C)  Neurological 
D)  Cardiovascular 
A)  Gastrointestinal 
B)  Endocrine 
C)  Neurological 
D)  Cardiovascular

Question 11

Southeast Asian and Native American patients often do not make eye contact when preoperative teaching is being performed because

Accepted Answer

A)  they aren't educated. 
B)  they aren't paying attention. 
C)  they believe eye contact is disrespectful. 
D)  they believe they are superior to the nurse. 
A)  they aren't educated. 
B)  they aren't paying attention. 
C)  they believe eye contact is disrespectful. 
D)  they believe they are superior to the nurse.

Question 12

Two considerations for the older adult surgical patient include (Select the two that apply.)

Accepted Answer

A)  pre- and postoperative teaching. 
B)  lower morbidity and mortality. 
C)  quick assessment skills. 
D)  surgery causes much physiological stress. 
A)  pre- and postoperative teaching. 
B)  lower morbidity and mortality. 
C)  quick assessment skills. 
D)  surgery causes much physiological stress.

Question 13

Which preoperative fear is linked to postoperative behavior?

Accepted Answer

A)  Fear of anesthesia and death 
B)  Fear of death and malnutrition 
C)  Fear of unknown and lack of respect 
D)  Fear of malnutrition and addiction to new medications 
A)  Fear of anesthesia and death 
B)  Fear of death and malnutrition 
C)  Fear of unknown and lack of respect 
D)  Fear of malnutrition and addiction to new medications

Question 14

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

Accepted Answer

preoperative, recuperative
Dis

Question 15

On the patient's return to the medical-surgical unit, the nurse performs an abdominal assessment. To assess bowel sounds, the nurse auscultates the lower abdomen for

Accepted Answer

A)  1 minute. 
B)  5 to 20 seconds. 
C)  as long as it takes to hear a bowel sound. 
D)  one full inspiration and expiration. 
A)  1 minute. 
B)  5 to 20 seconds. 
C)  as long as it takes to hear a bowel sound. 
D)  one full inspiration and expiration.

Question 16

The anesthesiologist provides ____ anesthesia by inhalation and IV administration routes.

Accepted Answer

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

Question 17

An appendectomy during a hysterectomy would be 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 18

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. Place a comma between each answer choice (a, b, c, d, etc.).
A)System review
B)Breathing
C)Circulation
D)Airway
E)Level of consciousness

Accepted Answer

The answer of A patient is transferred from the operating...

Question 19

A 45-year-old patient has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP). Which postoperative nursing interventions would be contraindicated?

Accepted Answer

A)  Coughing every 2 hours 
B)  Leg exercises every 2 hours 
C)  Monitoring intravenous therapy at 50 ml/hr 
D)  Assessing vital signs every 2 hours 
A)  Coughing every 2 hours 
B)  Leg exercises every 2 hours 
C)  Monitoring intravenous therapy at 50 ml/hr 
D)  Assessing vital signs every 2 hours

Question 20

The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device. The inappropriate intervention related to caring for a patient with a PCA is:

Accepted Answer

A)  Maintaining the system. 
B)  Recording activations of the system. 
C)  Administering the analgesia to the patient. 
D)  Monitoring the patient's pain. 
A)  Maintaining the system. 
B)  Recording activations of the system. 
C)  Administering the analgesia to the patient. 
D)  Monitoring the patient's pain.

A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?

In preparation for the return of the surgical patient, the patient's bed and equipment should be in what position?

A male patient, age 80, has had a total hip replacement. Anxiety, hypotension, and jarring during transfer from the recovery room to his room can cause a postoperative increase in which of his vital signs?

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

A patient, age 65, underwent a right hemicolectomy. On postoperative day 4, her surgical wound dehisced. This means that

When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?

What nursing interventions will minimize the effects of venous stasis?

Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be

The Patient's Bill of Rights states that a patient must give his or her permission for any specific test or procedure to be performed. What is the legal term for this permission?

Frequent monitoring of the postoperative patient's vital signs assesses which body system?

Southeast Asian and Native American patients often do not make eye contact when preoperative teaching is being performed because

Two considerations for the older adult surgical patient include (Select the two that apply.)

Which preoperative fear is linked to postoperative behavior?

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

On the patient's return to the medical-surgical unit, the nurse performs an abdominal assessment. To assess bowel sounds, the nurse auscultates the lower abdomen for

The anesthesiologist provides ____ anesthesia by inhalation and IV administration routes.

An appendectomy during a hysterectomy would be classified as

A 45-year-old patient has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP). Which postoperative nursing interventions would be contraindicated?

The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device. The inappropriate intervention related to caring for a patient with a PCA is:

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 Visual or Auditory 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

A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?

In preparation for the return of the surgical patient, the patient's bed and equipment should be in what position?

A male patient, age 80, has had a total hip replacement. Anxiety, hypotension, and jarring during transfer from the recovery room to his room can cause a postoperative increase in which of his vital signs?

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

A patient, age 65, underwent a right hemicolectomy. On postoperative day 4, her surgical wound dehisced. This means that

When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?

What nursing interventions will minimize the effects of venous stasis?

Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be

The Patient's Bill of Rights states that a patient must give his or her permission for any specific test or procedure to be performed. What is the legal term for this permission?

Frequent monitoring of the postoperative patient's vital signs assesses which body system?

Southeast Asian and Native American patients often do not make eye contact when preoperative teaching is being performed because

Two considerations for the older adult surgical patient include (Select the two that apply.)

Which preoperative fear is linked to postoperative behavior?

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

On the patient's return to the medical-surgical unit, the nurse performs an abdominal assessment. To assess bowel sounds, the nurse auscultates the lower abdomen for

The anesthesiologist provides ____ anesthesia by inhalation and IV administration routes.

An appendectomy during a hysterectomy would be classified as

A 45-year-old patient has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP). Which postoperative nursing interventions would be contraindicated?

The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device. The inappropriate intervention related to caring for a patient with a PCA is:

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 Visual or Auditory 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.