Question 1

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

Accepted Answer

potassium
The injure

Question 2

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 3

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

Accepted Answer

preoperative, recuperative
When discharg

Question 4

Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?

Accepted Answer

A)  "I have been taking an herbal product of feverfew for my migraines." 
B)  "I exercise for 3 hours a day." 
C)  "I drink 2 glasses of wine a day." 
D)  "I use atropine eyedrops every day." 
A)  "I have been taking an herbal product of feverfew for my migraines." 
B)  "I exercise for 3 hours a day." 
C)  "I drink 2 glasses of wine a day." 
D)  "I use atropine eyedrops every day."

Question 5

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

Accepted Answer

A)  Only when the patient asks. 
B)  When the onset of pain is assessed. 
C)  Sparingly to avoid drug dependence. 
D)  Only when severe pain is assessed. 
A)  Only when the patient asks. 
B)  When the onset of pain is assessed. 
C)  Sparingly to avoid drug dependence. 
D)  Only when severe pain is assessed.

Question 6

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

Question 7

The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is _________________ __________.

Accepted Answer

conscious sedation
Conscious sedation us

Question 8

A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase her peristalsis?

Accepted Answer

A)  Ambulation 
B)  An enema 
C)  Encouraging hot liquids 
D)  Administering a laxative 
A)  Ambulation 
B)  An enema 
C)  Encouraging hot liquids 
D)  Administering a laxative

Question 9

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 o

Question 10

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 11

What instruction should a nurse give when teaching the patient to cough effectively after surgery?

Accepted Answer

A)  Breathe through the nose, hold breath, and exhale slowly. 
B)  Take three deep breaths and cough from the chest. 
C)  Inhale while contracting the abdominal muscles and exhale while contracting the diaphragm. 
D)  Take short, frequent panting breaths and cough from the throat to clear accumulated mucus. 
A)  Breathe through the nose, hold breath, and exhale slowly. 
B)  Take three deep breaths and cough from the chest. 
C)  Inhale while contracting the abdominal muscles and exhale while contracting the diaphragm. 
D)  Take short, frequent panting breaths and cough from the throat to clear accumulated mucus.

Question 12

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

Question 13

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

Question 14

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 15

Which of the following are considerations for the older adult surgical patient? (Select all that apply.)

Accepted Answer

A)  The need for specific clear preoperative and postoperative teaching 
B)  Awareness of lower morbidity and mortality rate 
C)  Presence of coexisting conditions 
D)  Increased risk of respiratory complications 
E)  Expectation of normal recovery time 
A)  The need for specific clear preoperative and postoperative teaching 
B)  Awareness of lower morbidity and mortality rate 
C)  Presence of coexisting conditions 
D)  Increased risk of respiratory complications 
E)  Expectation of normal recovery time

Question 16

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 17

In which location are guidelines for ensuring that all nursing interventions on the day of surgery completed and documented?

Accepted Answer

A)  In the nurse's notes 
B)  In the anesthesia record 
C)  In the preoperative checklist 
D)  In the progress notes 
A)  In the nurse's notes 
B)  In the anesthesia record 
C)  In the preoperative checklist 
D)  In the progress notes

Question 18

The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

Accepted Answer

A)  Support the surgical site with a pillow 
B)  Position patient in a side-lying position 
C)  Medicate with prescribed narcotic before coughing 
D)  Ask the patient to cross arms over the chest to increase force of cough 
A)  Support the surgical site with a pillow 
B)  Position patient in a side-lying position 
C)  Medicate with prescribed narcotic before coughing 
D)  Ask the patient to cross arms over the chest to increase force of cough

Question 19

On the patient's return to the medical-surgical unit, the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:

Accepted Answer

A)  30 seconds. 
B)  1 minute. 
C)  2 minutes. 
D)  3 minutes. 
A)  30 seconds. 
B)  1 minute. 
C)  2 minutes. 
D)  3 minutes.

Question 20

While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention?

Accepted Answer

A)  Place the patient in the high Fowler's position. 
B)  Give the patient fluids to prevent shock. 
C)  Replace the dressing with sterile fluffy pads. 
D)  Apply a warm, moist normal saline sterile dressing. 
A)  Place the patient in the high Fowler's position. 
B)  Give the patient fluids to prevent shock. 
C)  Replace the dressing with sterile fluffy pads. 
D)  Apply a warm, moist normal saline sterile dressing.

Exam 41: Care of the Surgical Patient

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

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

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

Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?

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

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

The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is _________________ __________.

A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase her peristalsis?

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

What instruction should a nurse give when teaching the patient to cough effectively after surgery?

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?

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:

Which of the following are considerations for the older adult surgical patient? (Select all that apply.)

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

In which location are guidelines for ensuring that all nursing interventions on the day of surgery completed and documented?

The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

On the patient's return to the medical-surgical unit, the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:

While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

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

Professional Roles and Leadership

Filters

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

The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is _______ .