Question 1

A patient is prescribed to receive morphine sulfate 8 mg intramuscularly (IM)prior to surgery.The medication available is 10 mg/mL.How many milliliters should the nurse give to the patient?

Accepted Answer

A)  0.25 mL 
B)  0.5 mL 
C)  0.8 mL 
D)  1.25 mL

Question 2

The nurse is caring for a patient who had abdominal surgery with general anesthesia.What interventions should the nurse implement? (Select all that apply.)

Accepted Answer

A)  Monitor for unilateral swelling of the calf. 
B)  Monitor first voiding after catheter removal. 
C)  Position carefully and pad bony prominences. 
D)  Encourage use of incentive spirometer as ordered. 
E)  Monitor pain level each hour that patient is awake.
F) Assist the patient to change position in bed every 4 hours.

Question 3

The nurse is caring for a postoperative patient at risk for deep vein thrombosis.Which actions should the nurse recommend be included in the patient's plan of care? (Select all that apply.)

Accepted Answer

A)  Ambulate the patient tid. 
B)  Apply anti-embolic stockings. 
C)  Massage the patient's legs daily. 
D)  Place a pillow under the patient's knees. 
E)  Perform leg exercises 10 times hourly while awake.

Question 4

The nurse is caring for a patient who is scheduled fora liver biopsy.For which category of surgical procedures should the nurse plan care for this patient?

Accepted Answer

A)  Curative 
B)  Palliative 
C)  Diagnostic 
D)  Preventive

Question 5

A patient scheduled for a nephrectomy states that the surgeon said this surgery is considered a "curative procedure." Which responses should the nurse make to the patient?

Accepted Answer

A)  "It is considered palliative surgery." 
B)  "No, it is an exploratory procedure." 
C)  "No, it is considered diagnostic surgery." 
D)  "Yes, it can be classified as a curative procedure."

Question 6

The nurse works on a preoperative unit.For which conditions should the nurse recognize that urgent surgery is needed?

Accepted Answer

A)  Hernia repair 
B)  Fracture repair 
C)  Aortic aneurysm 
D)  Ruptured appendix

Question 7

The nurse is caring for a patient who had spinal anesthesia.Which effect from spinal anesthesia may influence the safety of the patient when getting out of bed for the first time after surgery?

Accepted Answer

A)  Hypotension 
B)  Hypertension 
C)  Hypoventilation 
D)  Hyperventilation

Question 8

The nurse is assisting a patient recovering from surgery on the use of an incentive spirometer.Which patient instruction is appropriate?

Accepted Answer

A)  Do not hold breath after inhaling. 
B)  Exhale five times before inhaling. 
C)  Inhale deeply until the target is reached. 
D)  Exhale deeply until the target is reached.

Question 9

The nurse is witnessing an adult patient's surgical consent.What should the nurse confirm before witnessing the surgical consent? (Select all that apply.)

Accepted Answer

A)  The patient's next of kin 
B)  When the patient last ate or drank 
C)  The last time a sedative was administered 
D)  Whether the patient is informed about the surgery 
E)  If family members have questions related to the surgery

Question 10

The nurse is reviewing discharge instructions with a patient recovering from procedural sedation and analgesia for a surgical procedure.What should the nurse emphasize in this teaching? (Select all that apply.)

Accepted Answer

A)  The patient will not eat for 24 hours. 
B)  An adult must drive the patient home. 
C)  An adult must be home to provide a safe environment. 
D)  The patient will not sign legal documents for 24 hours. 
E)  The patient will not drive or operate heavy machinery for 24 hours.

Question 11

A patient scheduled for surgery the next morning is withdrawn,sad and states a fear of the surgery.How should the nurse respond to this patient?

Accepted Answer

A)  "Be happy because this surgery will help you." 
B)  "I would be scared, too. You will make it through." 
C)  "It's normal to be scared. What is it that scares you?" 
D)  "Don't be so concerned. Everything will be all right."

Question 12

The nurse is caring for a patient who has developed an increased temperature during the first 24 hours postoperatively.Which action should the nurse take?

Accepted Answer

A)  Restrict oral fluids. 
B)  Give antipyretic medication. 
C)  Encourage coughing and deep breathing. 
D)  Provide passive range of motion exercises.

Exam 12: Nursing Care of Patients Having Surgery

A patient is prescribed to receive morphine sulfate 8 mg intramuscularly (IM) prior to surgery.The medication available is 10 mg/mL.How many milliliters should the nurse give to the patient?