Exam Review
- When a patient arrives in the PACU with a surgical dressing, an intravenous infusion, and a urinary catheter, the priority action of the nurse is assessment of:A)IV line patencyB)urine outputC)airway patencyD)wound drainageE)NoneF)None
- A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?A)"They'll improve your circulation to keep blood from pooling in your legs."B)"They'll make it easier for you to do leg exercises after your surgery."C)"They'll protect your legs and heels from skin breakdown."D)"They'll help keep you warm immediately after your surgery."
- The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:A)allow the patient to be taken to surgery after notifying the circulating nurse.B)inform the surgeon of the error.C)request a corrected consent form to be signed.D)have the new form attached to the old incorrect one and document it.
- A nurse is monitoring the urinary drainage from a patient who returned to the unit a few hours ago from the post anesthesia care unit (PACU) following a surgical procedure. The urine total is 54 mL for the last 2 hours. The most appropriate nursing action is to:A)irrigate the indwelling urinary catheter.B)notify the surgeon of the findings.C)increase the flow rate of the IV for 10 to 15 minutes.D)apply manual pressure to the patient's bladder.
Exam Review
- The four phases of surgical care are preoperative care, intraoperative care, post anesthesia care, and:A)Recovery careB)Postoperative careC)PACU careD)Perioperative care.
- The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:A)not an acceptable signature.B)legal if it is witnessed.C)required to be accompanied by a picture identification.D)acceptable if the surgeon is willing.
- What is the meaning of the following term: perioperative careA)to relieve pain or complications without curingB)VoluntaryC)own, originating within an individualD)care from decision to have surgery through the recovery period
- 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)when still conscious participate in marking the surgical site.B)have a photograph of the surgical site in the medical record.C)have the unit nurse confirm their identity.D)verbally state the location of the surgical site and the expected procedure.
Exam Review
- General Anesthesia is when a nerve block such as a spinal, caudal, epidural, or peripheral block is administered. (Write True or False)A)TrueB)False
- What is the meaning of the following term: electiveA)artificial body partB)own, originating within an individualC)to relieve pain or complication without curingD)voluntary
- A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?A)AtelectasisB)RalesC)RhonchiD)Pneumothorax
- A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?A)Initiate protective isolation.B)Perform hand hygiene prior to dressing changes.C)Clean the incision with soap and water.D)Allow the wound to air periodically.
Exam Review
- The nurse preparing the surgical patient's room for the patient's return from the post anesthesia unit should: (Select all that apply.)A)gather an emesis basin, tissues, and a small towel.B)lower the bed for easy transfer of the patient.C)place an IV pole at the head of the bed.D)fan fold the sheets on the near side of the bed.E)collect extra dressing supplies and place them on the bedside table.
- A nurse preparing to get a patient out of bed for the first time since surgery will initially:A)place a walker at the side of the bed.B)allow the patient to sit with the head of bed raised to the high Fowler's position.C)assist the patient to sit and dangle his or her legs on the side of the bed.D)assist the patient from a supine position to a standing position.
- Shaniqua's patient is going for surgery to remove part of a tumor that has metastasized and is causing pain. What type of surgery is Shaniqua's patient having?A)PalliativeB)EmergencyC)DiagnosticD)Curative
- A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?A)Distract the client by giving him reading material.B)Suggest that he take a walk around the unit.C)Ask him to describe his concerns.D)Refer him to the spiritual care team.
Exam Review
- The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?A)Start with small sips of water at first to see if they are retainedB)Wait until his liquid diet tray arrives at mealtimeC)Take in a variety of fluids totaling 3000mls/dayD)Go ahead and drink all the water he wants
- A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:A)the opinion of a second surgeon is sought regarding the necessity of the surgery.B)the surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent.C)the hospital social worker can sign the permit.D)the hospital attorney must authorize the surgery and sign the consent form.
- A patient who had surgery earlier in the day using general anesthesia asks whether he can have something to eat. The diet order indicates clear liquids can be taken. Before giving a Jell O to the patient, the nurse should check for the presence of:A)palpable peripheral pulses.B)clear lung sounds.C)adequate urinary drainage.D)bowel sounds in all quadrants.
- A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?A)Apple juiceB)Cream of rice cerealC)Scrambled eggsD)Vanilla yogurt
Exam Review
- A postoperative patient experiences separation of the layers of his abdominal surgical wound during coughing. Separation of the layers of a surgical wound is known asA)dehiscenceB)lacerationC)eviscerationD)autologous
- In order for the anesthesiologist to accurately calculate the amount of anesthesia needed for an 82-year-old patient, the nurse should have data available on the medical record, such as:A)time of last meal.B)pulse rate and blood pressure.C)height and weight.D)respiratory rate and oxygen saturation.
- A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)A)To achieve fast-acting pain relief, administer analgesics PO.B)Consider the client's individual expression of pain.C)Expect the client to express his pain both verbally and nonverbally.D)Use a scale from 0 to 10 to monitor the severity of the client's pain.E)Administer opioids with caution because they will eventually lead to addiction.
- The nurse reminds the patient that the member of the surgical team who is responsible for obtaining the surgical consent is theA)circulating nurseB)admitting departmentC)scrub techD)surgeon