,Introductory Medical- x@
Surgical Nursing 11e Comprehensive Test Bank by Barbara K Tim
x@ x@ x@ x@ x@ x@ x@ x@ x@
by, Nancy E. Smith
x@ x@ x@
Pub. Date: September 2009
x@ x@ x@
Converted From Electronic Source - 11/7/2009 12:43:33 am
x@ x@ x@ x@ x@ x@ x@
Table of Contents x@ x@
Unit I x@
Nursing Roles and Responsibilitiex@ x@ x@
s Unit II
x@ x@
Psychosocial Aspects of Client Ca x@ x@ x@ x@
re Unit III
x@ x@
Concepts of Health and Illness x@ x@ x@ x@
Unit IV Common Medical-Surgical Problems
x@ x@ x@
Unit V x@
Caring for Clients with Respiratory Disorders
x@ x@ x@ x@ x@ x
@Unit VI x@
Caring for Clients with Cardiovascular Disord
x@ x@ x@ x@ x@
ers
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorde
x@ x @ x@ x@ x@ x@ x@ x@ x@
rs Unit VIII Caring for Clients with Immune Disorders
x@ x@ x@ x@ x@ x@ x@ x@
Unit IX x@
Caring for Clients with Neurologic Disord x@ x@ x@ x@ x@
ers Unit X
x@ x@
Caring for Clients with Sensory Problems x@ x@ x@ x@ x@
Unit XI x@
Caring for Clients with Gastrointestinal Proble x@ x@ x@ x@ x@
ms Unit XII Caring for Clients with Endocrine Probl
x@ x@ x @ x@ x@ x@ x@ x@
ems
Unit XIII Disturbances of Sexual Structures or Reproductive Functi
x@ x@ x@ x@ x@ x@ x@ x@
on Unit XIV Caring for Clients with Urinary and Renal Problems
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Unit XV Caring for Clients with Musculoskeletal Problems
x@ x @ x@ x@ x@ x@ x@
x@ Unit XVI Caring for Clients with Integumentary Problems
x@ x@ x@ x@ x@ x@ x@
x@ Appendix: Answers x@
MULTIPLE CHOICE. x@
Choose the one alternative that best completes the state x@ x@ x@ x@ x@ x@ x@ x@
ment or answers the question.
x@ x@ x@ x@
1) The nurse is assisting a postoperative client in using an incentive spirometer.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Which of the following postoperative complications is this nurse attempting to
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
avoid with this client? 1)
x@ x@ x@ x@ x@
,A) Hemorrhage B) Pulmonary embolism
x@ x@ x@
C)Deep vein thrombosis D) Atelectasis
x@ x@ x@ x@
2) A client who is recovering from abdominal surgery has a penrose drain. W
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
hich of the following should the nurse include in the care of this client? 2)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) Make sure there is a safety pin on the end of the drain.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
B) Clean the wound with normal saline every two hours.
x@ x@ x@ x@ x@ x@ x@ x@
C) Empty the drain every 30 minutes.
x@ x@ x@ x@ x@
, D) Remove the drain four hours postoperatively.
x@ x@ x@ x@ x@
3) A client is in the recovery room. Which of the following members of the he
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
althcare team should the nurse contact regarding the client's level of pain contr
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ol? 3) x@ x@
A) The surgeon B) The anesthesiologist
x@ x@ x@ x@
C)The scrub nurse D) The circulating nurse
x@ x@ x@ x@ x@ x@
4) During the assessment of a postoperative client's bowel sounds, the nurse aus
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cultates high- x@
pitched sounds over all four abdominal quadrants. The nurse realizes this findin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g could indicate: 4)
x@ x@ x@ x@
A) Normal bowel function. B) The onset of stool.
x@ x@ x@ x@ x@ x@ x@
C)The onset of flatus. D) Paralytic ileus.
x@ x@ x@ x@ x@ x@
5) A client is being transferred from the operating room to the recovery roo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m. The nurse in the recovery room will be providing which phase of nursi
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ng care? 5)
x@ x@
A) Intraoperative B) Preoperativ x@ x@
e C)Restorative D) Postoperati
x@ x@ x@
ve
6) A client is being scheduled for surgery. Which of the following should be in
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cluded in the preoperative teaching provided by the nurse? 6)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) The credentials of the anesthesiologist
x@ x@ x@ x@
B) Information concerning the surgical procedure which will be performed b
x@ x@ x@ x@ x@ x@ x@ x@ x@
y the surgeon
x@ x@
C) Cost of the procedurex@ x@ x@
D) Planned length of stay at the hospital
x@ x@ x@ x@ x@ x@
7) A client is being positioned for a hip replacement procedure. In which
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
of the following positions will this client most likely be placed? 7)
@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) Dorsal recumbent B) Lateral chex@ x@ x@ x@
st C)Semi-sitting D) Prone
x@ x@ x@
8) A postoperative client tells the nurse, "A book I read said that I should not
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
eat after surgery for at least a week." Which of the following statements woul
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
d be an appropriate nursing response? 8)
x@ x@ x@ x@ x@ x@ x@
A) "You don't need any food to heal anyway."
x@ x@ x@ x@ x@ x@ x@
B) "That's true." x@
Surgical Nursing 11e Comprehensive Test Bank by Barbara K Tim
x@ x@ x@ x@ x@ x@ x@ x@ x@
by, Nancy E. Smith
x@ x@ x@
Pub. Date: September 2009
x@ x@ x@
Converted From Electronic Source - 11/7/2009 12:43:33 am
x@ x@ x@ x@ x@ x@ x@
Table of Contents x@ x@
Unit I x@
Nursing Roles and Responsibilitiex@ x@ x@
s Unit II
x@ x@
Psychosocial Aspects of Client Ca x@ x@ x@ x@
re Unit III
x@ x@
Concepts of Health and Illness x@ x@ x@ x@
Unit IV Common Medical-Surgical Problems
x@ x@ x@
Unit V x@
Caring for Clients with Respiratory Disorders
x@ x@ x@ x@ x@ x
@Unit VI x@
Caring for Clients with Cardiovascular Disord
x@ x@ x@ x@ x@
ers
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorde
x@ x @ x@ x@ x@ x@ x@ x@ x@
rs Unit VIII Caring for Clients with Immune Disorders
x@ x@ x@ x@ x@ x@ x@ x@
Unit IX x@
Caring for Clients with Neurologic Disord x@ x@ x@ x@ x@
ers Unit X
x@ x@
Caring for Clients with Sensory Problems x@ x@ x@ x@ x@
Unit XI x@
Caring for Clients with Gastrointestinal Proble x@ x@ x@ x@ x@
ms Unit XII Caring for Clients with Endocrine Probl
x@ x@ x @ x@ x@ x@ x@ x@
ems
Unit XIII Disturbances of Sexual Structures or Reproductive Functi
x@ x@ x@ x@ x@ x@ x@ x@
on Unit XIV Caring for Clients with Urinary and Renal Problems
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Unit XV Caring for Clients with Musculoskeletal Problems
x@ x @ x@ x@ x@ x@ x@
x@ Unit XVI Caring for Clients with Integumentary Problems
x@ x@ x@ x@ x@ x@ x@
x@ Appendix: Answers x@
MULTIPLE CHOICE. x@
Choose the one alternative that best completes the state x@ x@ x@ x@ x@ x@ x@ x@
ment or answers the question.
x@ x@ x@ x@
1) The nurse is assisting a postoperative client in using an incentive spirometer.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Which of the following postoperative complications is this nurse attempting to
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
avoid with this client? 1)
x@ x@ x@ x@ x@
,A) Hemorrhage B) Pulmonary embolism
x@ x@ x@
C)Deep vein thrombosis D) Atelectasis
x@ x@ x@ x@
2) A client who is recovering from abdominal surgery has a penrose drain. W
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
hich of the following should the nurse include in the care of this client? 2)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) Make sure there is a safety pin on the end of the drain.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
B) Clean the wound with normal saline every two hours.
x@ x@ x@ x@ x@ x@ x@ x@
C) Empty the drain every 30 minutes.
x@ x@ x@ x@ x@
, D) Remove the drain four hours postoperatively.
x@ x@ x@ x@ x@
3) A client is in the recovery room. Which of the following members of the he
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
althcare team should the nurse contact regarding the client's level of pain contr
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ol? 3) x@ x@
A) The surgeon B) The anesthesiologist
x@ x@ x@ x@
C)The scrub nurse D) The circulating nurse
x@ x@ x@ x@ x@ x@
4) During the assessment of a postoperative client's bowel sounds, the nurse aus
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cultates high- x@
pitched sounds over all four abdominal quadrants. The nurse realizes this findin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g could indicate: 4)
x@ x@ x@ x@
A) Normal bowel function. B) The onset of stool.
x@ x@ x@ x@ x@ x@ x@
C)The onset of flatus. D) Paralytic ileus.
x@ x@ x@ x@ x@ x@
5) A client is being transferred from the operating room to the recovery roo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m. The nurse in the recovery room will be providing which phase of nursi
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ng care? 5)
x@ x@
A) Intraoperative B) Preoperativ x@ x@
e C)Restorative D) Postoperati
x@ x@ x@
ve
6) A client is being scheduled for surgery. Which of the following should be in
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cluded in the preoperative teaching provided by the nurse? 6)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) The credentials of the anesthesiologist
x@ x@ x@ x@
B) Information concerning the surgical procedure which will be performed b
x@ x@ x@ x@ x@ x@ x@ x@ x@
y the surgeon
x@ x@
C) Cost of the procedurex@ x@ x@
D) Planned length of stay at the hospital
x@ x@ x@ x@ x@ x@
7) A client is being positioned for a hip replacement procedure. In which
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
of the following positions will this client most likely be placed? 7)
@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) Dorsal recumbent B) Lateral chex@ x@ x@ x@
st C)Semi-sitting D) Prone
x@ x@ x@
8) A postoperative client tells the nurse, "A book I read said that I should not
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
eat after surgery for at least a week." Which of the following statements woul
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
d be an appropriate nursing response? 8)
x@ x@ x@ x@ x@ x@ x@
A) "You don't need any food to heal anyway."
x@ x@ x@ x@ x@ x@ x@
B) "That's true." x@