NURS 325 FINAL - PRACTICE QUESTIONS WITH CORRECT ANSWERS

NURS 325 FINAL - PRACTICE QUESTIONS
WITH CORRECT ANSWERS

A ||patient ||who ||is ||scheduled ||for ||surgery ||in ||a ||week ||tells ||the ||nurse ||doing ||the ||preoperative
||assessment ||about ||an ||allergy ||to ||bananas, ||kiwifruit, ||and ||latex ||products. ||Which ||action ||is ||


most ||important ||for ||the ||nurse ||to ||take?

a. ||Notify ||the ||dietician ||of ||the ||food ||allergies.

b. ||Alert ||the ||surgery ||center ||of ||the ||latex ||allergy.

c. ||Reassure ||the ||patient ||that ||the ||allergies ||are ||noted ||on ||the ||medical ||record

d. ||Ask ||the ||patient ||if ||antihistamines ||are ||used ||to ||reduce ||allergic ||reactions. ||- ||CORRECT ||
ANSWER✔✔-B



When ||the ||perioperative ||nurse ||is ||transporting ||a ||patient ||to ||the ||operating ||room ||for ||
surgery, ||the ||patient ||states, ||"I ||am ||a ||Jehovah ||Witness ||and ||am ||worried ||about ||needing ||a ||
blood ||transfusion ||during ||surgery." ||What ||would ||be ||the ||best ||response ||by ||the ||nurse ||to ||
this ||patient's ||statement?

a. ||"Do ||you ||have ||someone ||I ||can ||contact ||in ||an ||emergency ||if ||you ||need ||a ||blood ||
transfusion?"

b. ||"Tell ||me ||what ||you ||would ||like ||done ||if ||it ||is ||determined ||that ||you ||need ||a ||blood ||
transfusion."

c. ||"I ||will ||make ||sure ||that ||you ||do ||not ||receive ||a ||blood ||transfusion ||during ||surgery."

d. ||"Would ||you ||like ||to ||sign ||the ||consent ||form ||just ||in ||case ||you ||need ||blood ||during ||
surgery?" ||- ||CORRECT ||ANSWER✔✔-B



A ||42-year-old ||patient ||is ||recovering ||from ||anesthesia ||in ||the ||PACU. ||On ||admission ||to ||the ||
PACU, ||the ||blood ||pressure ||(BP) ||is ||124/70. ||Thirty ||minutes ||later, ||the ||blood ||pressure ||is ||
112/60, ||pulse ||is ||72, ||and ||skin ||is ||warm ||and ||dry. ||The ||most ||appropriate ||action ||by ||the ||
nurse ||at ||this ||time ||is ||to

,a. ||Increase ||the ||rate ||of ||the ||IV ||fluids.

b. ||Continue ||to ||take ||vital ||signs ||every ||15 ||minutes.

c. ||Administer ||oxygen ||via ||100% ||nonrebreather ||mask.

d. ||Notify ||the ||anesthesia ||care ||provider. ||- ||CORRECT ||ANSWER✔✔-B



A ||postoperative ||patient ||has ||not ||voided ||for ||7 ||hours ||after ||return ||to ||the ||postsurgical ||unit.
||Which ||is ||the ||best ||initial ||action ||by ||the ||nurse?



a. ||Notify ||the ||surgeon.

b. ||Obtain ||a ||bladder ||scan.

c. ||Insert ||an ||indwelling ||foley ||catheter.

d. ||Perform ||a ||straight ||catheterization ||- ||CORRECT ||ANSWER✔✔-B



When ||caring ||for ||a ||patient ||during ||the ||second ||postoperative ||day ||after ||abdominal ||surgery,
||the ||nurse ||obtains ||an ||oral ||temperature ||of ||100.8° ||F. ||Which ||action ||should ||the ||nurse ||take


||first?



a. ||Have ||the ||patient ||use ||the ||incentive ||spirometer.

b. ||Obtain ||blood ||and ||urine ||cultures.

c. ||Administer ||the ||ordered ||PRN ||acetaminophen ||(Tylenol).

d. ||Notify ||the ||health ||care ||provider. ||- ||CORRECT ||ANSWER✔✔-A



A ||patient ||who ||has ||chronic ||musculoskeletal ||pain ||tells ||the ||nurse, ||"I ||feel ||depressed ||
because ||I ||ache ||too ||much ||to ||play ||golf." ||The ||patient ||says ||the ||pain ||is ||usually ||at ||a ||level ||7
||(0 ||to ||10 ||scale). ||Which ||patient ||goal ||has ||the ||highest ||priority ||when ||the ||nurse ||is ||


developing ||the ||treatment ||plan?

A. ||The ||patient ||will ||exhibit ||fewer ||signs ||of ||depression.

B. ||The ||patient ||will ||say ||that ||the ||aching ||has ||decreased.

C. ||The ||patient ||will ||state ||that ||pain ||is ||at ||a ||level ||4 ||out ||of ||10.

D. ||The ||patient ||will ||be ||able ||to ||play ||1 ||to ||2 ||rounds ||of ||golf ||- ||CORRECT ||ANSWER✔✔-D

, A ||patient ||with ||second-degree ||burns ||has ||been ||receiving ||hydromorphone ||(Dilaudid®) ||
through ||patient-controlled ||analgesia ||(PCA) ||for ||a ||week. ||The ||patient ||wakes ||up ||frequently ||
during ||the ||night ||complaining ||of ||pain. ||What ||action ||by ||the ||nurse ||is ||most ||appropriate?

A. ||Administer ||a ||dose ||of ||morphine ||every ||1 ||to ||2 ||hours ||from ||the ||PCA ||machine ||while ||the
||patient ||is ||sleeping.



B ||Consult ||with ||the ||health ||care ||provider ||about ||using ||a ||different ||treatment ||protocol ||to ||
control ||the ||patient's ||pain.

C. ||Request ||that ||the ||health ||care ||provider ||order ||a ||bolus ||dose ||of ||morphine ||to ||be ||given ||
when ||the ||patient ||awakens ||with ||pain.

D. ||Teach ||the ||patient ||to ||push ||the ||button ||every ||10 ||minutes ||for ||an ||hour ||before ||going ||to ||
sleep, ||even ||if ||the ||pain ||is ||minimal. ||- ||CORRECT ||ANSWER✔✔-B



The ||nurse ||assesses ||that ||a ||patient ||receiving ||epidural ||morphine ||has ||not ||voided ||for ||over ||
10 ||hours. ||What ||action ||should ||the ||nurse ||take ||initially?

A. ||Monitor ||for ||withdrawal ||symptoms.

B. ||Place ||an ||indwelling ||urinary ||catheter.

C. ||Ask ||if ||the ||patient ||feels ||the ||need ||to ||void.

D. ||Document ||this ||allergic ||reaction ||in ||the ||patient's ||chart. ||- ||CORRECT ||ANSWER✔✔-C



The ||nurse ||is ||caring ||for ||a ||1-day ||postoperative ||patient ||who ||is ||receiving ||morphine ||through
||patient-controlled ||analgesia ||(PCA). ||What ||action ||by ||the ||nurse ||is ||a ||priority?



A. ||Check ||the ||respiratory ||rate.

B. ||Assess ||for ||nausea ||after ||eating.

C. ||Inspect ||the ||abdomen ||and ||auscultate ||bowel ||sounds.

D. ||Evaluate ||the ||sacral ||and ||heel ||areas ||for ||signs ||of ||redness. ||- ||CORRECT ||ANSWER✔✔-A