NURSING 327 EXAM 1 QUESTIONS AND
ANSWERS 100% CORRECT!!
The perioperative nurse is preparing to discharge a female client home from day
surgery performed under general anesthetic. What instruction should the nurse give
the client prior to the client leaving the hospital? - ANSWER The client should not
drive home
The nurse is caring for a patient who experienced trauma in a workplace accident.
The patient is complaining of having trouble breathing. ABG reveals the following
results pH 7.28, PaCO2 50 mmhg. HCO325 mEq/l. The nurse should recognize the
likelihood of what acid base disorder? - ANSWER Respiratory acidosis
The nurse is caring for a 79 year old man who has returned to the post surgical unit
following abdominal surgery. The client is unable to ambulate and is now refusing
to wear external pneumatic compression stockings. The nurse should explain that
refusing to wear external pneumatic compression stockings increases his risk of
what postsurgical complication? - ANSWER Pulmonary embolism
When a hospitalized client is in contact precautions, what action is necessary? -
ANSWER Should be placed in a private room if possible
An elderly client with significant dementia is brought to emergency care triage
stating that she believes people are invading her bedroom several times a night
trying to take her purse. The caregiver is concerned about a stroke because the
client complains of a constant tingling in her lips and fingertips. The client has the
following arterial blood gas (ABG) values pH7.55, ; partial pressure of arterial
oxygen (PaO2) 27 mmhg, and bicarbonate (HCO3) 24 meq/l. Based on these
values, the nurse suspects: - ANSWER Respiratory alkaloids
, The nurse is providing preoperative teaching to a client scheduled for surgery. The
nurse is instructing the client on the use of deep breathing, coughing, and the use of
incentive spirometry when the client states, "I don't know why you're focusing on
my breathing, My surgery is on my hip, not my chest." what rationale for these
instructions should the nurse apply? - ANSWER Promote optimal lung expansion
The nurse is giving an analgesic to an older adult patient. Why is it important for
the nurse to assess the patient carefully? - ANSWER Older clients are more
sensitive to drugs
A client with chronic renal failure has a serum potassium level of 6.8 meq/l. What
should the nurse assess first? - ANSWER The patient's pulse
A newly graduated nurse is admitting a client with a long history of emphysema.
The nurse learns that the client's PaCO2 has been between 56 and 64 mmhg for
several months. What should the nurse be cautious of administering oxygen? -
ANSWER Using O2 may result in the client developing CO2 necrosis and
hypoxemia
A client is administered succinylcholine and propofol for induction of anesthesia.
One hour after administration, the client demonstrates muscle rigidity with a heart
rate of 180. What should the nurse do first? - ANSWER Notify the surgical team
The nurse is caring for an unconscious trauma victim who needs emergency
surgery. The client is a 55 year old man with an adult son. He is legally divorced
and is planning to be remarried in a few weeks. His parents are in the hospital with
the other family members. The physician has explained the need for surgery, the
procedure to be done, and the risks to the children, the parents, and the fiance. Who
should be asked to sign a surgery consent form? - ANSWER The son
The nurse is caring for a client admitted to the medical unit 72 hours ago with
pyloric stenosis. A nasogastric tube placed upon admission has been on low
intermittent suction ever since. Upon review of the morning's blood work, the
nurse notices that the client's potassium is below the reference range. The nurse
ANSWERS 100% CORRECT!!
The perioperative nurse is preparing to discharge a female client home from day
surgery performed under general anesthetic. What instruction should the nurse give
the client prior to the client leaving the hospital? - ANSWER The client should not
drive home
The nurse is caring for a patient who experienced trauma in a workplace accident.
The patient is complaining of having trouble breathing. ABG reveals the following
results pH 7.28, PaCO2 50 mmhg. HCO325 mEq/l. The nurse should recognize the
likelihood of what acid base disorder? - ANSWER Respiratory acidosis
The nurse is caring for a 79 year old man who has returned to the post surgical unit
following abdominal surgery. The client is unable to ambulate and is now refusing
to wear external pneumatic compression stockings. The nurse should explain that
refusing to wear external pneumatic compression stockings increases his risk of
what postsurgical complication? - ANSWER Pulmonary embolism
When a hospitalized client is in contact precautions, what action is necessary? -
ANSWER Should be placed in a private room if possible
An elderly client with significant dementia is brought to emergency care triage
stating that she believes people are invading her bedroom several times a night
trying to take her purse. The caregiver is concerned about a stroke because the
client complains of a constant tingling in her lips and fingertips. The client has the
following arterial blood gas (ABG) values pH7.55, ; partial pressure of arterial
oxygen (PaO2) 27 mmhg, and bicarbonate (HCO3) 24 meq/l. Based on these
values, the nurse suspects: - ANSWER Respiratory alkaloids
, The nurse is providing preoperative teaching to a client scheduled for surgery. The
nurse is instructing the client on the use of deep breathing, coughing, and the use of
incentive spirometry when the client states, "I don't know why you're focusing on
my breathing, My surgery is on my hip, not my chest." what rationale for these
instructions should the nurse apply? - ANSWER Promote optimal lung expansion
The nurse is giving an analgesic to an older adult patient. Why is it important for
the nurse to assess the patient carefully? - ANSWER Older clients are more
sensitive to drugs
A client with chronic renal failure has a serum potassium level of 6.8 meq/l. What
should the nurse assess first? - ANSWER The patient's pulse
A newly graduated nurse is admitting a client with a long history of emphysema.
The nurse learns that the client's PaCO2 has been between 56 and 64 mmhg for
several months. What should the nurse be cautious of administering oxygen? -
ANSWER Using O2 may result in the client developing CO2 necrosis and
hypoxemia
A client is administered succinylcholine and propofol for induction of anesthesia.
One hour after administration, the client demonstrates muscle rigidity with a heart
rate of 180. What should the nurse do first? - ANSWER Notify the surgical team
The nurse is caring for an unconscious trauma victim who needs emergency
surgery. The client is a 55 year old man with an adult son. He is legally divorced
and is planning to be remarried in a few weeks. His parents are in the hospital with
the other family members. The physician has explained the need for surgery, the
procedure to be done, and the risks to the children, the parents, and the fiance. Who
should be asked to sign a surgery consent form? - ANSWER The son
The nurse is caring for a client admitted to the medical unit 72 hours ago with
pyloric stenosis. A nasogastric tube placed upon admission has been on low
intermittent suction ever since. Upon review of the morning's blood work, the
nurse notices that the client's potassium is below the reference range. The nurse
