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 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 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 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 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 should assess for signs and symptoms
of what imbalance? - ANSWER Metabolic alkalosis
The nurse has just received report on a client who is coming to the unit from the
emergency department with a torn meniscus. The nurse reviews the PRN medications and
sees that an NSAID (ibuprofen) is prescribed every 6 hours. HOw should the nurse best
implement preventive pain measures? - ANSWER Offer the medication every 6 hours
until discharge
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 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 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 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 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 should assess for signs and symptoms
of what imbalance? - ANSWER Metabolic alkalosis
The nurse has just received report on a client who is coming to the unit from the
emergency department with a torn meniscus. The nurse reviews the PRN medications and
sees that an NSAID (ibuprofen) is prescribed every 6 hours. HOw should the nurse best
implement preventive pain measures? - ANSWER Offer the medication every 6 hours
until discharge
