NU 310 Exam 1 Newest with Complete
Questions and Correct Detailed Answers|
Graded A+
Your patient is post-op day one what would we do to prevent complications?
(Select all that apply)
A. Having them use IS
B. Giving them pain meds when their pain is 8/10
C. Ambulating every hour
D. Giving them sub-q enoxaparin - ✔✔ANSWER✔✔->>A, D
Your 24 year old patient comes in for knee surgery. He informs you that his dad
spiked a fever of 104 when he had the same surgery. Why is this information
relevant to you?
A. He is at a risk for post op infection
B. He is at a risk for malignant hyperthermia
,C. He is at a risk for DVT's
D. This information is not relevant - ✔✔ANSWER✔✔->>B
A patient scheduled for a cholecystectomy is undergoing routine pre-admission
testing. Which lab values would warrant concern from the nurse?
A. Calcium 10.5 mg/dL
B. WBC 14,000
C. PTT 35 seconds
D. HCT 35% - ✔✔ANSWER✔✔->>B
A nurse assesses her patient post-op and obtains vital signs. The patient's blood
pressure is 90/50, heart rate is 120, the patient is in visible distress and his skin is
clammy. What action should the nurse do immediately?
A. Continue to monitor the patient and document vital signs
B. Check the patient's blood sugar for hypoglycemia
C. Notify the physician
D. Ask the patient if he is in pain and administer pain medications -
✔✔ANSWER✔✔->>C
A patient has undergone a hysterectomy and is on a medical surgical floor for
recovery. She is 12 hours post op and physical therapy comes to ambulate her.
Which situation would the nurse continue to ambulate the patient?
A. Patient's chart shows H&H low & stable vitals
B. Blood pressure shows a significant decrease from laying to sitting
C. Order states bed rest for 48 hours due to increased bleeding risk
,D. Patient is hesitant to start walking & has 3/10 pain in surgical area -
✔✔ANSWER✔✔->>D
What is the primary consideration of a PACU nurse caring for a post op patient?
A. Checking vitals q 15 mins
B. Maintaining a patent airway
C. Administering prescribed meds
D. Removing the dressing and checking the surgical site - ✔✔ANSWER✔✔-
>>B
A 45 y/o male is 3 days post-op for an appendectomy. This patient is 5'8 and
weighs 310 pounds. The patient complains of feeling like "something gave out" as
he was coughing. What would the nurse expect?
A. Evisceration
B. Dehiscence
C. Abdominal distension
D. Rupture of abdominal aortic aneurysm - ✔✔ANSWER✔✔->>B
The nurse would be alerted to malignant hyperthermia when the patient
demonstrates which of the following?
A. Hypocapnia
B. Muscle rigidity
C. Decrease body temperature
D. Confusion upon arrival from anesthesia - ✔✔ANSWER✔✔->>B
, Which assessment data indicate the postoperative client who had anesthesia is
suffering a complication of the anesthesia?
A. Loss of sensation of the lumbar (L5) dermatome
B. Absence of the clients posterior tibial pulse
C. The client has a respiratory rate of eight
D. The blood pressure is within 20% of the client's baseline -
✔✔ANSWER✔✔->>C
A nurse is assessing an older client who has received radiation therapy to treat
lung cancer. Based on an understanding of the effects of radiation therapy, the
nurse should focus the assessment on:
A. Reviewing test results for low hemoglobin
B. Observing for signs of infection
C. Checking for and reporting fatigue to the provider
D. Examining the skin for generalized urticarial - ✔✔ANSWER✔✔->>B
A nurse is reinforcing teaching to a client who has cancer. Which of the following
should the nurse include as clinical manifestations of cancer? Select all that apply
A. A non-healing ulcer
B. Bloating
C. Change in bowel pattern
D. Change in moles
E. Nagging cough - ✔✔ANSWER✔✔->>A, C, D, E
A nurse is teaching a client about skin cancer. Which of the following client
statements indicates a need for further teaching?
Questions and Correct Detailed Answers|
Graded A+
Your patient is post-op day one what would we do to prevent complications?
(Select all that apply)
A. Having them use IS
B. Giving them pain meds when their pain is 8/10
C. Ambulating every hour
D. Giving them sub-q enoxaparin - ✔✔ANSWER✔✔->>A, D
Your 24 year old patient comes in for knee surgery. He informs you that his dad
spiked a fever of 104 when he had the same surgery. Why is this information
relevant to you?
A. He is at a risk for post op infection
B. He is at a risk for malignant hyperthermia
,C. He is at a risk for DVT's
D. This information is not relevant - ✔✔ANSWER✔✔->>B
A patient scheduled for a cholecystectomy is undergoing routine pre-admission
testing. Which lab values would warrant concern from the nurse?
A. Calcium 10.5 mg/dL
B. WBC 14,000
C. PTT 35 seconds
D. HCT 35% - ✔✔ANSWER✔✔->>B
A nurse assesses her patient post-op and obtains vital signs. The patient's blood
pressure is 90/50, heart rate is 120, the patient is in visible distress and his skin is
clammy. What action should the nurse do immediately?
A. Continue to monitor the patient and document vital signs
B. Check the patient's blood sugar for hypoglycemia
C. Notify the physician
D. Ask the patient if he is in pain and administer pain medications -
✔✔ANSWER✔✔->>C
A patient has undergone a hysterectomy and is on a medical surgical floor for
recovery. She is 12 hours post op and physical therapy comes to ambulate her.
Which situation would the nurse continue to ambulate the patient?
A. Patient's chart shows H&H low & stable vitals
B. Blood pressure shows a significant decrease from laying to sitting
C. Order states bed rest for 48 hours due to increased bleeding risk
,D. Patient is hesitant to start walking & has 3/10 pain in surgical area -
✔✔ANSWER✔✔->>D
What is the primary consideration of a PACU nurse caring for a post op patient?
A. Checking vitals q 15 mins
B. Maintaining a patent airway
C. Administering prescribed meds
D. Removing the dressing and checking the surgical site - ✔✔ANSWER✔✔-
>>B
A 45 y/o male is 3 days post-op for an appendectomy. This patient is 5'8 and
weighs 310 pounds. The patient complains of feeling like "something gave out" as
he was coughing. What would the nurse expect?
A. Evisceration
B. Dehiscence
C. Abdominal distension
D. Rupture of abdominal aortic aneurysm - ✔✔ANSWER✔✔->>B
The nurse would be alerted to malignant hyperthermia when the patient
demonstrates which of the following?
A. Hypocapnia
B. Muscle rigidity
C. Decrease body temperature
D. Confusion upon arrival from anesthesia - ✔✔ANSWER✔✔->>B
, Which assessment data indicate the postoperative client who had anesthesia is
suffering a complication of the anesthesia?
A. Loss of sensation of the lumbar (L5) dermatome
B. Absence of the clients posterior tibial pulse
C. The client has a respiratory rate of eight
D. The blood pressure is within 20% of the client's baseline -
✔✔ANSWER✔✔->>C
A nurse is assessing an older client who has received radiation therapy to treat
lung cancer. Based on an understanding of the effects of radiation therapy, the
nurse should focus the assessment on:
A. Reviewing test results for low hemoglobin
B. Observing for signs of infection
C. Checking for and reporting fatigue to the provider
D. Examining the skin for generalized urticarial - ✔✔ANSWER✔✔->>B
A nurse is reinforcing teaching to a client who has cancer. Which of the following
should the nurse include as clinical manifestations of cancer? Select all that apply
A. A non-healing ulcer
B. Bloating
C. Change in bowel pattern
D. Change in moles
E. Nagging cough - ✔✔ANSWER✔✔->>A, C, D, E
A nurse is teaching a client about skin cancer. Which of the following client
statements indicates a need for further teaching?
