HEMISPHERES 3.0 LEVEL VII DISCHARGE &
PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
1. A patient is admitted to the hospital for chemotherapy and has a low WBC
count. Which precaution should the staff take with this patient?
Protective
Droplet
Airborne
Contact
2. What is the recommended nursing intervention for a patient experiencing
dry nares while on oxygen via nasal cannula?
Use water-based lubricant.
Increase flow.
Apply petroleum jelly.
Switch to face mask.
3. Why is it crucial to mark a patient's penicillin allergy before surgery?
To prevent an allergic reaction and ensure safe medication
alternatives are used.
To inform the surgical team of the patient's medical history only.
To expedite the surgical process without delays.
To allow the use of cefazolin as a standard prophylactic.
,4. A nurse is concerned that a patient who has pneumonia may develop
hypoxemia. Which sign is the earliest indication of hypoxemia?
cyanosis
bradycardia
, clubbing
confusion
5. If a patient with a documented penicillin allergy is scheduled for surgery,
what should the nursing staff do to ensure patient safety during the pre-
operative phase?
Proceed with surgery without any antibiotic prophylaxis.
Administer cefazolin as a precautionary measure.
Consult with the anesthesia team to discuss alternative
prophylactic antibiotics.
Mark the allergy but do not inform the surgical team.
6. The nurse is monitoring a 65-year-old client's fluid volume status upon
return from surgery. Upon assessing the client, fluid volume overload is
suspected. Which symptoms support this condition?
Noted lethargy with complaints of abdominal pain and headache.
Not associated with fluid overload
700 mL's urine out in the OR, CVP = 6 and nystagmus. Anticipated
findings.
Hypertension, bounding pulse; weakness; as well as respiratory
crackles.
Oral temperature of 101°F (38.3°C), BP 90/60, thready pulse of 94.
Low BP and thready pulse indicate fluid deficit.
7. A post-operative patient suddenly develops a heart rate of 140 and blood
pressure of 85/55 with bright red bleeding on the dressing. What should
the nurse do next after reinforcing the dressing?
Administer IV fluids as ordered.
Monitor vital signs for another hour.
Notify the surgeon immediately.
PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
1. A patient is admitted to the hospital for chemotherapy and has a low WBC
count. Which precaution should the staff take with this patient?
Protective
Droplet
Airborne
Contact
2. What is the recommended nursing intervention for a patient experiencing
dry nares while on oxygen via nasal cannula?
Use water-based lubricant.
Increase flow.
Apply petroleum jelly.
Switch to face mask.
3. Why is it crucial to mark a patient's penicillin allergy before surgery?
To prevent an allergic reaction and ensure safe medication
alternatives are used.
To inform the surgical team of the patient's medical history only.
To expedite the surgical process without delays.
To allow the use of cefazolin as a standard prophylactic.
,4. A nurse is concerned that a patient who has pneumonia may develop
hypoxemia. Which sign is the earliest indication of hypoxemia?
cyanosis
bradycardia
, clubbing
confusion
5. If a patient with a documented penicillin allergy is scheduled for surgery,
what should the nursing staff do to ensure patient safety during the pre-
operative phase?
Proceed with surgery without any antibiotic prophylaxis.
Administer cefazolin as a precautionary measure.
Consult with the anesthesia team to discuss alternative
prophylactic antibiotics.
Mark the allergy but do not inform the surgical team.
6. The nurse is monitoring a 65-year-old client's fluid volume status upon
return from surgery. Upon assessing the client, fluid volume overload is
suspected. Which symptoms support this condition?
Noted lethargy with complaints of abdominal pain and headache.
Not associated with fluid overload
700 mL's urine out in the OR, CVP = 6 and nystagmus. Anticipated
findings.
Hypertension, bounding pulse; weakness; as well as respiratory
crackles.
Oral temperature of 101°F (38.3°C), BP 90/60, thready pulse of 94.
Low BP and thready pulse indicate fluid deficit.
7. A post-operative patient suddenly develops a heart rate of 140 and blood
pressure of 85/55 with bright red bleeding on the dressing. What should
the nurse do next after reinforcing the dressing?
Administer IV fluids as ordered.
Monitor vital signs for another hour.
Notify the surgeon immediately.
