NUR 337 FINAL QUESTIONS WITH VERIFIED
ANSWERS
A postoperative patient has a nursing diagnosis of ineffective airway clearance.
The nurse determines that interventions for this nursing diagnosis have been successful
if which activity or assessment is observed?
a. Patient uses the spirometer 10 times every hour.
b. Patient's breath sounds are clear to auscultation.
c. Patient's temperature is less than 100.4° F orally.
d. Patient drinks 2 to 3 L of fluid in 24 hours. - Answers - B?
In the postanesthesia care unit (PACU), a patient's vital signs are blood pressure
116/72, pulse 74, respirations 12, and SpO2 91%. The patient is sleepy but awakens
easily.
Which action should the nurse take first?
a. Increase the rate of the postoperative IV fluids.
b. Place the patient in a side-lying position.
c. Encourage the patient to take deep breaths.
d. Prepare to transfer the patient to a clinical unit. - Answers - C?
What instruction would be appropriate for the nurse give to nursing assistive personnel
(NAP) caring for a postsurgical patient?
a. "Please reassure the family, and explain to them what is going on."
b. "Let me know when the patient's family arrives on the floor."
c. "Please teach him about the incentive spirometer while I speak with the physician."
d. "Assess his urine output, and compare it to intake." - Answers - B
What is the most effective, primary way in which the nurse can lower a patient's risk for
postsurgical complications?
a. Identify deviations from normal that may interfere with the recovery process.
b. Adequately prepare the patient for discharge from the agency.
c. Evaluate the patient's emotional reaction to the surgical process.
, d. Provide continuity of nursing care throughout the patient's stay at the agency. -
Answers - A?
When a patient returns to the unit from the PACU, how would the nurse best assess
possible urinary retention?
a. Check the chart for lab values specific to urinary function.
b. Encourage the patient to void.
c. Complete a bladder scan.
d. Straight-catheterize the patient. - Answers - C?
The nurse is preparing to witness the client signing the operative consent form when the
client states, "I do not really understand what the doctor said."
Which action is best for the nurse to take?
a. Provide an explanation of the planned surgical procedure.
b. Administer the prescribed preoperative antibiotics and withhold any ordered sedative
medications.
c. Notify the surgeon that the informed consent process is not complete.
d. Notify the operating room staff that the surgeon needs to give a more complete
explanation of the procedure. - Answers - D? Not sure
A patient who has never had any prior surgeries tells the nurse doing the pre-operative
assessment about an allergy to bananas and avocados.
Which action is most important for the nurse to take?
a. Notify the dietitian about the food allergies.
b. Ask whether the patient uses antihistamines to reduce allergic reactions.
c. Alert the surgery center about a possible latex allergy.
d. Reassure the patient that all allergies are noted on the medical record. - Answers - C
The nurse plans to provide pre-operative teaching to an alert older man who has
hearing and vision deficits.
His wife usually answers most questions that are directed to the patient.
Which action by the nurse reflects best practice when providing patient education?
ANSWERS
A postoperative patient has a nursing diagnosis of ineffective airway clearance.
The nurse determines that interventions for this nursing diagnosis have been successful
if which activity or assessment is observed?
a. Patient uses the spirometer 10 times every hour.
b. Patient's breath sounds are clear to auscultation.
c. Patient's temperature is less than 100.4° F orally.
d. Patient drinks 2 to 3 L of fluid in 24 hours. - Answers - B?
In the postanesthesia care unit (PACU), a patient's vital signs are blood pressure
116/72, pulse 74, respirations 12, and SpO2 91%. The patient is sleepy but awakens
easily.
Which action should the nurse take first?
a. Increase the rate of the postoperative IV fluids.
b. Place the patient in a side-lying position.
c. Encourage the patient to take deep breaths.
d. Prepare to transfer the patient to a clinical unit. - Answers - C?
What instruction would be appropriate for the nurse give to nursing assistive personnel
(NAP) caring for a postsurgical patient?
a. "Please reassure the family, and explain to them what is going on."
b. "Let me know when the patient's family arrives on the floor."
c. "Please teach him about the incentive spirometer while I speak with the physician."
d. "Assess his urine output, and compare it to intake." - Answers - B
What is the most effective, primary way in which the nurse can lower a patient's risk for
postsurgical complications?
a. Identify deviations from normal that may interfere with the recovery process.
b. Adequately prepare the patient for discharge from the agency.
c. Evaluate the patient's emotional reaction to the surgical process.
, d. Provide continuity of nursing care throughout the patient's stay at the agency. -
Answers - A?
When a patient returns to the unit from the PACU, how would the nurse best assess
possible urinary retention?
a. Check the chart for lab values specific to urinary function.
b. Encourage the patient to void.
c. Complete a bladder scan.
d. Straight-catheterize the patient. - Answers - C?
The nurse is preparing to witness the client signing the operative consent form when the
client states, "I do not really understand what the doctor said."
Which action is best for the nurse to take?
a. Provide an explanation of the planned surgical procedure.
b. Administer the prescribed preoperative antibiotics and withhold any ordered sedative
medications.
c. Notify the surgeon that the informed consent process is not complete.
d. Notify the operating room staff that the surgeon needs to give a more complete
explanation of the procedure. - Answers - D? Not sure
A patient who has never had any prior surgeries tells the nurse doing the pre-operative
assessment about an allergy to bananas and avocados.
Which action is most important for the nurse to take?
a. Notify the dietitian about the food allergies.
b. Ask whether the patient uses antihistamines to reduce allergic reactions.
c. Alert the surgery center about a possible latex allergy.
d. Reassure the patient that all allergies are noted on the medical record. - Answers - C
The nurse plans to provide pre-operative teaching to an alert older man who has
hearing and vision deficits.
His wife usually answers most questions that are directed to the patient.
Which action by the nurse reflects best practice when providing patient education?
