NURS 1230 Exam 1 Questions With Correct
Answers
The |nurse |prepares |a |patient |with |type |2 |diabetes |for |a |surgical |procedure. |The |patient |
weighs |112.7 |kg |(248 |lbs), |and |is |5 |feet |2 |inches |in |height. |Which |factors |increase |this |patients
|risk |for |surgical |complications? |Select |all |that |apply
A. |Obesity
B. |Prolonged |bleeding |time
C. |Delayed |wound |healing
D. |Ineffective |vital |capacity
E. |Immobility |secondary |to |height
A, |C
Which |assessment |questions |should |a |nurse |ask |a |pre |operative |patient |preparing |for |surgery?
|Select |all |that |apply
A. |Are |you |experiencing |any |pain?
B. |Do |you |exercise |on |a |daily |basis?
C. |When |do |you |regularly |take |your |medications?
D. |Do |you |have |any |medication |allergies?
E. |Do |you |use |drugs |and/or |tobacco |products?
A, |D, |E
,Communication |between |the |nurse |caring |for |a |patient |in |a |pre |operative |holding |area |and |
the |circulating |nurse |in |the |operating |room |can |best |be |enhanced |by |which |of |the |following? |
Select |all |that |apply?
A. |Documenting |assessment |findings |in |the |medical |record
B. |Using |a |standardized |SBAR |tool
C. |Being |responsive |in |using |nonverbal |communication |techniques
D. |Giving |specific |information |to |a |transport |technician
E. |Listening |to |the |OR |nurses |questions
B, |C, |E
Which |postoperative |intervention |best |prevents |atelectasis?
A. |Use |of |intermittent |compression |stockings
B. |Heel-toe |flexion
C. |Use |of |the |incentive |spirometer
D. |Abdominal |splinting |when |coughing
Use |of |the |incentive |spirometer
An |85-year-old |patient |returns |to |the |inpatient |surgical |unit |after |leaving |the |PACU. |Which |of |
the |following |place |the |patient |at |risk |during |surgery? |Select |all |that |apply
A. |Stiffened |lung |tissue
B. |Reduced |diaphragmatic |excursion
,C. |Increased |laryngeal |reflexes
D. |Reduced |blood |flow |to |kidneys
E. |Increased |cholinergic |transmission
A, |B, |D
A |postoperative |patient |experiences |tachypnea |during |the |first |hour |of |recovery. |Which |
nursing |intervention |is |a |priority?
A. |Elevate |the |head |of |the |patients |bed
B. |Give |ordered |oxygen |through |a |mask |at |4L/min
C. |Ask |the |patient |to |use |an |incentive |spirometer
D. |Position |the |patient |on |one |side |with |the |face |down |and |the |neck |slightly |extended |so |the |
tongue |falls |forward
Elevate |the |head |of |the |patients |bed
Which |is |the |best |intervention |the |nurse |should |implement |to |promote |bowel |function?
A. |Early |ambulation
B. |Deep-breathing |exercises
C. |Repositioning |on |the |left |side
D. |Lowering |the |head |of |the |patients |bed
Early |ambulation
Offering |glasses |or |hearing |aid |can |prevent:
, Delirium
Early |ambulation |can |prevent:
Deep |vein |thrombosis |and |delirium
Strict |aseptic |technique |can |prevent:
Wound |infection
Deep |breathing |exercises |can |prevent:
Atelectasis
Hydration |can |prevent:
Deep |vein |thrombosis |and |atelectasis
A |nurse |cares |for |a |postoperative |patient |in |the |PACU. |Upon |assessment, |the |nurse |finds |the |
surgical |dressing |is |saturated |with |serosanguineous |drainage. |Which |interventions |are |a |
priority? |Select |all |that |apply
A. |Notify |surgeon
B. |Maintain |the |intravenous |fluid |infusion
C. |Provide |2L/min |of |oxygen |via |nasal |cannula
D. |Monitor |the |patients |vital |signs |every |5 |to |10 |minutes
Answers
The |nurse |prepares |a |patient |with |type |2 |diabetes |for |a |surgical |procedure. |The |patient |
weighs |112.7 |kg |(248 |lbs), |and |is |5 |feet |2 |inches |in |height. |Which |factors |increase |this |patients
|risk |for |surgical |complications? |Select |all |that |apply
A. |Obesity
B. |Prolonged |bleeding |time
C. |Delayed |wound |healing
D. |Ineffective |vital |capacity
E. |Immobility |secondary |to |height
A, |C
Which |assessment |questions |should |a |nurse |ask |a |pre |operative |patient |preparing |for |surgery?
|Select |all |that |apply
A. |Are |you |experiencing |any |pain?
B. |Do |you |exercise |on |a |daily |basis?
C. |When |do |you |regularly |take |your |medications?
D. |Do |you |have |any |medication |allergies?
E. |Do |you |use |drugs |and/or |tobacco |products?
A, |D, |E
,Communication |between |the |nurse |caring |for |a |patient |in |a |pre |operative |holding |area |and |
the |circulating |nurse |in |the |operating |room |can |best |be |enhanced |by |which |of |the |following? |
Select |all |that |apply?
A. |Documenting |assessment |findings |in |the |medical |record
B. |Using |a |standardized |SBAR |tool
C. |Being |responsive |in |using |nonverbal |communication |techniques
D. |Giving |specific |information |to |a |transport |technician
E. |Listening |to |the |OR |nurses |questions
B, |C, |E
Which |postoperative |intervention |best |prevents |atelectasis?
A. |Use |of |intermittent |compression |stockings
B. |Heel-toe |flexion
C. |Use |of |the |incentive |spirometer
D. |Abdominal |splinting |when |coughing
Use |of |the |incentive |spirometer
An |85-year-old |patient |returns |to |the |inpatient |surgical |unit |after |leaving |the |PACU. |Which |of |
the |following |place |the |patient |at |risk |during |surgery? |Select |all |that |apply
A. |Stiffened |lung |tissue
B. |Reduced |diaphragmatic |excursion
,C. |Increased |laryngeal |reflexes
D. |Reduced |blood |flow |to |kidneys
E. |Increased |cholinergic |transmission
A, |B, |D
A |postoperative |patient |experiences |tachypnea |during |the |first |hour |of |recovery. |Which |
nursing |intervention |is |a |priority?
A. |Elevate |the |head |of |the |patients |bed
B. |Give |ordered |oxygen |through |a |mask |at |4L/min
C. |Ask |the |patient |to |use |an |incentive |spirometer
D. |Position |the |patient |on |one |side |with |the |face |down |and |the |neck |slightly |extended |so |the |
tongue |falls |forward
Elevate |the |head |of |the |patients |bed
Which |is |the |best |intervention |the |nurse |should |implement |to |promote |bowel |function?
A. |Early |ambulation
B. |Deep-breathing |exercises
C. |Repositioning |on |the |left |side
D. |Lowering |the |head |of |the |patients |bed
Early |ambulation
Offering |glasses |or |hearing |aid |can |prevent:
, Delirium
Early |ambulation |can |prevent:
Deep |vein |thrombosis |and |delirium
Strict |aseptic |technique |can |prevent:
Wound |infection
Deep |breathing |exercises |can |prevent:
Atelectasis
Hydration |can |prevent:
Deep |vein |thrombosis |and |atelectasis
A |nurse |cares |for |a |postoperative |patient |in |the |PACU. |Upon |assessment, |the |nurse |finds |the |
surgical |dressing |is |saturated |with |serosanguineous |drainage. |Which |interventions |are |a |
priority? |Select |all |that |apply
A. |Notify |surgeon
B. |Maintain |the |intravenous |fluid |infusion
C. |Provide |2L/min |of |oxygen |via |nasal |cannula
D. |Monitor |the |patients |vital |signs |every |5 |to |10 |minutes
