Medical-Surgical LPN/RN Assessment 1 {109 Questions and Answers}

1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible." - Correct Answer 1. "I will be glad when this is over so I can go home today." 2. The nurse in the holding area of the surgery department is interviewing a client who requests to keep his religious medal on during surgery. Which intervention should the nurse implement? 1. Notify the surgeon about the client's request to wear the medal 2. Tape the medal to the client and allow the client to wear the medal 3. Request the family member take the medal prior to surgery 4. Explain taking the medal to surgery is against the policy - Correct Answer 2. Tape the medal to the client and allow the client to wear the medal 3. The nurse must obtain surgical consent forms for the scheduled surgery. Which client would not be able to consent legally to surgery? 1. The 65 year old client who cannot read or write 2. The 30 year old who does not understand English 3. The 16 year old who has a fractured ankle 4. The 8- year old who is not oriented to the day - Correct Answer 3. The 16 year old who has a fractured ankle 4. The nurse is preparing a client for surgery. Which intervention should the nurse implement first? 1. Check the permit for the spouse's signature 2. Take and document intake and output 3. Administer the on-call sedative 4. Complete the preoperative checklist - Correct Answer 4. Complete the preoperative checklist 5. The nurse is interviewing a surgical client in the holding area. Which information should the nurse report to the anesthesiologist? Select all that apply 1. The client has loose, decayed teeth 2. The client is experiencing anxiety 3. The client smokes two packs of cigarettes a day 4. The client has had a chest x ray which does not show infiltrates 5. The client reports using herbs - Correct Answer 1. The client has loose, decayed teeth 3. The client smokes two packs of cigarettes a day 5. The client reports using herbs 6. Which task would be most appropriate for the nurse to delegate to the UAP (unlicensed assistive personnel)? 1. Complete the preop checklist 2. Assess the client's preop vital signs 3. Teach the client about coughing and deep breathing 4. Assist the client to remove clothing and jewelry - Correct Answer 4. Assist the client to remove clothing and jewelry 7. The nurse is assessing a client in the day surgery unit who states "I am really afraid of having this surgery. I'm afraid of what they will find." Which statement would be the best therapeutic response by the nurse? 1. "Don't worry about your surgery. It is safe." 2. "Tell me why you're worried about the surgery." 3. "Tell me about your fears of having this surgery." 4. "I understand how you feel, surgery is frightening." - Correct Answer 3. "Tell me about your fears of having this surgery." 8. The 68 year old client is scheduled for intestinal surgery does not have clear fecal contents after 3 tap water enemas. Which intervention should the nurse implement first? 1. Notify the surgeon of the client's status 2. Continue giving enemas until clear 3. Increase the client's fluid IV rate 4. Obtain STAT serum electrolytes - Correct Answer 1. Notify the surgeon of the client's status 9. The nurse is caring for a male client scheduled for abdominal surgery. Which interventions should the nurse include in the plan of care? Select all that apply 1. Perform passive ROM exercises 2. Discuss how to cough and deep breathe effectively 3. Tell the client he can have a meal in the PACU 4. Teach ways to manage post op pain 5. Discuss events which occur in the post-anesthesia care unit - Correct Answer 2. Discuss how to cough and deep breathe effectively 4. Teach ways to manage post op pain 5. Discuss events which occur in the post-anesthesia care unit 10. The nurse is caring for a client scheduled for total hip replacement. Which behavior indicates the need for further preoperative teaching? 1. The client uses the diaphragm and abdominal muscles to inhale through the nose and exhale through the mouth