Medical Surgical Nursing Exam Test Question and Answers
The surgical patient who is malnourished is at risk for
Answer: Poor wound healing and infection
What are the causes of shock during the postoperative period? Select all that apply.
Answer: Dehydration without adequate replacement, Loss of blood, effect of anesthesia
A patient with liver disease is scheduled for knee surgery, The patient faces a postoperative risk for?
Answer: Risk for bleeding
A patient with diabetes is scheduled for surgery, The patient is risk postoperatively for?
Answer: Infection
Pulmonary emboli usually originate from the thrombi that develops in the veins of the?
Answer: Legs and Pelvis
Clean sutures incisions heal by?
Answer: First intention
Which medication should be withheld before surgery? Select all that apply.
Answer: Aspirin, Ginger, Ginseng, Anticoagulants
Your patient is scheduled for tooth extraction, What type of anesthesia would not be recommended?
Answer: General Anesthetics
What measures are used to prevent thrombophlebitis and related pulmonary emboli?
Answer: Anti- embolic stockings, Coughing and Deep Breathing, Monitor vital signs, Early Ambulation
What type of surgery is done to remove a malignant tumor obstruction the intestines even though
cancer is widespread in the body?
Answer: Palliative Surgery
What type of surgery is performed to remove diseased tissue?
Answer: Ablative Surgery
All of the following are responses of the Sympathetic nervous system except?
Answer: Constricted Pupils
Cold application for pain is contraindicated for patients with peripheral vascular disease or heart disease
because it may cause further vasodilation of blood vessels?
Answer: False
Heat should not be applied to certain body sites for pain. Select all that apply.
Answer: Sites of decreased sensation, Sites of decreased circulation, Malignancy
,NASID's should be used cautiously for all of the following patients., Select all that apply.
Answer: Patients with a history of CVA, Patients with a history of MI, Patients with a history of CHF
Mr. Smith has an order for Fentanyl Transdermal Patch, All of the following are true regarding the
application. Select all that apply.
Answer: Apply to hairless areas, Apply to the Upper Torso, Apply pressure for 30 seconds to assure
adherence
The "S" in the "Sedation Scale" stands for?
Answer: Sleeping but easy to arouse when called or stimulated
Naloxone is recommended to reverse all of the following medications. Select all that apply.
Answer: Morphine, Dilaudid
All of the following could potentially cause hypovolemia shock, except?
Answer: Spinal injury
All of the following are stages of shock except?
Answer: Post Shock
Your patient is diagnosed with hip fracture, He was taught by physical therapy to contract his thigh
muscles, hold for several seconds, relax briefly, and contract again, This is described as?
Answer: Isometric Exercises
The best preventative measures to decrease the risk of developing a pressure ulcer is?
Answer: Frequent position changes
You are assessing your patient's wound and you notice bone, tendon, and muscle exposure, this is
described as?
Answer: Full Thickness Tissue Loss
Incentive spirometry is recommended post op surgery to prevent?
Answer: Pneumonia
During surgery, your patient suffered a GI bleed and required 2 units of PRBCs. This period is described
as
Answer: Intraoperative Nursing Care
All of the following will decrease the risk for post op DVT except?
Answer: Incentive Spirometry
Diabetic medications should be held the morning of surgery.
Answer: True
The most important immediate assessment after your patient receives regional anesthesia is?
Answer: Assessing the Surgical site
, All of the following patients are at risk for pneumonia and atelectasis post op surgery.
Answer: Obese adults, Older adults, COPD patients
Cyanosis is an early sign of hypoxia.
Answer: False
During the post op period, Diabetics are at a higher risk for?
Answer: Infection
You are assessing your patient's wound you notice pinkish drainage, This is described as?
Answer: Serosanguineous
Your patient was diagnosed with atelectasis, how do you expect the lungs to sound?
Answer: Decreased
You are teaching your patient how to utilize an incentive spirometer, Which of the following is a true
statement?
Answer: Inhale as long as possible to suspend the ball
Which patient is at risk for Reye's syndrome?
Answer: A 3 year old patient taking aspirin who was recently diagnosed with influenza
Which patient is at risk for Salicylism?
Answer: A patient who takes Ibuprofen TID for pain
All of the following are True regarding Mucomyst, except.
Answer: It is the antidote for Salicylates
Which of the following medications can cause false low glucose readings?
Answer: Tylenol
Transmission of pain is when the impulses travel from their original site to the brain.
Answer: True
All of the following decrease endorphin production.
Answer: Salt, Alcohol, Nicotine, Caffeine
Timmy scored a 1 on the FLACC pain scale, What best describes his leg action?
Answer: Uneasy, Restless, Tense
The COLDSPA memory guide is utilized to gather data for?
Answer: Pain
All of the following must be removed prior to surgery except?
Answer: Pacemaker
A "Time Out" must be completed immediately after surgery?
Answer: False
The surgical patient who is malnourished is at risk for
Answer: Poor wound healing and infection
What are the causes of shock during the postoperative period? Select all that apply.
Answer: Dehydration without adequate replacement, Loss of blood, effect of anesthesia
A patient with liver disease is scheduled for knee surgery, The patient faces a postoperative risk for?
Answer: Risk for bleeding
A patient with diabetes is scheduled for surgery, The patient is risk postoperatively for?
Answer: Infection
Pulmonary emboli usually originate from the thrombi that develops in the veins of the?
Answer: Legs and Pelvis
Clean sutures incisions heal by?
Answer: First intention
Which medication should be withheld before surgery? Select all that apply.
Answer: Aspirin, Ginger, Ginseng, Anticoagulants
Your patient is scheduled for tooth extraction, What type of anesthesia would not be recommended?
Answer: General Anesthetics
What measures are used to prevent thrombophlebitis and related pulmonary emboli?
Answer: Anti- embolic stockings, Coughing and Deep Breathing, Monitor vital signs, Early Ambulation
What type of surgery is done to remove a malignant tumor obstruction the intestines even though
cancer is widespread in the body?
Answer: Palliative Surgery
What type of surgery is performed to remove diseased tissue?
Answer: Ablative Surgery
All of the following are responses of the Sympathetic nervous system except?
Answer: Constricted Pupils
Cold application for pain is contraindicated for patients with peripheral vascular disease or heart disease
because it may cause further vasodilation of blood vessels?
Answer: False
Heat should not be applied to certain body sites for pain. Select all that apply.
Answer: Sites of decreased sensation, Sites of decreased circulation, Malignancy
,NASID's should be used cautiously for all of the following patients., Select all that apply.
Answer: Patients with a history of CVA, Patients with a history of MI, Patients with a history of CHF
Mr. Smith has an order for Fentanyl Transdermal Patch, All of the following are true regarding the
application. Select all that apply.
Answer: Apply to hairless areas, Apply to the Upper Torso, Apply pressure for 30 seconds to assure
adherence
The "S" in the "Sedation Scale" stands for?
Answer: Sleeping but easy to arouse when called or stimulated
Naloxone is recommended to reverse all of the following medications. Select all that apply.
Answer: Morphine, Dilaudid
All of the following could potentially cause hypovolemia shock, except?
Answer: Spinal injury
All of the following are stages of shock except?
Answer: Post Shock
Your patient is diagnosed with hip fracture, He was taught by physical therapy to contract his thigh
muscles, hold for several seconds, relax briefly, and contract again, This is described as?
Answer: Isometric Exercises
The best preventative measures to decrease the risk of developing a pressure ulcer is?
Answer: Frequent position changes
You are assessing your patient's wound and you notice bone, tendon, and muscle exposure, this is
described as?
Answer: Full Thickness Tissue Loss
Incentive spirometry is recommended post op surgery to prevent?
Answer: Pneumonia
During surgery, your patient suffered a GI bleed and required 2 units of PRBCs. This period is described
as
Answer: Intraoperative Nursing Care
All of the following will decrease the risk for post op DVT except?
Answer: Incentive Spirometry
Diabetic medications should be held the morning of surgery.
Answer: True
The most important immediate assessment after your patient receives regional anesthesia is?
Answer: Assessing the Surgical site
, All of the following patients are at risk for pneumonia and atelectasis post op surgery.
Answer: Obese adults, Older adults, COPD patients
Cyanosis is an early sign of hypoxia.
Answer: False
During the post op period, Diabetics are at a higher risk for?
Answer: Infection
You are assessing your patient's wound you notice pinkish drainage, This is described as?
Answer: Serosanguineous
Your patient was diagnosed with atelectasis, how do you expect the lungs to sound?
Answer: Decreased
You are teaching your patient how to utilize an incentive spirometer, Which of the following is a true
statement?
Answer: Inhale as long as possible to suspend the ball
Which patient is at risk for Reye's syndrome?
Answer: A 3 year old patient taking aspirin who was recently diagnosed with influenza
Which patient is at risk for Salicylism?
Answer: A patient who takes Ibuprofen TID for pain
All of the following are True regarding Mucomyst, except.
Answer: It is the antidote for Salicylates
Which of the following medications can cause false low glucose readings?
Answer: Tylenol
Transmission of pain is when the impulses travel from their original site to the brain.
Answer: True
All of the following decrease endorphin production.
Answer: Salt, Alcohol, Nicotine, Caffeine
Timmy scored a 1 on the FLACC pain scale, What best describes his leg action?
Answer: Uneasy, Restless, Tense
The COLDSPA memory guide is utilized to gather data for?
Answer: Pain
All of the following must be removed prior to surgery except?
Answer: Pacemaker
A "Time Out" must be completed immediately after surgery?
Answer: False
