Final Exam Study Guide )NUR 2214 Final Exam:
Questions & Answers
A nurse is assessing a client who is 48 hours post-op following abdominal surgery. Which of the following
findings should the nurse report to the provider?
A. Blood pressure 102/66 mm Hg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-Green drainage on the surgical incision
D. Respiratory rate 18/min - ANSWER:C. Yellow-Green drainage on the surgical incision
A nurse is caring for a client who is in the immediate postoperative period following a partial
laryngectomy. Which of the following parameters should the nurse assess first?
A. Pain severity
B. Wound drainage
C. Tissue integrity
D. Airway patency - ANSWER:D. Airway patency
A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft
(CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain,
which of the following desired effects of medications should the nurse identify as most important for the
clients recovery?
A. It decreases the clients level of anxiety
B. It facilitates the clients deep breathing
C. It enhances the clients ability to sleep
D. It reduces the clients blood pressure - ANSWER:B. It facilitates the clients deep breathing
A nurse on a medical-surgical unit is caring for four clients who are 24-36 hour postoperative. Which of
the following surgical procedures place the client at risk for deep-vein thrombosis?
, A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - ANSWER:C. Hip arthroplasty
A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively.
The nurse notes separation of the wound edges with copious light-brown serous drainage. Which of the
following actions should the nurse perform first?
A. Check the clients vital signs
B. Assess the clients pain level
C. Cover the wound with a moist, sterile gauze dressing
D. Obtain a culture and sensitivity of the wound drainage - ANSWER:C. Cover the wound with a moist,
sterile gauze dressing
A nurse is developing a plan of care for a client who is postoperative. Which of the following
interventions should the nurse include in the plan to prevent pulmonary complications?
A. Perform range of motion exercises
B. Place suction equipment at the bedside
C. Encourage the use of an incentive spirometer
D. Administer an expectorant - ANSWER:C. Encourage the use of an incentive spirometer
A nurse is assessing a client who will undergo abdominal surgery in 2 hr. The client reports being nervous
about the surgery, last had food and fluids at 2330 the previous evening, and signed the surgical consent
2 days ago. Which of the following is an appropriate nursing action regarding these findings?
A. Call the anesthesiologist to sedate the client
B. Notify the surgeon of the clients food and fluid consumption
C. Witness the surgical consent
D. Document the findings in the clients medical record - ANSWER:D. Document the findings in the clients
medical record
A nurse is teaching a client who is preoperative how to do deep breathing exercises and cough effectively
after surgery. Which of the following statements by the client indicates an understanding of the
teaching?
Questions & Answers
A nurse is assessing a client who is 48 hours post-op following abdominal surgery. Which of the following
findings should the nurse report to the provider?
A. Blood pressure 102/66 mm Hg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-Green drainage on the surgical incision
D. Respiratory rate 18/min - ANSWER:C. Yellow-Green drainage on the surgical incision
A nurse is caring for a client who is in the immediate postoperative period following a partial
laryngectomy. Which of the following parameters should the nurse assess first?
A. Pain severity
B. Wound drainage
C. Tissue integrity
D. Airway patency - ANSWER:D. Airway patency
A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft
(CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain,
which of the following desired effects of medications should the nurse identify as most important for the
clients recovery?
A. It decreases the clients level of anxiety
B. It facilitates the clients deep breathing
C. It enhances the clients ability to sleep
D. It reduces the clients blood pressure - ANSWER:B. It facilitates the clients deep breathing
A nurse on a medical-surgical unit is caring for four clients who are 24-36 hour postoperative. Which of
the following surgical procedures place the client at risk for deep-vein thrombosis?
, A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - ANSWER:C. Hip arthroplasty
A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively.
The nurse notes separation of the wound edges with copious light-brown serous drainage. Which of the
following actions should the nurse perform first?
A. Check the clients vital signs
B. Assess the clients pain level
C. Cover the wound with a moist, sterile gauze dressing
D. Obtain a culture and sensitivity of the wound drainage - ANSWER:C. Cover the wound with a moist,
sterile gauze dressing
A nurse is developing a plan of care for a client who is postoperative. Which of the following
interventions should the nurse include in the plan to prevent pulmonary complications?
A. Perform range of motion exercises
B. Place suction equipment at the bedside
C. Encourage the use of an incentive spirometer
D. Administer an expectorant - ANSWER:C. Encourage the use of an incentive spirometer
A nurse is assessing a client who will undergo abdominal surgery in 2 hr. The client reports being nervous
about the surgery, last had food and fluids at 2330 the previous evening, and signed the surgical consent
2 days ago. Which of the following is an appropriate nursing action regarding these findings?
A. Call the anesthesiologist to sedate the client
B. Notify the surgeon of the clients food and fluid consumption
C. Witness the surgical consent
D. Document the findings in the clients medical record - ANSWER:D. Document the findings in the clients
medical record
A nurse is teaching a client who is preoperative how to do deep breathing exercises and cough effectively
after surgery. Which of the following statements by the client indicates an understanding of the
teaching?
