MED-SURG TEST 1 QUESTIONS 2025 WITH CORRECT ANSWERS

MED-SURG TEST 1 QUESTIONS 2025
WITH CORRECT ANSWERS




Normal level PcCO2 - correct answer 35-45 mmHg, 40 mmHg.
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ablative surgery - correct answer surgery to remove a diseased body part
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elective surgery - correct answer surgery that is not essential
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palliative surgery - correct answer surgery that relieves symptoms without producing a cure
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major surgery - correct answer surgery that poses great risks to the client's well-being
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urgent surgery - correct answer surgery that is necessary for the client's health and may prevent other
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problems



emergency surgery - correct answer surgery that must be done immediately to save the client's life
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cosmetic surgery - correct answer surgery performed to improve personal appearance
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procurement - correct answer surgery to remove organs from a client that is brain dead
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,An obese client is at risk for poor wound healing postoperatively because: - correct answer Fatty tissue has a
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poor blood supply e e




The nurse asks each client preoperatively for the name and dose of all prescription and over-the-counter
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medications taken before surgery because these medications: - correct answer May increase the risks for
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anesthetic and surgical complications e e e




A client who smokes two packs of cigarettes per day is most at risk postoperatively for: - correct answer
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Atelectasis, fever, and pneumonia e e e




Family members should be included when the nurse teaches the client preoperative exercises so they can: -
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correct answer Coach the client postoperatively.
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Maintaining normal glucose levels during the postoperative period reduces which complication? - correct
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answer Wound infection e e




In the postanesthesia care unit the nurse notes that the client is having difficulty breathing because of an
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obstruction. The nurse would first: - correct answer Position the client so that the tongue falls forward
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Because an older adult is at increased risk for respiratory complications after surgery, the nurse should: -
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correct answer Encourage the client to turn, deep breathe, and cough frequently, and ensure adequate pain
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control.



A client with a longer than normal prothrombin time (PT) or activated partial thromboplastin time (APTT) is at
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risk postoperatively for: - correct answer Bleeding. A client with a prolonged PT or APTT is at risk of bleeding.
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When a nonbariatric client is deep breathing and coughing the client should be sitting because this position: -
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correct answer Facilitates expansion of the thorax
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The nurse notes that a postsurgical client has a heart rate of 130 beats per minute and a respiratory rate of 32
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breaths per minute. The nurse also assesses jaw muscle rigidity and rigidity of the limbs, abdomen, and chest.
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What does the nurse suspect and what intervention is indicated? - correct answer The nurse suspects
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malignant hyperthermia and should notify the surgeon/anesthesiologist immediately, prepare to administer
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,dantrolene sodium, and monitor vital signs frequently. The nurse will immediately administer dantrolene
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sodium ordered by the health care providers.e e e e e e




Through experience and knowledge, the nurse knows that the client will commonly experience the most
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severe postoperative pain at what time? - correct answer The first 12 to 36 hours after surgery
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Surgical procedures are classified in terms of seriousness, urgency, and purpose. The designation of a
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procedure as an "emergency surgical procedure" relates to which of the following categories? - correct
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answer Urgency e




The American Society of Anesthesiologists has assigned surgical classifications to clients based on what
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characteristic? - correct answer Physical status of the client e e e e e e e e




On admission to the ambulatory surgical unit the client tells the nurse, "I take naproxen for arthritic pain."
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Why should the nurse inform the surgeon of this? - correct answer NSAIDs inhibit platelet aggregation and
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may prolong bleeding time.
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While assessing a client after surgery, the nurse notes dull breath sounds and dyspnea. What are the most
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appropriate nursing interventions? - correct answer Encourage deep breathing and coughing exercises and
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increase mobility. Dull breath sounds and dyspnea may suggest atelectasis.
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Nursing has made significant contributions in what areas promoting positive client outcomes after surgery? -
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correct answer Demonstration of the benefits of preoperative education
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The nurse taking a medication history preoperatively asks the client about allergies. Which of the following is
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the most appropriate way of asking the client about this issue? - correct answer "Have you ever had a problem
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with a medication or substance?"
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Surgical procedure permitting, in what position should the client be placed during the immediately
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postanesthetic stage of recovery? - correct answer Side-lying, face down e e e e e e e e e




The nurse conducts a partial or complete physical examination depending on the amount of time available.
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The nursing assessment should complement the physical examinations performed by the surgeon and
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anesthetist or anesthesiologist. Which of the following assessments should the nurse perform immediately
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, in the postanesthesia stage? - correct answer Airway, level of consciousness, cardiovascular status, and
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safety



Encouraging the client to perform coughing exercises every 2 hours while awake is an appropriate measure
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for the majority of postsurgical clients. After what surgical procedures may coughing exercises be
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contraindicated? - correct answer Eye, intracranial, and spinal e e e e e e e




conscious sedation - correct answer Administration of central nervous system depressant drugs and/or
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analgesics to supplement topical, local, or regional anesthesia during surgical or diagnostic procedures.
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convalescence - correct answer Period of recovery after an illness, injury, or surgery.
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dermatome - correct answer Area on the surface of a body innervated by afferent fibers from one spinal root.
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latex sensitivity - correct answer An allergy to latex and products containing latex.
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moribund - correct answer Near death or in the process of dying.
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perioperative nursing - correct answer Refers to the role of the operating room nurse during the
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preoperative, intraoperative, and postoperative phases of surgery. e e e e e e




postanesthesia recovery score (PARS) - correct answer Score that measures various criteria, including oxygen
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saturation, level of consciousness, circulation, activity, and respiration.
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postanesthesia recovery score for ambulatory patients (PARSAP) - correct answer Score that includes five
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more areas of assessment than the PARS; includes the condition of the dressing, the intensity and location of
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pain, the ability to stand and ambulate, tolerance of oral fluids and/or food, and the ability to urinate
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spontaneously.



preoperative teaching - correct answer Ensured by knowledge pertaining to adult learning principles,
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coupled with the client's unique needs.
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