2025 NRNP 6566 ADVANCED CARE OF ADULTS IN
ACUTE SETTINGS WEEK 7-11 KC QUIZZES / NRNP
6566 QUIZZES 2025 (NRNP 6566 WEEK 7 – WEEK
11 KNOWLEDGE QUIZZES) / MOST RECENT
The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a
procedure to be performed under general anesthetic. For which adverse effect should the nurse
most closely monitor the patient?
A) Hypothermia
B) Pulmonary edema
C) Cerebral ischemia
D) Arthriti - ANSWER-A) Hypothermia
The OR nurse acts in the circulating role during a patients scheduled cesarean section. For what task
is this nurse solely responsible?
A) Performing documentation
B) Estimating the patients blood loss
C) Setting up the sterile tables
D) Keeping track of drains and sponges - ANSWER-A) Performing documentation
A 21-year-old patient is positioned on the OR bed prior to knee surgery to correct a sports-related
injury. The anesthesiologist administers the appropriate anesthetic. The OR nurse should anticipate
which of the following events as the teams next step in the care of this patient?
A) Grounding
B) Making the first incision
C) Giving blood
D) Intubating - ANSWER-D) Intubating
An adult patient is in the recovery room following a nephrectomy performed for the treatment of
renal cell carcinoma. The patients vital signs and level of consciousness stabilized, but the patient
then complains of severe nausea and begins to retch. What should the nurse do next?
A) Administer a dose of IV analgesic
,B) Apply a cool cloth to the patients forehead.
C) Offer the patient a small amount of ice chips.
D) Turn the patient completely to one side - ANSWER-D) Turn the patient completely to one side
The perioperative nurse is preparing to discharge a female patient home from day surgery performed
under general anesthetic. What instruction should the nurse give the patient prior to the patient
leaving the hospital?
A) The patient should not drive herself home.
B) The patient should take an OTC sleeping pill for 2 nights.
C) The patient should attempt to eat a large meal at home to aid wound healing.
D) The patient should remain in bed for the first 48 hours postoperative. - ANSWER-A) The patient
should not drive herself home.
The nurse is caring for a 78-year-old man who has had an outpatient cholecystectomy. The nurse is
getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension
and consequent falls, what should the nurse have the patient do?
A) Sit in a chair for 10 minutes prior to ambulating.
B) Drink plenty of fluids to increase circulating blood volume.
C) Stand upright for 2 to 3 minutes prior to ambulating.
D) Perform range-of-motion exercises for each joint. - ANSWER-C) Stand upright for 2 to 3 minutes
prior to ambulating.
The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit
following a transurethral prostate resection (TUPR). The patient is reluctant to ambulate, citing the
need to recover in bed. For what complication is the patient most at risk?
A) Atelectasis
B) Anemia
C) Dehydration
D) Peripheral edema - ANSWER-A) Atelectasis
he nurse is caring for a patient on the medicalsurgical unit postoperative day 5. During each patient
assessment, the nurse evaluates the patient for infection. Which of the following would be most
indicative of infection?
A) Presence of an indwelling urinary catheter
, B) Rectal temperature of 99.5F (37.5C)
C) Red, warm, tender incision
D) White blood cell (WBC) count of 8,000/mL - ANSWER-C) Red, warm, tender incision
The nurse is preparing to change a patients abdominal dressing. The nurse recognizes the first step is
to provide the patient with information regarding the procedure. Which of the following
explanations should the nurse provide to the patient?
A) The dressing change is often painful, and we will be giving you pain medication prior to the
procedure so you do not have to worry.
B) During the dressing change, I will provide privacy at a time of your choosing, it should not be
painful, and you can look at the incision and help with the procedure if you want to.
C) The dressing change should not be painful, but you can never be sure, and infection is always a
concern.
D) The best time for doing a dressing change is during lunch so we are not interrupted. I will provide
privacy, and it should not be painful. - ANSWER-B) During the dressing change, I will provide
privacy at a time of your choosing, it should not be painful, and you can look at the incision and help
with the procedure if you want to.
A patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output recorded
for this patient was 10 mL. The tubing of the Foley is patent. What should the nurse do?
A) Irrigate the Foley with 30 mL normal saline.
B) Notify the physician and continue to monitor the hourly urine output closely.
C) Decrease the IV fluid rate and massage the patients abdomen.
D) Have the patient sit in high-Fowlers position - ANSWER-B) Notify the physician and continue to
monitor the hourly urine output closely.
The nurse is caring for a 79-year-old man who has returned to the postsurgical unit following
abdominal surgery. The patient is unable to ambulate and is now refusing to wear an external
pneumatic compression stocking. The nurse should explain that refusing to wear external pneumatic
compression stockings increases his risk of what postsurgical complication?
A) Sepsis
B) Infection
C) Pulmonary embolism
D) Hematoma - ANSWER-C) Pulmonary embolism
ACUTE SETTINGS WEEK 7-11 KC QUIZZES / NRNP
6566 QUIZZES 2025 (NRNP 6566 WEEK 7 – WEEK
11 KNOWLEDGE QUIZZES) / MOST RECENT
The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a
procedure to be performed under general anesthetic. For which adverse effect should the nurse
most closely monitor the patient?
A) Hypothermia
B) Pulmonary edema
C) Cerebral ischemia
D) Arthriti - ANSWER-A) Hypothermia
The OR nurse acts in the circulating role during a patients scheduled cesarean section. For what task
is this nurse solely responsible?
A) Performing documentation
B) Estimating the patients blood loss
C) Setting up the sterile tables
D) Keeping track of drains and sponges - ANSWER-A) Performing documentation
A 21-year-old patient is positioned on the OR bed prior to knee surgery to correct a sports-related
injury. The anesthesiologist administers the appropriate anesthetic. The OR nurse should anticipate
which of the following events as the teams next step in the care of this patient?
A) Grounding
B) Making the first incision
C) Giving blood
D) Intubating - ANSWER-D) Intubating
An adult patient is in the recovery room following a nephrectomy performed for the treatment of
renal cell carcinoma. The patients vital signs and level of consciousness stabilized, but the patient
then complains of severe nausea and begins to retch. What should the nurse do next?
A) Administer a dose of IV analgesic
,B) Apply a cool cloth to the patients forehead.
C) Offer the patient a small amount of ice chips.
D) Turn the patient completely to one side - ANSWER-D) Turn the patient completely to one side
The perioperative nurse is preparing to discharge a female patient home from day surgery performed
under general anesthetic. What instruction should the nurse give the patient prior to the patient
leaving the hospital?
A) The patient should not drive herself home.
B) The patient should take an OTC sleeping pill for 2 nights.
C) The patient should attempt to eat a large meal at home to aid wound healing.
D) The patient should remain in bed for the first 48 hours postoperative. - ANSWER-A) The patient
should not drive herself home.
The nurse is caring for a 78-year-old man who has had an outpatient cholecystectomy. The nurse is
getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension
and consequent falls, what should the nurse have the patient do?
A) Sit in a chair for 10 minutes prior to ambulating.
B) Drink plenty of fluids to increase circulating blood volume.
C) Stand upright for 2 to 3 minutes prior to ambulating.
D) Perform range-of-motion exercises for each joint. - ANSWER-C) Stand upright for 2 to 3 minutes
prior to ambulating.
The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit
following a transurethral prostate resection (TUPR). The patient is reluctant to ambulate, citing the
need to recover in bed. For what complication is the patient most at risk?
A) Atelectasis
B) Anemia
C) Dehydration
D) Peripheral edema - ANSWER-A) Atelectasis
he nurse is caring for a patient on the medicalsurgical unit postoperative day 5. During each patient
assessment, the nurse evaluates the patient for infection. Which of the following would be most
indicative of infection?
A) Presence of an indwelling urinary catheter
, B) Rectal temperature of 99.5F (37.5C)
C) Red, warm, tender incision
D) White blood cell (WBC) count of 8,000/mL - ANSWER-C) Red, warm, tender incision
The nurse is preparing to change a patients abdominal dressing. The nurse recognizes the first step is
to provide the patient with information regarding the procedure. Which of the following
explanations should the nurse provide to the patient?
A) The dressing change is often painful, and we will be giving you pain medication prior to the
procedure so you do not have to worry.
B) During the dressing change, I will provide privacy at a time of your choosing, it should not be
painful, and you can look at the incision and help with the procedure if you want to.
C) The dressing change should not be painful, but you can never be sure, and infection is always a
concern.
D) The best time for doing a dressing change is during lunch so we are not interrupted. I will provide
privacy, and it should not be painful. - ANSWER-B) During the dressing change, I will provide
privacy at a time of your choosing, it should not be painful, and you can look at the incision and help
with the procedure if you want to.
A patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output recorded
for this patient was 10 mL. The tubing of the Foley is patent. What should the nurse do?
A) Irrigate the Foley with 30 mL normal saline.
B) Notify the physician and continue to monitor the hourly urine output closely.
C) Decrease the IV fluid rate and massage the patients abdomen.
D) Have the patient sit in high-Fowlers position - ANSWER-B) Notify the physician and continue to
monitor the hourly urine output closely.
The nurse is caring for a 79-year-old man who has returned to the postsurgical unit following
abdominal surgery. The patient is unable to ambulate and is now refusing to wear an external
pneumatic compression stocking. The nurse should explain that refusing to wear external pneumatic
compression stockings increases his risk of what postsurgical complication?
A) Sepsis
B) Infection
C) Pulmonary embolism
D) Hematoma - ANSWER-C) Pulmonary embolism
