Nursing 121 Pre, Intra and Post Op || with Exact Answers.
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour
ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the
next hour?
1. Urinary output of 20 mL/hour
2. Temperature of 37.6° C (99.6° F)
3. Blood pressure of 100/70 mm Hg
4. Serous drainage on the surgical dressing correct answers 1. Urinary output of 20 mL/hour
A postoperative client asks the nurse why it is so important to deep-breathe and cough after
surgery. When formulating a response, the nurse incorporates the understanding that retained
pulmonary secretions in a postoperative client can lead to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism correct answers 1. Pneumonia
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should
include which activity in the nursing care plan for the client on the day of surgery?
1. Avoid oral hygiene and rinsing with mouthwash.
2. Verify that the client has not eaten for the last 24 hours.
3. Have the client void immediately before going into surgery.
4. Report immediately any slight increase in blood pressure or pulse. correct answers 3. Have the
client void immediately before going into surgery.
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by
the nurse is most likely to stimulate further discussion between the client and the nurse?
1. "If it's any help, everyone is nervous before surgery."
2. "I will be happy to explain the entire surgical procedure to you."
3. "Can you share with me what you've been told about your surgery?"
4. "Let me tell you about the care you'll receive after surgery and the amount of pain you can
anticipate." correct answers 3. "Can you share with me what you've been told about your
surgery?"
The nurse is conducting preoperative teaching with a client about the use of an incentive
spirometer. The nurse should include which piece of information in discussions with the client?
1. Inhale as rapidly as possible.
2. Keep a loose seal between the lips and the mouthpiece.
3. After maximum inspiration, hold the breath for 15 seconds and exhale.
4. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90
degrees. correct answers 4. The best results are achieved when sitting up or with the head of the
bed elevated 45 to 90 degrees.
, A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the
operative consent form because of sedation from opioid analgesics that have been administered.
The nurse should take which most appropriate action in the care of this client?
1. Obtain a court order for the surgery.
2. Have the charge nurse sign the informed consent immediately.
3. Send the client to surgery without the consent form being signed.
4. Obtain a telephone consent from a family member, following agency policy. correct answers
4. Obtain a telephone consent from a family member, following agency policy.
The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The
client has a history of arthritis and has been taking acetylsalicylic acid (aspirin). The nurse
determines that the client needs additional teaching if the client makes which statement?
1. "Aspirin can cause bleeding after surgery."
2. "Aspirin can cause my ability to clot blood to be abnormal."
3. "I need to continue to take the aspirin until the day of surgery."
4. "I need to check with my health care provider about the need to stop the aspirin before the
scheduled surgery." correct answers 3. "I need to continue to take the aspirin until the day of
surgery."
The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse
would be interpreted as a normal finding at the surgical site?
1. Red, hard skin
2. Serous drainage
3. Purulent drainage
4. Warm, tender skin correct answers 2. Serous drainage
The nurse is monitoring the status of a postoperative client. The nurse would become most
concerned with which sign that could indicate an evolving complication?
1. Increasing restlessness
2. A pulse of 86 beats/minute
3. Blood pressure of 110/70 mm Hg
4. Hypoactive bowel sounds in all four quadrants correct answers 1. Increasing restlessness
A client who has had abdominal surgery complains of feeling as though "something gave way"
in the incisional site. The nurse removes the dressing and notes the presence of a loop of bowel
protruding through the incision. Which nursing interventions should the nurse take? Select all
that apply.
1. Contact the surgeon.
2. Instruct the client to remain quiet.
3. Prepare the client for wound closure.
4. Document the findings and actions taken
5. Place a sterile saline dressing and ice packs over the wound.
6. Place the client in a supine position without a pillow under the head. correct answers 1.
Contact the surgeon.
2. Instruct the client to remain quiet.
3. Prepare the client for wound closure.
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour
ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the
next hour?
1. Urinary output of 20 mL/hour
2. Temperature of 37.6° C (99.6° F)
3. Blood pressure of 100/70 mm Hg
4. Serous drainage on the surgical dressing correct answers 1. Urinary output of 20 mL/hour
A postoperative client asks the nurse why it is so important to deep-breathe and cough after
surgery. When formulating a response, the nurse incorporates the understanding that retained
pulmonary secretions in a postoperative client can lead to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism correct answers 1. Pneumonia
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should
include which activity in the nursing care plan for the client on the day of surgery?
1. Avoid oral hygiene and rinsing with mouthwash.
2. Verify that the client has not eaten for the last 24 hours.
3. Have the client void immediately before going into surgery.
4. Report immediately any slight increase in blood pressure or pulse. correct answers 3. Have the
client void immediately before going into surgery.
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by
the nurse is most likely to stimulate further discussion between the client and the nurse?
1. "If it's any help, everyone is nervous before surgery."
2. "I will be happy to explain the entire surgical procedure to you."
3. "Can you share with me what you've been told about your surgery?"
4. "Let me tell you about the care you'll receive after surgery and the amount of pain you can
anticipate." correct answers 3. "Can you share with me what you've been told about your
surgery?"
The nurse is conducting preoperative teaching with a client about the use of an incentive
spirometer. The nurse should include which piece of information in discussions with the client?
1. Inhale as rapidly as possible.
2. Keep a loose seal between the lips and the mouthpiece.
3. After maximum inspiration, hold the breath for 15 seconds and exhale.
4. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90
degrees. correct answers 4. The best results are achieved when sitting up or with the head of the
bed elevated 45 to 90 degrees.
, A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the
operative consent form because of sedation from opioid analgesics that have been administered.
The nurse should take which most appropriate action in the care of this client?
1. Obtain a court order for the surgery.
2. Have the charge nurse sign the informed consent immediately.
3. Send the client to surgery without the consent form being signed.
4. Obtain a telephone consent from a family member, following agency policy. correct answers
4. Obtain a telephone consent from a family member, following agency policy.
The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The
client has a history of arthritis and has been taking acetylsalicylic acid (aspirin). The nurse
determines that the client needs additional teaching if the client makes which statement?
1. "Aspirin can cause bleeding after surgery."
2. "Aspirin can cause my ability to clot blood to be abnormal."
3. "I need to continue to take the aspirin until the day of surgery."
4. "I need to check with my health care provider about the need to stop the aspirin before the
scheduled surgery." correct answers 3. "I need to continue to take the aspirin until the day of
surgery."
The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse
would be interpreted as a normal finding at the surgical site?
1. Red, hard skin
2. Serous drainage
3. Purulent drainage
4. Warm, tender skin correct answers 2. Serous drainage
The nurse is monitoring the status of a postoperative client. The nurse would become most
concerned with which sign that could indicate an evolving complication?
1. Increasing restlessness
2. A pulse of 86 beats/minute
3. Blood pressure of 110/70 mm Hg
4. Hypoactive bowel sounds in all four quadrants correct answers 1. Increasing restlessness
A client who has had abdominal surgery complains of feeling as though "something gave way"
in the incisional site. The nurse removes the dressing and notes the presence of a loop of bowel
protruding through the incision. Which nursing interventions should the nurse take? Select all
that apply.
1. Contact the surgeon.
2. Instruct the client to remain quiet.
3. Prepare the client for wound closure.
4. Document the findings and actions taken
5. Place a sterile saline dressing and ice packs over the wound.
6. Place the client in a supine position without a pillow under the head. correct answers 1.
Contact the surgeon.
2. Instruct the client to remain quiet.
3. Prepare the client for wound closure.
