Med/Surg Week 5/Exam 2 Practice Questions
And Answers
A client just returned to the surgical unit after a gastric bypass.
What action by the nurse is the priority?
a. Assess the client's pain.
b. Check the surgical incision.
c. Ensure an adequate airway.
d. Program the morphine pump. -
correct answer ✅c. Ensure an adequate airway.
ANS: C
All actions are appropriate care measures for this client; however,
airway is always the priority. Bariatric clients tend to have short,
thick necks that complicate airway management.
A morbidly obese client is admitted to a community hospital that
does not typically care for bariatric-sized clients. What action by the
nurse is most appropriate?
a. Assess the client's readiness to make lifestyle changes.
b. Ensure adequate staff when moving the client.
c. Leave siderails down to prevent pressure ulcers.
d. Reinforce the need to be sensitive to the client. -
correct answer ✅b. Ensure adequate staff when moving the client.
,Med/Surg Week 5/Exam 2 Practice Questions
And Answers
Many hospitals that see bariatric-sized clients have appropriate
equipment for this population. A hospital that does not typically
see these clients is less likely to have appropriate equipment,
putting staff and client safety at risk. The nurse ensures enough
staffing is available to help with all aspects of mobility. It may or
may not be appropriate to assess the client's willingness to make
lifestyle changes. Leaving the siderails down may present a safety
hazard. The staff should be sensitive to this client's situation, but
safety takes priority.
A client is in the bariatric clinic 1 month after having gastric bypass
surgery. The client is crying and says "I didn't know it would be this
hard to live like this." What response by the nurse is best?
a. Assess the client's coping and support systems.
b. Inform the client that things will get easier.
c. Re-educate the client on needed dietary changes.
d. Tell the client lifestyle changes are always hard. -
correct answer ✅a. Assess the client's coping and support
systems.
,Med/Surg Week 5/Exam 2 Practice Questions
And Answers
The nurse should assess this client's coping styles and support
systems in order to provide holistic care. The other options do not
address the client's distress.
A client is awaiting bariatric surgery in the morning. What action by
the nurse is most important?
a. Answering questions the client has about surgery
b. Beginning venous thromboembolism prophylaxis
c. Informing the client that he or she will be out of bed tomorrow
d. Teaching the client about needed dietary changes -
correct answer ✅b. Beginning venous thromboembolism
prophylaxis
Morbidly obese clients are at high risk of venous thromboembolism
and should be started on a regimen to prevent this from occurring
as a priority. Answering questions about the surgery is done by the
surgeon. Teaching is important, but safety comes first.
Considerations After
Bariatric Surgery -
correct answer ✅Airway management
Patient and staff safety (special equipment, etc.)
, Med/Surg Week 5/Exam 2 Practice Questions
And Answers
Pressure between skinfolds
Reintroduction of nutrition
The nurse is instructing a group of overweight clients on the
complications of obesity that develop when weight is not controlled
through diet and exercise. Which lifestyle changes does the nurse
emphasize? (Select all that apply.) -
correct answer ✅Consume a diet that is moderate in salt and
sugar and low in fats and cholesterol."
"Eat a variety of foods, especially grain products, vegetables, and
fruits."
"Engage in moderate physical activity for at least 30 minutes each
day."
"Foods eaten away from home tend to be higher in fat, cholesterol,
and salt and lower in calcium than foods prepared at home.
A client is receiving bolus feedings through a Dobhoff tube. What
action by the nurse is most important?
a. Auscultate lung sounds after each feeding.
b. Check tube placement before each feeding.
c. Check tube placement every 8 hours.
And Answers
A client just returned to the surgical unit after a gastric bypass.
What action by the nurse is the priority?
a. Assess the client's pain.
b. Check the surgical incision.
c. Ensure an adequate airway.
d. Program the morphine pump. -
correct answer ✅c. Ensure an adequate airway.
ANS: C
All actions are appropriate care measures for this client; however,
airway is always the priority. Bariatric clients tend to have short,
thick necks that complicate airway management.
A morbidly obese client is admitted to a community hospital that
does not typically care for bariatric-sized clients. What action by the
nurse is most appropriate?
a. Assess the client's readiness to make lifestyle changes.
b. Ensure adequate staff when moving the client.
c. Leave siderails down to prevent pressure ulcers.
d. Reinforce the need to be sensitive to the client. -
correct answer ✅b. Ensure adequate staff when moving the client.
,Med/Surg Week 5/Exam 2 Practice Questions
And Answers
Many hospitals that see bariatric-sized clients have appropriate
equipment for this population. A hospital that does not typically
see these clients is less likely to have appropriate equipment,
putting staff and client safety at risk. The nurse ensures enough
staffing is available to help with all aspects of mobility. It may or
may not be appropriate to assess the client's willingness to make
lifestyle changes. Leaving the siderails down may present a safety
hazard. The staff should be sensitive to this client's situation, but
safety takes priority.
A client is in the bariatric clinic 1 month after having gastric bypass
surgery. The client is crying and says "I didn't know it would be this
hard to live like this." What response by the nurse is best?
a. Assess the client's coping and support systems.
b. Inform the client that things will get easier.
c. Re-educate the client on needed dietary changes.
d. Tell the client lifestyle changes are always hard. -
correct answer ✅a. Assess the client's coping and support
systems.
,Med/Surg Week 5/Exam 2 Practice Questions
And Answers
The nurse should assess this client's coping styles and support
systems in order to provide holistic care. The other options do not
address the client's distress.
A client is awaiting bariatric surgery in the morning. What action by
the nurse is most important?
a. Answering questions the client has about surgery
b. Beginning venous thromboembolism prophylaxis
c. Informing the client that he or she will be out of bed tomorrow
d. Teaching the client about needed dietary changes -
correct answer ✅b. Beginning venous thromboembolism
prophylaxis
Morbidly obese clients are at high risk of venous thromboembolism
and should be started on a regimen to prevent this from occurring
as a priority. Answering questions about the surgery is done by the
surgeon. Teaching is important, but safety comes first.
Considerations After
Bariatric Surgery -
correct answer ✅Airway management
Patient and staff safety (special equipment, etc.)
, Med/Surg Week 5/Exam 2 Practice Questions
And Answers
Pressure between skinfolds
Reintroduction of nutrition
The nurse is instructing a group of overweight clients on the
complications of obesity that develop when weight is not controlled
through diet and exercise. Which lifestyle changes does the nurse
emphasize? (Select all that apply.) -
correct answer ✅Consume a diet that is moderate in salt and
sugar and low in fats and cholesterol."
"Eat a variety of foods, especially grain products, vegetables, and
fruits."
"Engage in moderate physical activity for at least 30 minutes each
day."
"Foods eaten away from home tend to be higher in fat, cholesterol,
and salt and lower in calcium than foods prepared at home.
A client is receiving bolus feedings through a Dobhoff tube. What
action by the nurse is most important?
a. Auscultate lung sounds after each feeding.
b. Check tube placement before each feeding.
c. Check tube placement every 8 hours.
