Nurse 3661 Exam 1 Bonus Questions With Complete
Solutions
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? Correct Answers Intubating
A 59-year-old male patient is scheduled for a
hemorrhoidectomy. The OR nurse should anticipate
assisting the other team members with positioning the patient in
what manner? Correct Answers Lithotomy position
A 68-year-old patient is scheduled for a bilateral mastectomy.
The OR nurse has come out to the holding
area to meet the patient and quickly realizes that the patient is
profoundly anxious. What is the most
appropriate intervention for the nurse to apply? Correct
Answers Clearly explain any information that the patient seeks.
A 77-year-old mans coronary artery bypass graft has been
successful and discharge planning is
underway. When planning the patients subsequent care, the
nurse should know that the postoperative
phase of perioperative nursing ends at what time? Correct
Answers When a follow-up evaluation in the clinical or home
setting is done
,A 90-year-old female patient is scheduled to undergo a partial
mastectomy for the treatment of breast
cancer. What nursing diagnosis should the nurse prioritize when
planning this patients postoperative
care? Correct Answers Risk for Infection related to reduced
immune function
A circulating nurse provides care in a surgical department that
has multiple surgeries scheduled for the
day. The nurse should know to monitor which patient most
closely during the intraoperative period
because of the increased risk for hypothermia? Correct Answers
A 74-year-old woman with a low body mass index
A clinic nurse is conducting a preoperative interview with an
adult patient who will soon be scheduled to
undergo cardiac surgery. What interview question most directly
addresses the patients safety? Correct Answers What
prescription and nonprescription medications do you currently
take?
A nurse is caring for a patient following knee surgery that was
performed under a spinal anesthetic.
What intervention should the nurse implement to prevent a
spinal headache? Correct Answers Keep the patient positioned
supine.
A nurse is providing preoperative teaching to a patient who will
soon undergo a cardiac bypass. The
nurses teaching plan includes exercises of the extremities. What
is the purpose of teaching a patient leg
, exercises prior to surgery? Correct Answers Leg exercises
improve circulation and prevent venous thrombosis.
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? Correct Answers Notify the physician and
continue to monitor the hourly urine output closely.
A patient is admitted to the ED complaining of severe
abdominal pain, stating that he has been vomiting
coffee-ground like emesis. The patient is diagnosed with a
perforated gastric ulcer and is informed that
he needs surgery. When can the patient most likely anticipate
that the surgery will be scheduled? Correct Answers Without
delay because the bleed is emergent
A patient is on call to the OR for an aortobifemoral bypass and
the nurse administers the ordered
preoperative medication. After administering a preoperative
medication to the patient, what should the
nurse do? Correct Answers Place the bed in a low position with
the side rails up.
A patient is scheduled for a bowel resection in the morning and
the patients orders include a cleansing
enema tonight. The patient wants to know why this is necessary.
The nurse should explain that the
cleansing enema will have what therapeutic effect? Correct
Answers Preventing potential contamination of the peritoneum
Solutions
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? Correct Answers Intubating
A 59-year-old male patient is scheduled for a
hemorrhoidectomy. The OR nurse should anticipate
assisting the other team members with positioning the patient in
what manner? Correct Answers Lithotomy position
A 68-year-old patient is scheduled for a bilateral mastectomy.
The OR nurse has come out to the holding
area to meet the patient and quickly realizes that the patient is
profoundly anxious. What is the most
appropriate intervention for the nurse to apply? Correct
Answers Clearly explain any information that the patient seeks.
A 77-year-old mans coronary artery bypass graft has been
successful and discharge planning is
underway. When planning the patients subsequent care, the
nurse should know that the postoperative
phase of perioperative nursing ends at what time? Correct
Answers When a follow-up evaluation in the clinical or home
setting is done
,A 90-year-old female patient is scheduled to undergo a partial
mastectomy for the treatment of breast
cancer. What nursing diagnosis should the nurse prioritize when
planning this patients postoperative
care? Correct Answers Risk for Infection related to reduced
immune function
A circulating nurse provides care in a surgical department that
has multiple surgeries scheduled for the
day. The nurse should know to monitor which patient most
closely during the intraoperative period
because of the increased risk for hypothermia? Correct Answers
A 74-year-old woman with a low body mass index
A clinic nurse is conducting a preoperative interview with an
adult patient who will soon be scheduled to
undergo cardiac surgery. What interview question most directly
addresses the patients safety? Correct Answers What
prescription and nonprescription medications do you currently
take?
A nurse is caring for a patient following knee surgery that was
performed under a spinal anesthetic.
What intervention should the nurse implement to prevent a
spinal headache? Correct Answers Keep the patient positioned
supine.
A nurse is providing preoperative teaching to a patient who will
soon undergo a cardiac bypass. The
nurses teaching plan includes exercises of the extremities. What
is the purpose of teaching a patient leg
, exercises prior to surgery? Correct Answers Leg exercises
improve circulation and prevent venous thrombosis.
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? Correct Answers Notify the physician and
continue to monitor the hourly urine output closely.
A patient is admitted to the ED complaining of severe
abdominal pain, stating that he has been vomiting
coffee-ground like emesis. The patient is diagnosed with a
perforated gastric ulcer and is informed that
he needs surgery. When can the patient most likely anticipate
that the surgery will be scheduled? Correct Answers Without
delay because the bleed is emergent
A patient is on call to the OR for an aortobifemoral bypass and
the nurse administers the ordered
preoperative medication. After administering a preoperative
medication to the patient, what should the
nurse do? Correct Answers Place the bed in a low position with
the side rails up.
A patient is scheduled for a bowel resection in the morning and
the patients orders include a cleansing
enema tonight. The patient wants to know why this is necessary.
The nurse should explain that the
cleansing enema will have what therapeutic effect? Correct
Answers Preventing potential contamination of the peritoneum
