2025/2026 Test Bank for Leading and Managing in
Nursing, 8th Edition (Yoder-Wise, 2023) Chapter 1-25 |
All Chapters(VERIFIED ANSWERS) GRADED A+
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?
A) Within 24 hours
B) Within the next week
C) Without delay because the bleed is emergent
D) As soon as all the days elective surgeries have been completed -
ANSWER -Ans: C
Feedback:
Emergency surgeries are unplanned and occur with little time for
preparation for the patient or the
perioperative team. An active bleed is considered an emergency, and
the patient requires immediate
attention because the disorder may be life threatening. The surgery
would not likely be deferred until
after elective surgeries have been completed.
pg. 1
,The nurse is performing a preoperative assessment on a patient going
to surgery. The patient informs the
nurse that he drinks approximately two bottles of wine each day and
has for the last several years. What
postoperative difficulties can the nurse anticipate for this patient?
A) Alcohol withdrawal syndrome immediately following surgery
B) Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink
C) Alcohol withdrawal syndrome upon administration of general
anesthesia
D) Alcohol withdrawal syndrome 1 week after his last alcohol drink -
ANSWER -Ans: B
Feedback:
Alcohol withdrawal syndrome may be anticipated between 48 and 96
hours after alcohol withdrawal and
is associated with a significant mortality rate when it occurs
postoperatively.
In anticipation of a patients scheduled surgery, the nurse is teaching her
to perform deep breathing and
coughing to use postoperatively. What action should the nurse teach
the patient?
A) The patient should take three deep breaths and cough hard three
times, at least every 15 minutes for
the immediately postoperative period.
pg. 2
,B) The patient should take three deep breaths and exhale forcefully and
then take a quick short breath
and cough from deep in the lungs.
C) The patient should take a deep breath in through the mouth and
exhale through the mouth, take a
short breath, and cough from deep in the lungs.
D) The patient should rapidly inhale, hold for 30 seconds or as long as
possible, and exhale slowly. - ANSWER -Ans: C
Feedback:
The patient assumes a sitting position to enhance lung expansion. The
nurse then demonstrates how to
take a deep, slow breath and how to exhale slowly. After practicing
deep breathing several times, the
patient is instructed to breathe deeply, exhale through the mouth, take
a short breath, and cough from
deep in the lungs.
The nurse is preparing a patient for surgery prior to her hysterectomy
without oophorectomy. The nurse
is witnessing the patients signature on a consent form. Which comment
by the patient would best
indicate informed consent?
A) I know Ill be fine because the physician said he has done this
procedure hundreds of times.
pg. 3
, B) I know Ill have pain after the surgery but theyll do their best to keep
it to a minimum.
C) The physician is going to remove my uterus and told me about the
risk of bleeding.
D) Because the physician isnt taking my ovaries, Ill still be able to have
children. - ANSWER -Ans: C
Feedback:
The surgeon must inform the patient of the benefits, alternatives,
possible risks, complications,
disfigurement, disability, and removal of body parts as well as what to
expect in the early and late
postoperative periods. The nurse clarifies the information provided,
and, if the patient requests additional
information, the nurse notifies the physician. In the correct response,
the patient is able to tell the nurse
what will occur during the procedure and the associated risks. This
indicates the patient has a sufficient
understanding of the procedure to provide informed consent.
Clarification of information given may be
necessary, but no additional information should be given. The other
listed statements do not reflect an
understanding of the surgery to be performed.
The nurse is planning patient teaching for a patient who is scheduled for
an open hemicolectomy. The
pg. 4
Nursing, 8th Edition (Yoder-Wise, 2023) Chapter 1-25 |
All Chapters(VERIFIED ANSWERS) GRADED A+
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?
A) Within 24 hours
B) Within the next week
C) Without delay because the bleed is emergent
D) As soon as all the days elective surgeries have been completed -
ANSWER -Ans: C
Feedback:
Emergency surgeries are unplanned and occur with little time for
preparation for the patient or the
perioperative team. An active bleed is considered an emergency, and
the patient requires immediate
attention because the disorder may be life threatening. The surgery
would not likely be deferred until
after elective surgeries have been completed.
pg. 1
,The nurse is performing a preoperative assessment on a patient going
to surgery. The patient informs the
nurse that he drinks approximately two bottles of wine each day and
has for the last several years. What
postoperative difficulties can the nurse anticipate for this patient?
A) Alcohol withdrawal syndrome immediately following surgery
B) Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink
C) Alcohol withdrawal syndrome upon administration of general
anesthesia
D) Alcohol withdrawal syndrome 1 week after his last alcohol drink -
ANSWER -Ans: B
Feedback:
Alcohol withdrawal syndrome may be anticipated between 48 and 96
hours after alcohol withdrawal and
is associated with a significant mortality rate when it occurs
postoperatively.
In anticipation of a patients scheduled surgery, the nurse is teaching her
to perform deep breathing and
coughing to use postoperatively. What action should the nurse teach
the patient?
A) The patient should take three deep breaths and cough hard three
times, at least every 15 minutes for
the immediately postoperative period.
pg. 2
,B) The patient should take three deep breaths and exhale forcefully and
then take a quick short breath
and cough from deep in the lungs.
C) The patient should take a deep breath in through the mouth and
exhale through the mouth, take a
short breath, and cough from deep in the lungs.
D) The patient should rapidly inhale, hold for 30 seconds or as long as
possible, and exhale slowly. - ANSWER -Ans: C
Feedback:
The patient assumes a sitting position to enhance lung expansion. The
nurse then demonstrates how to
take a deep, slow breath and how to exhale slowly. After practicing
deep breathing several times, the
patient is instructed to breathe deeply, exhale through the mouth, take
a short breath, and cough from
deep in the lungs.
The nurse is preparing a patient for surgery prior to her hysterectomy
without oophorectomy. The nurse
is witnessing the patients signature on a consent form. Which comment
by the patient would best
indicate informed consent?
A) I know Ill be fine because the physician said he has done this
procedure hundreds of times.
pg. 3
, B) I know Ill have pain after the surgery but theyll do their best to keep
it to a minimum.
C) The physician is going to remove my uterus and told me about the
risk of bleeding.
D) Because the physician isnt taking my ovaries, Ill still be able to have
children. - ANSWER -Ans: C
Feedback:
The surgeon must inform the patient of the benefits, alternatives,
possible risks, complications,
disfigurement, disability, and removal of body parts as well as what to
expect in the early and late
postoperative periods. The nurse clarifies the information provided,
and, if the patient requests additional
information, the nurse notifies the physician. In the correct response,
the patient is able to tell the nurse
what will occur during the procedure and the associated risks. This
indicates the patient has a sufficient
understanding of the procedure to provide informed consent.
Clarification of information given may be
necessary, but no additional information should be given. The other
listed statements do not reflect an
understanding of the surgery to be performed.
The nurse is planning patient teaching for a patient who is scheduled for
an open hemicolectomy. The
pg. 4
