PREBOARDS NP3 Exam A+ Pass
1. When Nurse Jane is admitting a client for surgery, which question is most useful in
determining the client's current nutritional status?
A. "How is your appetite usually?"
B. "What did you eat and drink yesterday?"
C. "Have you noticed any weight loss recently?"
D. "Who does most of your shopping and cooking?" - Answer- B. "What did you eat and
drink yesterday?"
2. A client complains of severe pain 2 days after surgery. Which initial action should
Nurse Jane take after assessing the character of the pain?
A. have the client rest
B. take the client's vital signs
C. administer the prn analgesic
D. document the client's complaint - Answer- B. take the client's vital signs
3. A client who is scheduled for a Billroth II procedure asks the nurse to explain what will
be done during the surgery. Which response should the nurse make?
A. "The surgeon will explain the procedure to you since the doctor is responsible for
obtaining consent."
B. "Your stomach is completely removed and the esophagus is connected to the small
intestine."
C. "The bottom part of the stomach is removed and the remainder is attached to the
small intestine."
D. "The nerves that go to your stomach are cut and a larger opening is made for
stomach emptying." - Answer- C. "The bottom part of the stomach is removed and the
remainder is attached to the small intestine."
4. On the first postoperative day after an open Billroth II procedure a client develops
hiccups, 6 on a scale of 10 epigastric pain, and a drop in blood pressure. The nurse's
initial actions should be to:
A. assess the amount of drainage from the nasogastric (NG) tube.
B. notify the client's physician.
C. assess the abdominal dressing.
D. administer the ordered Morphine Sulfate 4 mg IV. - Answer- A. assess the amount of
drainage from the nasogastric (NG) tube.
5. As a Surgical Nurse management of Peri-operative clients demand the use of
knowledge, judgement and skills based on the principles of surgical nursing practice.
,Which information obtained in the postoperative assessment of a 32-year-old client with
Peritonitis will be of most concern to the nurse?
A. Bowel sounds are decreased in all four quadrants.
B. Drainage from wound drains is purulent.
C. Oxygen saturation is 90%.
D. Pain level is 6 on a scale of 10. - Answer- C. Oxygen saturation is 90%.
Situation: The postoperative care continues after the patient's condition stabilized as
well as after the patient is discharged from surgery facility. It is necessary for recovery
room nurses to continue evaluating the patient's condition to anticipate and treat
complications.
6. On the first postoperative day after an abdomino-perineal resection, the surgical
nurse notes that there is a large quantity of serous drainage on the client's perineal
dressing. The nurse will:
A. reinforce or change the dressing.
B. notify the physician immediately.
C. irrigate the wound drain.
D. culture the drainage. - Answer- A. reinforce or change the dressing.
7. When developing the postoperative plan of care for a client who has had a
Cystectomy and creation of a neobladder, which action is appropriate to include?
A. Assess the stoma every hour for the first 24 hours after surgery.
B. Call the surgeon if the urine appears cloudy or has clots.
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
D. Change the ostomy bag when it is one-half full of urine. - Answer- C. Irrigate the
urethral catheter with saline every 2 to 4 hours.
8. Which information about a client on the first postoperative day after a total vaginal
hysterectomy is most important to communicate to the physician?
A. The client has hypotonic bowel sounds.
B. The client complains of incisional pain with coughing rated at 8 on a scale of 10.
C. The client's sanitary pad needs to be changed every hour.
D. The client's temperature is 100.3 degrees F. - Answer- C. The client's sanitary pad
needs to be changed every hour.
9. Mrs. Cambay 47 year old is being admitted for elective surgery. The client has a
history of diabetes and hypertension. She uses alternative therapies to assist in keeping
her diabetes and hypertension under control like taking black tea as an adjunct therapy.
The Physician is requesting her to stop ingesting black tea in preparation for surgery.
What should the nurse expect to see with the discontinuation of the black tea?
, A. Increased blood pressure
B. Increased urine output
C. Increased blood sugar
D. Increased heart rate - Answer- C. Increased blood sugar
10. On the first postoperative day after Mrs. Cambay has had an open cholecystectomy,
the nurse notes crackles at both lung bases, a temperature of 100" F, and complains of
severe abdominal pain. Which action should the nurse take first?
A. Have the patient ambulate in the room.
B. Ask the client to deep breathe and cough.
C. Administer the ordered morphine sulfate
D. Give the prn acetaminophen (Tylenol). - Answer- C. Administer the ordered morphine
sulfate
Situation: The patient's readiness for surgery is critical to the outcome. Preoperative
care focuses on preparing the patient for surgery, interventions needed and responding
to potential anxiety.
11. The nurse in the ambulatory Preoperative unit identifies that a client is more anxious
than most clients. The nurse's best intervention is to:
A. attempt to identify the client's concerns
B. report the client's anxiety to the surgeon
C. reassure the client that the surgery is routine
D. provide privacy by pulling the curtain around the client - Answer- A. attempt to
identify the client's concerns
12. Which is an independent nursing measure that would be helpful in preventing the
accumulation of secretions in a client who had general anesthesia during surgery?
A. postural drainage
B. cupping the chest
C. nasotracheal suctioning
D. frequent changes of position - Answer- D. frequent changes of position
13. What is the priority nursing intervention for a client during the immediate
postoperative period?
A. observe for hemorrhage
B. maintaining a patent airway
C. recording the intake and output
D. checking the vital signs every 15 minutes - Answer- B. maintaining a patent airway
1. When Nurse Jane is admitting a client for surgery, which question is most useful in
determining the client's current nutritional status?
A. "How is your appetite usually?"
B. "What did you eat and drink yesterday?"
C. "Have you noticed any weight loss recently?"
D. "Who does most of your shopping and cooking?" - Answer- B. "What did you eat and
drink yesterday?"
2. A client complains of severe pain 2 days after surgery. Which initial action should
Nurse Jane take after assessing the character of the pain?
A. have the client rest
B. take the client's vital signs
C. administer the prn analgesic
D. document the client's complaint - Answer- B. take the client's vital signs
3. A client who is scheduled for a Billroth II procedure asks the nurse to explain what will
be done during the surgery. Which response should the nurse make?
A. "The surgeon will explain the procedure to you since the doctor is responsible for
obtaining consent."
B. "Your stomach is completely removed and the esophagus is connected to the small
intestine."
C. "The bottom part of the stomach is removed and the remainder is attached to the
small intestine."
D. "The nerves that go to your stomach are cut and a larger opening is made for
stomach emptying." - Answer- C. "The bottom part of the stomach is removed and the
remainder is attached to the small intestine."
4. On the first postoperative day after an open Billroth II procedure a client develops
hiccups, 6 on a scale of 10 epigastric pain, and a drop in blood pressure. The nurse's
initial actions should be to:
A. assess the amount of drainage from the nasogastric (NG) tube.
B. notify the client's physician.
C. assess the abdominal dressing.
D. administer the ordered Morphine Sulfate 4 mg IV. - Answer- A. assess the amount of
drainage from the nasogastric (NG) tube.
5. As a Surgical Nurse management of Peri-operative clients demand the use of
knowledge, judgement and skills based on the principles of surgical nursing practice.
,Which information obtained in the postoperative assessment of a 32-year-old client with
Peritonitis will be of most concern to the nurse?
A. Bowel sounds are decreased in all four quadrants.
B. Drainage from wound drains is purulent.
C. Oxygen saturation is 90%.
D. Pain level is 6 on a scale of 10. - Answer- C. Oxygen saturation is 90%.
Situation: The postoperative care continues after the patient's condition stabilized as
well as after the patient is discharged from surgery facility. It is necessary for recovery
room nurses to continue evaluating the patient's condition to anticipate and treat
complications.
6. On the first postoperative day after an abdomino-perineal resection, the surgical
nurse notes that there is a large quantity of serous drainage on the client's perineal
dressing. The nurse will:
A. reinforce or change the dressing.
B. notify the physician immediately.
C. irrigate the wound drain.
D. culture the drainage. - Answer- A. reinforce or change the dressing.
7. When developing the postoperative plan of care for a client who has had a
Cystectomy and creation of a neobladder, which action is appropriate to include?
A. Assess the stoma every hour for the first 24 hours after surgery.
B. Call the surgeon if the urine appears cloudy or has clots.
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
D. Change the ostomy bag when it is one-half full of urine. - Answer- C. Irrigate the
urethral catheter with saline every 2 to 4 hours.
8. Which information about a client on the first postoperative day after a total vaginal
hysterectomy is most important to communicate to the physician?
A. The client has hypotonic bowel sounds.
B. The client complains of incisional pain with coughing rated at 8 on a scale of 10.
C. The client's sanitary pad needs to be changed every hour.
D. The client's temperature is 100.3 degrees F. - Answer- C. The client's sanitary pad
needs to be changed every hour.
9. Mrs. Cambay 47 year old is being admitted for elective surgery. The client has a
history of diabetes and hypertension. She uses alternative therapies to assist in keeping
her diabetes and hypertension under control like taking black tea as an adjunct therapy.
The Physician is requesting her to stop ingesting black tea in preparation for surgery.
What should the nurse expect to see with the discontinuation of the black tea?
, A. Increased blood pressure
B. Increased urine output
C. Increased blood sugar
D. Increased heart rate - Answer- C. Increased blood sugar
10. On the first postoperative day after Mrs. Cambay has had an open cholecystectomy,
the nurse notes crackles at both lung bases, a temperature of 100" F, and complains of
severe abdominal pain. Which action should the nurse take first?
A. Have the patient ambulate in the room.
B. Ask the client to deep breathe and cough.
C. Administer the ordered morphine sulfate
D. Give the prn acetaminophen (Tylenol). - Answer- C. Administer the ordered morphine
sulfate
Situation: The patient's readiness for surgery is critical to the outcome. Preoperative
care focuses on preparing the patient for surgery, interventions needed and responding
to potential anxiety.
11. The nurse in the ambulatory Preoperative unit identifies that a client is more anxious
than most clients. The nurse's best intervention is to:
A. attempt to identify the client's concerns
B. report the client's anxiety to the surgeon
C. reassure the client that the surgery is routine
D. provide privacy by pulling the curtain around the client - Answer- A. attempt to
identify the client's concerns
12. Which is an independent nursing measure that would be helpful in preventing the
accumulation of secretions in a client who had general anesthesia during surgery?
A. postural drainage
B. cupping the chest
C. nasotracheal suctioning
D. frequent changes of position - Answer- D. frequent changes of position
13. What is the priority nursing intervention for a client during the immediate
postoperative period?
A. observe for hemorrhage
B. maintaining a patent airway
C. recording the intake and output
D. checking the vital signs every 15 minutes - Answer- B. maintaining a patent airway
