,Table of Contents Xt Xt
Unit I Xt
Nursing Roles and Responsibilities Xt Xt Xt
Xt Unit II Xt
Psychosocial Aspects of Client Care Xt Xt Xt Xt
Unit III Concepts of Health and Illness
Xt Xt Xt Xt Xt Xt
Unit IV Common Medical-Surgical Problems
Xt Xt Xt
Unit V Xt
Caring for Clients with Respiratory Disorders
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Unit VI Xt
Caring for Clients with Cardiovascular Disorder
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s
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders
Xt X t Xt Xt Xt Xt Xt Xt Xt Xt
Unit VIII Caring for Clients with Immune Disorders
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Unit IX Xt
Caring for Clients with Neurologic Disorder Xt Xt Xt Xt Xt
s Unit X Caring for Clients with Sensory Problems
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Unit XI Xt
Caring for Clients with Gastrointestinal Problem Xt Xt Xt Xt Xt
s Unit XII Caring for Clients with Endocrine Problems
Xt Xt X t Xt Xt Xt Xt Xt
Unit XIII Disturbances of Sexual Structures or Reproductive Function
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Unit XIV Caring for Clients with Urinary and Renal Problems
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Unit XV Caring for Clients with Musculoskeletal Problems U
Xt X t Xt Xt Xt Xt Xt Xt
nit XVI Caring for Clients with Integumentary Problems App
Xt Xt Xt Xt Xt Xt Xt Xt
endix: Answers Xt
MULTIPLE CHOICE. Xt
Choose the one alternative that best completes the stateme Xt Xt Xt Xt Xt Xt Xt Xt
nt or answers the question.
Xt Xt Xt Xt
1) The nurse is assisting a postoperative client in using an incentive spirometer. Whi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ch of the following postoperative complications is this nurse attempting to avoid wi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
th this client? 1)
Xt Xt Xt Xt
A) Hemorrhage B) Pulmonary embolism Xt Xt Xt
C)Deep vein thrombosis D) Atelectasis
Xt Xt Xt Xt
2) A client who is recovering from abdominal surgery has a penrose drain. Which
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
of the following should the nurse include in the care of this client? 2)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) Make sure there is a safety pin on the end of the drain.
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B) Clean the wound with normal saline every two hours.
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C) Empty the drain every 30 minutes. Xt Xt Xt Xt Xt
,D) Remove the drain four hours postoperatively.
Xt Xt Xt Xt Xt
3) A client is in the recovery room. Which of the following members of the healthca
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
re team should the nurse contact regarding the client's level of pain control? 3)
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A) The surgeon B) The anesthesiologist
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C)The scrub nurse D) The circulating nurse
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4) During the assessment of a postoperative client's bowel sounds, the nurse auscult
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ates high- Xt
pitched sounds over all four abdominal quadrants. The nurse realizes this finding co
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uld indicate: 4)
Xt Xt Xt
A) Normal bowel function. B) The onset of stool.
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C)The onset of flatus. D) Paralytic ileus.
Xt Xt Xt Xt Xt Xt
5) A client is being transferred from the operating room to the recovery room. T
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he nurse in the recovery room will be providing which phase of nursing care?
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5)
A) Intraoperative B) Preoperative Xt Xt
C)Restorative D) Postoperative
Xt Xt Xt
6) A client is being scheduled for surgery. Which of the following should be includ
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ed in the preoperative teaching provided by the nurse? 6)
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A) The credentials of the anesthesiologist
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B) Information concerning the surgical procedure which will be performed by t
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he surgeon
Xt
C) Cost of the procedure
Xt Xt Xt
D) Planned length of stay at the hospitalXt Xt Xt Xt Xt Xt
7) A client is being positioned for a hip replacement procedure. In which of t
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he following positions will this client most likely be placed? 7)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) Dorsal recumbent B) Lateral chest
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C)Semi-sitting D) Prone
Xt Xt Xt
8) A postoperative client tells the nurse, "A book I read said that I should not eat af
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ter surgery for at least a week." Which of the following statements would be an a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ppropriate nursing response? 8) Xt Xt Xt Xt
A) "You don't need any food to heal anyway."
Xt Xt Xt Xt Xt Xt Xt
B) "That's true." Xt
C) "That's not true. You could get an infection in your stomach."
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
, D) "I'll be giving you intravenous feedings anyway."
Xt Xt Xt Xt Xt Xt
9) An elderly postoperative client is given an antiemetic for nausea. Which of th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e following signs would indicate this client is experiencing a possible reaction to
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
the medication? 9)
Xt Xt Xt Xt
A) Dry mouth Xt
B) Involuntary muscle movements Xt Xt
C)Breakthrough vomiting D)Co
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nfusion
10) A client is signing a surgical consent. Afterwards, the nurse also signs the for
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m. What is the meaning of the nursing signature? 10)
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A) It means the client was alert and aware of what was being signed.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
B) It means there is a likelihood of a successful outcome.
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C) It means the client understood the procedure as described by the nurse.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
D) It means the surgeon was too busy to wait for the client to sign the form.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
11) A client's endotracheal tube is being removed after the surgical procedure. T
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he intra- Xt
operative nurse realizes this client is in which phase of the general anesthesia pr
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ocess? 11) Xt Xt
A) Induction B) Maintenance Xt Xt
C)Reduction D) Emergenc
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e
12) An elderly client is being prepared for orthopedic surgery. The nurse realizes th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
is client is at risk for which of the following? 12)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) Prolonged effects of anesthesia because of herbal supplementXt Xt Xt Xt Xt Xt Xt
s B)Decreased tolerance of general anesthesia
Xt Xt Xt Xt Xt
C) Increased hypotensive effects of anesthesia Xt Xt Xt Xt
D) Wound dehiscence Xt
13) The client who is preparing for surgery asks the nurse to keep their glasses a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
nd hearing aid in-
Xt Xt Xt
place until they are under anesthesia. Which of the following statements by the
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nurse demonstrates accurate, therapeutic communication? 13)
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A) "I will contact the surgery department to discuss you requests
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." B)"Certainly, you can keep them for that time."
Xt Xt Xt Xt Xt Xt Xt Xt
C) "You cannot keep those in." Xt Xt Xt Xt
D) "The policies in the surgery unit will not allow it."
Xt Xt Xt Xt Xt Xt Xt Xt Xt
Unit I Xt
Nursing Roles and Responsibilities Xt Xt Xt
Xt Unit II Xt
Psychosocial Aspects of Client Care Xt Xt Xt Xt
Unit III Concepts of Health and Illness
Xt Xt Xt Xt Xt Xt
Unit IV Common Medical-Surgical Problems
Xt Xt Xt
Unit V Xt
Caring for Clients with Respiratory Disorders
Xt Xt Xt Xt Xt Xt
Unit VI Xt
Caring for Clients with Cardiovascular Disorder
Xt Xt Xt Xt Xt
s
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders
Xt X t Xt Xt Xt Xt Xt Xt Xt Xt
Unit VIII Caring for Clients with Immune Disorders
Xt Xt Xt Xt Xt Xt Xt
Unit IX Xt
Caring for Clients with Neurologic Disorder Xt Xt Xt Xt Xt
s Unit X Caring for Clients with Sensory Problems
Xt Xt Xt Xt Xt Xt Xt
Unit XI Xt
Caring for Clients with Gastrointestinal Problem Xt Xt Xt Xt Xt
s Unit XII Caring for Clients with Endocrine Problems
Xt Xt X t Xt Xt Xt Xt Xt
Unit XIII Disturbances of Sexual Structures or Reproductive Function
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Unit XIV Caring for Clients with Urinary and Renal Problems
Xt Xt Xt Xt Xt Xt Xt Xt Xt
Unit XV Caring for Clients with Musculoskeletal Problems U
Xt X t Xt Xt Xt Xt Xt Xt
nit XVI Caring for Clients with Integumentary Problems App
Xt Xt Xt Xt Xt Xt Xt Xt
endix: Answers Xt
MULTIPLE CHOICE. Xt
Choose the one alternative that best completes the stateme Xt Xt Xt Xt Xt Xt Xt Xt
nt or answers the question.
Xt Xt Xt Xt
1) The nurse is assisting a postoperative client in using an incentive spirometer. Whi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ch of the following postoperative complications is this nurse attempting to avoid wi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
th this client? 1)
Xt Xt Xt Xt
A) Hemorrhage B) Pulmonary embolism Xt Xt Xt
C)Deep vein thrombosis D) Atelectasis
Xt Xt Xt Xt
2) A client who is recovering from abdominal surgery has a penrose drain. Which
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
of the following should the nurse include in the care of this client? 2)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) Make sure there is a safety pin on the end of the drain.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
B) Clean the wound with normal saline every two hours.
Xt Xt Xt Xt Xt Xt Xt Xt
C) Empty the drain every 30 minutes. Xt Xt Xt Xt Xt
,D) Remove the drain four hours postoperatively.
Xt Xt Xt Xt Xt
3) A client is in the recovery room. Which of the following members of the healthca
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
re team should the nurse contact regarding the client's level of pain control? 3)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) The surgeon B) The anesthesiologist
Xt Xt Xt Xt
C)The scrub nurse D) The circulating nurse
Xt Xt Xt Xt Xt Xt
4) During the assessment of a postoperative client's bowel sounds, the nurse auscult
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ates high- Xt
pitched sounds over all four abdominal quadrants. The nurse realizes this finding co
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
uld indicate: 4)
Xt Xt Xt
A) Normal bowel function. B) The onset of stool.
Xt Xt Xt Xt Xt Xt Xt
C)The onset of flatus. D) Paralytic ileus.
Xt Xt Xt Xt Xt Xt
5) A client is being transferred from the operating room to the recovery room. T
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he nurse in the recovery room will be providing which phase of nursing care?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
5)
A) Intraoperative B) Preoperative Xt Xt
C)Restorative D) Postoperative
Xt Xt Xt
6) A client is being scheduled for surgery. Which of the following should be includ
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ed in the preoperative teaching provided by the nurse? 6)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) The credentials of the anesthesiologist
Xt Xt Xt Xt
B) Information concerning the surgical procedure which will be performed by t
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he surgeon
Xt
C) Cost of the procedure
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D) Planned length of stay at the hospitalXt Xt Xt Xt Xt Xt
7) A client is being positioned for a hip replacement procedure. In which of t
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he following positions will this client most likely be placed? 7)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) Dorsal recumbent B) Lateral chest
Xt Xt Xt Xt
C)Semi-sitting D) Prone
Xt Xt Xt
8) A postoperative client tells the nurse, "A book I read said that I should not eat af
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ter surgery for at least a week." Which of the following statements would be an a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ppropriate nursing response? 8) Xt Xt Xt Xt
A) "You don't need any food to heal anyway."
Xt Xt Xt Xt Xt Xt Xt
B) "That's true." Xt
C) "That's not true. You could get an infection in your stomach."
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
, D) "I'll be giving you intravenous feedings anyway."
Xt Xt Xt Xt Xt Xt
9) An elderly postoperative client is given an antiemetic for nausea. Which of th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e following signs would indicate this client is experiencing a possible reaction to
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
the medication? 9)
Xt Xt Xt Xt
A) Dry mouth Xt
B) Involuntary muscle movements Xt Xt
C)Breakthrough vomiting D)Co
Xt Xt Xt
nfusion
10) A client is signing a surgical consent. Afterwards, the nurse also signs the for
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
m. What is the meaning of the nursing signature? 10)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) It means the client was alert and aware of what was being signed.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
B) It means there is a likelihood of a successful outcome.
Xt Xt Xt Xt Xt Xt Xt Xt Xt
C) It means the client understood the procedure as described by the nurse.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
D) It means the surgeon was too busy to wait for the client to sign the form.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
11) A client's endotracheal tube is being removed after the surgical procedure. T
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he intra- Xt
operative nurse realizes this client is in which phase of the general anesthesia pr
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ocess? 11) Xt Xt
A) Induction B) Maintenance Xt Xt
C)Reduction D) Emergenc
Xt Xt Xt
e
12) An elderly client is being prepared for orthopedic surgery. The nurse realizes th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
is client is at risk for which of the following? 12)
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
A) Prolonged effects of anesthesia because of herbal supplementXt Xt Xt Xt Xt Xt Xt
s B)Decreased tolerance of general anesthesia
Xt Xt Xt Xt Xt
C) Increased hypotensive effects of anesthesia Xt Xt Xt Xt
D) Wound dehiscence Xt
13) The client who is preparing for surgery asks the nurse to keep their glasses a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
nd hearing aid in-
Xt Xt Xt
place until they are under anesthesia. Which of the following statements by the
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt X
nurse demonstrates accurate, therapeutic communication? 13)
t Xt Xt Xt Xt Xt
A) "I will contact the surgery department to discuss you requests
Xt Xt Xt Xt Xt Xt Xt Xt Xt
." B)"Certainly, you can keep them for that time."
Xt Xt Xt Xt Xt Xt Xt Xt
C) "You cannot keep those in." Xt Xt Xt Xt
D) "The policies in the surgery unit will not allow it."
Xt Xt Xt Xt Xt Xt Xt Xt Xt