NUR 305 Exam 1 Questions With Correct
Answers
Which |of |the |following |patients |undergoing |surgery |are |considered |to |be |at |high |risk |for |
venous |thromboembolism |(VTE)? |Select |all |that |apply. |
A. |Patient |who |underwent |a |prolonged |surgical |procedure
B. |Morbidly |obese |patient
C. |Patient |with |a |humerus |fracture
D. |Wheelchair |bound |patient
E. |Patient |with |severe |heart |failure |- |CORRECT |ANSWER✔✔-A, |B, |D, |E
The |Surgical |Care |Improvement |Project |(SCIP) |goals |focus |on |which |of |the |following? |Select |all
|that |apply. |
A. |Thromboembolism
B. |Serious |cardiac |events
C. |Stroke
D. |Hemorrhage
E. |Infection |- |CORRECT |ANSWER✔✔-A, |B, |E
The |preoperative |assessment |revealed |that |the |patient's |HR |is |115. |The |surgeon |ordered |a |
beta-blocker. |Which |of |the |following |is |a |correct |rationale |for |this |prescription?
A. |A |rapid |heart |rate |requires |more |effort |by |the |heart.
B. |The |patient |may |have |an |undiagnosed |heart |condition
C. |Anesthesia |has |bad |effects |if |the |patients |is |tachycardic
D. |When |the |heart |rate |goes |up, |the |blood |pressure |does |too |- |CORRECT |ANSWER✔✔-A
,Which |of |the |following |are |correct |examples |of |different |types |of |surgery? |Select |all |that |
apply. |
A. |Hemicolectomy: |diagnostic
B. |Liver |biopsy: |diagnostic
C. |Mastectomy: |restorative
D. |Total |shoulder |replacement: |restorative
E. |Decompression |craniotomy: |palliative |- |CORRECT |ANSWER✔✔-B, |D, |E
Which |of |the |following |preoperative |lab |values |must |be |reported |immediately |to |the |surgeon?
A. |Hgb |14.8mg/dL |(148 |mmol/L)
B. |Na |134 |mEq/L
C. |Creatinine |1.2 |mg/dL
D. |K |2.9 |mEq/L |- |CORRECT |ANSWER✔✔-D
The |preoperative |assessment |revealed |that |the |patient |has |brittle |nails |and |hair, |dry |skin |
turgor, |and |muscle |wasting. |What |is |the |best |nurse's |action?
A. |Document |the |findings |thoroughly |in |the |chart
B. |Consult |the |surgeon |about |a |postoperative |dietitian |referral
C. |Refer |the |patient |to |Meals |on |Wheels |after |discharge
D. |Encourage |the |patient |to |eat |more |after |recovering |from |surgery |- |CORRECT |ANSWER✔✔-A
The |PACU |nurse |is |assessing |a |postsurgical |patient. |The |patient |had |abdominal |surgery |the |
previous |day |and |has |a |nasogastric |tube. |Put |in |order |the |correct |sequence |for |performing |an |
accurate |assessment |of |the |abdomen. |
A. |Gently |palpate |the |abdomen
B. |Ask |the |patient |whether |they |have |passed |any |flatus
,C. |Observe |for |abdominal |distention. |
D. |Turn |off |suction |to |the |nasogastric |tube. |
E. |Auscultate |for |bowel |sounds |in |all |four |quadrants. |- |CORRECT |ANSWER✔✔-D, |C, |E, |A, |B
The |postoperative |assessment |revealed |that |the |patient |has |respiratory |depression |after |
receiving |morphine |for |pain. |Which |medication |does |the |nurse |prepare |to |administer? |
A. |Vitamin |K
B. |Naloxone
C. |Flumazenil
D. |Protamine |Sulfate |- |CORRECT |ANSWER✔✔-B
A |postoperative |patient |has |the |following |orders:
IV |LR |@ |125 |ml/hr
NG |to |Low |cont |suction
Replace |NG |output |every |4hrs |with |NS |over |4hrs
Morphine |sulfate |2mg |IV |push |Q1 |PRN
NPO
Up |in |chair |at |night
At |1600 |te=he |nurse |measures |NG |output |from |1200 |to |be |200ml. |What |is |the |patient's |total |
IV |rate |for |the |next |4 |hrs? |- |CORRECT |ANSWER✔✔-175 |ml/hr
A |nurse |student |is |changing |the |dressing |and |performing |care |around |a |T-tube |drain. |Which |of
|the |following |actions |by |the |student |should |warrant |intervention |by |the |clinical |instructor?
A. |Cleaning |around |the |drain |per |agency |protocol
B. |Using |sterile |technique |to |empty |the |drain
C. |Placing |a |new |sterile |gauze |under |the |drain
, D. |Securing |the |drain's |safety |pin |to |the |sheets. |- |CORRECT |ANSWER✔✔-D
A |postoperative |patient |is |not |comfortable |with |the |antiembolic |stockings |and |asks |the |nurse |
to |remove |them. |What |is |the |best |response |by |the |nurse?
A. |Let |me |call |the |surgeon |to |see |if |you |really |need |them
B. |To |prevent |blood |clots, |you |need |them |a |few |more |hours
C. |Okay, |we |can |remove |them |since |you |are |stable |now
D. |No, |you |have |to |use |those |for |24hrs |after |surgery |- |CORRECT |ANSWER✔✔-B
Which |of |the |following |assessment |findings |would |indicate |that |a |postoperative |patient |is |
meeting |the |PACU |discharge |criteria? |Select |all |that |apply. |
A. |Return |of |gag, |cough, |and |swallow |reflexes
B. |No |overt |bleeding
C. |Ability |to |move |2 |extremities |voluntarily
D. |Blood |pressure |within |30 |points |of |preanesthetic |level
E. |Oxygen |saturation |of |>95% |on |RA |- |CORRECT |ANSWER✔✔-A, |B, |E
The |PACU |nurse |notes |VS |on |the |following |postoperative |patients. |Which |of |the |following |
patients |should |the |nurse |assess |first?
A. |Pt |with |pulse |of |118 |bpm
B. |Pt |with |respiratory |rate |of |6 |breaths/min
C. |Pt |with |BP |of |100/50mmHg
D. |Pt |with |a |temperature |of |96F |(35.6C) |- |CORRECT |ANSWER✔✔-B
Which |of |the |following |assessment |findings |would |indicate |an |effect |of |hypothermia |in |an |
elderly |postoperative |patient?
A. |Hypotension
Answers
Which |of |the |following |patients |undergoing |surgery |are |considered |to |be |at |high |risk |for |
venous |thromboembolism |(VTE)? |Select |all |that |apply. |
A. |Patient |who |underwent |a |prolonged |surgical |procedure
B. |Morbidly |obese |patient
C. |Patient |with |a |humerus |fracture
D. |Wheelchair |bound |patient
E. |Patient |with |severe |heart |failure |- |CORRECT |ANSWER✔✔-A, |B, |D, |E
The |Surgical |Care |Improvement |Project |(SCIP) |goals |focus |on |which |of |the |following? |Select |all
|that |apply. |
A. |Thromboembolism
B. |Serious |cardiac |events
C. |Stroke
D. |Hemorrhage
E. |Infection |- |CORRECT |ANSWER✔✔-A, |B, |E
The |preoperative |assessment |revealed |that |the |patient's |HR |is |115. |The |surgeon |ordered |a |
beta-blocker. |Which |of |the |following |is |a |correct |rationale |for |this |prescription?
A. |A |rapid |heart |rate |requires |more |effort |by |the |heart.
B. |The |patient |may |have |an |undiagnosed |heart |condition
C. |Anesthesia |has |bad |effects |if |the |patients |is |tachycardic
D. |When |the |heart |rate |goes |up, |the |blood |pressure |does |too |- |CORRECT |ANSWER✔✔-A
,Which |of |the |following |are |correct |examples |of |different |types |of |surgery? |Select |all |that |
apply. |
A. |Hemicolectomy: |diagnostic
B. |Liver |biopsy: |diagnostic
C. |Mastectomy: |restorative
D. |Total |shoulder |replacement: |restorative
E. |Decompression |craniotomy: |palliative |- |CORRECT |ANSWER✔✔-B, |D, |E
Which |of |the |following |preoperative |lab |values |must |be |reported |immediately |to |the |surgeon?
A. |Hgb |14.8mg/dL |(148 |mmol/L)
B. |Na |134 |mEq/L
C. |Creatinine |1.2 |mg/dL
D. |K |2.9 |mEq/L |- |CORRECT |ANSWER✔✔-D
The |preoperative |assessment |revealed |that |the |patient |has |brittle |nails |and |hair, |dry |skin |
turgor, |and |muscle |wasting. |What |is |the |best |nurse's |action?
A. |Document |the |findings |thoroughly |in |the |chart
B. |Consult |the |surgeon |about |a |postoperative |dietitian |referral
C. |Refer |the |patient |to |Meals |on |Wheels |after |discharge
D. |Encourage |the |patient |to |eat |more |after |recovering |from |surgery |- |CORRECT |ANSWER✔✔-A
The |PACU |nurse |is |assessing |a |postsurgical |patient. |The |patient |had |abdominal |surgery |the |
previous |day |and |has |a |nasogastric |tube. |Put |in |order |the |correct |sequence |for |performing |an |
accurate |assessment |of |the |abdomen. |
A. |Gently |palpate |the |abdomen
B. |Ask |the |patient |whether |they |have |passed |any |flatus
,C. |Observe |for |abdominal |distention. |
D. |Turn |off |suction |to |the |nasogastric |tube. |
E. |Auscultate |for |bowel |sounds |in |all |four |quadrants. |- |CORRECT |ANSWER✔✔-D, |C, |E, |A, |B
The |postoperative |assessment |revealed |that |the |patient |has |respiratory |depression |after |
receiving |morphine |for |pain. |Which |medication |does |the |nurse |prepare |to |administer? |
A. |Vitamin |K
B. |Naloxone
C. |Flumazenil
D. |Protamine |Sulfate |- |CORRECT |ANSWER✔✔-B
A |postoperative |patient |has |the |following |orders:
IV |LR |@ |125 |ml/hr
NG |to |Low |cont |suction
Replace |NG |output |every |4hrs |with |NS |over |4hrs
Morphine |sulfate |2mg |IV |push |Q1 |PRN
NPO
Up |in |chair |at |night
At |1600 |te=he |nurse |measures |NG |output |from |1200 |to |be |200ml. |What |is |the |patient's |total |
IV |rate |for |the |next |4 |hrs? |- |CORRECT |ANSWER✔✔-175 |ml/hr
A |nurse |student |is |changing |the |dressing |and |performing |care |around |a |T-tube |drain. |Which |of
|the |following |actions |by |the |student |should |warrant |intervention |by |the |clinical |instructor?
A. |Cleaning |around |the |drain |per |agency |protocol
B. |Using |sterile |technique |to |empty |the |drain
C. |Placing |a |new |sterile |gauze |under |the |drain
, D. |Securing |the |drain's |safety |pin |to |the |sheets. |- |CORRECT |ANSWER✔✔-D
A |postoperative |patient |is |not |comfortable |with |the |antiembolic |stockings |and |asks |the |nurse |
to |remove |them. |What |is |the |best |response |by |the |nurse?
A. |Let |me |call |the |surgeon |to |see |if |you |really |need |them
B. |To |prevent |blood |clots, |you |need |them |a |few |more |hours
C. |Okay, |we |can |remove |them |since |you |are |stable |now
D. |No, |you |have |to |use |those |for |24hrs |after |surgery |- |CORRECT |ANSWER✔✔-B
Which |of |the |following |assessment |findings |would |indicate |that |a |postoperative |patient |is |
meeting |the |PACU |discharge |criteria? |Select |all |that |apply. |
A. |Return |of |gag, |cough, |and |swallow |reflexes
B. |No |overt |bleeding
C. |Ability |to |move |2 |extremities |voluntarily
D. |Blood |pressure |within |30 |points |of |preanesthetic |level
E. |Oxygen |saturation |of |>95% |on |RA |- |CORRECT |ANSWER✔✔-A, |B, |E
The |PACU |nurse |notes |VS |on |the |following |postoperative |patients. |Which |of |the |following |
patients |should |the |nurse |assess |first?
A. |Pt |with |pulse |of |118 |bpm
B. |Pt |with |respiratory |rate |of |6 |breaths/min
C. |Pt |with |BP |of |100/50mmHg
D. |Pt |with |a |temperature |of |96F |(35.6C) |- |CORRECT |ANSWER✔✔-B
Which |of |the |following |assessment |findings |would |indicate |an |effect |of |hypothermia |in |an |
elderly |postoperative |patient?
A. |Hypotension
