|ACTUAL QUESTIONS AND VERIFIED
Question 1
A patient is being discharged, and the nurse is teaching the patient how to do daily
dressing changes at home. What is the most important point to include in the teaching
plan?
1. Discussion of surgical asepsis
2. Discussion of hand hygiene
3. Instruction in sterilization
4. Demonstration of gloving
CORRECT ANSWER
2. Discussion of hand hygiene
Question 2
The nurse is caring for a patient following a colon resection with a transverse colostomy.
The patient is experiencing pain at the operative site and surrounding tissues. To assist this
patient in the prevention of postoperative pulmonary complications, what interventions
will be most helpful preoperatively? (Select all that apply.)
1. Ask the surgeon to prescribe IPPB treatment.
2. Teach and observe the patient perform leg exercises.
3. Teach and observe the patient use an incentive spirometer correctly.
4. Tell the patient that lack of an effective cough may result in pulmonary complications.
5. Ask the patient to perform a return demonstration of controlled coughing.
1
,6. Assist the patient with splinting the incision during coughing and deep breathing.
7. Medicate the patient with pain medication at least 30 minutes before ambulation or
activity
CORRECT ANSWER
3. Teach and observe the patient use an incentive spirometer correctly.
5. Ask the patient to perform a return demonstration of controlled coughing.
Question 3
A patient underwent surgery for lysis of adhesions. He is transferred from the PACU to his
room on the surgical floor. During the immediate postoperative period on the surgical
floor, how often should the nurse measure blood pressure, pulse, and respirations?
1. Every 15 minutes
2. Every 5 minutes
3. Every 20 minutes
4. Every 30 minutes
CORRECT ANSWER
1. Every 15 minutes
Question 4
The nurse is assessing the bowel sounds of a patient who had a suprapubic prostatectomy
2 days ago. To confirm that no bowel sounds are present, the nurse would need to
auscultate each quadrant for how long?
1. 1 minute
2. 3 minutes
2
,3. 10 minutes
4. 15 minutes
CORRECT ANSWER
2. 3 minutes
Question 5
A patient is recovering from a right lobectomy. The nurse is going to assist in splinting the
patient's incision so that the patient can cough and breathe deeply. When should an
intramuscular analgesic be administered to achieve the most therapeutic effect?
1. After the procedure so the patient can rest
2. 15 minutes before the procedure
3. 1 hour before the procedure
4. 30 minutes before the procedure
CORRECT ANSWER
4. 30 minutes before the procedure
Question 6
A patient reports being allergic to penicillin. Which question would elicit the most useful
information?
1. "When did the reaction occur?"
2. "What infection did you have that required penicillin?"
3. "What type of allergic reaction did you have?"
4. "Did you notify your physician of the allergy?"
CORRECT ANSWER
3
, 3. "What type of allergic reaction did you have?"
Question 7
Which patient is at greatest risk for surgical and anesthetic complications?
1. A 3-year-old patient scheduled for hernia repair
2. An 80-year-old patient scheduled for exploratory laparotomy
3. An 18-year-old patient scheduled for an appendectomy
4. A 42-year-old patient scheduled for breast biopsy
CORRECT ANSWER
2. An 80-year-old patient scheduled for exploratory laparotomy
Question 8
An alert 75-year-old patient is to undergo elective surgery. Who must sign the operative
permit?
1. The patient
2. The patient and the patient's spouse
3. Either the patient or the patient's spouse
4. The patient and the surgeon
CORRECT ANSWER
1. The patient
Question 9
4
Question 1
A patient is being discharged, and the nurse is teaching the patient how to do daily
dressing changes at home. What is the most important point to include in the teaching
plan?
1. Discussion of surgical asepsis
2. Discussion of hand hygiene
3. Instruction in sterilization
4. Demonstration of gloving
CORRECT ANSWER
2. Discussion of hand hygiene
Question 2
The nurse is caring for a patient following a colon resection with a transverse colostomy.
The patient is experiencing pain at the operative site and surrounding tissues. To assist this
patient in the prevention of postoperative pulmonary complications, what interventions
will be most helpful preoperatively? (Select all that apply.)
1. Ask the surgeon to prescribe IPPB treatment.
2. Teach and observe the patient perform leg exercises.
3. Teach and observe the patient use an incentive spirometer correctly.
4. Tell the patient that lack of an effective cough may result in pulmonary complications.
5. Ask the patient to perform a return demonstration of controlled coughing.
1
,6. Assist the patient with splinting the incision during coughing and deep breathing.
7. Medicate the patient with pain medication at least 30 minutes before ambulation or
activity
CORRECT ANSWER
3. Teach and observe the patient use an incentive spirometer correctly.
5. Ask the patient to perform a return demonstration of controlled coughing.
Question 3
A patient underwent surgery for lysis of adhesions. He is transferred from the PACU to his
room on the surgical floor. During the immediate postoperative period on the surgical
floor, how often should the nurse measure blood pressure, pulse, and respirations?
1. Every 15 minutes
2. Every 5 minutes
3. Every 20 minutes
4. Every 30 minutes
CORRECT ANSWER
1. Every 15 minutes
Question 4
The nurse is assessing the bowel sounds of a patient who had a suprapubic prostatectomy
2 days ago. To confirm that no bowel sounds are present, the nurse would need to
auscultate each quadrant for how long?
1. 1 minute
2. 3 minutes
2
,3. 10 minutes
4. 15 minutes
CORRECT ANSWER
2. 3 minutes
Question 5
A patient is recovering from a right lobectomy. The nurse is going to assist in splinting the
patient's incision so that the patient can cough and breathe deeply. When should an
intramuscular analgesic be administered to achieve the most therapeutic effect?
1. After the procedure so the patient can rest
2. 15 minutes before the procedure
3. 1 hour before the procedure
4. 30 minutes before the procedure
CORRECT ANSWER
4. 30 minutes before the procedure
Question 6
A patient reports being allergic to penicillin. Which question would elicit the most useful
information?
1. "When did the reaction occur?"
2. "What infection did you have that required penicillin?"
3. "What type of allergic reaction did you have?"
4. "Did you notify your physician of the allergy?"
CORRECT ANSWER
3
, 3. "What type of allergic reaction did you have?"
Question 7
Which patient is at greatest risk for surgical and anesthetic complications?
1. A 3-year-old patient scheduled for hernia repair
2. An 80-year-old patient scheduled for exploratory laparotomy
3. An 18-year-old patient scheduled for an appendectomy
4. A 42-year-old patient scheduled for breast biopsy
CORRECT ANSWER
2. An 80-year-old patient scheduled for exploratory laparotomy
Question 8
An alert 75-year-old patient is to undergo elective surgery. Who must sign the operative
permit?
1. The patient
2. The patient and the patient's spouse
3. Either the patient or the patient's spouse
4. The patient and the surgeon
CORRECT ANSWER
1. The patient
Question 9
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