1.The client went to the OR with the consent signed for "Laparoscopic +/-
Open appendectomy ". When reading a PACU report, states the client had
a laparoscopic appendectomy procedure. Which of the following can you
anticipate?
Select 2 That applies.
a. Multiple, small incisions on the abdomen
b. One large incision on the RUQ
c. Most likely will be discharged in under 48 hours
d. Will have to stay on the unit for at least one week post-op
2. A 70-year-old male client is waiting for a colorectal surgery. The client
has a history of hypertension, diabetes, and severe obstructive sleep
apnea. As the post-anesthetic critical unit 'ACU) nurse, you are most
concerned about the and anticipates.
a. Blood pressure, Need IV fluids
b. Blood sugar, Give insulin
c. Blood sugar, Obtain blood glucose values
d. Obstructive sleep apnea, Increased time in PACU
3. During a pre-operative assessment, the nurse asks a patient what
medications he is currently taking. Why is it important to have this
information documented?
a. These medications may alter the patient's perception of the surgery
b.Anesthetics alter renal and hepatic function, causing toxicity to other
drugs
c. It ensures the appropriate medications are reordered on discharge
,d. Medications may cause interactions with, and/or alter the effect of the
anesthetics
4. A patient is concerned about the pain that is likely to occur after surgery.
Which of the following are appropriate responses by the nurse? (Select
Two That Apply).
a. Hopefully you will not be too uncomfortable
b. Be sure to let us know when you start feeling uncomfortable
c. We usually try to ensure your pain level is at 1 or 2, on a scale of 1-10,
with 10 being the worst pain
d. We will work with you to ensure optimal comfort
5. A postoperative patient has not voided for 7 hours after returning to the
surgical unit. What is the initial action for the nurse?
a.Call the physician
b. Palpate and percuss the bladder
c. Ambulate the patient to the bathroom
d. Check the post-operative orders for catheterization orders.
6. The nurse is caring for a patient who had a total knee arthroplasty with a
peripheral nerve block yesterday. Which assessment would be an expected
finding for a patient with this type of anesthesia?
a. Decreased pulse at the left posterior tibia
b. Increased sensation to the left leg
c. Decreased sensation to the left leg
d. Reports of 5/10 pain in the left knee
, 7. The nurse is starting her shift and walks into her client's room who is
post-op day 1 from his abdominal surgery. She has introduced herself and
correctly identified the client. The client is not wearing a gown and the
nurse notices bright-red drainage about 3cm in diameter on the dressing.
Which of the following actions should be implemented first?
a. Notify the physician of increased bleeding
b. Take the patient's vital signs
c. Reinforce the dressing
d. Recheck the dressing in one hour
8. A client with type two diabetes mellitus is admitted to the Day Surgery
Unit for her appendectomy. Which of the following statements would the
nurse follow up on?
a." checked my blood sugars two hours ago, and they were 6.5mmol/L"
b."I am constantly having 3/10 pain in the abdomen"
C. "I checked my blood sugars two hours ago, they were 4.1mmol/L"
D. "I have not had any food or fluid since yesterday 2350"
9. The nurse monitors a post-operative patient for accumulated oral
secretions. This finding can lead to which complication?
a. Pneumonia
b. Fluid imbalance
c. Pulmonary edema
d. Carbon dioxide retention
Open appendectomy ". When reading a PACU report, states the client had
a laparoscopic appendectomy procedure. Which of the following can you
anticipate?
Select 2 That applies.
a. Multiple, small incisions on the abdomen
b. One large incision on the RUQ
c. Most likely will be discharged in under 48 hours
d. Will have to stay on the unit for at least one week post-op
2. A 70-year-old male client is waiting for a colorectal surgery. The client
has a history of hypertension, diabetes, and severe obstructive sleep
apnea. As the post-anesthetic critical unit 'ACU) nurse, you are most
concerned about the and anticipates.
a. Blood pressure, Need IV fluids
b. Blood sugar, Give insulin
c. Blood sugar, Obtain blood glucose values
d. Obstructive sleep apnea, Increased time in PACU
3. During a pre-operative assessment, the nurse asks a patient what
medications he is currently taking. Why is it important to have this
information documented?
a. These medications may alter the patient's perception of the surgery
b.Anesthetics alter renal and hepatic function, causing toxicity to other
drugs
c. It ensures the appropriate medications are reordered on discharge
,d. Medications may cause interactions with, and/or alter the effect of the
anesthetics
4. A patient is concerned about the pain that is likely to occur after surgery.
Which of the following are appropriate responses by the nurse? (Select
Two That Apply).
a. Hopefully you will not be too uncomfortable
b. Be sure to let us know when you start feeling uncomfortable
c. We usually try to ensure your pain level is at 1 or 2, on a scale of 1-10,
with 10 being the worst pain
d. We will work with you to ensure optimal comfort
5. A postoperative patient has not voided for 7 hours after returning to the
surgical unit. What is the initial action for the nurse?
a.Call the physician
b. Palpate and percuss the bladder
c. Ambulate the patient to the bathroom
d. Check the post-operative orders for catheterization orders.
6. The nurse is caring for a patient who had a total knee arthroplasty with a
peripheral nerve block yesterday. Which assessment would be an expected
finding for a patient with this type of anesthesia?
a. Decreased pulse at the left posterior tibia
b. Increased sensation to the left leg
c. Decreased sensation to the left leg
d. Reports of 5/10 pain in the left knee
, 7. The nurse is starting her shift and walks into her client's room who is
post-op day 1 from his abdominal surgery. She has introduced herself and
correctly identified the client. The client is not wearing a gown and the
nurse notices bright-red drainage about 3cm in diameter on the dressing.
Which of the following actions should be implemented first?
a. Notify the physician of increased bleeding
b. Take the patient's vital signs
c. Reinforce the dressing
d. Recheck the dressing in one hour
8. A client with type two diabetes mellitus is admitted to the Day Surgery
Unit for her appendectomy. Which of the following statements would the
nurse follow up on?
a." checked my blood sugars two hours ago, and they were 6.5mmol/L"
b."I am constantly having 3/10 pain in the abdomen"
C. "I checked my blood sugars two hours ago, they were 4.1mmol/L"
D. "I have not had any food or fluid since yesterday 2350"
9. The nurse monitors a post-operative patient for accumulated oral
secretions. This finding can lead to which complication?
a. Pneumonia
b. Fluid imbalance
c. Pulmonary edema
d. Carbon dioxide retention
