Page 1 of 25
Postoperative Care & Management unit within the
Medical-Surgical Nursing curriculum
Download Now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
Highly Detailed Multi-System
, Page 2 of 25
1. Intraoperative Metrics & Triage
The postanesthetic recovery unit nurse is receiving a hand-off report from the
nurse anesthetist and the circulating nurse for an 82-year-old client who had a
2-hour open reduction of a fractured elbow. For which reported information
about the client or surgery does the receiving nurse ask the reporting team for
more details?
A. The client is Jewish.
B. The estimated blood loss is 150 mL.
C. The client reported an allergy to codeine.
D. The total intraoperative urine output is 25 mL.
D
Rationale: The total intraoperative urine output is very low. Information regarding the
client's total intake, kidney function, and fluid status is needed.
A postoperative client's arterial blood gas (ABG) values are pH 7.36, HCO3 21
mEq/L, Paco2 35 mm Hg, Pao2 98 mm Hg. What is the nurse's priority action?
A. Compare these values with the client's preoperative ABG values.
B. Assess the airway and notify the physician.
C. Document the values as the only action.
D. Increase the oxygen flow rate.
C
Rationale: All of these ABG results are within the normal range and indicate
, Page 3 of 25
adequacy of ventilation, gas exchange, and kidney function. Documentation is the
only action that needs to be taken.
The client who had neck surgery to remove the entire thyroid gland is
transferred to the medical-surgical unit after 4 hours in the PACU. The client
reports difficulty swallowing. What is the nurse's priority action?
A. Assess the client's respiratory status.
B. Inspect the client's throat with a penlight.
C. Adjust the position of the drain in the incision.
D. Reassure the client that this is a normal and common problem after
anesthesia.
A
Rationale: Most clients have a sore throat for the first 12 to 24 hours after intubation
during surgery, and this is made worse when the client tries to swallow. However, it
is important for the nurse to differentiate soreness from true difficulty swallowing.
Surgery in the neck area can cause swelling that reduces the lumen of the throat.
This can cause respiratory impairment and swallowing difficulties. The most
important action is to assess the airway and respiratory response to ensure that
breathing impairment is not accompanying a swallowing problem.
When changing the client's abdominal dressing on the second postoperative
day, the nurse observes crusting on about half of the suture line and oozing of
a small amount of serosanguineous drainage. What is the nurse's best action?
A. Loosen the sutures or staples in the area where crusts have formed.
B. Clean the suture line with sterile saline and apply new dressings.
C. Gently remove the crusts and culture the material beneath.
D. Apply pressure over the incision and notify the surgeon.
Postoperative Care & Management unit within the
Medical-Surgical Nursing curriculum
Download Now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
Highly Detailed Multi-System
, Page 2 of 25
1. Intraoperative Metrics & Triage
The postanesthetic recovery unit nurse is receiving a hand-off report from the
nurse anesthetist and the circulating nurse for an 82-year-old client who had a
2-hour open reduction of a fractured elbow. For which reported information
about the client or surgery does the receiving nurse ask the reporting team for
more details?
A. The client is Jewish.
B. The estimated blood loss is 150 mL.
C. The client reported an allergy to codeine.
D. The total intraoperative urine output is 25 mL.
D
Rationale: The total intraoperative urine output is very low. Information regarding the
client's total intake, kidney function, and fluid status is needed.
A postoperative client's arterial blood gas (ABG) values are pH 7.36, HCO3 21
mEq/L, Paco2 35 mm Hg, Pao2 98 mm Hg. What is the nurse's priority action?
A. Compare these values with the client's preoperative ABG values.
B. Assess the airway and notify the physician.
C. Document the values as the only action.
D. Increase the oxygen flow rate.
C
Rationale: All of these ABG results are within the normal range and indicate
, Page 3 of 25
adequacy of ventilation, gas exchange, and kidney function. Documentation is the
only action that needs to be taken.
The client who had neck surgery to remove the entire thyroid gland is
transferred to the medical-surgical unit after 4 hours in the PACU. The client
reports difficulty swallowing. What is the nurse's priority action?
A. Assess the client's respiratory status.
B. Inspect the client's throat with a penlight.
C. Adjust the position of the drain in the incision.
D. Reassure the client that this is a normal and common problem after
anesthesia.
A
Rationale: Most clients have a sore throat for the first 12 to 24 hours after intubation
during surgery, and this is made worse when the client tries to swallow. However, it
is important for the nurse to differentiate soreness from true difficulty swallowing.
Surgery in the neck area can cause swelling that reduces the lumen of the throat.
This can cause respiratory impairment and swallowing difficulties. The most
important action is to assess the airway and respiratory response to ensure that
breathing impairment is not accompanying a swallowing problem.
When changing the client's abdominal dressing on the second postoperative
day, the nurse observes crusting on about half of the suture line and oozing of
a small amount of serosanguineous drainage. What is the nurse's best action?
A. Loosen the sutures or staples in the area where crusts have formed.
B. Clean the suture line with sterile saline and apply new dressings.
C. Gently remove the crusts and culture the material beneath.
D. Apply pressure over the incision and notify the surgeon.
