, Table Of
Content
UnituINursinguRolesuanduResponsibilitiesuUn
ituIIPsychosocialuAspectsuofuClientuCareuUnit
uIIIConceptsuofuHealthuanduIllness
Unit IV
UnituVCaringuforuClientsuwithuRespiratoryuDisordersuUni
tuVICaringuforuClientsuwithuCardiovascularuDisordersUnitu
VIIuCaringuforuClientsuwithuHematopoieticuanduLymphati
cuDisordersuUnituVIIIuCaringuforuClientsuwithuImmuneuDi
sordersUnituIXCaringuforuClientsuwithuNeurologicuDisord
ersuUnituXCaringuforuClientsuwithuSensoryuProblems
UnituXICaringuforuClientsuwithuGastrointestinaluProblemsu
UnituXIIuCaringuforuClientsuwithuEndocrineuProblems
UnituXIIIuDisturbancesuofuSexualuStructuresuoruReproductiveuFunctionu
UnituXIVuCaringuforuClientsuwithuUrinaryuanduRenaluProblems
UnituXVuCaringuforuClientsuwithuMusculoskeletaluProblem
suUnituXVIuCaringuforuClientsuwithuIntegumentaryuProble
msuAppendix:uAnswers
MULTIPLEuCHOICE.Chooseutheuoneualternativeuthatubestucompletesutheustatementu
oruanswersutheuquestion.
1) Theunurseuisuassistinguaupostoperativeuclientuinuusinguanuincentiveuspirometer.uWhi
chuofutheufollowingupostoperativeucomplicationsuisuthisunurseuattemptingutouavoiduwi
thuthisuclient?u1)u
A) HemorrhageuB)uPulmonaryuembolism
C)DeepuveinuthrombosisuD)uAtelectasis
2) Auclientuwhouisurecoveringufromuabdominalusurgeryuhasuaupenroseudrain.uWhich
uofutheufollowingushouldutheunurseuincludeuinutheucareuofuthisuclient?u2)u
A) Makeusureuthereuisuausafetyupinuonutheuenduofutheudrain.
B) Cleanutheuwounduwithunormalusalineueveryutwouhours.
C) Emptyutheudrainueveryu30uminutes.
D) Removeutheudrainufouruhoursupostoperatively.
3) Auclientuisuinutheurecoveryuroom.uWhichuofutheufollowingumembersuofutheuhealthc
areuteamushouldutheunurseucontacturegardingutheuclient'suleveluofupainucontrol?u3)u
A) TheusurgeonuB)uTheuanesthesiologist
C)TheuscrubunurseuD)uTheucirculatingunurse
,4) Duringutheuassessmentuofuaupostoperativeuclient'subowelusounds,utheunurseuauscult
atesuhigh-
pitchedusoundsuoveruallufouruabdominaluquadrants.uTheunurseurealizesuthisufindinguc
oulduindicate:u4)u
A) Normalubowelufunction.uB)uTheuonsetuofustool.
C)Theuonsetuofuflatus.uD)uParalyticuileus.
5) Auclientuisubeingutransferredufromutheuoperatinguroomutoutheurecoveryuroom.uT
heunurseuinutheurecoveryuroomuwillubeuprovidinguwhichuphaseuofunursingucare?u
5)
A) IntraoperativeuB)uPreoperativ
euC)RestorativeuD)uPostoperativ
e
6) Auclientuisubeinguscheduleduforusurgery.uWhichuofutheufollowingushouldubeuinclud
eduinutheupreoperativeuteachinguprovidedubyutheunurse?u6)u
A) Theucredentialsuofutheuanesthesiologist
B) Informationuconcerningutheusurgicaluprocedureuwhichuwillubeuperformedubyut
heusurgeon
C) Costuofutheuprocedure
D) Plannedulengthuofustayuatutheuhospital
7) Auclientuisubeingupositioneduforuauhipureplacementuprocedure.uInuwhichuofut
heufollowingupositionsuwilluthisuclientumostulikelyubeuplaced?u7)u
A) DorsalurecumbentuB)uLateraluches
tuC)Semi-sittinguD)uProne
8) Aupostoperativeuclientutellsutheunurse,u"AubookuIureadusaiduthatuIushouldunotueatua
fterusurgeryuforuatuleastuauweek."uWhichuofutheufollowingustatementsuwouldubeuanua
ppropriateunursinguresponse?u8)u
A) "Youudon'tuneeduanyufoodutouhealuanyway."
B) "That'sutrue."
C) "That'sunotutrue.uYouucouldugetuanuinfectionuinuyourustomach."
, D) "I'llubeugivinguyouuintravenousufeedingsuanyway."
9) Anuelderlyupostoperativeuclientuisugivenuanuantiemeticuforunausea.uWhichuofuth
eufollowingusignsuwoulduindicateuthisuclientuisuexperiencinguaupossibleureactionut
outheumedication?u9)u
A) Dryumouth
B) Involuntaryumuscleumovement
suC)BreakthroughuvomitinguD)C
onfusion
10) Auclientuisusigninguausurgicaluconsent.uAfterwards,utheunurseualsousignsutheufor
m.uWhatuisutheumeaninguofutheunursingusignature?u10)u
A) Itumeansutheuclientuwasualertuanduawareuofuwhatuwasubeingusigned.
B) Itumeansuthereuisuaulikelihooduofuausuccessfuluoutcome.
C) Itumeansutheuclientuunderstoodutheuprocedureuasudescribedubyutheunurse.
D) Itumeansutheusurgeonuwasutooubusyutouwaituforutheuclientutousignutheuform.
11) Auclient'suendotrachealutubeuisubeinguremoveduafterutheusurgicaluprocedure.uT
heuintra-
operativeunurseurealizesuthisuclientuisuinuwhichuphaseuofutheugeneraluanesthesiaupr
ocess?u11)u
A) InductionuB)uMaintenanc
euC)ReductionuD)uEmergen
ce
12) Anuelderlyuclientuisubeinguprepareduforuorthopedicusurgery.uTheunurseurealizesut
hisuclientuisuaturiskuforuwhichuofutheufollowing?u12)u
A) Prolongedueffectsuofuanesthesiaubecauseuofuherbalusupplemen
tsuB)Decreasedutoleranceuofugeneraluanesthesia
C) Increaseduhypotensiveueffectsuofuanesthesia
D) Woundudehiscence
13) Theuclientuwhouisupreparinguforusurgeryuasksutheunurseutoukeeputheiruglassesua
nduhearinguaiduin-
placeuuntilutheyuareuunderuanesthesia.uWhichuofutheufollowingustatementsubyuthe
unurseudemonstratesuaccurate,utherapeuticucommunication?u13)
A) "Iuwillucontactutheusurgeryudepartmentutoudiscussuyouurequests
."uB)"Certainly,uyouucanukeeputhemuforuthatutime."
C) "Youucannotukeeputhoseuin."
Content
UnituINursinguRolesuanduResponsibilitiesuUn
ituIIPsychosocialuAspectsuofuClientuCareuUnit
uIIIConceptsuofuHealthuanduIllness
Unit IV
UnituVCaringuforuClientsuwithuRespiratoryuDisordersuUni
tuVICaringuforuClientsuwithuCardiovascularuDisordersUnitu
VIIuCaringuforuClientsuwithuHematopoieticuanduLymphati
cuDisordersuUnituVIIIuCaringuforuClientsuwithuImmuneuDi
sordersUnituIXCaringuforuClientsuwithuNeurologicuDisord
ersuUnituXCaringuforuClientsuwithuSensoryuProblems
UnituXICaringuforuClientsuwithuGastrointestinaluProblemsu
UnituXIIuCaringuforuClientsuwithuEndocrineuProblems
UnituXIIIuDisturbancesuofuSexualuStructuresuoruReproductiveuFunctionu
UnituXIVuCaringuforuClientsuwithuUrinaryuanduRenaluProblems
UnituXVuCaringuforuClientsuwithuMusculoskeletaluProblem
suUnituXVIuCaringuforuClientsuwithuIntegumentaryuProble
msuAppendix:uAnswers
MULTIPLEuCHOICE.Chooseutheuoneualternativeuthatubestucompletesutheustatementu
oruanswersutheuquestion.
1) Theunurseuisuassistinguaupostoperativeuclientuinuusinguanuincentiveuspirometer.uWhi
chuofutheufollowingupostoperativeucomplicationsuisuthisunurseuattemptingutouavoiduwi
thuthisuclient?u1)u
A) HemorrhageuB)uPulmonaryuembolism
C)DeepuveinuthrombosisuD)uAtelectasis
2) Auclientuwhouisurecoveringufromuabdominalusurgeryuhasuaupenroseudrain.uWhich
uofutheufollowingushouldutheunurseuincludeuinutheucareuofuthisuclient?u2)u
A) Makeusureuthereuisuausafetyupinuonutheuenduofutheudrain.
B) Cleanutheuwounduwithunormalusalineueveryutwouhours.
C) Emptyutheudrainueveryu30uminutes.
D) Removeutheudrainufouruhoursupostoperatively.
3) Auclientuisuinutheurecoveryuroom.uWhichuofutheufollowingumembersuofutheuhealthc
areuteamushouldutheunurseucontacturegardingutheuclient'suleveluofupainucontrol?u3)u
A) TheusurgeonuB)uTheuanesthesiologist
C)TheuscrubunurseuD)uTheucirculatingunurse
,4) Duringutheuassessmentuofuaupostoperativeuclient'subowelusounds,utheunurseuauscult
atesuhigh-
pitchedusoundsuoveruallufouruabdominaluquadrants.uTheunurseurealizesuthisufindinguc
oulduindicate:u4)u
A) Normalubowelufunction.uB)uTheuonsetuofustool.
C)Theuonsetuofuflatus.uD)uParalyticuileus.
5) Auclientuisubeingutransferredufromutheuoperatinguroomutoutheurecoveryuroom.uT
heunurseuinutheurecoveryuroomuwillubeuprovidinguwhichuphaseuofunursingucare?u
5)
A) IntraoperativeuB)uPreoperativ
euC)RestorativeuD)uPostoperativ
e
6) Auclientuisubeinguscheduleduforusurgery.uWhichuofutheufollowingushouldubeuinclud
eduinutheupreoperativeuteachinguprovidedubyutheunurse?u6)u
A) Theucredentialsuofutheuanesthesiologist
B) Informationuconcerningutheusurgicaluprocedureuwhichuwillubeuperformedubyut
heusurgeon
C) Costuofutheuprocedure
D) Plannedulengthuofustayuatutheuhospital
7) Auclientuisubeingupositioneduforuauhipureplacementuprocedure.uInuwhichuofut
heufollowingupositionsuwilluthisuclientumostulikelyubeuplaced?u7)u
A) DorsalurecumbentuB)uLateraluches
tuC)Semi-sittinguD)uProne
8) Aupostoperativeuclientutellsutheunurse,u"AubookuIureadusaiduthatuIushouldunotueatua
fterusurgeryuforuatuleastuauweek."uWhichuofutheufollowingustatementsuwouldubeuanua
ppropriateunursinguresponse?u8)u
A) "Youudon'tuneeduanyufoodutouhealuanyway."
B) "That'sutrue."
C) "That'sunotutrue.uYouucouldugetuanuinfectionuinuyourustomach."
, D) "I'llubeugivinguyouuintravenousufeedingsuanyway."
9) Anuelderlyupostoperativeuclientuisugivenuanuantiemeticuforunausea.uWhichuofuth
eufollowingusignsuwoulduindicateuthisuclientuisuexperiencinguaupossibleureactionut
outheumedication?u9)u
A) Dryumouth
B) Involuntaryumuscleumovement
suC)BreakthroughuvomitinguD)C
onfusion
10) Auclientuisusigninguausurgicaluconsent.uAfterwards,utheunurseualsousignsutheufor
m.uWhatuisutheumeaninguofutheunursingusignature?u10)u
A) Itumeansutheuclientuwasualertuanduawareuofuwhatuwasubeingusigned.
B) Itumeansuthereuisuaulikelihooduofuausuccessfuluoutcome.
C) Itumeansutheuclientuunderstoodutheuprocedureuasudescribedubyutheunurse.
D) Itumeansutheusurgeonuwasutooubusyutouwaituforutheuclientutousignutheuform.
11) Auclient'suendotrachealutubeuisubeinguremoveduafterutheusurgicaluprocedure.uT
heuintra-
operativeunurseurealizesuthisuclientuisuinuwhichuphaseuofutheugeneraluanesthesiaupr
ocess?u11)u
A) InductionuB)uMaintenanc
euC)ReductionuD)uEmergen
ce
12) Anuelderlyuclientuisubeinguprepareduforuorthopedicusurgery.uTheunurseurealizesut
hisuclientuisuaturiskuforuwhichuofutheufollowing?u12)u
A) Prolongedueffectsuofuanesthesiaubecauseuofuherbalusupplemen
tsuB)Decreasedutoleranceuofugeneraluanesthesia
C) Increaseduhypotensiveueffectsuofuanesthesia
D) Woundudehiscence
13) Theuclientuwhouisupreparinguforusurgeryuasksutheunurseutoukeeputheiruglassesua
nduhearinguaiduin-
placeuuntilutheyuareuunderuanesthesia.uWhichuofutheufollowingustatementsubyuthe
unurseudemonstratesuaccurate,utherapeuticucommunication?u13)
A) "Iuwillucontactutheusurgeryudepartmentutoudiscussuyouurequests
."uB)"Certainly,uyouucanukeeputhemuforuthatutime."
C) "Youucannotukeeputhoseuin."
