What is the most important preoperative instruction to prevent postoperative complications? -
Answers Reinforce coughing and deep-breathing exercises.
What should the nurse do if a patient does not understand the risks of surgery? - Answers Ask
the surgeon to provide additional information.
Which laboratory result requires immediate notification of the surgeon? - Answers Platelet
count 80,000/mm³.
What is the primary purpose of the preoperative surgical timeout? - Answers To verify the
correct patient, procedure, and surgical site.
What interventions should be included to prevent atelectasis postoperatively? - Answers Use of
an incentive spirometer, coughing and deep breathing exercises, and early ambulation.
What is the priority action if a patient at risk for malignant hyperthermia exhibits symptoms
during surgery? - Answers Administer dantrolene and initiate cooling measures.
Which postoperative finding should the nurse report immediately? - Answers Blood pressure
90/60 mmHg and pulse 120 bpm.
What is the appropriate nursing action if a patient refuses to remove their wedding ring before
surgery? - Answers Document the refusal and inform the surgeon.
What is a common complication during the immediate postoperative period? - Answers Airway
obstruction.
What should the nurse anticipate for a client on warfarin therapy before surgery? - Answers
Administering Vitamin K.
What is the nurse's priority when a patient presents with symptoms of myocardial infarction? -
Answers Obtain a 12-lead ECG.
Which patient should the nurse assess first based on the ABCDE framework? - Answers A
patient with a pulse oximetry reading of 88%.
Which patient should the nurse prioritize? - Answers A patient receiving a blood transfusion
complaining of back pain.
Which interventions align with Maslow's Hierarchy of Needs? - Answers Suctioning a client with
an airway obstruction, administering pain medication to a client with a fractured hip, and
providing a client with a meal after surgery.
What intervention takes priority for a patient at risk for falls? - Answers Ensuring the call light is
within reach.
, What is the priority nursing action for a patient receiving heparin for DVT prophylaxis who
develops severe abdominal pain? - Answers Assess for signs of internal bleeding.
What indicates understanding of enoxaparin teaching? - Answers I will rotate injection sites on
my abdomen.
What is most indicative of a pulmonary embolism? - Answers Sudden onset of shortness of
breath and chest pain.
What lab value should the nurse monitor for a patient with a DVT on warfarin? - Answers
International Normalized Ratio (INR).
What complication is a patient receiving alteplase for an ischemic stroke most at risk for? -
Answers Hemorrhage.
What clinical manifestation would be expected in a patient with a suspected left hemispheric
stroke? - Answers Impaired speech and language comprehension.
What is the priority intervention for a patient experiencing a transient ischemic attack (TIA)? -
Answers Evaluate the need for antiplatelet therapy.
What action should the nurse anticipate for a patient with a hemorrhagic stroke and high blood
pressure? - Answers Administer antihypertensive medications.
Which nursing diagnosis is most appropriate for a patient recovering from an ischemic stroke
with left-sided hemiparesis? - Answers Impaired physical mobility related to hemiparesis.
What is the best response for managing a child's repetitive behaviors in autism spectrum
disorder (ASD)? - Answers Redirect the behavior to a new activity.
Which finding would suggest developmental delay in a 2-year-old child? - Answers Inability to
build a tower of two blocks.
What intervention is appropriate for a child diagnosed with ASD? - Answers Encourage
consistent daily routines.
What screening tool is commonly used to identify autism spectrum disorder in children? -
Answers Modified Checklist for Autism in Toddlers (M-CHAT).
How can a parent improve communication with a child with ASD? - Answers Use picture boards
or visual aids to enhance understanding.
Which medication is anticipated for a patient with Crohn's disease reporting abdominal
cramping and diarrhea? - Answers Prednisone.
What should the nurse include in teaching for a patient prescribed mesalamine for ulcerative
colitis? - Answers This medication helps reduce inflammation in your colon.