NURS 330 Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
SATA: Obesity places patients at an increased surgical Ventilatory capacity is reduced.
risk because of which of the following factors?
Fatty tissue has a poor blood supply.
A. Risk for bleeding is increased.
B. Ventilatory capacity is reduced.
C. Fatty tissue has a poor blood supply.
D. Metabolic demands are increased.
(Ch 50)
The primary reason that family members should be Coach and encourage the patient after surgery.
included when the nurse teaches the patient
preoperative exercises is so they can:
A. Coach and encourage the patient after surgery.
B. Demonstrate to the patient at home.
C. Relieve the nurse by getting the patient to do the
exercises every 2 hours.
D. Practice with the patient while he or she is waiting to
be taken to the operating room.
(Ch 50)
,In the postanesthesia care unit (PACU) the nurse notes Position the patient on one side with the face down and the neck slightly
that the patient is having difficulty breathing and suspects extended so the tongue falls forward.
an upper airway obstruction. The nurse would first:
A. Suction the pharynx and bronchial tree.
B. Give oxygen through a mask at 4 L/min.
C. Ask the patient to use an incentive spirometer.
D. Position the patient on one side with the face down
and the neck slightly extended so the tongue falls
forward.
(Ch 50)
Because an older adult is at increased risk for respiratory Encourage the patient to turn, deep breathe, and cough frequently and ensure
complications after surgery, the nurse should: adequate pain control.
A. Withhold pain medications and ambulate the patient
every 2 hours.
B. Monitor fluid and electrolyte status every shift and vital
signs with temperature every 4 hours.
C. Orient the patient to the surrounding environment
frequently and ambulate the patient every 2 hours.
D. Encourage the patient to turn, deep breathe, and
cough frequently and ensure adequate pain control.
(Ch 50)
SATA: You are caring for a patient after surgery who Notify the surgeon.
underwent a liver resection. His prothrombin time (PT) or
an activated partial thromboplastin time (APTT) is greater Maintain intravenous (IV) fluid infusion and prepare to give volume replacement.
than normal. He has low blood pressure; tachycardia;
thready pulse; and cool, clammy, pale skin, and he is Monitor the patient's vital signs every 15 minutes or more frequently until his
restless. You assess his surgical wound, and the dressing condition stabilizes.
is saturated with blood. Which immediate interventions
should you perform?
A. Notify the surgeon.
B. Maintain intravenous (IV) fluid infusion and prepare to
give volume replacement.
C. Monitor the patient's vital signs every 15 minutes or
more frequently until his condition stabilizes.
D. Wean oxygen therapy.
E. Provide comfort through bathing.
(Ch 50)
, You are a nurse in the postanesthesia care unit (PACU), Malignant hyperthermia: Notify surgeon/anesthesia provider immediately, prepare
and you note that your patient has a heart rate of 130 to administer dantrolene sodium (Dantrium), and monitor vital signs frequently.
beats/min and a respiratory rate of 32 breaths/min; you
also assess jaw muscle rigidity and rigidity of limbs,
abdomen, and chest. What do you suspect, and which
intervention is indicated?
A. Infection: Notify surgeon and anticipate administration
of antibiotics.
B. Pneumonia: Listen to breath sounds, notify surgeon,
and anticipate order for chest radiography.
C. Hypertension: Check blood pressure, notify surgeon,
and anticipate administration of antihypertensives.
D. Malignant hyperthermia: Notify surgeon/anesthesia
provider immediately, prepare to administer dantrolene
sodium (Dantrium), and monitor vital signs frequently.
(Ch 50)
After a surgical patient has been given preoperative Reinforce to the patient to remain in bed or on the stretcher
sedatives, which safety precaution should a nurse take?
A. Reinforce to the patient to remain in bed or on the
stretcher
B. Raise the side rails and keep the bed or stretcher in the
high position
C. Determine if the patient has any allergies to latex
D. Obtain informed consent immediately after sedative
administration
(Ch 50)
SATA: The operating room (OR) and postanesthesia care Screening patients about food allergies known to have a cross-reactivity to latex
unit (PACU) are high-risk environments for patients with a such as kiwis and bananas
latex allergy. Which safety measures to prevent a latex
reaction should the nurse implement? Having a latex allergy cart available at all times
A. Screening patients about food allergies known to have Communicating with the operating room (OR) team as soon as 24 to 48 hours in
a cross-reactivity to latex such as kiwis and bananas advance of the surgery when a latex-sensitive patient is identified
B. Having a latex allergy cart available at all times
C. Communicating with the operating room (OR) team as
soon as 24 to 48 hours in advance of the surgery when a
latex-sensitive patient is identified
D. Scheduling the latex-sensitive patient for the last
operative case of the day
(Ch 50)
CORRECT Answers
SATA: Obesity places patients at an increased surgical Ventilatory capacity is reduced.
risk because of which of the following factors?
Fatty tissue has a poor blood supply.
A. Risk for bleeding is increased.
B. Ventilatory capacity is reduced.
C. Fatty tissue has a poor blood supply.
D. Metabolic demands are increased.
(Ch 50)
The primary reason that family members should be Coach and encourage the patient after surgery.
included when the nurse teaches the patient
preoperative exercises is so they can:
A. Coach and encourage the patient after surgery.
B. Demonstrate to the patient at home.
C. Relieve the nurse by getting the patient to do the
exercises every 2 hours.
D. Practice with the patient while he or she is waiting to
be taken to the operating room.
(Ch 50)
,In the postanesthesia care unit (PACU) the nurse notes Position the patient on one side with the face down and the neck slightly
that the patient is having difficulty breathing and suspects extended so the tongue falls forward.
an upper airway obstruction. The nurse would first:
A. Suction the pharynx and bronchial tree.
B. Give oxygen through a mask at 4 L/min.
C. Ask the patient to use an incentive spirometer.
D. Position the patient on one side with the face down
and the neck slightly extended so the tongue falls
forward.
(Ch 50)
Because an older adult is at increased risk for respiratory Encourage the patient to turn, deep breathe, and cough frequently and ensure
complications after surgery, the nurse should: adequate pain control.
A. Withhold pain medications and ambulate the patient
every 2 hours.
B. Monitor fluid and electrolyte status every shift and vital
signs with temperature every 4 hours.
C. Orient the patient to the surrounding environment
frequently and ambulate the patient every 2 hours.
D. Encourage the patient to turn, deep breathe, and
cough frequently and ensure adequate pain control.
(Ch 50)
SATA: You are caring for a patient after surgery who Notify the surgeon.
underwent a liver resection. His prothrombin time (PT) or
an activated partial thromboplastin time (APTT) is greater Maintain intravenous (IV) fluid infusion and prepare to give volume replacement.
than normal. He has low blood pressure; tachycardia;
thready pulse; and cool, clammy, pale skin, and he is Monitor the patient's vital signs every 15 minutes or more frequently until his
restless. You assess his surgical wound, and the dressing condition stabilizes.
is saturated with blood. Which immediate interventions
should you perform?
A. Notify the surgeon.
B. Maintain intravenous (IV) fluid infusion and prepare to
give volume replacement.
C. Monitor the patient's vital signs every 15 minutes or
more frequently until his condition stabilizes.
D. Wean oxygen therapy.
E. Provide comfort through bathing.
(Ch 50)
, You are a nurse in the postanesthesia care unit (PACU), Malignant hyperthermia: Notify surgeon/anesthesia provider immediately, prepare
and you note that your patient has a heart rate of 130 to administer dantrolene sodium (Dantrium), and monitor vital signs frequently.
beats/min and a respiratory rate of 32 breaths/min; you
also assess jaw muscle rigidity and rigidity of limbs,
abdomen, and chest. What do you suspect, and which
intervention is indicated?
A. Infection: Notify surgeon and anticipate administration
of antibiotics.
B. Pneumonia: Listen to breath sounds, notify surgeon,
and anticipate order for chest radiography.
C. Hypertension: Check blood pressure, notify surgeon,
and anticipate administration of antihypertensives.
D. Malignant hyperthermia: Notify surgeon/anesthesia
provider immediately, prepare to administer dantrolene
sodium (Dantrium), and monitor vital signs frequently.
(Ch 50)
After a surgical patient has been given preoperative Reinforce to the patient to remain in bed or on the stretcher
sedatives, which safety precaution should a nurse take?
A. Reinforce to the patient to remain in bed or on the
stretcher
B. Raise the side rails and keep the bed or stretcher in the
high position
C. Determine if the patient has any allergies to latex
D. Obtain informed consent immediately after sedative
administration
(Ch 50)
SATA: The operating room (OR) and postanesthesia care Screening patients about food allergies known to have a cross-reactivity to latex
unit (PACU) are high-risk environments for patients with a such as kiwis and bananas
latex allergy. Which safety measures to prevent a latex
reaction should the nurse implement? Having a latex allergy cart available at all times
A. Screening patients about food allergies known to have Communicating with the operating room (OR) team as soon as 24 to 48 hours in
a cross-reactivity to latex such as kiwis and bananas advance of the surgery when a latex-sensitive patient is identified
B. Having a latex allergy cart available at all times
C. Communicating with the operating room (OR) team as
soon as 24 to 48 hours in advance of the surgery when a
latex-sensitive patient is identified
D. Scheduling the latex-sensitive patient for the last
operative case of the day
(Ch 50)
