2026 NURS 618 ADVANCED PATHOPHYSIOLOGY
EXAM 1|Qs&As |A+GRADE:WINONA
The nurse is completing a preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants
notification of the healthcare provider prior to proceeding with the scheduled
procedure?
a. Light yellow coloring of the client's skin and eyes
b. The client's temperature is 99.8F, pulse is 99 beats/min and respiration rate 16
breaths/ min
c. The client is slightly anxious about the surgical procedure
d. The client's BP reading is 185/95 mmHg
e. The IV insertion site is red, swollen, and leaking IV fluid
D
The new graduate nurse working in the operating room (OR) drops a sterile
package of supplies on the floor in the OR suite. The package is covered with an
impervious wrapper. Which action should the nurse implement?
a. Open the contents to the sterile field if the package integrity is intact
b. Ask the new graduate nurse to work in the OR and not to come back before she
learns handling sterile package of supplies
c. Return the package for re-sterilization
d. Discard the package and its contents
e. Document one the OR record that a sterile package was dropped on the floor
A
,A female client has refused to remove her wedding ring on the morning of surgery.
The nurse should take which action?
A. Have the client's mental status assessed in preparation for surgery
B. Tape the ring securely to the finger and document the encounter
C. Ask the client's husband to convince her to remove the ring
D. Report to surgeon so that the surgery can be rescheduled
E. Note the presence of the ring in the nurses' notes section of the chart.
B
The nurse is caring for a postoperative client with an intermittent compression device
on a surgical unit. Which of the following actions should the nurse take to evaluate
the effectiveness of the intermittent compression device?
A. Assess the amount of drainage from the surgical incision
B. Palpate peripheral pulses for volume, strength, and rhythm
C. Assess the client's ability to perform deep breathing and coughing effectively
with
appropriate splinting of the surgical site
D. Assess signs and symptoms of thrombophlebitis including redness and swelling on
both lower extremities
E. Assess the client's ability to use the incentive spirometer effectively
D
What is the priority nursing action when a client is transferred from the post-
anesthesia care unit (PACU) to the surgical unit after a lobectomy?
, A. Apply the sequential compression devices
B. Check the rate of the intravenous (IV) infusion
C. Assess the client's surgical wound
D. Check the health care provider's postoperative prescriptions
E. Take the client's vital signs
E
A postoperative client is being discharged with a prescription for oxycodone
hydrochloride with acetaminophen (Percocet). What instruction does the nurse give
the client?
A. "Check all over-the-counter medication for acetaminophen"
B. "Do not take more pills each day than you are prescribed"
C. "Eat a diet that is high in fiber and drink a lot of water"
D. "If this gives you diarrhea, Loperamide (Imodium), an antidiarrheal drug can
help"
E. "You shouldn't drive while you are taking this medication"
A,B,C,E
A client who has been admitted to the postoperative unit following a major
abdominal surgery develops noisy respirations. On auscultation, the nurse finds
coarse crackles in the lungs. How should the nurse prevent pulmonary complications
in this client?
A. By suctioning the airways
B. By providing IV hydration
C. By administering sedatives and cough suppressants
D. By encouraging vigorous abdominal exercises
EXAM 1|Qs&As |A+GRADE:WINONA
The nurse is completing a preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants
notification of the healthcare provider prior to proceeding with the scheduled
procedure?
a. Light yellow coloring of the client's skin and eyes
b. The client's temperature is 99.8F, pulse is 99 beats/min and respiration rate 16
breaths/ min
c. The client is slightly anxious about the surgical procedure
d. The client's BP reading is 185/95 mmHg
e. The IV insertion site is red, swollen, and leaking IV fluid
D
The new graduate nurse working in the operating room (OR) drops a sterile
package of supplies on the floor in the OR suite. The package is covered with an
impervious wrapper. Which action should the nurse implement?
a. Open the contents to the sterile field if the package integrity is intact
b. Ask the new graduate nurse to work in the OR and not to come back before she
learns handling sterile package of supplies
c. Return the package for re-sterilization
d. Discard the package and its contents
e. Document one the OR record that a sterile package was dropped on the floor
A
,A female client has refused to remove her wedding ring on the morning of surgery.
The nurse should take which action?
A. Have the client's mental status assessed in preparation for surgery
B. Tape the ring securely to the finger and document the encounter
C. Ask the client's husband to convince her to remove the ring
D. Report to surgeon so that the surgery can be rescheduled
E. Note the presence of the ring in the nurses' notes section of the chart.
B
The nurse is caring for a postoperative client with an intermittent compression device
on a surgical unit. Which of the following actions should the nurse take to evaluate
the effectiveness of the intermittent compression device?
A. Assess the amount of drainage from the surgical incision
B. Palpate peripheral pulses for volume, strength, and rhythm
C. Assess the client's ability to perform deep breathing and coughing effectively
with
appropriate splinting of the surgical site
D. Assess signs and symptoms of thrombophlebitis including redness and swelling on
both lower extremities
E. Assess the client's ability to use the incentive spirometer effectively
D
What is the priority nursing action when a client is transferred from the post-
anesthesia care unit (PACU) to the surgical unit after a lobectomy?
, A. Apply the sequential compression devices
B. Check the rate of the intravenous (IV) infusion
C. Assess the client's surgical wound
D. Check the health care provider's postoperative prescriptions
E. Take the client's vital signs
E
A postoperative client is being discharged with a prescription for oxycodone
hydrochloride with acetaminophen (Percocet). What instruction does the nurse give
the client?
A. "Check all over-the-counter medication for acetaminophen"
B. "Do not take more pills each day than you are prescribed"
C. "Eat a diet that is high in fiber and drink a lot of water"
D. "If this gives you diarrhea, Loperamide (Imodium), an antidiarrheal drug can
help"
E. "You shouldn't drive while you are taking this medication"
A,B,C,E
A client who has been admitted to the postoperative unit following a major
abdominal surgery develops noisy respirations. On auscultation, the nurse finds
coarse crackles in the lungs. How should the nurse prevent pulmonary complications
in this client?
A. By suctioning the airways
B. By providing IV hydration
C. By administering sedatives and cough suppressants
D. By encouraging vigorous abdominal exercises
