Thevfnursevfisvfcaringvfforvfanvfoldervfclientvfduringvfthevfintraoperativevfstage.vfThevfanesthesiavfprocessvfhasvfal
readyvfbegunvfandvfthevfnursevfhasvfalreadyvfremovedvfthevfdentures,vfeyeglasses,vfandvfhearingvfaids.vfAftervfth
evfnursevfperformsvfthesevfactions,vfwhatvfwouldvfbevfthevfordervfthevfintraoperativevfnursingvfinterventionsvfsh
ouldvftakevfplace?
1.Thevfnursevfshouldvfcovervfthevfclient'svfheadvfandvffeet.
2.Thevfclientvfisvfliftedvfintovfpositionvftovfpreventvfshearingvfforces.
3.Thevfnursevfshouldvfusevfavfsmallvfpillowvfundervfthevfclient'svfhead.
4.Thevfnursevfshouldvffollowvfasepticvftechnique.
5.Thevfnursevfshouldvfpadvfbonyvfprominencesvftovfpreventvfpressurevfsores.
6.Thevfnursevfshouldvfusevfwarmingvfdevicevftovfpreventvfhypothermia.
7.Thevfnursevfshouldvfcarefullyvfmonitorvfthevfinputvfandvfoutputvfofvffluidsvfincludingvfblood.
8.Thevfnursevfshouldvfpositionvfarthriticvfandvfartificialvfjointsvfcarefullyvftovfpreventvfpostoperativevfpain.
9.Thevfnursevfshouldvfwarmvfintravenousvfandvfirrigationvffluidsvfasvfindvf-vfCORRECTvfANSWER-
1.Thevfnursevfshouldvfusevfavfsmallvfpillowvfundervfthevfclient'svfhead.
2.Thevfclientvfisvfliftedvfintovfpositionvftovfpreventvfshearingvfforces.
3.Thevfnursevfshouldvfpositionvfarthriticvfandvfartificialvfjointsvfcarefullyvftovfpreventvfpostoperativevfpain.
,4.Thevfnursevfshouldvfpadvfbonyvfprominencesvftovfpreventvfpressurevfsores.
5.Thevfnursevfshouldvfusevfwarmingvfdevicevftovfpreventvfhypothermia.
6.Thevfnursevfshouldvfcovervfthevfclient'svfheadvfandvffeet.
7.Thevfnursevfshouldvfwarmvfintravenousvfandvfirrigationvffluidsvfasvfindicatedvfbyvfagencyvfpolicyvfandvfmanufa
cturer'svfrecommendations.
8.Thevfnursevfshouldvffollowvfasepticvftechnique.
9.Thevfnursevfshouldvfcarefullyvfmonitorvfthevfinputvfandvfoutputvfofvffluidsvfincludingvfblood
Thevfnursevfsuspectsvfthatvfanvfintraoperativevfclientvfhasvfavfdistendedvfbladder.vfWhichvfmethodvfisvfcorrectvft
ovfassessvfforvfthisvfcondition?
1.Inspectvfandvfpalpatevfinvfthevfepigastricvfregion.
2.Auscultatevfandvfpercussvfinvfthevfinguinalvfareas.
3.Percussvfandvfpalpatevfinvfthevfhypogastricvfregion.
4.Percussvfandvfpalpatevfbilaterallyvfinvfthevflumbarvfareasvf-vfCORRECTvfANSWER-
3.Percussvfandvfpalpatevfinvfthevfhypogastricvfregion.
Tovfdetectvfavfdistendedvfbladder,vfpercussionvfandvfpalpationvfshouldvfbevfperformedvfovervfthevfhypogastricvfr
egionvfofvfthevfabdomen.
Invfthevfpostanesthesiavfcarevfunitvfavfclientvfreceivedvfintrathecalvfmorphinevfintraoperativelyvftovfcontrolvfpai
n.vfConsideringvfthevfadministrationvfofvfthisvfmedication,vfwhatvfshouldvfthevfnursevfincludevfasvfpartvfofvfthevfcl
ient'svfinitialvf24-hourvfpostoperativevfcare?vf
1.Monitoringvfofvfrespiratoryvfratevfhourly
2.Assessingvfthevfclientvfforvftachycardia
3.Administeringvfnaloxonevfeveryvf3vftovf4vfhours
4.Observingvfthevfclientvfforvfsignsvfofvfcentralvfnervousvfsystemvf(CNS)vfexcitementvf-vfCORRECTvfANSWER-
1.Monitoringvfofvfrespiratoryvfratevfhourly
Intrathecalvfmorphinevfcanvfdepressvfrespiratoryvffunctionvfdependingvfonvfthevflevelvfitvfreachesvfwithinvfthevfs
pinalvfcolumn;vfhourlyvfassessmentsvfduringvfthevffirstvf12vftovf24vfhoursvfwillvfallowvfforvfearlyvfinterventionvfwit
hvfanvfantidotevfifvfrespiratoryvfdepressionvfneedsvftovfbevfcorrected.
,Thevfnursevfisvfpreparingvfanvfintraoperativevfcarevfplanvfforvfavfclient.vfWhichvfinterventionvfshouldvfbevfexclude
dvffromvfthevfcarevfplan?
1.Ensuringvfthevfclient'svfskinvfintegrity
2.Reviewingvfthevfpreoperativevfinstructions
3.Administeringvfgeneralvfanestheticvftovfthevfclient
4.Placingvfthevfclientvfinvfthevfcorrectvfpositionvfonvfthevfoperatingvftablevf-vfCORRECTvfANSWER-
3.Administeringvfgeneralvfanestheticvftovfthevfclient
Thevfnursevfisvfprovidingvfpost-
procedurevfcarevftovfavfclientvfaftervfanvfarthroscopy.vfWhatvfwillvfbevfthevfnurse'svfpriorityvfwhilevfprovidingvfcar
evftovfthevfclient?
1.Encouragingvfthevfclientvftovfperformvfexercises
2.Elevatingvfthevfaffectedvfextremityvfforvf12vftovf24vfhours
3.Assessingvfthevfneurovascularvfstatusvfofvfthevfclient'svfaffectedvflimb
4.Administeringvfanalgesicsvfasvfprescribedvfbyvfthevfprimaryvfhealthcarevfprovidervf-vfCORRECTvfANSWER-
3.Assessingvfthevfneurovascularvfstatusvfofvfthevfclient'svfaffectedvflimb.
Thevfpriorityvfforvfpost-
procedurevfcarevfaftervfarthroscopyvfisvftovfassessvfthevfneurovascularvfstatusvfofvfthevfclient'svfaffectedvflimb
Thevfnursevfisvfassessingvffourvfclientsvfinvfthevfpostoperativevfunit.vfWhichvfclientvfwillvfbevfmonitoredvfforvffluidv
fvolumevfoverloadvfasvfnursingvfsafetyvfpriority?
A.Clientvfwithvflymphvfnodevfdissection
B.Clientvfwithvflaparoscopicvfcholecystechtomyvf
C.Clientvfwithvfsurgicalvfinterventionvfforvfhemorrhoidsvf
D.Clientvfwithvflivervftransplantationvf-vfCORRECTvfANSWER-A.Clientvfwithvflymphvfnodevfdissection
ThevfnursingvfsafetyvfpriorityvfforvfclientvfAvfwithvflymphvfnodevfdissectionvfisvfmonitoringvfforvfmanifestationsvfo
fvffluidvfoverload.
, Thevfnursevfisvfcaringvfforvfdifferentvfclientsvfinvfavfhealthcarevfsettingvfwhovfarevfdiagnosedvfwithvfrespiratoryvfdi
sorders.vfWhichvfclientvfmayvfhavevfthevfanteroposteriorvfchestvfdiametervfequalvftovfthevflateralvfchestvfandvfth
evfslopevfofvfthevfribsvfmorevfhorizontalvftovfthevfspine?
1.CysticvfFibrosis
2.Bronchiectasisvf
3.MetabolicvfAcidosisvf
4.Pulmonaryvfedemavf-vfCORRECTvfANSWER-1.CysticvfFibrosis
Clientvf1vfwithvfcysticvffibrosisvfmayvfhavevfincreasedvfanteroposteriorvfdiameter;vfthatvfis,vfthevfanteroposterio
rvfchestvfdiametervfisvfequalvftovfthevflateralvfchestvfmeasurementvfandvfthevfslopevfofvfthevfribsvfarevfmorevfhoriz
ontalvftovfthevfspine.
Duringvfpost-
operativevfcare,vfthevfnursevffindsvfthatvfavfclientvfhasvfhypotension.vfWhichvfpriorityvfinterventionvfdoesvfthevfn
ursevfexpectsvftovfbegin?
1.StartingvfO2vftherapy
2.Inspectingvfthevfsurgicalvfincision
3.AdministrationvfofvfIVvffluidvfboluses
4.Administrationvfofvfvasoconstrictivevfagentsvf-vfCORRECTvfANSWER-1.StartingvfO2vftherapy
Treatmentvfofvfhypotensionvfinvfpostoperativevfclientsvfshouldvfalwaysvfbeginvfwithvfoxygenvftherapyvftovfprom
otevfoxygenationvfofvfhypoperfusedvforgans.
Thevfnursevfisvfassessingvffourvfclientsvfinvfthevfpostanesthesiavfcarevfunitvf(PCU)vfwhovfarevfonvfopioidvftreatmen
t.vfWhichvfclientvfdoesvfthevfnursevfexpectvfwillvfbenefitvffromvfanvfimmediatevftreatmentvfwithvfnaloxone?
A.Frequentlyvfdrowsy,vfarousable,vfdriftsvfoffvftovfsleepvfduringvfconversation.vfRR:vf15
B.Slightlyvfdrowsy,vfeasilyvfarousedvfRR:vf24
C.AwakevfandvfalertvfRR:32
D.MinimalvfresponsevftovfverbalvfandvfphysicalvfstimulationvfRR:10vf-vfCORRECTvfANSWER-
D.MinimalvfresponsevftovfverbalvfandvfphysicalvfstimulationvfRR:10
Thevfclientvfreceivesvfdosagesvfofvfsedativevfandvfopioidvfdrugsvfduringvfthevfpostoperativevfperiodvffollowingvfs
urgicalvfcorrectionvfofvfavfsmallvfbowelvfobstruction.vfWhatvfisvfthevfmostvfcriticalvfassessmentvftovfbevfperforme
dvfasvfavfnursingvfsafetyvfpriority?
readyvfbegunvfandvfthevfnursevfhasvfalreadyvfremovedvfthevfdentures,vfeyeglasses,vfandvfhearingvfaids.vfAftervfth
evfnursevfperformsvfthesevfactions,vfwhatvfwouldvfbevfthevfordervfthevfintraoperativevfnursingvfinterventionsvfsh
ouldvftakevfplace?
1.Thevfnursevfshouldvfcovervfthevfclient'svfheadvfandvffeet.
2.Thevfclientvfisvfliftedvfintovfpositionvftovfpreventvfshearingvfforces.
3.Thevfnursevfshouldvfusevfavfsmallvfpillowvfundervfthevfclient'svfhead.
4.Thevfnursevfshouldvffollowvfasepticvftechnique.
5.Thevfnursevfshouldvfpadvfbonyvfprominencesvftovfpreventvfpressurevfsores.
6.Thevfnursevfshouldvfusevfwarmingvfdevicevftovfpreventvfhypothermia.
7.Thevfnursevfshouldvfcarefullyvfmonitorvfthevfinputvfandvfoutputvfofvffluidsvfincludingvfblood.
8.Thevfnursevfshouldvfpositionvfarthriticvfandvfartificialvfjointsvfcarefullyvftovfpreventvfpostoperativevfpain.
9.Thevfnursevfshouldvfwarmvfintravenousvfandvfirrigationvffluidsvfasvfindvf-vfCORRECTvfANSWER-
1.Thevfnursevfshouldvfusevfavfsmallvfpillowvfundervfthevfclient'svfhead.
2.Thevfclientvfisvfliftedvfintovfpositionvftovfpreventvfshearingvfforces.
3.Thevfnursevfshouldvfpositionvfarthriticvfandvfartificialvfjointsvfcarefullyvftovfpreventvfpostoperativevfpain.
,4.Thevfnursevfshouldvfpadvfbonyvfprominencesvftovfpreventvfpressurevfsores.
5.Thevfnursevfshouldvfusevfwarmingvfdevicevftovfpreventvfhypothermia.
6.Thevfnursevfshouldvfcovervfthevfclient'svfheadvfandvffeet.
7.Thevfnursevfshouldvfwarmvfintravenousvfandvfirrigationvffluidsvfasvfindicatedvfbyvfagencyvfpolicyvfandvfmanufa
cturer'svfrecommendations.
8.Thevfnursevfshouldvffollowvfasepticvftechnique.
9.Thevfnursevfshouldvfcarefullyvfmonitorvfthevfinputvfandvfoutputvfofvffluidsvfincludingvfblood
Thevfnursevfsuspectsvfthatvfanvfintraoperativevfclientvfhasvfavfdistendedvfbladder.vfWhichvfmethodvfisvfcorrectvft
ovfassessvfforvfthisvfcondition?
1.Inspectvfandvfpalpatevfinvfthevfepigastricvfregion.
2.Auscultatevfandvfpercussvfinvfthevfinguinalvfareas.
3.Percussvfandvfpalpatevfinvfthevfhypogastricvfregion.
4.Percussvfandvfpalpatevfbilaterallyvfinvfthevflumbarvfareasvf-vfCORRECTvfANSWER-
3.Percussvfandvfpalpatevfinvfthevfhypogastricvfregion.
Tovfdetectvfavfdistendedvfbladder,vfpercussionvfandvfpalpationvfshouldvfbevfperformedvfovervfthevfhypogastricvfr
egionvfofvfthevfabdomen.
Invfthevfpostanesthesiavfcarevfunitvfavfclientvfreceivedvfintrathecalvfmorphinevfintraoperativelyvftovfcontrolvfpai
n.vfConsideringvfthevfadministrationvfofvfthisvfmedication,vfwhatvfshouldvfthevfnursevfincludevfasvfpartvfofvfthevfcl
ient'svfinitialvf24-hourvfpostoperativevfcare?vf
1.Monitoringvfofvfrespiratoryvfratevfhourly
2.Assessingvfthevfclientvfforvftachycardia
3.Administeringvfnaloxonevfeveryvf3vftovf4vfhours
4.Observingvfthevfclientvfforvfsignsvfofvfcentralvfnervousvfsystemvf(CNS)vfexcitementvf-vfCORRECTvfANSWER-
1.Monitoringvfofvfrespiratoryvfratevfhourly
Intrathecalvfmorphinevfcanvfdepressvfrespiratoryvffunctionvfdependingvfonvfthevflevelvfitvfreachesvfwithinvfthevfs
pinalvfcolumn;vfhourlyvfassessmentsvfduringvfthevffirstvf12vftovf24vfhoursvfwillvfallowvfforvfearlyvfinterventionvfwit
hvfanvfantidotevfifvfrespiratoryvfdepressionvfneedsvftovfbevfcorrected.
,Thevfnursevfisvfpreparingvfanvfintraoperativevfcarevfplanvfforvfavfclient.vfWhichvfinterventionvfshouldvfbevfexclude
dvffromvfthevfcarevfplan?
1.Ensuringvfthevfclient'svfskinvfintegrity
2.Reviewingvfthevfpreoperativevfinstructions
3.Administeringvfgeneralvfanestheticvftovfthevfclient
4.Placingvfthevfclientvfinvfthevfcorrectvfpositionvfonvfthevfoperatingvftablevf-vfCORRECTvfANSWER-
3.Administeringvfgeneralvfanestheticvftovfthevfclient
Thevfnursevfisvfprovidingvfpost-
procedurevfcarevftovfavfclientvfaftervfanvfarthroscopy.vfWhatvfwillvfbevfthevfnurse'svfpriorityvfwhilevfprovidingvfcar
evftovfthevfclient?
1.Encouragingvfthevfclientvftovfperformvfexercises
2.Elevatingvfthevfaffectedvfextremityvfforvf12vftovf24vfhours
3.Assessingvfthevfneurovascularvfstatusvfofvfthevfclient'svfaffectedvflimb
4.Administeringvfanalgesicsvfasvfprescribedvfbyvfthevfprimaryvfhealthcarevfprovidervf-vfCORRECTvfANSWER-
3.Assessingvfthevfneurovascularvfstatusvfofvfthevfclient'svfaffectedvflimb.
Thevfpriorityvfforvfpost-
procedurevfcarevfaftervfarthroscopyvfisvftovfassessvfthevfneurovascularvfstatusvfofvfthevfclient'svfaffectedvflimb
Thevfnursevfisvfassessingvffourvfclientsvfinvfthevfpostoperativevfunit.vfWhichvfclientvfwillvfbevfmonitoredvfforvffluidv
fvolumevfoverloadvfasvfnursingvfsafetyvfpriority?
A.Clientvfwithvflymphvfnodevfdissection
B.Clientvfwithvflaparoscopicvfcholecystechtomyvf
C.Clientvfwithvfsurgicalvfinterventionvfforvfhemorrhoidsvf
D.Clientvfwithvflivervftransplantationvf-vfCORRECTvfANSWER-A.Clientvfwithvflymphvfnodevfdissection
ThevfnursingvfsafetyvfpriorityvfforvfclientvfAvfwithvflymphvfnodevfdissectionvfisvfmonitoringvfforvfmanifestationsvfo
fvffluidvfoverload.
, Thevfnursevfisvfcaringvfforvfdifferentvfclientsvfinvfavfhealthcarevfsettingvfwhovfarevfdiagnosedvfwithvfrespiratoryvfdi
sorders.vfWhichvfclientvfmayvfhavevfthevfanteroposteriorvfchestvfdiametervfequalvftovfthevflateralvfchestvfandvfth
evfslopevfofvfthevfribsvfmorevfhorizontalvftovfthevfspine?
1.CysticvfFibrosis
2.Bronchiectasisvf
3.MetabolicvfAcidosisvf
4.Pulmonaryvfedemavf-vfCORRECTvfANSWER-1.CysticvfFibrosis
Clientvf1vfwithvfcysticvffibrosisvfmayvfhavevfincreasedvfanteroposteriorvfdiameter;vfthatvfis,vfthevfanteroposterio
rvfchestvfdiametervfisvfequalvftovfthevflateralvfchestvfmeasurementvfandvfthevfslopevfofvfthevfribsvfarevfmorevfhoriz
ontalvftovfthevfspine.
Duringvfpost-
operativevfcare,vfthevfnursevffindsvfthatvfavfclientvfhasvfhypotension.vfWhichvfpriorityvfinterventionvfdoesvfthevfn
ursevfexpectsvftovfbegin?
1.StartingvfO2vftherapy
2.Inspectingvfthevfsurgicalvfincision
3.AdministrationvfofvfIVvffluidvfboluses
4.Administrationvfofvfvasoconstrictivevfagentsvf-vfCORRECTvfANSWER-1.StartingvfO2vftherapy
Treatmentvfofvfhypotensionvfinvfpostoperativevfclientsvfshouldvfalwaysvfbeginvfwithvfoxygenvftherapyvftovfprom
otevfoxygenationvfofvfhypoperfusedvforgans.
Thevfnursevfisvfassessingvffourvfclientsvfinvfthevfpostanesthesiavfcarevfunitvf(PCU)vfwhovfarevfonvfopioidvftreatmen
t.vfWhichvfclientvfdoesvfthevfnursevfexpectvfwillvfbenefitvffromvfanvfimmediatevftreatmentvfwithvfnaloxone?
A.Frequentlyvfdrowsy,vfarousable,vfdriftsvfoffvftovfsleepvfduringvfconversation.vfRR:vf15
B.Slightlyvfdrowsy,vfeasilyvfarousedvfRR:vf24
C.AwakevfandvfalertvfRR:32
D.MinimalvfresponsevftovfverbalvfandvfphysicalvfstimulationvfRR:10vf-vfCORRECTvfANSWER-
D.MinimalvfresponsevftovfverbalvfandvfphysicalvfstimulationvfRR:10
Thevfclientvfreceivesvfdosagesvfofvfsedativevfandvfopioidvfdrugsvfduringvfthevfpostoperativevfperiodvffollowingvfs
urgicalvfcorrectionvfofvfavfsmallvfbowelvfobstruction.vfWhatvfisvfthevfmostvfcriticalvfassessmentvftovfbevfperforme
dvfasvfavfnursingvfsafetyvfpriority?
