NRS 3015 FINAL REVIEW QUESTIONS AND ANSWERS | NRS
3015 STUDY GUIDE & PRACTICE TEST 2026/2027
The nurse is preparing a client for surgery scheduled in two hours. Which interventions are appropriate
in the preoperative period? Select all that apply. - ANS ✔✔assist the client to void before transfer to the
operating room, review the client's record for a history and physical report and lab reports, check all
surgeon's prescriptions to ensure they have been carried out
The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include which
activity in the nursing care plan for the client on the day of surgery? - ANS ✔✔have the client void
immediately before going into surgery
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The
nurse should include which piece of information in discussions with the client? - ANS ✔✔the best results
are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees
In preparation for ambulation, the nurse is planning to assist a postoperative client to progress from a
lying position to a sitting position. Which nursing action is appropriate to maintain the safety of the
client? - ANS ✔✔assess the client for signs of dizziness and hypotension
The PACU nurse caring for a client with a nasogastric (NG) tube notes 300 mL of bright red blood has
collected. What is the appropriate nursing action? - ANS ✔✔call the client's surgeon to report the
drainage
The nurse is preparing a preoperative client for transfer to the operating room. The nurse should take
which action in the care of this client at this time? - ANS ✔✔ensure that the client has not eaten for the
past 24 hours
A client is admitted to the ambulatory surgery center for elective surgery. The nurse asks the client
whether any food, fluid, or medication was taken today. Which medication, if taken by the client, should
indicate to the nurse the need to contact the health care provider? - ANS ✔✔an anticoagulatn
The nurse is caring for a client who recently returned from the operating room. On data collection, the
nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 91 beats/minute;
and respirations, 16 breaths/minute. Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74
beats/minute; and respirations, 20 breaths/minute. Which action should the nurse plan to take first? -
ANS ✔✔recheck the vital signs in 15 mins
A client is scheduled for surgery at noon. The surgeon is delayed and the surgery is now scheduled for
3:00 PM. How will the nurse plan to administer the preoperative prophylactic antibiotic? - ANS
✔✔adjust the administration time to be given within one hour prior to surgery
Which assessment data finding for a client scheduled for total knee replacement surgery is most
important for the nurse to communicate to the surgeon and the anesthesia provider before the
procedure? Select all that apply. - ANS ✔✔the client took a total of 1300 mg of aspirin yesterday, after
, receiving the preoperative medications the client tells the nurse that he lied on the assessment form and
that he really is a current smoker, serum potassium level is 3.0
Which finding in a postoperative client would be of concern to the nurse? - ANS ✔✔BP of 88/52 mmHg
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to
the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour? - ANS
✔✔urinary output of 20ml/hr
When a client is transferred from the postanesthesia care unit and arrives on the surgical unit, which
should be the first action taken by the nurse? - ANS ✔✔obtain the client's vital signs
The nurse has instructed a preoperative client using an incentive spirometer to sustain the inhaled
breath for 3 seconds. When the client asks about the rationale for this action, the nurse explains that this
action achieves which function? - ANS ✔✔maintains the inflation of the alveoli
The nurse is assessing a client who had abdominal surgery earlier in the day. Which preexisting medical
condition would place the client at most risk for postoperative complications? - ANS ✔✔alcohol abuse
What client teaching will the nurse provide regarding postoperative leg exercises, to minimize the risk for
development of deep vein thrombosis after surgery? - ANS ✔✔point toes of one foot toward the bottom
of bed then point toes of same leg toward their face. repeat several times, then switch legs
A client is recovering well 24 hours after cranial surgery but is fatigued. The surgeon advances the client
from nothing-by-mouth (NPO) status to clear liquids. The nurse knows that which information is least
reliable in determining the client's readiness to take in fluids? - ANS ✔✔appetite
The nurse is caring for four clients who will undergo surgery today. Which client does the nurse recognize
as at highest risk for surgical complication? - ANS ✔✔52-year-old who takes aspirin daily
The nurse is obtaining a pulse oximetry reading from a postoperative client who appears short of breath.
The client has dark fingernail polish on top of artificial nails. What is the most appropriate action? - ANS
✔✔obtain a pulse oximetry reading from another appropriate area, such as an earlobe
The nurse is teaching a client about coughing and deep-breathing techniques to prevent postoperative
complications. Which statement is most appropriate for the nurse to make to the client at this time as it
relates to these techniques? - ANS ✔✔"Use of an incentive spirometer will help prevent pneumonia."
The nurse is providing preoperative teaching to a client scheduled for a cholecystectomy (gall bladder
removal). Which intervention would be of highest priority in the preoperative teaching plan? - ANS
✔✔Teaching coughing and deep breathing exercises
A client has returned to the nursing unit after an abdominal hysterectomy. The client is lying supine. To
thoroughly assess the client for postoperative bleeding, what is the primary nursing action? - ANS
✔✔roll the client to one side and check her perineal pad
When performing a surgical dressing change on a client's abdominal dressing, the nurse notes an
increased amount of drainage and separation of the incision line. The underlying tissue is visible to the
3015 STUDY GUIDE & PRACTICE TEST 2026/2027
The nurse is preparing a client for surgery scheduled in two hours. Which interventions are appropriate
in the preoperative period? Select all that apply. - ANS ✔✔assist the client to void before transfer to the
operating room, review the client's record for a history and physical report and lab reports, check all
surgeon's prescriptions to ensure they have been carried out
The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include which
activity in the nursing care plan for the client on the day of surgery? - ANS ✔✔have the client void
immediately before going into surgery
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The
nurse should include which piece of information in discussions with the client? - ANS ✔✔the best results
are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees
In preparation for ambulation, the nurse is planning to assist a postoperative client to progress from a
lying position to a sitting position. Which nursing action is appropriate to maintain the safety of the
client? - ANS ✔✔assess the client for signs of dizziness and hypotension
The PACU nurse caring for a client with a nasogastric (NG) tube notes 300 mL of bright red blood has
collected. What is the appropriate nursing action? - ANS ✔✔call the client's surgeon to report the
drainage
The nurse is preparing a preoperative client for transfer to the operating room. The nurse should take
which action in the care of this client at this time? - ANS ✔✔ensure that the client has not eaten for the
past 24 hours
A client is admitted to the ambulatory surgery center for elective surgery. The nurse asks the client
whether any food, fluid, or medication was taken today. Which medication, if taken by the client, should
indicate to the nurse the need to contact the health care provider? - ANS ✔✔an anticoagulatn
The nurse is caring for a client who recently returned from the operating room. On data collection, the
nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 91 beats/minute;
and respirations, 16 breaths/minute. Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74
beats/minute; and respirations, 20 breaths/minute. Which action should the nurse plan to take first? -
ANS ✔✔recheck the vital signs in 15 mins
A client is scheduled for surgery at noon. The surgeon is delayed and the surgery is now scheduled for
3:00 PM. How will the nurse plan to administer the preoperative prophylactic antibiotic? - ANS
✔✔adjust the administration time to be given within one hour prior to surgery
Which assessment data finding for a client scheduled for total knee replacement surgery is most
important for the nurse to communicate to the surgeon and the anesthesia provider before the
procedure? Select all that apply. - ANS ✔✔the client took a total of 1300 mg of aspirin yesterday, after
, receiving the preoperative medications the client tells the nurse that he lied on the assessment form and
that he really is a current smoker, serum potassium level is 3.0
Which finding in a postoperative client would be of concern to the nurse? - ANS ✔✔BP of 88/52 mmHg
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to
the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour? - ANS
✔✔urinary output of 20ml/hr
When a client is transferred from the postanesthesia care unit and arrives on the surgical unit, which
should be the first action taken by the nurse? - ANS ✔✔obtain the client's vital signs
The nurse has instructed a preoperative client using an incentive spirometer to sustain the inhaled
breath for 3 seconds. When the client asks about the rationale for this action, the nurse explains that this
action achieves which function? - ANS ✔✔maintains the inflation of the alveoli
The nurse is assessing a client who had abdominal surgery earlier in the day. Which preexisting medical
condition would place the client at most risk for postoperative complications? - ANS ✔✔alcohol abuse
What client teaching will the nurse provide regarding postoperative leg exercises, to minimize the risk for
development of deep vein thrombosis after surgery? - ANS ✔✔point toes of one foot toward the bottom
of bed then point toes of same leg toward their face. repeat several times, then switch legs
A client is recovering well 24 hours after cranial surgery but is fatigued. The surgeon advances the client
from nothing-by-mouth (NPO) status to clear liquids. The nurse knows that which information is least
reliable in determining the client's readiness to take in fluids? - ANS ✔✔appetite
The nurse is caring for four clients who will undergo surgery today. Which client does the nurse recognize
as at highest risk for surgical complication? - ANS ✔✔52-year-old who takes aspirin daily
The nurse is obtaining a pulse oximetry reading from a postoperative client who appears short of breath.
The client has dark fingernail polish on top of artificial nails. What is the most appropriate action? - ANS
✔✔obtain a pulse oximetry reading from another appropriate area, such as an earlobe
The nurse is teaching a client about coughing and deep-breathing techniques to prevent postoperative
complications. Which statement is most appropriate for the nurse to make to the client at this time as it
relates to these techniques? - ANS ✔✔"Use of an incentive spirometer will help prevent pneumonia."
The nurse is providing preoperative teaching to a client scheduled for a cholecystectomy (gall bladder
removal). Which intervention would be of highest priority in the preoperative teaching plan? - ANS
✔✔Teaching coughing and deep breathing exercises
A client has returned to the nursing unit after an abdominal hysterectomy. The client is lying supine. To
thoroughly assess the client for postoperative bleeding, what is the primary nursing action? - ANS
✔✔roll the client to one side and check her perineal pad
When performing a surgical dressing change on a client's abdominal dressing, the nurse notes an
increased amount of drainage and separation of the incision line. The underlying tissue is visible to the
