NURS 170 NURSING SKILLS-CARE OF THE SURGICAL
PATIENT QUESTIONS WITH ACCURATE ANSWERS
A nurse is caring for a patient who abuses alcohol and has been in the hospital for
a few days. The nurse notices that the patient has developed confusion and
hallucinations and is having difficulty staying asleep. Which condition does the
nurse expect the patient has?
A. Delirium tremens
B. Rebound insomnia
C. Esophageal varices
D. Orthostatic hypotension correct answer A. Delirium tremens
A patient arrives at an outpatient surgery center before a tonsillectomy. Which
action is the priority during this phase of surgery?
A. Preoperative assessment
B. Intraoperative medication
C. Intraoperative assessment
D. Postoperative instructions correct answer A. Preoperative assessment
The patient is in the preoperative phase of surgery and must be assessed and
prepared for surgery. The patient may have laboratory work obtained, medication
administered, and consent forms signed. The intraoperative phase is the actual
surgery; the patient is anesthetized, prepped, draped, and surgery performed.
The postoperative phase is the recovery phase of surgery in which the patient
continues to recover until optimal health is achieved.
A patient scheduled for surgery is unable to sign the operative consent form
because of sedation from opioid analgesics. Which action does the nurse take?
, A. Contact the legal department to consult on how to proceed
B. Obtain a telephone consent from a family member, following agency policy
C. Refer to the medical record to determine if the patient has a medical power of
attorney on file
D. Send the patient to surgery without the consent form being signed with a
notation as to why consent was not obtained correct answer C. Refer to the
medical record to determine if the patient has a medical power of attorney on file
A patient tells the nurse , "I am really nervous about my upcoming surgery."
Which response by the nurse is most appropriate to encourage further discussion
between the patient and the nurse?
A. "Everyone is nervous before surgery"
B. "I can explain the entire surgical procedure to you"
C. "Can you tell me what has been explained to you about your surgery?"
D. "Let me tell you about the care that you will receive after surgery and the
amount of pain that you can anticipate" correct answer C. "Can you tell me what
has been explained to you about your surgery?"
A patient underwent cholecystectomy and is in the PACU. The nurse
demonstrates the technique of diaphragmatic breathing for this patient. Which
points should the nurse include in the explanation? Select all that apply.
A. It can be performed in a sitting or in a semi-Fowler's position
B. The patient should use the chest and shoulders while inhaling
C. The patient should hold the breath for a count of three then slowly exhale
through pursed lips
D. This technique involves rapid inhalations and exhalations for 2 minutes
followed by 1 minute of rest
PATIENT QUESTIONS WITH ACCURATE ANSWERS
A nurse is caring for a patient who abuses alcohol and has been in the hospital for
a few days. The nurse notices that the patient has developed confusion and
hallucinations and is having difficulty staying asleep. Which condition does the
nurse expect the patient has?
A. Delirium tremens
B. Rebound insomnia
C. Esophageal varices
D. Orthostatic hypotension correct answer A. Delirium tremens
A patient arrives at an outpatient surgery center before a tonsillectomy. Which
action is the priority during this phase of surgery?
A. Preoperative assessment
B. Intraoperative medication
C. Intraoperative assessment
D. Postoperative instructions correct answer A. Preoperative assessment
The patient is in the preoperative phase of surgery and must be assessed and
prepared for surgery. The patient may have laboratory work obtained, medication
administered, and consent forms signed. The intraoperative phase is the actual
surgery; the patient is anesthetized, prepped, draped, and surgery performed.
The postoperative phase is the recovery phase of surgery in which the patient
continues to recover until optimal health is achieved.
A patient scheduled for surgery is unable to sign the operative consent form
because of sedation from opioid analgesics. Which action does the nurse take?
, A. Contact the legal department to consult on how to proceed
B. Obtain a telephone consent from a family member, following agency policy
C. Refer to the medical record to determine if the patient has a medical power of
attorney on file
D. Send the patient to surgery without the consent form being signed with a
notation as to why consent was not obtained correct answer C. Refer to the
medical record to determine if the patient has a medical power of attorney on file
A patient tells the nurse , "I am really nervous about my upcoming surgery."
Which response by the nurse is most appropriate to encourage further discussion
between the patient and the nurse?
A. "Everyone is nervous before surgery"
B. "I can explain the entire surgical procedure to you"
C. "Can you tell me what has been explained to you about your surgery?"
D. "Let me tell you about the care that you will receive after surgery and the
amount of pain that you can anticipate" correct answer C. "Can you tell me what
has been explained to you about your surgery?"
A patient underwent cholecystectomy and is in the PACU. The nurse
demonstrates the technique of diaphragmatic breathing for this patient. Which
points should the nurse include in the explanation? Select all that apply.
A. It can be performed in a sitting or in a semi-Fowler's position
B. The patient should use the chest and shoulders while inhaling
C. The patient should hold the breath for a count of three then slowly exhale
through pursed lips
D. This technique involves rapid inhalations and exhalations for 2 minutes
followed by 1 minute of rest
