NUR 124 Final Practice Test Questions
The nurse is preparing a client for surgery. Which of the following items on the
client's presurgery lab results would indicate a need to contact the surgeon?
a) Platelet count of 325,000 mm3
b) Total cholesterol of 325 mg/dL
c) Blood urea nitrogen (BUN) 17 mg/dL
d) Hemoglobin 9.5 g/dL - correct answer d) Hemoglobin 9.5 g/dL
The hemoglobin level is low, and the nurse needs to make sure the surgeon has
the most recent laboratory values before surgery. This client may need a
transfusion before surgery. The cholesterol is elevated but is not a concern before
surgery. The platelets and the BUN are within normal limits. (Potter, Perry, 7 ed.,
pp. 1376-1377.)
In the recovery room, the postoperative client suddenly becomes restless with
circumoral cyanosis. What is the first nursing action?
a) Begin administration of oxygen through a nasal cannula.
b) Call for assistance.
c) Reposition the head and determine patency of airway.
d) Insert an oral airway and suction the nasopharynx. - correct answer c)
Reposition the head and determine patency of airway.
It is important to determine whether the airway is patent and whether the client
is breathing. If a significant amount of mucus and gurgling are noted in the upper
airway, the client should be suctioned. Insertion of an oral airway may be
necessary to maintain an open airway, but the airway must be assessed before
determining a course of action. Inserting an airway will not solve the problem if
the client is not breathing. (Lewis, Dirksen, Heitkemper et al, 8 ed., pp. 366-368.)
,NUR 124 Final Practice Test Questions
The nurse is preparing the preoperative client for surgery. Which of the following
statements indicate to the nurse that the client is knowledgeable about his
impending surgery? Select all that apply.
a) "After surgery, I will need to wear the pneumatic compression device while
sitting in the chair."
b) "The skin prep area is going to be longer and wider than the anticipated
incision."
c) "I cannot have anything to drink or eat after midnight on the night before the
surgery."
d) "To ensure my safety, a time-out for identification will be conducted in the
operating room before surgery."
e) "I will be given the consent form, and I will sign it after I get to the operating
room." - correct answer b, c, d
Having the skin prep area being longer and wider than the actual incision,
maintaining NPO status after midnight, and performing the time-out identification
indicate a correct understanding of the preoperative teaching. The pneumatic
compression device is worn during bed rest and is removed when the client is out
of bed or ambulating. The informed consent document should be signed before
preoperative medication administration and before the client enters the
operating room. Part of safety standards is to initiate a time-out in the operating
room before the surgery is started. (Lewis, Dirksen, Heitkemper, et al, 8 ed., pp.
341-343.)
A client is scheduled for major surgery. What is most important for the nurse to
do before surgery?
a) Remove all jewelry or tape wedding rings.
b) Verify that all laboratory work is complete.
,NUR 124 Final Practice Test Questions
c) Inform family or next of kin of recovery procedure.
d) Check that consent forms are signed. - correct answer d) Check that consent
forms are signed.
Consent forms must be signed by the client, family, or guardian with medical
power of attorney before any procedure can be done. Consent forms also must
be signed before the client receives any narcotics or medications that would
affect his reasoning. These medications are frequently in the preoperative
medications ordered. (Lewis, Dirksen, Heitkemper, et al, 8 ed., pp. 344-346.)
The nurse is caring for a first-day postoperative surgical client. Prioritize the
client's desired dietary progression by numbering the following from 1 to 4 (with
1 being the first step and 4 being the last step).
_Full liquid
_NPO
_Clear liquid
_Soft - correct answer 1) NPO
2) Clear liquid
3) Full liquid
4) Soft
The client's status is NPO immediately after surgery. Desired diet progression
advances next to clear liquid. Desired diet progression then advances to full
liquid. Desired diet progression next advances to a soft diet and then finally to a
regular diet as tolerated by the client. (Potter, Perry, 7 ed., pp. 1404-1405.)
A postoperative patient receives a dinner tray with gelatin, pudding, and vanilla
ice cream. Based on the foods on the client's tray, what would the nurse
anticipate the client's current diet order to be?
, NUR 124 Final Practice Test Questions
a) Bland diet
b) Soft diet
c) Full liquid diet
d) Regular diet - correct answer c) Full liquid diet
A full liquid diet includes liquids, as well as foods that are liquid at room
temperature, such as ice cream, custards, puddings, and some refined cereals. A
bland diet consists of foods that are soft, not very spicy, and low in fiber. A soft
diet or low residue includes foods that are low fiber and easily digested, such as
pastas, casseroles, canned fruits, and vegetables. A regular diet has no
restrictions. (Potter, Perry, 7 ed., pp. 981-984.)
A client returns from surgery. Which data obtained during assessment would
indicate the client is experiencing severe pain?
a) Decreased heart rate, decreased blood pressure, decreased respirations
b) Increased heart rate, decreased blood pressure, decreased respirations
c) Increased heart rate, increased blood pressure, increased respirations
d) Decreased heart rate, decreased blood pressure, increased respirations -
correct answer c) Increased heart rate, increased blood pressure, increased
respirations
When a client is experiencing severe pain, all body functions are increased, as the
sympathetic response in this instance is stimulated: increased heart rate, blood
pressure, and respiratory rate. (Lewis, et al, 8 ed., pp. 374-375.)
The nurse is caring for a client with postoperative repair of an aortic aneurysm.
What is a nursing concern regarding a postoperative internal hemorrhage?
The nurse is preparing a client for surgery. Which of the following items on the
client's presurgery lab results would indicate a need to contact the surgeon?
a) Platelet count of 325,000 mm3
b) Total cholesterol of 325 mg/dL
c) Blood urea nitrogen (BUN) 17 mg/dL
d) Hemoglobin 9.5 g/dL - correct answer d) Hemoglobin 9.5 g/dL
The hemoglobin level is low, and the nurse needs to make sure the surgeon has
the most recent laboratory values before surgery. This client may need a
transfusion before surgery. The cholesterol is elevated but is not a concern before
surgery. The platelets and the BUN are within normal limits. (Potter, Perry, 7 ed.,
pp. 1376-1377.)
In the recovery room, the postoperative client suddenly becomes restless with
circumoral cyanosis. What is the first nursing action?
a) Begin administration of oxygen through a nasal cannula.
b) Call for assistance.
c) Reposition the head and determine patency of airway.
d) Insert an oral airway and suction the nasopharynx. - correct answer c)
Reposition the head and determine patency of airway.
It is important to determine whether the airway is patent and whether the client
is breathing. If a significant amount of mucus and gurgling are noted in the upper
airway, the client should be suctioned. Insertion of an oral airway may be
necessary to maintain an open airway, but the airway must be assessed before
determining a course of action. Inserting an airway will not solve the problem if
the client is not breathing. (Lewis, Dirksen, Heitkemper et al, 8 ed., pp. 366-368.)
,NUR 124 Final Practice Test Questions
The nurse is preparing the preoperative client for surgery. Which of the following
statements indicate to the nurse that the client is knowledgeable about his
impending surgery? Select all that apply.
a) "After surgery, I will need to wear the pneumatic compression device while
sitting in the chair."
b) "The skin prep area is going to be longer and wider than the anticipated
incision."
c) "I cannot have anything to drink or eat after midnight on the night before the
surgery."
d) "To ensure my safety, a time-out for identification will be conducted in the
operating room before surgery."
e) "I will be given the consent form, and I will sign it after I get to the operating
room." - correct answer b, c, d
Having the skin prep area being longer and wider than the actual incision,
maintaining NPO status after midnight, and performing the time-out identification
indicate a correct understanding of the preoperative teaching. The pneumatic
compression device is worn during bed rest and is removed when the client is out
of bed or ambulating. The informed consent document should be signed before
preoperative medication administration and before the client enters the
operating room. Part of safety standards is to initiate a time-out in the operating
room before the surgery is started. (Lewis, Dirksen, Heitkemper, et al, 8 ed., pp.
341-343.)
A client is scheduled for major surgery. What is most important for the nurse to
do before surgery?
a) Remove all jewelry or tape wedding rings.
b) Verify that all laboratory work is complete.
,NUR 124 Final Practice Test Questions
c) Inform family or next of kin of recovery procedure.
d) Check that consent forms are signed. - correct answer d) Check that consent
forms are signed.
Consent forms must be signed by the client, family, or guardian with medical
power of attorney before any procedure can be done. Consent forms also must
be signed before the client receives any narcotics or medications that would
affect his reasoning. These medications are frequently in the preoperative
medications ordered. (Lewis, Dirksen, Heitkemper, et al, 8 ed., pp. 344-346.)
The nurse is caring for a first-day postoperative surgical client. Prioritize the
client's desired dietary progression by numbering the following from 1 to 4 (with
1 being the first step and 4 being the last step).
_Full liquid
_NPO
_Clear liquid
_Soft - correct answer 1) NPO
2) Clear liquid
3) Full liquid
4) Soft
The client's status is NPO immediately after surgery. Desired diet progression
advances next to clear liquid. Desired diet progression then advances to full
liquid. Desired diet progression next advances to a soft diet and then finally to a
regular diet as tolerated by the client. (Potter, Perry, 7 ed., pp. 1404-1405.)
A postoperative patient receives a dinner tray with gelatin, pudding, and vanilla
ice cream. Based on the foods on the client's tray, what would the nurse
anticipate the client's current diet order to be?
, NUR 124 Final Practice Test Questions
a) Bland diet
b) Soft diet
c) Full liquid diet
d) Regular diet - correct answer c) Full liquid diet
A full liquid diet includes liquids, as well as foods that are liquid at room
temperature, such as ice cream, custards, puddings, and some refined cereals. A
bland diet consists of foods that are soft, not very spicy, and low in fiber. A soft
diet or low residue includes foods that are low fiber and easily digested, such as
pastas, casseroles, canned fruits, and vegetables. A regular diet has no
restrictions. (Potter, Perry, 7 ed., pp. 981-984.)
A client returns from surgery. Which data obtained during assessment would
indicate the client is experiencing severe pain?
a) Decreased heart rate, decreased blood pressure, decreased respirations
b) Increased heart rate, decreased blood pressure, decreased respirations
c) Increased heart rate, increased blood pressure, increased respirations
d) Decreased heart rate, decreased blood pressure, increased respirations -
correct answer c) Increased heart rate, increased blood pressure, increased
respirations
When a client is experiencing severe pain, all body functions are increased, as the
sympathetic response in this instance is stimulated: increased heart rate, blood
pressure, and respiratory rate. (Lewis, et al, 8 ed., pp. 374-375.)
The nurse is caring for a client with postoperative repair of an aortic aneurysm.
What is a nursing concern regarding a postoperative internal hemorrhage?
