NURS 309 Quiz 1 Preoperative Patients Questions With
Complete Solutions
A client was originally scheduled for surgery at noon. The surgeon is delayed, and the
surgery has been rescheduled for 3:00 p.m. How will the nurse plan to administer the
preoperative prophylactic antibiotic?
A. Give at noon as originally prescribed.
B. Cancel orders, preoperative prophylactic antibiotics are given optionally.
C. Adjust the administration time to be given within 1 hour before surgery.
D. Hold the preoperative antibiotic so it can be administered immediately following
surgery. –correct answer C. Adjust the administration time to be given within 1 hour
before 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? SATA
A. The oxygen saturation is 97%.
B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
D. The client requests to talk with a registered dietitian about weight loss.
E. The client took a regularly scheduled antihypertensive drug with a sip of water 2
hours ago.
,F. After receiving the preoperative medications, the client tells the nurses that he lied on
the assessment form and that he really is a current smoker. - correct answer B. The
serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
F. After receiving the preoperative medications, the client tells the nurses that he lied on
the assessment form and that he really is a current smoker.
What client teaching will the nurse provide regarding postoperative leg exercises to
minimize the risk for development of deep vein thrombosis after surgery?
A. Only perform each exercise one time to prevent overuse.
B. Begin exercises by sitting at a 90-degree angle on the side of the bed.
C. Point toes of one foot toward bottom of bed; then point toes of same leg toward his or
her face. Repeat several times; then switch legs.
D. Bend knee and push heel of foot into the bed until the calf and thigh muscles
contract. Repeat several times; then switch legs. - correct answer C. Point toes of one
foot toward bottom of bed; then point toes of same leg toward his or her face. Repeat
several times; then switch legs.
The nurse is providing preoperative care for a client who will have an arthroscopy of the
left knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what
will the nurse be required to do?
A. Ensure that the correct procedure is noted in the client's history.
B. Remind the surgeon that the client will have a left knee arthroscopy.
, C. Verify with the client that a left knee arthroscopy will be performed.
D. Mark the left knee site with the client awake and the surgeon present. - correct
answer D. Mark the left knee site with the client awake and the surgeon present.
A preoperative client smokes a pack of cigarettes a day. What is the nurse's teaching
priority for the best physical outcomes?
A. Instruct the client to quit smoking.
B. Teach about the dangers of tobacco.
C. Teach the importance of incentive spirometry.
D. Tell the client that smoking increases postoperative complications. correct answer -
C. Teach the importance of incentive spirometry.
The nurse is educating a client who is about to undergo cardiac surgery with general
anesthesia. Which statement by the client indicates the need for further instruction?
A. "I will wake up with a tube in my throat."
B. "I will have a bandage on my chest."
C. "My family will not be able to see me right away."
D. "Pain medication will take away my pain." - correct answer D. "Pain medication will
take away my pain."
Which task would be best for the charge nurse to assign to the LPN/LVN working in the
surgery admitting area?
Complete Solutions
A client was originally scheduled for surgery at noon. The surgeon is delayed, and the
surgery has been rescheduled for 3:00 p.m. How will the nurse plan to administer the
preoperative prophylactic antibiotic?
A. Give at noon as originally prescribed.
B. Cancel orders, preoperative prophylactic antibiotics are given optionally.
C. Adjust the administration time to be given within 1 hour before surgery.
D. Hold the preoperative antibiotic so it can be administered immediately following
surgery. –correct answer C. Adjust the administration time to be given within 1 hour
before 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? SATA
A. The oxygen saturation is 97%.
B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
D. The client requests to talk with a registered dietitian about weight loss.
E. The client took a regularly scheduled antihypertensive drug with a sip of water 2
hours ago.
,F. After receiving the preoperative medications, the client tells the nurses that he lied on
the assessment form and that he really is a current smoker. - correct answer B. The
serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
F. After receiving the preoperative medications, the client tells the nurses that he lied on
the assessment form and that he really is a current smoker.
What client teaching will the nurse provide regarding postoperative leg exercises to
minimize the risk for development of deep vein thrombosis after surgery?
A. Only perform each exercise one time to prevent overuse.
B. Begin exercises by sitting at a 90-degree angle on the side of the bed.
C. Point toes of one foot toward bottom of bed; then point toes of same leg toward his or
her face. Repeat several times; then switch legs.
D. Bend knee and push heel of foot into the bed until the calf and thigh muscles
contract. Repeat several times; then switch legs. - correct answer C. Point toes of one
foot toward bottom of bed; then point toes of same leg toward his or her face. Repeat
several times; then switch legs.
The nurse is providing preoperative care for a client who will have an arthroscopy of the
left knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what
will the nurse be required to do?
A. Ensure that the correct procedure is noted in the client's history.
B. Remind the surgeon that the client will have a left knee arthroscopy.
, C. Verify with the client that a left knee arthroscopy will be performed.
D. Mark the left knee site with the client awake and the surgeon present. - correct
answer D. Mark the left knee site with the client awake and the surgeon present.
A preoperative client smokes a pack of cigarettes a day. What is the nurse's teaching
priority for the best physical outcomes?
A. Instruct the client to quit smoking.
B. Teach about the dangers of tobacco.
C. Teach the importance of incentive spirometry.
D. Tell the client that smoking increases postoperative complications. correct answer -
C. Teach the importance of incentive spirometry.
The nurse is educating a client who is about to undergo cardiac surgery with general
anesthesia. Which statement by the client indicates the need for further instruction?
A. "I will wake up with a tube in my throat."
B. "I will have a bandage on my chest."
C. "My family will not be able to see me right away."
D. "Pain medication will take away my pain." - correct answer D. "Pain medication will
take away my pain."
Which task would be best for the charge nurse to assign to the LPN/LVN working in the
surgery admitting area?
