NUR 145 - Module A: Practice Questions
1. A client is admitted to the ED reporting severe abdominal pain & vomiting
"coffee-ground" like emesis. The client is diagnosed with a perforated gastric
ulcer and is informed that they need surgery. When can the client most likely
anticipate that the surgery will be scheduled?
a. Within 24 hours
b. Within the next week
c. Without delay
d. As soon as all the day's elective surgeries have been completed: c
- an active bleed, which is indicated by the "coffee-ground" emesis, is considered an
emergency, and the client requires immediate attention because the disorder may
be life threatening.
2. The nurse is performing a preoperative assessment on a client going to
surgery. The client reports to the nurse he's been drinking approximately
two bottles of wine each day for the last several years. What postoperative
,difficulties should the nurse anticipate for this client?
a. Nonadherence to prescribed treatment after surgery
b. Increased risk for postoperative complications
c. Alcohol withdrawal syndrome upon administration of general anesthesia
d. Increased risk for allergic reactions: b
3. In anticipation of a client's scheduled surgery, the nurse is teaching the
client to perform deep breathing and coughing to use postoperatively. What
action should the nurse teach the client?
a. The client should take three deep breaths and cough hard three times, at
least every 15 minutes for the immediate postoperative period.
b. The client should take three deep breaths and exhale forcefully and then
take a quick short breath and cough from deep in the lungs.
c. The client should take a deep breath in through the mouth and exhale
through the mouth, take a short breath, and cough from deep in the lungs.
d. The client should rapidly inhale, hold for 30 seconds or as long as possible,
and exhale slowly: c
4. The nurse is preparing a client for surgery prior to her hysterectomy without
,oophorectomy. The nurse is witnessing the client's signature on a consent
form. Which comment by the client would best
indicate informed consent?
, a. "I know I'll be fine because the health care provider has done this procedure
hundreds of times."
b. "I know I'll have pain after the surgery but they'll do their best to keep it to
a minimum."
c. "The health care provider is going to remove my uterus and told me about
the risk of bleeding."
d. "Because the health care provider isn't taking my ovaries, I'll still be able to
have children.": c
5. The nurse is planning teaching for a client who is scheduled for an open
hemicolectomy. The nurse intends to address the topics of incision splinting
and leg exercises during this teaching session. When is the best time for the
nurse to provide teaching?
a. Upon the client's admission to the post anesthesia care unit (PACU)
b. When the client returns from the PACU
c. During the intraoperative period
d. As soon as possible, and before the surgical procedure: d
6. The nurse is caring for a hospice client who is scheduled for a surgical
procedure to reduce the size of a spinal tumor in an effort to relieve pain.
The nurse should plan this client care with the knowledge that this surgical
1. A client is admitted to the ED reporting severe abdominal pain & vomiting
"coffee-ground" like emesis. The client is diagnosed with a perforated gastric
ulcer and is informed that they need surgery. When can the client most likely
anticipate that the surgery will be scheduled?
a. Within 24 hours
b. Within the next week
c. Without delay
d. As soon as all the day's elective surgeries have been completed: c
- an active bleed, which is indicated by the "coffee-ground" emesis, is considered an
emergency, and the client requires immediate attention because the disorder may
be life threatening.
2. The nurse is performing a preoperative assessment on a client going to
surgery. The client reports to the nurse he's been drinking approximately
two bottles of wine each day for the last several years. What postoperative
,difficulties should the nurse anticipate for this client?
a. Nonadherence to prescribed treatment after surgery
b. Increased risk for postoperative complications
c. Alcohol withdrawal syndrome upon administration of general anesthesia
d. Increased risk for allergic reactions: b
3. In anticipation of a client's scheduled surgery, the nurse is teaching the
client to perform deep breathing and coughing to use postoperatively. What
action should the nurse teach the client?
a. The client should take three deep breaths and cough hard three times, at
least every 15 minutes for the immediate postoperative period.
b. The client should take three deep breaths and exhale forcefully and then
take a quick short breath and cough from deep in the lungs.
c. The client should take a deep breath in through the mouth and exhale
through the mouth, take a short breath, and cough from deep in the lungs.
d. The client should rapidly inhale, hold for 30 seconds or as long as possible,
and exhale slowly: c
4. The nurse is preparing a client for surgery prior to her hysterectomy without
,oophorectomy. The nurse is witnessing the client's signature on a consent
form. Which comment by the client would best
indicate informed consent?
, a. "I know I'll be fine because the health care provider has done this procedure
hundreds of times."
b. "I know I'll have pain after the surgery but they'll do their best to keep it to
a minimum."
c. "The health care provider is going to remove my uterus and told me about
the risk of bleeding."
d. "Because the health care provider isn't taking my ovaries, I'll still be able to
have children.": c
5. The nurse is planning teaching for a client who is scheduled for an open
hemicolectomy. The nurse intends to address the topics of incision splinting
and leg exercises during this teaching session. When is the best time for the
nurse to provide teaching?
a. Upon the client's admission to the post anesthesia care unit (PACU)
b. When the client returns from the PACU
c. During the intraoperative period
d. As soon as possible, and before the surgical procedure: d
6. The nurse is caring for a hospice client who is scheduled for a surgical
procedure to reduce the size of a spinal tumor in an effort to relieve pain.
The nurse should plan this client care with the knowledge that this surgical
