NUR 112 - EXAM 1
The nurse provides postop instructions for an adult patient after cataract
surgery.statement,
written Which if provided by the nurse, would be the most
appropriate?
a. "to avoid contamination of the eye use aseptic tech. when applying
eye drops."
b."conjunctivitis may result if the eye is contaminated with wet or dirty
eye
c. "to patches."
prevent infection in the eye, wash your hands before changing the
eye patch
using eye or
drops."
d. "coughing and bending over can cause increased intraocular pressure,
resulting
retinal in
damage or displacement of the incraocular lens." Correct
answers c
When using the trans-theoretical model of health behavior change
during thethe
teaching, pt nurse identifies that the pt who states, "I've walked regularly
for about a
year to help prevent osteoporosis, but recently I haven't been motivated
to cont."
the stageIs in
of?
a.
action
b.
preparation
c.
termination
d. maintenance Correct
answers
When a nurse is observing a pt draw up and mix insulin injections,
which of the
following best demonstrate that psychomotor learning has
taken
a. the place?
pt is able to discuss the appropriate
technique
b. the pt is able to demonstrate the appropriate
technique
c. the pt states that he
understands
d. the pt is able to write the steps on a piece of paper Correct
answers b
A nurse in a provider's office is collecting data from the mother of a 1 year
oldstates
pt child. that
The her child is old enough for potty training. Following an
education
by the nurse,session
the pt now states that her earlier ideas has changed. She is
now willing
postpone to training until the child is older. Learning has occurred in
potty
which of the
following
domains?
a.
b.
cognitive
affective
c.
psychomotor
d. kinesthetic Correct
answers b
A nurse is providing preoperative teaching for a pt who is sched. for a
mastectomy
next day. Whichthe of the following pt statements indicates that the pt is
ready
a. to learn?
"I don't want my spouse to see my
incision."
b. "Will you be able to give me pain med after my
surgery?"
c. "Can you tell me about how long the surgery
will"My
d. take?"
roommate listens to everything I say." Correct
answers c
,A nurse is preparing an instruction session about managing stress
incontinence
older for anof the following actions should the nurse take first when
adult. Which
meeting the
pt
?
a. encourage the pt to participate actively in
learning
b. select instructional materials appropriate for the
older
c. adultgoals the nurse and the pt agree are
identify
reasonable
d. determine what the pt knows about stress incontinence Correct
answers d
A nurse is evaluating how well a pt learned the information presented in an
instructional
session about following a heart-healthy diet. The pt states that she
understands
do now. Which what to following actions by the nurse should assist
of the
the nurse inthe pts
evaluation
learning?
a. encourage the pt to ask
questions
b. ask the pt to explain how to select or
prepare
c. encouragemealsthe pt to fill out an
evaluation
d. ask the pt form
if she has resources for further instruction on this topic Correct
answers b
An overweight pt is sched. for a laparoscopic cholecystectomy at an
outpatient
setting. Thesurgery
nurse knows
that...
a. surgery will involve multiple small
incisions
b. this setting is not appropriate for this
procedure
c. surgery will involve removing a portion of
herthe
d. liver
pt will need special prep because of obesity Correct
answers a
The pt tells the nurse in the preoperative setting that she has notices she
has a reaction
when wearing rubber gloves. What is the most appropriate nursing
intervention?
a. notify the surgeon so the case can be
cancelled
b. ask additional questions to assess for possible latex
allergy
c. notify the OR staff immediately so that the latex-free supplies
can
d. nobe intervention
used is needed because the pts rubber sensitivity has not
bearing Correct
surgery on
answers b
When a patient is admitted to the PACU, what are the priority
interventions the nurse
performs
?
a. assess the surgical site, noting presence and character of
b. assess the amount of urine output and the presence of bladder
drainage.
distention.
c. asses for airway patency and quality of respirations, and
obtain
d. Review vitals.
the results of intraoperative lab values and medications
received. Correct
answers
c
A patient is admitted to the PACU after major abdominal surgery. During
the initial
assessment the pt tells the nurse he thinks he is going to throw up. a
priority nursing
intervention would
beincrease
a. to. the rate of the iv
fluid
b. obtain vital signs, including o2
saturation
, c. position pt in lateral recovery
position
d. administer antiemetic medication as ordered Correct
answers c
After admission of the postoperative pt to the clinical unit, which
assessment
require data immediate
the most
attention?
a. O2 sat of
85%
b. Resp rate of
13/min
c. Temp of 100.4
F
d. BP of 90/60 Correct
answers a
A 70 kg postoperative pt has an average urine output of 25 ml/hour
during the priority
hours. first 8 nursing intervention given this assessment
would
a. be toa straight catheterization to measure the amount of urine in
preform
thenotify
b. bladder.
the physician and anticipate obtaining blood work to evaluate
renal
c. function.
continue to monitor the pt bc this is a normal finding during this
time
d. period.the pts fluid volume status since surgery and obtain a bladder
evaluate
ultrasound
Correct answers
d
Discharge criteria for the phase II pt include
(SATA)
a. no nausea or
vomiting
b. ability to drive self
home
c. no respiratory
depression
d. written discharge instructions
understood
e. opioid pain medication given 45 min ago Correct
answers C,D,E
When scrubbing at the scrub sink, the nurse
should
a. scrub from elbows to
hand
b. scrub without mechanical
friction
c. scrub for a minimum of 10
minutes
d. hold the hands higher than the elbows Correct
answers d
Intravenous induction for general anesthesia is the method of choice
for most pt
becaus
e
a. the pt is not
intubated
b. the agents are non
explosive
c. induction is rapid and
d. emergence is longer but with fewer complications Correct
pleasant
answers c
A 59 year old man is sched. for herniorrhaphy in 2 days. During the preop
evaluation
reports thathe
he takes ginkgo daily. What is the priority
intervention?
a. inform the surgeon, since since the procedure may need to be
resched,
b. notify the anesthesia care provider, since this herb interferes with
anesthetics
c. ask the pt if he has noticed any side effects from taking this herbal
supplement
d. tell the pt to continue to take the herbal supplement up to the day
before surgery
Correct answers
a
The nurse provides postop instructions for an adult patient after cataract
surgery.statement,
written Which if provided by the nurse, would be the most
appropriate?
a. "to avoid contamination of the eye use aseptic tech. when applying
eye drops."
b."conjunctivitis may result if the eye is contaminated with wet or dirty
eye
c. "to patches."
prevent infection in the eye, wash your hands before changing the
eye patch
using eye or
drops."
d. "coughing and bending over can cause increased intraocular pressure,
resulting
retinal in
damage or displacement of the incraocular lens." Correct
answers c
When using the trans-theoretical model of health behavior change
during thethe
teaching, pt nurse identifies that the pt who states, "I've walked regularly
for about a
year to help prevent osteoporosis, but recently I haven't been motivated
to cont."
the stageIs in
of?
a.
action
b.
preparation
c.
termination
d. maintenance Correct
answers
When a nurse is observing a pt draw up and mix insulin injections,
which of the
following best demonstrate that psychomotor learning has
taken
a. the place?
pt is able to discuss the appropriate
technique
b. the pt is able to demonstrate the appropriate
technique
c. the pt states that he
understands
d. the pt is able to write the steps on a piece of paper Correct
answers b
A nurse in a provider's office is collecting data from the mother of a 1 year
oldstates
pt child. that
The her child is old enough for potty training. Following an
education
by the nurse,session
the pt now states that her earlier ideas has changed. She is
now willing
postpone to training until the child is older. Learning has occurred in
potty
which of the
following
domains?
a.
b.
cognitive
affective
c.
psychomotor
d. kinesthetic Correct
answers b
A nurse is providing preoperative teaching for a pt who is sched. for a
mastectomy
next day. Whichthe of the following pt statements indicates that the pt is
ready
a. to learn?
"I don't want my spouse to see my
incision."
b. "Will you be able to give me pain med after my
surgery?"
c. "Can you tell me about how long the surgery
will"My
d. take?"
roommate listens to everything I say." Correct
answers c
,A nurse is preparing an instruction session about managing stress
incontinence
older for anof the following actions should the nurse take first when
adult. Which
meeting the
pt
?
a. encourage the pt to participate actively in
learning
b. select instructional materials appropriate for the
older
c. adultgoals the nurse and the pt agree are
identify
reasonable
d. determine what the pt knows about stress incontinence Correct
answers d
A nurse is evaluating how well a pt learned the information presented in an
instructional
session about following a heart-healthy diet. The pt states that she
understands
do now. Which what to following actions by the nurse should assist
of the
the nurse inthe pts
evaluation
learning?
a. encourage the pt to ask
questions
b. ask the pt to explain how to select or
prepare
c. encouragemealsthe pt to fill out an
evaluation
d. ask the pt form
if she has resources for further instruction on this topic Correct
answers b
An overweight pt is sched. for a laparoscopic cholecystectomy at an
outpatient
setting. Thesurgery
nurse knows
that...
a. surgery will involve multiple small
incisions
b. this setting is not appropriate for this
procedure
c. surgery will involve removing a portion of
herthe
d. liver
pt will need special prep because of obesity Correct
answers a
The pt tells the nurse in the preoperative setting that she has notices she
has a reaction
when wearing rubber gloves. What is the most appropriate nursing
intervention?
a. notify the surgeon so the case can be
cancelled
b. ask additional questions to assess for possible latex
allergy
c. notify the OR staff immediately so that the latex-free supplies
can
d. nobe intervention
used is needed because the pts rubber sensitivity has not
bearing Correct
surgery on
answers b
When a patient is admitted to the PACU, what are the priority
interventions the nurse
performs
?
a. assess the surgical site, noting presence and character of
b. assess the amount of urine output and the presence of bladder
drainage.
distention.
c. asses for airway patency and quality of respirations, and
obtain
d. Review vitals.
the results of intraoperative lab values and medications
received. Correct
answers
c
A patient is admitted to the PACU after major abdominal surgery. During
the initial
assessment the pt tells the nurse he thinks he is going to throw up. a
priority nursing
intervention would
beincrease
a. to. the rate of the iv
fluid
b. obtain vital signs, including o2
saturation
, c. position pt in lateral recovery
position
d. administer antiemetic medication as ordered Correct
answers c
After admission of the postoperative pt to the clinical unit, which
assessment
require data immediate
the most
attention?
a. O2 sat of
85%
b. Resp rate of
13/min
c. Temp of 100.4
F
d. BP of 90/60 Correct
answers a
A 70 kg postoperative pt has an average urine output of 25 ml/hour
during the priority
hours. first 8 nursing intervention given this assessment
would
a. be toa straight catheterization to measure the amount of urine in
preform
thenotify
b. bladder.
the physician and anticipate obtaining blood work to evaluate
renal
c. function.
continue to monitor the pt bc this is a normal finding during this
time
d. period.the pts fluid volume status since surgery and obtain a bladder
evaluate
ultrasound
Correct answers
d
Discharge criteria for the phase II pt include
(SATA)
a. no nausea or
vomiting
b. ability to drive self
home
c. no respiratory
depression
d. written discharge instructions
understood
e. opioid pain medication given 45 min ago Correct
answers C,D,E
When scrubbing at the scrub sink, the nurse
should
a. scrub from elbows to
hand
b. scrub without mechanical
friction
c. scrub for a minimum of 10
minutes
d. hold the hands higher than the elbows Correct
answers d
Intravenous induction for general anesthesia is the method of choice
for most pt
becaus
e
a. the pt is not
intubated
b. the agents are non
explosive
c. induction is rapid and
d. emergence is longer but with fewer complications Correct
pleasant
answers c
A 59 year old man is sched. for herniorrhaphy in 2 days. During the preop
evaluation
reports thathe
he takes ginkgo daily. What is the priority
intervention?
a. inform the surgeon, since since the procedure may need to be
resched,
b. notify the anesthesia care provider, since this herb interferes with
anesthetics
c. ask the pt if he has noticed any side effects from taking this herbal
supplement
d. tell the pt to continue to take the herbal supplement up to the day
before surgery
Correct answers
a
