Adult Health Final Exam (NCLEX Questions) d d d d d d
With Mark Scheme d d
B,C,D,E - d d
Surgery is performed for which of the following reasons? (select all that apply)
d d d d d d d d d d d d d d d d d d d d d d d d d
A)Recreation
B)Cure
C)Palliation
D)Prevention
E)Cosmetic improvement d
C- d d
A nurse is interviewing her patient preoperation. Her patient seems anxious and
d d d d d d d d d d d d d d d d d d d d d d d d d
flustered. Which nursing response is inappropriate?
d d d d d
A)"Tell me what your concerns are."
d d d d d
B)"Do you have any questions about the procedure?"
d d d d d d d
C)"Everything is going to be just fine, don't worry." d d d d d d d d
D)"We are going to do our very best to make sure this surgery is successful."
d d d d d d d d d d d d d d
D- d d
A nurse is reviewing lab values and vital signs for a 21 year old female patient who is
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
having a cholecystectomy the next day. Which value will require further investigation?
d d d d d d d d d d d d
A)Blood glucose: 81 d d
B)BP: 118/72 d
C)Respirations: 19 d
D)Hb: 8.6 d
C- d d
A nurse is busy and needs to delegate some tasks to the patient tech. Which task
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
would be inappropriate for the tech to perform for a patient who is pre-op?
d d d d d d d d d d d d d d
A)Taking the patient a warm blanket for comfort purposes
d d d d d d d d
B)Removing patient's nail polish and measuring oxygen saturation with pulse oximeter
d d d d d d d d d d
C)Teaching patient how to cough using a pillow as a splint d d d d d d d d d d
D)Assisting the patient to take off all cosmetics d d d d d d d
A,B,C,D - d d
What is important information to gather during the patient interview? (Select all that
d d d d d d d d d d d d d d d d d d d d d d d d d d
apply)
A)Obtain patient's health information d d d
B)Assess the patient's emotional needs d d d d
C)Ask the patient if they understand what surgery they are having and if they know why.
d d d d d d d d d d d d d d d
D)Ask when the last time they had something to eat.
d d d d d d d d d
C- d d
The nurse is providing information to the patient on pain control after total hip
d d d d d d d d d d d d d d d d d d d d d d d d d d d
replacement surgery. When does the nurse suggest to the patient the most appropriate time to
d d d d d d d d d d d d d d d
request pain medication? d d
1|Page
,A)After the pain is so severe that relaxation techniques won't help.
d d d d d d d d d d
B)When the patient rates the pain a "10" on a 1-10 scale.
d d d d d d d d d d d
C)Before the pain becomes severe. d d d d
D)When there is no pain, but the pain medication is available to take.
d d d d d d d d d d d d
B- d d
What preoperative teaching will be likely to reduce the changes of the patient
d d d d d d d d d d d d d d d d d d d d d d d d d d
experiencing complications of atelectasis? d d d
A)Adequate nutrition, fluid and electrolytes. d d d d
B)Use of incentive spirometry d d d
C)Adequate pain control d d
D)Guided imagery to control anxiety d d d d
C- d d
Mr. C is waiting to go back to the surgical suite after receiving Versed and Atropine.
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
Mr. C begins to get concerned and tells the nurse, "something must be wrong, my mouth is
d d d d d d d d d d d d d d d d d
very dry and my heart is beating fast." What should be the nurse's first response?
d d d d d d d d d d d d d d
A)Explain to the patient that all the findings are normal with the medication he is receiving.
d d d d d d d d d d d d d d d
B)Document the findings but continue to observe the patient d d d d d d d d
C)Check the patient's B/P and Pulse. d d d d d
D)Prepare to administer an antidote and benadryl. d d d d d d
A,B,C - d d
As a Perioperative nurse/Circulator, your sole responsibilities include (select all that
d d d d d d d d d d d d d d d d d d d d d d d d
apply)
A)Preparing surgical rooms with other team members d d d d d d
B)Maintaining pt safety and privacy d d d d
C)Serving as a pts advocate throughout surgical experience d d d d d d d
D)Pass instruments during the surgical procedure
d d d d d
A,C - d d
Trends have changed over the years. Now there are more ambulatory or outpatient
d d d d d d d d d d d d d d d d d d d d d d d d d d
surgeries being performed than in-hospital surgeries. What type of procedures are mostly
d d d d d d d d d d d d
likely found at an outpatient setting? (Select all that apply)
d d d d d d d d d
A)Wisdom teeth removal d d
B)Double lung transplant d d
C)Cataract extraction d
D)Heart transplant d
A,C,D - d d
d d d d d d d d d d d d d Personnel in street clothes interact with those in scrubs in what areas? (Select all that
d d d d d d d d d d d d d d d
apply)
A)Holding room d
B)Operating room d
C)Locker room d
D)Information desk d
E)Scrub sink areas d d
D- d d
d d d d d d d d d d d d d All of the following would be done in the holding room area EXCEPT?
d d d d d d d d d d d d d
2|Page
, A)Inserting an IV d d
B)Application of SCDs (sequential compression devices) d d d d d
C)Verification of relevant documentation d d d
D)Instrument documentation d d
E)Procedure site marking d d
A- d d
A patient was recently found to have malignant hyperthermia, but she does not
d d d d d d d d d d d d d d d d d d d d d d d d d d
understand what manifestations of this look like. Which of these will you NOT include in
d d d d d d d d d d d d d d d
your explanation?
d
A)Rise in body temperature is an early sign
d d d d d d d
B)Tachypnea
C)Hypercarbia
D)Ventricular dysrhythmias d
E)Can eventually result in cardiac arrest and death
d d d d d d d
A,C,D,E - d d
An elderly patient's response to an anesthetic is altered along with which other
d d d d d d d d d d d d d d d d d d d d d d d d d d
physiologic changes? (SELECT ALL THAT APPLY) d d d d d
A)Fluid loss d
B)Hyperthermia
C)Pain
D)Blood loss d
E)Tolerance to positioning d d
D- d d
While under anesthesia, you notice that your patient who has a latex allergy suddenly
d d d d d d d d d d d d d d d d d d d d d d d d d d d
has changes on their skin. You see welts forming, redness appearing, and a presence of a
d d d d d d d d d d d d d d d d
rash. What do you do in this situation?
d d d d d d d
A)Ignore it, the body isn't use to the anesthesia, but it is ok.
d d d d d d d d d d d d d
B)Make a note in your head to tell the physician after the procedure.
d d d d d d d d d d d d
C)Let the family know that the patient had signs of being really nervous throughout the
d d d d d d d d d d d d d d d
procedure.
D)Immediately notify Anesthesia. d d
B- d d
A patient who is just waking up after having knee replacement surgery is agitated and
d d d d d d d d d d d d d d d d d d d d d d d d d d d
confused. Which action should take first?
d d d d d d
A)Administer the ordered opioid d d d
B)Check the oxygen saturation d d d
C)Check pulse and blood pressure d d d d d
D)Restrain the patient d d
E)Check incision for signs of infectiond d d d d
A,B,C - d d
What should a nurse's care focus on post-op? (select all that apply)
d d d d d d d d d d d d d d d d d d d d d d d d
A)Protection of the patient d d d
B)Preventing complications post-surgical procedure d d d
C)Immediately start orients patient to PACU, even when eyes are closed d d d d d d d d d d
D)Begin orienting the patient once they are awake
d d d d d d d
3|Page
With Mark Scheme d d
B,C,D,E - d d
Surgery is performed for which of the following reasons? (select all that apply)
d d d d d d d d d d d d d d d d d d d d d d d d d
A)Recreation
B)Cure
C)Palliation
D)Prevention
E)Cosmetic improvement d
C- d d
A nurse is interviewing her patient preoperation. Her patient seems anxious and
d d d d d d d d d d d d d d d d d d d d d d d d d
flustered. Which nursing response is inappropriate?
d d d d d
A)"Tell me what your concerns are."
d d d d d
B)"Do you have any questions about the procedure?"
d d d d d d d
C)"Everything is going to be just fine, don't worry." d d d d d d d d
D)"We are going to do our very best to make sure this surgery is successful."
d d d d d d d d d d d d d d
D- d d
A nurse is reviewing lab values and vital signs for a 21 year old female patient who is
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
having a cholecystectomy the next day. Which value will require further investigation?
d d d d d d d d d d d d
A)Blood glucose: 81 d d
B)BP: 118/72 d
C)Respirations: 19 d
D)Hb: 8.6 d
C- d d
A nurse is busy and needs to delegate some tasks to the patient tech. Which task
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
would be inappropriate for the tech to perform for a patient who is pre-op?
d d d d d d d d d d d d d d
A)Taking the patient a warm blanket for comfort purposes
d d d d d d d d
B)Removing patient's nail polish and measuring oxygen saturation with pulse oximeter
d d d d d d d d d d
C)Teaching patient how to cough using a pillow as a splint d d d d d d d d d d
D)Assisting the patient to take off all cosmetics d d d d d d d
A,B,C,D - d d
What is important information to gather during the patient interview? (Select all that
d d d d d d d d d d d d d d d d d d d d d d d d d d
apply)
A)Obtain patient's health information d d d
B)Assess the patient's emotional needs d d d d
C)Ask the patient if they understand what surgery they are having and if they know why.
d d d d d d d d d d d d d d d
D)Ask when the last time they had something to eat.
d d d d d d d d d
C- d d
The nurse is providing information to the patient on pain control after total hip
d d d d d d d d d d d d d d d d d d d d d d d d d d d
replacement surgery. When does the nurse suggest to the patient the most appropriate time to
d d d d d d d d d d d d d d d
request pain medication? d d
1|Page
,A)After the pain is so severe that relaxation techniques won't help.
d d d d d d d d d d
B)When the patient rates the pain a "10" on a 1-10 scale.
d d d d d d d d d d d
C)Before the pain becomes severe. d d d d
D)When there is no pain, but the pain medication is available to take.
d d d d d d d d d d d d
B- d d
What preoperative teaching will be likely to reduce the changes of the patient
d d d d d d d d d d d d d d d d d d d d d d d d d d
experiencing complications of atelectasis? d d d
A)Adequate nutrition, fluid and electrolytes. d d d d
B)Use of incentive spirometry d d d
C)Adequate pain control d d
D)Guided imagery to control anxiety d d d d
C- d d
Mr. C is waiting to go back to the surgical suite after receiving Versed and Atropine.
d d d d d d d d d d d d d d d d d d d d d d d d d d d d d
Mr. C begins to get concerned and tells the nurse, "something must be wrong, my mouth is
d d d d d d d d d d d d d d d d d
very dry and my heart is beating fast." What should be the nurse's first response?
d d d d d d d d d d d d d d
A)Explain to the patient that all the findings are normal with the medication he is receiving.
d d d d d d d d d d d d d d d
B)Document the findings but continue to observe the patient d d d d d d d d
C)Check the patient's B/P and Pulse. d d d d d
D)Prepare to administer an antidote and benadryl. d d d d d d
A,B,C - d d
As a Perioperative nurse/Circulator, your sole responsibilities include (select all that
d d d d d d d d d d d d d d d d d d d d d d d d
apply)
A)Preparing surgical rooms with other team members d d d d d d
B)Maintaining pt safety and privacy d d d d
C)Serving as a pts advocate throughout surgical experience d d d d d d d
D)Pass instruments during the surgical procedure
d d d d d
A,C - d d
Trends have changed over the years. Now there are more ambulatory or outpatient
d d d d d d d d d d d d d d d d d d d d d d d d d d
surgeries being performed than in-hospital surgeries. What type of procedures are mostly
d d d d d d d d d d d d
likely found at an outpatient setting? (Select all that apply)
d d d d d d d d d
A)Wisdom teeth removal d d
B)Double lung transplant d d
C)Cataract extraction d
D)Heart transplant d
A,C,D - d d
d d d d d d d d d d d d d Personnel in street clothes interact with those in scrubs in what areas? (Select all that
d d d d d d d d d d d d d d d
apply)
A)Holding room d
B)Operating room d
C)Locker room d
D)Information desk d
E)Scrub sink areas d d
D- d d
d d d d d d d d d d d d d All of the following would be done in the holding room area EXCEPT?
d d d d d d d d d d d d d
2|Page
, A)Inserting an IV d d
B)Application of SCDs (sequential compression devices) d d d d d
C)Verification of relevant documentation d d d
D)Instrument documentation d d
E)Procedure site marking d d
A- d d
A patient was recently found to have malignant hyperthermia, but she does not
d d d d d d d d d d d d d d d d d d d d d d d d d d
understand what manifestations of this look like. Which of these will you NOT include in
d d d d d d d d d d d d d d d
your explanation?
d
A)Rise in body temperature is an early sign
d d d d d d d
B)Tachypnea
C)Hypercarbia
D)Ventricular dysrhythmias d
E)Can eventually result in cardiac arrest and death
d d d d d d d
A,C,D,E - d d
An elderly patient's response to an anesthetic is altered along with which other
d d d d d d d d d d d d d d d d d d d d d d d d d d
physiologic changes? (SELECT ALL THAT APPLY) d d d d d
A)Fluid loss d
B)Hyperthermia
C)Pain
D)Blood loss d
E)Tolerance to positioning d d
D- d d
While under anesthesia, you notice that your patient who has a latex allergy suddenly
d d d d d d d d d d d d d d d d d d d d d d d d d d d
has changes on their skin. You see welts forming, redness appearing, and a presence of a
d d d d d d d d d d d d d d d d
rash. What do you do in this situation?
d d d d d d d
A)Ignore it, the body isn't use to the anesthesia, but it is ok.
d d d d d d d d d d d d d
B)Make a note in your head to tell the physician after the procedure.
d d d d d d d d d d d d
C)Let the family know that the patient had signs of being really nervous throughout the
d d d d d d d d d d d d d d d
procedure.
D)Immediately notify Anesthesia. d d
B- d d
A patient who is just waking up after having knee replacement surgery is agitated and
d d d d d d d d d d d d d d d d d d d d d d d d d d d
confused. Which action should take first?
d d d d d d
A)Administer the ordered opioid d d d
B)Check the oxygen saturation d d d
C)Check pulse and blood pressure d d d d d
D)Restrain the patient d d
E)Check incision for signs of infectiond d d d d
A,B,C - d d
What should a nurse's care focus on post-op? (select all that apply)
d d d d d d d d d d d d d d d d d d d d d d d d
A)Protection of the patient d d d
B)Preventing complications post-surgical procedure d d d
C)Immediately start orients patient to PACU, even when eyes are closed d d d d d d d d d d
D)Begin orienting the patient once they are awake
d d d d d d d
3|Page
