Practice Questions
1. The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include
which activity in the nursing care plan for the client on the day of surgery?
a. Avoid oral hygiene and rinsing the mouthwash.
b. Verify that the client has not eaten for the last 24 hours.
c. Have the client void immediately before going into the surgery.
d. Report immediately any slight increase in blood pressure or pulse.
2. The nurse is teaching a client about deep breathing and coughing exercises. Which statement is
most appropriate for the nurse to make to the client at this time as it relates to these
techniques?
a. Use of an incentive spirometer will help prevent PNA.
b. Close monitoring of your oxygen saturation will detect hypoxemia
c. Administration of IVF will prevent or treat fluid imbalance.
d. Early ambulation and administration of blood thinners will prevent pulmonary embolism.
3. A client with a gastric ulcer is scheduled for surgery. The client cannot sign the operative consent
form because of sedation from opioid analgesics that have been administered. The nurse should
take which most appropriate action in the care of this client?
a. Obtain a court order for the surgery.
b. Have the doctor sign the informed consent immediately.
c. Send the client to surgery without consent form being signed.
d. Obtain telephone consent from a family member following agency policy.
4. A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by
the nurse is most likely to stimulate further discussion between the client and the nurse?
a. If it’s any help, everyone is nervous before surgery.
b. I will be happy to explain the entire surgical procedure to you.
c. Can you share with me what you have been told about the surgery?
d. Let me tell you about the care you will receive after surgery and the amount of pain you can
anticipate.
5. The nurse has conducted preoperative teaching for a client schedule for surgery in 1 week. The
client has a history of surgery in 1 week. The client has a history of arthritis and has been taking
acetylsalicylic acid. The nurse determines that the client needs additional teaching if the client
makes which statement?
a. Aspirin can cause bleeding after surgery.
b. Aspirin can cause my ability to clot blood to be abnormal.
c. I need to continue to take the aspirin until the day of surgery.
d. I need to check with my doctor about the need to stop the aspirin before the schedule
surgery.
1. The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include
which activity in the nursing care plan for the client on the day of surgery?
a. Avoid oral hygiene and rinsing the mouthwash.
b. Verify that the client has not eaten for the last 24 hours.
c. Have the client void immediately before going into the surgery.
d. Report immediately any slight increase in blood pressure or pulse.
2. The nurse is teaching a client about deep breathing and coughing exercises. Which statement is
most appropriate for the nurse to make to the client at this time as it relates to these
techniques?
a. Use of an incentive spirometer will help prevent PNA.
b. Close monitoring of your oxygen saturation will detect hypoxemia
c. Administration of IVF will prevent or treat fluid imbalance.
d. Early ambulation and administration of blood thinners will prevent pulmonary embolism.
3. A client with a gastric ulcer is scheduled for surgery. The client cannot sign the operative consent
form because of sedation from opioid analgesics that have been administered. The nurse should
take which most appropriate action in the care of this client?
a. Obtain a court order for the surgery.
b. Have the doctor sign the informed consent immediately.
c. Send the client to surgery without consent form being signed.
d. Obtain telephone consent from a family member following agency policy.
4. A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by
the nurse is most likely to stimulate further discussion between the client and the nurse?
a. If it’s any help, everyone is nervous before surgery.
b. I will be happy to explain the entire surgical procedure to you.
c. Can you share with me what you have been told about the surgery?
d. Let me tell you about the care you will receive after surgery and the amount of pain you can
anticipate.
5. The nurse has conducted preoperative teaching for a client schedule for surgery in 1 week. The
client has a history of surgery in 1 week. The client has a history of arthritis and has been taking
acetylsalicylic acid. The nurse determines that the client needs additional teaching if the client
makes which statement?
a. Aspirin can cause bleeding after surgery.
b. Aspirin can cause my ability to clot blood to be abnormal.
c. I need to continue to take the aspirin until the day of surgery.
d. I need to check with my doctor about the need to stop the aspirin before the schedule
surgery.
