NURS 171 UNIT 4 Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
What is the family theory that focuses on outcomes rather than processes? - CORRECT
ANSWER STRUCTURAL -FUNCTIONAL THEORY
What are primary causes of maceration? - CORRECT ANSWER Fever and
incontinence
The nurse assesses a stage 3 pressure ulcer on the coccyx of a client. The nurse notes the
wound bed is pink with pink to red drainage without odor. Which type of drainage would the
nurse document in the medical record? - CORRECT ANSWER Serosanguineous
Clear or straw colored fluid - CORRECT ANSWER Serous drainage
thick pus-filled drainage that has a bad odor - CORRECT ANSWER Purulent drainage
bloody-red drainage that results from capillary damage. There would be no pink tinge to the
color. - CORRECT ANSWER Sanguineous drainage
is a mixture of serous and sanguineous drainage that is light red or pink-tinged. - CORRECT
ANSWER Serosanguineous drainage
Which postoperative client is at highest risk for the development of postoperative
hemorrhage? - CORRECT ANSWER A client with cirrhosis
What are the roles of the circulating nurse? - CORRECT ANSWER Responds to
emergencies
Attends to client during anesthesia induction
Communicates with family and staff outside the operating room
, Which phases of surgical care are part of perioperative nursing care? - CORRECT
ANSWER Preoperative
Intraoperative
Postoperative
Which are ways pain is classified and described? - CORRECT ANSWER Origin,
intensity and quality
What should the nurse monitor in a client who is taking blood pressure medication? -
CORRECT ANSWER Ischemia - Antihypertensives decrease the amount of pressure
required to occlude blood flow to an area, creating a risk for ischemia.
Who has the responsibility of obtaining informed consent prior to a procedure? - CORRECT
ANSWER The Surgeon
The nurse can assist in informing but not responsible for obtaining consent
Guided imagery - CORRECT ANSWER uses descriptive words, music, and thoughts
to produce images in the client's mind of places and positive thoughts.
Which factors should the perioperative nurse assess when caring for an older client
undergoing surgery? - CORRECT ANSWER Risk for infection
Impaired renal function
Impaired wound healing
Postoperative vital signs
Presence of drains and tubes
Location and type of intravenous lines - CORRECT ANSWER The nurse working on a
surgical stepdown unit receives a report from the perioperative nurse about a new client who
will be admitted after undergoing a colectomy with a formation of an ileostomy. What
information should the nurse obtain from the perioperative nurse?
QUESTIONS AND CORRECT ANSWERS
What is the family theory that focuses on outcomes rather than processes? - CORRECT
ANSWER STRUCTURAL -FUNCTIONAL THEORY
What are primary causes of maceration? - CORRECT ANSWER Fever and
incontinence
The nurse assesses a stage 3 pressure ulcer on the coccyx of a client. The nurse notes the
wound bed is pink with pink to red drainage without odor. Which type of drainage would the
nurse document in the medical record? - CORRECT ANSWER Serosanguineous
Clear or straw colored fluid - CORRECT ANSWER Serous drainage
thick pus-filled drainage that has a bad odor - CORRECT ANSWER Purulent drainage
bloody-red drainage that results from capillary damage. There would be no pink tinge to the
color. - CORRECT ANSWER Sanguineous drainage
is a mixture of serous and sanguineous drainage that is light red or pink-tinged. - CORRECT
ANSWER Serosanguineous drainage
Which postoperative client is at highest risk for the development of postoperative
hemorrhage? - CORRECT ANSWER A client with cirrhosis
What are the roles of the circulating nurse? - CORRECT ANSWER Responds to
emergencies
Attends to client during anesthesia induction
Communicates with family and staff outside the operating room
, Which phases of surgical care are part of perioperative nursing care? - CORRECT
ANSWER Preoperative
Intraoperative
Postoperative
Which are ways pain is classified and described? - CORRECT ANSWER Origin,
intensity and quality
What should the nurse monitor in a client who is taking blood pressure medication? -
CORRECT ANSWER Ischemia - Antihypertensives decrease the amount of pressure
required to occlude blood flow to an area, creating a risk for ischemia.
Who has the responsibility of obtaining informed consent prior to a procedure? - CORRECT
ANSWER The Surgeon
The nurse can assist in informing but not responsible for obtaining consent
Guided imagery - CORRECT ANSWER uses descriptive words, music, and thoughts
to produce images in the client's mind of places and positive thoughts.
Which factors should the perioperative nurse assess when caring for an older client
undergoing surgery? - CORRECT ANSWER Risk for infection
Impaired renal function
Impaired wound healing
Postoperative vital signs
Presence of drains and tubes
Location and type of intravenous lines - CORRECT ANSWER The nurse working on a
surgical stepdown unit receives a report from the perioperative nurse about a new client who
will be admitted after undergoing a colectomy with a formation of an ileostomy. What
information should the nurse obtain from the perioperative nurse?
