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PN FINAL EXAM 500 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR
Question: . When conducting preoperative patient and family teaching, you demonstrate proper
use of the incentive spirometer. You know that the patient understands the need for this
intervention when the patient states, "I use this device to:
A. help my cough reflex."
B. expand my lungs after surgery."
C. increase my lung capacity."
D. drain excess fluid from my lungs." - CORRECT ANSWER✔✔B. expand my lungs after surgery."
Question: Postoperatively, the nurse instructs the patient to perform leg exercises every hour
to:
A. maintain muscle tone.
B. assess range of motion.
C. exercise fatigued muscles.
D. increase venous return. - CORRECT ANSWER✔✔D. increase venous return.
Question: Obesity places patients at an increased surgical risk because of which of the following
factors? (SATA)
A. Risk for bleeding is increased
B. Ventilatory capacity is reduced
C. Fatty tissue has poor blood supply
D. Metabolic demands are increased
E. Physical mobility is often impaired - CORRECT ANSWER✔✔B. Ventilatory capacity is reduced
, Page 2 of 163
C. Fatty tissue has poor blood supply
E. Physical mobility is often impaired
Question: The primary reason that you need to include family members when you teach a pt
preoperative exercises is so that they can:
A. coach and encourage patient after surgery
B. demonstrate to pt at home
C. relieve the nurse
D. practice w/ pt while he is waiting to be taken to the OR - CORRECT ANSWER✔✔A. coach and
encourage patient after surgery
Question: After a patient has been given preoperative sedatives , which safety precaution do
you take?
A. reinforce to pt to remain in bed or on stretcher
B. raise side rails and keep the bed or stretcher in high position
C. determine if pt has any allergies to latex
D. obtain informed consent immediately after sedative administration - CORRECT
ANSWER✔✔A. reinforce to pt to remain in bed or on stretcher
Question: The nurse incorporates which priority nursing intervention into a plan of care to
promote sleep for a hospitalized patient?
Have patient follow hospital routines.
Avoid waking patient for nonessential tasks.
Give prescribed sleeping medications at dinner.
Turn television on low to late-night programming. - CORRECT ANSWER✔✔Avoid waking patient
for nonessential tasks.
, Page 3 of 163
*Sleep*
Question: What's the max amount of enemas you can give? - CORRECT ANSWER✔✔3
Question: RN who does not scrub in and uses nursing process in the management of pt care
activities in the OR suite. They also manage pt positioning, antimicrobial skin preparation,
medications, implants, placement and function of IPC devices, specimens, warming devices, and
surgical counts of instruments and dressings.
Scrub nurse
Circulating nurse
RN First Assistant
Nurse Anesthetist - CORRECT ANSWER✔✔Circulating nurse
Question: This nurse must have knowledge of surgical procedure and ability to anticipate each
and every instrument and supply needed by the surgeons.
Scrub nurse
Circulating nurse
RN First Assistant
Nurse Anesthetist - CORRECT ANSWER✔✔Scrub nurse
Question: Collaborates with the surgeon by handling and cutting tissue, using instruments and
medical devices, providing exposure of the surgical area and hemostasis, and suturing.
Scrub nurse
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Circulating nurse
RN First Assistant
Nurse Anesthetist - CORRECT ANSWER✔✔RN First Assistant
Question: A 72-year-old patient asks the nurse about using an over-the-counter antihistamine
as a sleeping pill to help her get to sleep. What is the nurse's best response?
"Antihistamines are better than prescription medications because these can cause a lot of
problems."
"Antihistamines should not be used because they can cause confusion and increase your risk of
falls."
"Antihistamines are effective sleep aids because they do not have many side effects."
"Over-the-counter medications when combined with sleep-hygiene measures are a good plan
for sleep." - CORRECT ANSWER✔✔"Antihistamines should not be used because they can cause
confusion and increase your risk of falls."
*sleep*
Question: The patient reports episodes of sleepwalking to the nurse. Through understanding of
the sleep cycle, the nurse recognizes that sleepwalking occurs during which sleep phase?
Rapid eye movement (REM) sleep
Stage 1 non rapid eye movement (NREM) sleep
Stage 4 NREM sleep
Transition period from NREM to REM sleep - CORRECT ANSWER✔✔Stage 4 NREM sleep
PN FINAL EXAM 500 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR
Question: . When conducting preoperative patient and family teaching, you demonstrate proper
use of the incentive spirometer. You know that the patient understands the need for this
intervention when the patient states, "I use this device to:
A. help my cough reflex."
B. expand my lungs after surgery."
C. increase my lung capacity."
D. drain excess fluid from my lungs." - CORRECT ANSWER✔✔B. expand my lungs after surgery."
Question: Postoperatively, the nurse instructs the patient to perform leg exercises every hour
to:
A. maintain muscle tone.
B. assess range of motion.
C. exercise fatigued muscles.
D. increase venous return. - CORRECT ANSWER✔✔D. increase venous return.
Question: Obesity places patients at an increased surgical risk because of which of the following
factors? (SATA)
A. Risk for bleeding is increased
B. Ventilatory capacity is reduced
C. Fatty tissue has poor blood supply
D. Metabolic demands are increased
E. Physical mobility is often impaired - CORRECT ANSWER✔✔B. Ventilatory capacity is reduced
, Page 2 of 163
C. Fatty tissue has poor blood supply
E. Physical mobility is often impaired
Question: The primary reason that you need to include family members when you teach a pt
preoperative exercises is so that they can:
A. coach and encourage patient after surgery
B. demonstrate to pt at home
C. relieve the nurse
D. practice w/ pt while he is waiting to be taken to the OR - CORRECT ANSWER✔✔A. coach and
encourage patient after surgery
Question: After a patient has been given preoperative sedatives , which safety precaution do
you take?
A. reinforce to pt to remain in bed or on stretcher
B. raise side rails and keep the bed or stretcher in high position
C. determine if pt has any allergies to latex
D. obtain informed consent immediately after sedative administration - CORRECT
ANSWER✔✔A. reinforce to pt to remain in bed or on stretcher
Question: The nurse incorporates which priority nursing intervention into a plan of care to
promote sleep for a hospitalized patient?
Have patient follow hospital routines.
Avoid waking patient for nonessential tasks.
Give prescribed sleeping medications at dinner.
Turn television on low to late-night programming. - CORRECT ANSWER✔✔Avoid waking patient
for nonessential tasks.
, Page 3 of 163
*Sleep*
Question: What's the max amount of enemas you can give? - CORRECT ANSWER✔✔3
Question: RN who does not scrub in and uses nursing process in the management of pt care
activities in the OR suite. They also manage pt positioning, antimicrobial skin preparation,
medications, implants, placement and function of IPC devices, specimens, warming devices, and
surgical counts of instruments and dressings.
Scrub nurse
Circulating nurse
RN First Assistant
Nurse Anesthetist - CORRECT ANSWER✔✔Circulating nurse
Question: This nurse must have knowledge of surgical procedure and ability to anticipate each
and every instrument and supply needed by the surgeons.
Scrub nurse
Circulating nurse
RN First Assistant
Nurse Anesthetist - CORRECT ANSWER✔✔Scrub nurse
Question: Collaborates with the surgeon by handling and cutting tissue, using instruments and
medical devices, providing exposure of the surgical area and hemostasis, and suturing.
Scrub nurse
, Page 4 of 163
Circulating nurse
RN First Assistant
Nurse Anesthetist - CORRECT ANSWER✔✔RN First Assistant
Question: A 72-year-old patient asks the nurse about using an over-the-counter antihistamine
as a sleeping pill to help her get to sleep. What is the nurse's best response?
"Antihistamines are better than prescription medications because these can cause a lot of
problems."
"Antihistamines should not be used because they can cause confusion and increase your risk of
falls."
"Antihistamines are effective sleep aids because they do not have many side effects."
"Over-the-counter medications when combined with sleep-hygiene measures are a good plan
for sleep." - CORRECT ANSWER✔✔"Antihistamines should not be used because they can cause
confusion and increase your risk of falls."
*sleep*
Question: The patient reports episodes of sleepwalking to the nurse. Through understanding of
the sleep cycle, the nurse recognizes that sleepwalking occurs during which sleep phase?
Rapid eye movement (REM) sleep
Stage 1 non rapid eye movement (NREM) sleep
Stage 4 NREM sleep
Transition period from NREM to REM sleep - CORRECT ANSWER✔✔Stage 4 NREM sleep