NSG 502 Exam 2 Latest Updated Rated A+
1. A patient with obesity (BMI 42.1 kg/m2) is scheduled for a
laparoscopic cholecystectomy in an outpatient surgery setting. Which information would
the nurse include in the plan of care?
a. The patient will be in the hospital for several days.
b. Surgery will involve removing a part of the liver.
c. The se ing is not appropriate for the planned procedure.
d. Special equipment may be needed for the patient's care. - ANSWER-d
1. In a patient with a hemorrhage in the posterior cavity of the eye, the nurse knows that
blood is accumulating
a. in the aqueous humor.
b. between the lens and retina.
c. between the cornea and lens.
d. in the space between the iris and lens. - ANSWER-b
1. The nurse teaches a patient with bronchiectasis that which problem would warrant a
call to the clinic?"
a. Blood clots in the sputum
b. Sticky sputum on a hot day
c. Producing large amounts of sputum daily
d. Increased shortness of breath after eating a large meal - ANSWER-a
1. Which actions would the nurse prioritize when admitting a patient to the PACU?
a. Assess the surgical site, noting presence and character of drainage.
b. Assess the amount of urine output and the presence of bladder distention.
c. Assess for airway patency and quality of respirations and
obtain vital signs.
d. Review results of intraoperative laboratory values and
medications received. - ANSWER-c
1. Which items would the nurse wear for proper attire in the
semirestricted area of the surgery department?
a. Street clothing
b. Surgical attire and head cover
c. Street clothing and shoe covers
d. Surgical attire, head cover, shoe covers - ANSWER-d
,10. Which patient behaviors would the nurse promote for healthy eyes? (select all that
apply)
a. Protective sunglasses when bicycling
b. Taking part in a smoking cessation program
c. Supplementing diet intake of vitamin C and beta-carotene
d. Washing hands thoroughly before putting in or taking out contact lenses
e. A woman avoiding pregnancy for 4 weeks after receiving MMR immunization -
ANSWER-a, b, c, d
10. Which strategies would best aid the nurse communicate with a patient who has a
hearing loss? (select all that apply)
a. Overenunciate speech.
b. Speak normally and slowly.
c. Exaggerate facial expressions.
d. Raise the voice to a higher pitch.
e. Write out names or difficult words. - ANSWER-b, e
12. What should be included in the discharge teaching for the patient who had cataract
surgery? (Select all that apply.)
a. Eye discomfort is often relieved with mild analgesics.
b. A decline in visual acuity is common for the first month.
c. Stay on bed rest and limit activity for the first few weeks.
d. Notify the provider if an increase in redness or drainage
occurs.
e. Following activity restrictions is essential to reduce intraocular pressure. - ANSWER-
a, d, e.
2. A 5-year-old girl is recovering from a tonsillectomy and adenoidectomy and is being
discharged home with her mother. She is taking oral fluids but says it still hurts to
swallow. She has no fever. The nurse is preparing to discharge the patient. Home care
instructions for the mother would include which of the following? Select all that apply.
A. Observe the child for ability to swallow.
B. Encourage the child to take sips of cool, clear liquids.
C. Administer codeine elixir as necessary for throat pain.
D. Administer an analgesic such as acetaminophen for pain.
E. Observe the child for restlessness or difficulty breathing.
F. Encourage the child to cough every 4 to 5 hours to prevent pneumonia. - ANSWER-
a, b, d, e
2. A patient is admi ed to the PACU after major abdominal
surgery. During the initial assessment the patient tells the nurse, "I think I am going to
throw up." Which is the priorityintervention?
,a. Increase the rate of the IV fluids.
b. Give antiemetic medication as ordered.
c. Obtain vital signs, including O2 saturation.
d. Position patient in lateral recovery position. - ANSWER-d
2. A patient reports tinnitus and balance problems. The medication that may be
responsible is
a. digoxin.
b. warfarin.
c. furosemide.
d. acetaminophen. - ANSWER-c
2. Increased intraocular pressure may occur due to
a. edema of the corneal stroma.
b. dilation of the retinal arterioles.
c. blockage of the lacrimal canals and ducts.
d. increased aqueous humor production by the ciliary process. - ANSWER-d
2. The patient reports that she has noticed a skin reaction when wearing disposable
gloves. Which action would the nurse take?
a. Notify the surgeon so that the surgery can be canceled.
b. Ask further questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient's reaction has no bearing on surgery. -
ANSWER-b
2. Which activities might the nurse perform in the role of a scrub nurse during surgery?
(select all that apply)
a. Checking electrical equipment
b. Preparing the instrument table
c. Assisting with draping the patient
d. Passing instruments to the surgeon and assistants
e. Documenting activities occurring in the operating room - ANSWER-b, c, d
2. Which treatment(s) would the nurse expect to implement in the management plan of
an adult patient with cystic fibrosis? (select all that apply)
a. Airway clearance techniques
b. Bronchodilators and mucolytics
c. Pancreatic enzyme replacement
d. IV corticosteroids on a chronic basis
, e. Inhaled tobramycin to combat Pseudomonas infection - ANSWER-a, b, c, e
3. A 37-year-old patient is concerned they have asthma. Of the symptoms they describe
to you, which ones suggest asthma or risk factors for asthma? (select all that apply)
a. Prolonged inhalation
b. Gastric reflux or heartburn
c. Cough worse at night or early in the morning
d. History of allergic rhinitis or chronic sinusitis
e. Chest pain and syncope after exercising with a stationary bicycle for 5 minutes -
ANSWER-b, c, d
3. A 4-year-old girl is seen in the urgent care clinic with the following history and
symptoms: sudden onset of severe sore throat after going to bed, drooling and difficulty
swallowing, axillary temperature of 102.2°F (39°C), clear breath sounds, and absence of
cough. The child appears anxious and is flushed. Her pulse if 149 beats/min and
respirations are 36 breaths/min. Choose the most likely options for the information
missing from the statements below by selecting from the lists of options
provided.
Based on these symptoms and history, the nurse anticipates a diagnosis
of:_____1_____ hat is most frequently caused by a _____2______ infection. When
considering the diagnosis, examination of the throat with a ______3_______ is
contraindicated without experienced personnel and equipment available for immediate
intubation or tracheostomy
Options for 1
- Acute Laryngotracheobronchitis
- Acute Tracheitis
- Acute Epigl - ANSWER-acute epiglottitis; bacterial; tongue depressor
3. A 59-year-old man scheduled for a herniorrhaphy in 2 days reports that he takes an
anticoagulant agent daily. Which action would the nurse take?
a. Inform the surgeon since the procedure may have to be
rescheduled.
b. Tell the patient to continue to take the drug up to the day before surgery.
c. Ask the patient if he has any side effects from taking this drug supplement.
d. Notify the anesthesia care provider since this drug may
interfere with anesthetics. - ANSWER-a
3. After admitting a postoperative patient to the clinical unit, which assessment data
require attention first?
a. O2 saturation of 85%
b. Respiratory rate of 13/min
1. A patient with obesity (BMI 42.1 kg/m2) is scheduled for a
laparoscopic cholecystectomy in an outpatient surgery setting. Which information would
the nurse include in the plan of care?
a. The patient will be in the hospital for several days.
b. Surgery will involve removing a part of the liver.
c. The se ing is not appropriate for the planned procedure.
d. Special equipment may be needed for the patient's care. - ANSWER-d
1. In a patient with a hemorrhage in the posterior cavity of the eye, the nurse knows that
blood is accumulating
a. in the aqueous humor.
b. between the lens and retina.
c. between the cornea and lens.
d. in the space between the iris and lens. - ANSWER-b
1. The nurse teaches a patient with bronchiectasis that which problem would warrant a
call to the clinic?"
a. Blood clots in the sputum
b. Sticky sputum on a hot day
c. Producing large amounts of sputum daily
d. Increased shortness of breath after eating a large meal - ANSWER-a
1. Which actions would the nurse prioritize when admitting a patient to the PACU?
a. Assess the surgical site, noting presence and character of drainage.
b. Assess the amount of urine output and the presence of bladder distention.
c. Assess for airway patency and quality of respirations and
obtain vital signs.
d. Review results of intraoperative laboratory values and
medications received. - ANSWER-c
1. Which items would the nurse wear for proper attire in the
semirestricted area of the surgery department?
a. Street clothing
b. Surgical attire and head cover
c. Street clothing and shoe covers
d. Surgical attire, head cover, shoe covers - ANSWER-d
,10. Which patient behaviors would the nurse promote for healthy eyes? (select all that
apply)
a. Protective sunglasses when bicycling
b. Taking part in a smoking cessation program
c. Supplementing diet intake of vitamin C and beta-carotene
d. Washing hands thoroughly before putting in or taking out contact lenses
e. A woman avoiding pregnancy for 4 weeks after receiving MMR immunization -
ANSWER-a, b, c, d
10. Which strategies would best aid the nurse communicate with a patient who has a
hearing loss? (select all that apply)
a. Overenunciate speech.
b. Speak normally and slowly.
c. Exaggerate facial expressions.
d. Raise the voice to a higher pitch.
e. Write out names or difficult words. - ANSWER-b, e
12. What should be included in the discharge teaching for the patient who had cataract
surgery? (Select all that apply.)
a. Eye discomfort is often relieved with mild analgesics.
b. A decline in visual acuity is common for the first month.
c. Stay on bed rest and limit activity for the first few weeks.
d. Notify the provider if an increase in redness or drainage
occurs.
e. Following activity restrictions is essential to reduce intraocular pressure. - ANSWER-
a, d, e.
2. A 5-year-old girl is recovering from a tonsillectomy and adenoidectomy and is being
discharged home with her mother. She is taking oral fluids but says it still hurts to
swallow. She has no fever. The nurse is preparing to discharge the patient. Home care
instructions for the mother would include which of the following? Select all that apply.
A. Observe the child for ability to swallow.
B. Encourage the child to take sips of cool, clear liquids.
C. Administer codeine elixir as necessary for throat pain.
D. Administer an analgesic such as acetaminophen for pain.
E. Observe the child for restlessness or difficulty breathing.
F. Encourage the child to cough every 4 to 5 hours to prevent pneumonia. - ANSWER-
a, b, d, e
2. A patient is admi ed to the PACU after major abdominal
surgery. During the initial assessment the patient tells the nurse, "I think I am going to
throw up." Which is the priorityintervention?
,a. Increase the rate of the IV fluids.
b. Give antiemetic medication as ordered.
c. Obtain vital signs, including O2 saturation.
d. Position patient in lateral recovery position. - ANSWER-d
2. A patient reports tinnitus and balance problems. The medication that may be
responsible is
a. digoxin.
b. warfarin.
c. furosemide.
d. acetaminophen. - ANSWER-c
2. Increased intraocular pressure may occur due to
a. edema of the corneal stroma.
b. dilation of the retinal arterioles.
c. blockage of the lacrimal canals and ducts.
d. increased aqueous humor production by the ciliary process. - ANSWER-d
2. The patient reports that she has noticed a skin reaction when wearing disposable
gloves. Which action would the nurse take?
a. Notify the surgeon so that the surgery can be canceled.
b. Ask further questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient's reaction has no bearing on surgery. -
ANSWER-b
2. Which activities might the nurse perform in the role of a scrub nurse during surgery?
(select all that apply)
a. Checking electrical equipment
b. Preparing the instrument table
c. Assisting with draping the patient
d. Passing instruments to the surgeon and assistants
e. Documenting activities occurring in the operating room - ANSWER-b, c, d
2. Which treatment(s) would the nurse expect to implement in the management plan of
an adult patient with cystic fibrosis? (select all that apply)
a. Airway clearance techniques
b. Bronchodilators and mucolytics
c. Pancreatic enzyme replacement
d. IV corticosteroids on a chronic basis
, e. Inhaled tobramycin to combat Pseudomonas infection - ANSWER-a, b, c, e
3. A 37-year-old patient is concerned they have asthma. Of the symptoms they describe
to you, which ones suggest asthma or risk factors for asthma? (select all that apply)
a. Prolonged inhalation
b. Gastric reflux or heartburn
c. Cough worse at night or early in the morning
d. History of allergic rhinitis or chronic sinusitis
e. Chest pain and syncope after exercising with a stationary bicycle for 5 minutes -
ANSWER-b, c, d
3. A 4-year-old girl is seen in the urgent care clinic with the following history and
symptoms: sudden onset of severe sore throat after going to bed, drooling and difficulty
swallowing, axillary temperature of 102.2°F (39°C), clear breath sounds, and absence of
cough. The child appears anxious and is flushed. Her pulse if 149 beats/min and
respirations are 36 breaths/min. Choose the most likely options for the information
missing from the statements below by selecting from the lists of options
provided.
Based on these symptoms and history, the nurse anticipates a diagnosis
of:_____1_____ hat is most frequently caused by a _____2______ infection. When
considering the diagnosis, examination of the throat with a ______3_______ is
contraindicated without experienced personnel and equipment available for immediate
intubation or tracheostomy
Options for 1
- Acute Laryngotracheobronchitis
- Acute Tracheitis
- Acute Epigl - ANSWER-acute epiglottitis; bacterial; tongue depressor
3. A 59-year-old man scheduled for a herniorrhaphy in 2 days reports that he takes an
anticoagulant agent daily. Which action would the nurse take?
a. Inform the surgeon since the procedure may have to be
rescheduled.
b. Tell the patient to continue to take the drug up to the day before surgery.
c. Ask the patient if he has any side effects from taking this drug supplement.
d. Notify the anesthesia care provider since this drug may
interfere with anesthetics. - ANSWER-a
3. After admitting a postoperative patient to the clinical unit, which assessment data
require attention first?
a. O2 saturation of 85%
b. Respiratory rate of 13/min
