NURS 330 FINAL EXAM QUESTIONS AND CORRECT ANSWERS

NURS 330 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS
SATA:A2ObesityA2placesA2patientsA2atA2anA2increasedA2surgicalA2riskA2becauseA2ofA2which
A2ofA2theA2followingA2factors?A2


A.A2RiskA2forA2bleedingA2isA2increased.
B.A2VentilatoryA2capacityA2isA2reduced.
C.A2FattyA2tissueA2hasA2aA2poorA2bloodA2supply.
D.A2MetabolicA2demandsA2areA2increased.

(ChA250)A2-A2Ans--VentilatoryA2capacityA2isA2reduced.

FattyA2tissueA2hasA2aA2poorA2bloodA2supply.

TheA2primaryA2reasonA2thatA2familyA2membersA2shouldA2beA2includedA2whenA2theA2nurseA
2teachesA2theA2patientA2preoperativeA2exercisesA2isA2soA2theyA2can:


A.A2CoachA2andA2encourageA2theA2patientA2afterA2surgery.
B.A2DemonstrateA2toA2theA2patientA2atA2home.
C.A2RelieveA2theA2nurseA2byA2gettingA2theA2patientA2toA2doA2theA2exercisesA2everyA22A2hou
rs.
D.A2PracticeA2withA2theA2patientA2whileA2heA2orA2sheA2isA2waitingA2toA2beA2takenA2toA2theA2
operatingA2room.

(ChA250)A2-A2Ans--CoachA2andA2encourageA2theA2patientA2afterA2surgery.

InA2theA2postanesthesiaA2careA2unitA2(PACU)A2theA2nurseA2notesA2thatA2theA2patientA2isA2h
avingA2difficultyA2breathingA2andA2suspectsA2anA2upperA2airwayA2obstruction.A2TheA2nurse
A2wouldA2first:


A.A2SuctionA2theA2pharynxA2andA2bronchialA2tree.
B.A2GiveA2oxygenA2throughA2aA2maskA2atA24A2L/min.
C.A2AskA2theA2patientA2toA2useA2anA2incentiveA2spirometer.
D.A2PositionA2theA2patientA2onA2oneA2sideA2withA2theA2faceA2downA2andA2theA2neckA2slightl
yA2extendedA2soA2theA2tongueA2fallsA2forward.

(ChA250)A2-A2Ans--
PositionA2theA2patientA2onA2oneA2sideA2withA2theA2faceA2downA2andA2theA2neckA2slightlyA2e
xtendedA2soA2theA2tongueA2fallsA2forward.

BecauseA2anA2olderA2adultA2isA2atA2increasedA2riskA2forA2respiratoryA2complicationsA2after
A2surgery,A2theA2nurseA2should:

,A.A2WithholdA2painA2medicationsA2andA2ambulateA2theA2patientA2everyA22A2hours.
B.A2MonitorA2fluidA2andA2electrolyteA2statusA2everyA2shiftA2andA2vitalA2signsA2withA2temper
atureA2everyA24A2hours.
C.A2OrientA2theA2patientA2toA2theA2surroundingA2environmentA2frequentlyA2andA2ambulateA
2theA2patientA2everyA22A2hours.
D.A2EncourageA2theA2patientA2toA2turn,A2deepA2breathe,A2andA2coughA2frequentlyA2andA2e
nsureA2adequateA2painA2control.

(ChA250)A2-A2Ans--
EncourageA2theA2patientA2toA2turn,A2deepA2breathe,A2andA2coughA2frequentlyA2andA2ensur
eA2adequateA2painA2control.

SATA:A2YouA2areA2caringA2forA2aA2patientA2afterA2surgeryA2whoA2underwentA2aA2liverA2res
ection.A2HisA2prothrombinA2timeA2(PT)A2orA2anA2activatedA2partialA2thromboplastinA2timeA2(
APTT)A2isA2greaterA2thanA2normal.A2HeA2hasA2lowA2bloodA2pressure;A2tachycardia;A2threa
dyA2pulse;A2andA2cool,A2clammy,A2paleA2skin,A2andA2heA2isA2restless.A2YouA2assessA2hisA2
surgicalA2wound,A2andA2theA2dressingA2isA2saturatedA2withA2blood.A2WhichA2immediateA2in
terventionsA2shouldA2youA2perform?

A.A2NotifyA2theA2surgeon.
B.A2MaintainA2intravenousA2(IV)A2fluidA2infusionA2andA2prepareA2toA2giveA2volumeA2replace
ment.
C.A2MonitorA2theA2patient'sA2vitalA2signsA2everyA215A2minutesA2orA2moreA2frequentlyA2untilA
2hisA2conditionA2stabilizes.
D.A2WeanA2oxygenA2therapy.
E.A2ProvideA2comfortA2throughA2bathing.

(ChA250)A2-A2Ans--NotifyA2theA2surgeon.

MaintainA2intravenousA2(IV)A2fluidA2infusionA2andA2prepareA2toA2giveA2volumeA2replaceme
nt.

MonitorA2theA2patient'sA2vitalA2signsA2everyA215A2minutesA2orA2moreA2frequentlyA2untilA2his
A2conditionA2stabilizes.


YouA2areA2aA2nurseA2inA2theA2postanesthesiaA2careA2unitA2(PACU),A2andA2youA2noteA2that
A2yourA2patientA2hasA2aA2heartA2rateA2ofA2130A2beats/
minA2andA2aA2respiratoryA2rateA2ofA232A2breaths/
min;A2youA2alsoA2assessA2jawA2muscleA2rigidityA2andA2rigidityA2ofA2limbs,A2abdomen,A2and
A2chest.A2WhatA2doA2youA2suspect,A2andA2whichA2interventionA2isA2indicated?


A.A2Infection:A2NotifyA2surgeonA2andA2anticipateA2administrationA2ofA2antibiotics.
B.A2Pneumonia:A2ListenA2toA2breathA2sounds,A2notifyA2surgeon,A2andA2anticipateA2orderA2f
orA2chestA2radiography.

,C.A2Hypertension:A2CheckA2bloodA2pressure,A2notifyA2surgeon,A2andA2anticipateA2administ
rationA2ofA2antihypertensives.
D.A2MalignantA2hyperthermia:A2NotifyA2surgeon/
anesthesiaA2providerA2immediately,A2prepareA2toA2administerA2dantroleneA2sodiumA2(Dan
trium),A2andA2monitorA2vitalA2signsA2frequently.

(ChA250)A2-A2Ans--MalignantA2hyperthermia:A2NotifyA2surgeon/
anesthesiaA2providerA2immediately,A2prepareA2toA2administerA2dantroleneA2sodiumA2(Dan
trium),A2andA2monitorA2vitalA2signsA2frequently.

AfterA2aA2surgicalA2patientA2hasA2beenA2givenA2preoperativeA2sedatives,A2whichA2safetyA2
precautionA2shouldA2aA2nurseA2take?

A.A2ReinforceA2toA2theA2patientA2toA2remainA2inA2bedA2orA2onA2theA2stretcher
B.A2RaiseA2theA2sideA2railsA2andA2keepA2theA2bedA2orA2stretcherA2inA2theA2highA2position
C.A2DetermineA2ifA2theA2patientA2hasA2anyA2allergiesA2toA2latex
D.A2ObtainA2informedA2consentA2immediatelyA2afterA2sedativeA2administration

(ChA250)A2-A2Ans--ReinforceA2toA2theA2patientA2toA2remainA2inA2bedA2orA2onA2theA2stretcher

SATA:A2TheA2operatingA2roomA2(OR)A2andA2postanesthesiaA2careA2unitA2(PACU)A2areA2hi
gh-
riskA2environmentsA2forA2patientsA2withA2aA2latexA2allergy.A2WhichA2safetyA2measuresA2toA
2preventA2aA2latexA2reactionA2shouldA2theA2nurseA2implement?


A.A2ScreeningA2patientsA2aboutA2foodA2allergiesA2knownA2toA2haveA2aA2cross-
reactivityA2toA2latexA2suchA2asA2kiwisA2andA2bananas
B.A2HavingA2aA2latexA2allergyA2cartA2availableA2atA2allA2times
C.A2CommunicatingA2withA2theA2operatingA2roomA2(OR)A2teamA2asA2soonA2asA224A2toA248A
2hoursA2inA2advanceA2ofA2theA2surgeryA2whenA2aA2latex-sensitiveA2patientA2isA2identified
D.A2SchedulingA2theA2latex-
sensitiveA2patientA2forA2theA2lastA2operativeA2caseA2ofA2theA2day

(ChA250)A2-A2Ans--
ScreeningA2patientsA2aboutA2foodA2allergiesA2knownA2toA2haveA2aA2cross-
reactivityA2toA2latexA2suchA2asA2kiwisA2andA2bananas

HavingA2aA2latexA2allergyA2cartA2availableA2atA2allA2times

CommunicatingA2withA2theA2operatingA2roomA2(OR)A2teamA2asA2soonA2asA224A2toA248A2ho
ursA2inA2advanceA2ofA2theA2surgeryA2whenA2aA2latex-sensitiveA2patientA2isA2identified

AA2nurseA2isA2recoveringA2aA2patientA2whoA2receivedA2consciousA2sedationA2forA2cosmetic
A2surgery.A2WhichA2ofA2theA2followingA2isA2anA2advantageA2thatA2consciousA2sedationA2ha
sA2overA2generalA2anesthesia?

, A.A2LossA2ofA2sensationA2atA2theA2surgicalA2site
B.A2ReductionA2ofA2fearA2andA2anxietyA2andA2needA2forA2assistanceA2withA2airwayA2patenc
yA2andA2ventilation
C.A2AmnesiaA2andA2reliefA2ofA2pain
D.A2MonitoringA2inA2phaseA2IA2recovery

(ChA250)A2-A2Ans--AmnesiaA2andA2reliefA2ofA2pain

YouA2haveA2beenA2givenA2theA2followingA2postoperativeA2patientsA2toA2careA2forA2onA2your
A2shift.A2BasedA2onA2theA2informationA2provided,A2whichA2patientA2shouldA2youA2seeA2first?


A.A2AA275-year-
oldA2followingA2hipA2replacementA2surgeryA2whoA2isA2complainingA2ofA2moderateA2painA2in
A2theA2surgicalA2site,A2withA2aA2heartA2rateA2ofA292
B.A2AA257-year-
oldA2followingA2hipA2replacementA26A2hoursA2earlierA2whoA2isA2receivingA2intravenousA2pat
ient-
controlledA2analgesiaA2(PCA)A2withA2aA2historyA2ofA2OSA.A2TheA2pulseA2oximeterA2hasA2b
eenA2alarmingA2andA2readingA285%
C.A2AA236-year-
oldA2followingA2bladderA2neckA2suspensionA2whoA2isA230A2minutesA2lateA2toA2receiveA2herA
2postoperativeA2doseA2ofA2antibiotic
D.A2AA248-year-
oldA2followingA2totalA2kneeA2replacementA2whoA2needsA2helpA2repositioningA2inA2bed

(ChA250)A2-A2Ans--AA257-year-
oldA2followingA2hipA2replacementA26A2hoursA2earlierA2whoA2isA2receivingA2intravenousA2pat
ient-
controlledA2analgesiaA2(PCA)A2withA2aA2historyA2ofA2OSA.A2TheA2pulseA2oximeterA2hasA2b
eenA2alarmingA2andA2readingA285%

SATA:A2Hand-
offA2communicationsA2thatA2occurA2betweenA2theA2postanesthesiaA2careA2unitA2(PACU)A2
nurseA2andA2theA2nurseA2onA2theA2postoperativeA2nursingA2unitA2shouldA2beA2doneA2when
A2aA2patientA2returnsA2toA2theA2nursingA2unit.A2SelectA2appropriateA2componentsA2ofA2aA2s
afeA2andA2effectiveA2hand-off.

A.A2VitalA2signs,A2theA2typeA2ofA2anesthesiaA2provided,A2bloodA2loss,A2andA2levelA2ofA2con
sciousness
B.A2UninterruptedA2timeA2toA2reviewA2theA2recentA2pertinentA2eventsA2andA2askA2questions
C.A2VerificationA2ofA2theA2patientA2usingA2oneA2identifierA2andA2theA2typeA2ofA2surgeryA2per
formed
D.A2ReviewA2ofA2pertinentA2eventsA2occurringA2inA2theA2operatingA2room
E.A2(OR)A2whileA2atA2theA2nurses'A2station