Question Collection: Final Exam Prep
153 Questions
1.
In which instance may a surgeon operate without informed
consent?
a. Invasive procedures
b. Emergency situations
c. Procedures requiring sedation
d. Radiologic procedures
2.
The nurse is completing a preoperative assessment. The
nurse notices the client is tearful and constantly wringing
their hands. The client states, “I’m really nervous about this
surgery. Do you think it will be ok?” What is the
nurse’s best response?
a. “You have nothing to worry about; you have the best surgical team.”
b. “No one has ever died from the procedure you are having.”
c. “What family support do you have after the surgery?”
d. “What are your concerns?”
3.
The nurse is educating a client scheduled for elective
surgery. The client currently takes aspirin daily. What
education should the nurse provide with regard to this
medication?
a. Continue to take the aspirin as ordered.
b. Take half doses of the aspirin until 1 week after surgery.
c. Aspirin should be increased until 3 days before surgery, then it should be
discontinued until 3 days after surgery.
d. Stop taking the aspirin 7 days before the surgery, unless otherwise directed by your
physician.
4.
What is the major purpose of withholding food and fluid
before surgery?
, a. Prevent overhydration
b. Decrease urine output
c. Prevent aspiration
d. Decrease risk of constipation
5.
During the admission history the client reports to the nurse
of taking the usual dose of warfarin the previous day. What
is an appropriate nursing action?
a. Notify the surgeon that the client took warfarin the day before surgery.
b. No action is needed, because the client takes warfarin on a continuing basis.
c. Put a note on the preoperative checklist before sending the client into surgery.
d. Tell the client to inform the circulating nurse before the anesthesia is administered.
6.
The nurse is aware that a religious group that refuses blood
transfusions for religious reasons is:
a. Catholics
b. Jehovah's Witnesses
c. Jews
d. Methodists
7.
The nurse is monitoring a presurgical patient for electrolyte
imbalance. Which classification of medication may cause
electrolyte imbalance?
a. Corticosteroids
b. Diuretics
c. Phenothiazines
d. Insulin
8.
The nurse is aware that which of the following nutrients
promotes normal blood clotting?
a. Magnesium
b. Vitamin C
c. Zinc
d. Vitamin K
9.
,A registered nurse who is responsible for coordinating and
documenting client care in the operating room is a
a. circulating nurse.
b. scrub nurse.
c. anesthetist.
d. anesthesiologist.
10.
The surgical unit nurse is developing a postoperative plan of
care. In which client’s plan of care would the nurse
document interventions of coughing and deep breathing,
gastrointestinal assessment, and effective regulation of
temperature?
a. A client with gastrointestinal surgery and general anesthesia
b. A client having a knee replacement and regional anesthesia
c. A client having lower extremity muscle repair and spinal anesthesia
d. A client with spinal stenosis and a regional nerve blockade
11.
A nurse on the surgical team has been assigned the role of
scrub nurse. What action by the scrub nurse is appropriate?
a. Leading the surgical team in a debriefing session
b. Keeping all records and adjusting lights
c. Handing instruments to the surgeon and assistants
d. Coordinating activities of other personnel
12.
A patient is scheduled to have a heart valve replacement
with a porcine valve. Which patient does the nurse
understand may refuse the use of any porcine-based
product?
a. A patient of Catholic faith
b. A patient of Jewish faith
c. A patient of Baptist faith
d. A patient of Lutheran faith
13.
In which position would a client undergoing a lumbar
puncture be placed?
, a. Supine
b. Semi-Fowler's
c. Side-lying, knees to chest
d. Trendelenburg
14.
It is important for the nurse to assist a postsurgical client to
sit up and turn the head to one side when vomiting in order
to
a. maximize comfort.
b. avoid dizziness.
c. avoid aspiration.
d. help eliminate inhaled anesthetics.
15.
The client complains of weakness and dizziness as the nurse
assists the client to sit on the side of the bed. The nurse
recognizes the client is experiencing:
a. acute pain
b. anxiety
c. incisional pain
d. orthostatic hypotension
16.
A client who had abdominal surgery 4 days ago reports that
"something gave way" when he sneezed. The nurse observes
a wound evisceration. Which nursing action is the first
priority?
a. Applying a sterile, moist dressing
b. Monitoring vital signs
c. Inserting a nasogastric (NG) tube
d. Putting the client on nothing-by-mouth (NPO) status
17.
What intervention by the nurse is most effective for
reducing hospital-acquired infections?
a. Administration of prophylactic antibiotics
b. Aseptic wound care
c. Control of upper respiratory tract infections
d. Proper hand-washing techniques
153 Questions
1.
In which instance may a surgeon operate without informed
consent?
a. Invasive procedures
b. Emergency situations
c. Procedures requiring sedation
d. Radiologic procedures
2.
The nurse is completing a preoperative assessment. The
nurse notices the client is tearful and constantly wringing
their hands. The client states, “I’m really nervous about this
surgery. Do you think it will be ok?” What is the
nurse’s best response?
a. “You have nothing to worry about; you have the best surgical team.”
b. “No one has ever died from the procedure you are having.”
c. “What family support do you have after the surgery?”
d. “What are your concerns?”
3.
The nurse is educating a client scheduled for elective
surgery. The client currently takes aspirin daily. What
education should the nurse provide with regard to this
medication?
a. Continue to take the aspirin as ordered.
b. Take half doses of the aspirin until 1 week after surgery.
c. Aspirin should be increased until 3 days before surgery, then it should be
discontinued until 3 days after surgery.
d. Stop taking the aspirin 7 days before the surgery, unless otherwise directed by your
physician.
4.
What is the major purpose of withholding food and fluid
before surgery?
, a. Prevent overhydration
b. Decrease urine output
c. Prevent aspiration
d. Decrease risk of constipation
5.
During the admission history the client reports to the nurse
of taking the usual dose of warfarin the previous day. What
is an appropriate nursing action?
a. Notify the surgeon that the client took warfarin the day before surgery.
b. No action is needed, because the client takes warfarin on a continuing basis.
c. Put a note on the preoperative checklist before sending the client into surgery.
d. Tell the client to inform the circulating nurse before the anesthesia is administered.
6.
The nurse is aware that a religious group that refuses blood
transfusions for religious reasons is:
a. Catholics
b. Jehovah's Witnesses
c. Jews
d. Methodists
7.
The nurse is monitoring a presurgical patient for electrolyte
imbalance. Which classification of medication may cause
electrolyte imbalance?
a. Corticosteroids
b. Diuretics
c. Phenothiazines
d. Insulin
8.
The nurse is aware that which of the following nutrients
promotes normal blood clotting?
a. Magnesium
b. Vitamin C
c. Zinc
d. Vitamin K
9.
,A registered nurse who is responsible for coordinating and
documenting client care in the operating room is a
a. circulating nurse.
b. scrub nurse.
c. anesthetist.
d. anesthesiologist.
10.
The surgical unit nurse is developing a postoperative plan of
care. In which client’s plan of care would the nurse
document interventions of coughing and deep breathing,
gastrointestinal assessment, and effective regulation of
temperature?
a. A client with gastrointestinal surgery and general anesthesia
b. A client having a knee replacement and regional anesthesia
c. A client having lower extremity muscle repair and spinal anesthesia
d. A client with spinal stenosis and a regional nerve blockade
11.
A nurse on the surgical team has been assigned the role of
scrub nurse. What action by the scrub nurse is appropriate?
a. Leading the surgical team in a debriefing session
b. Keeping all records and adjusting lights
c. Handing instruments to the surgeon and assistants
d. Coordinating activities of other personnel
12.
A patient is scheduled to have a heart valve replacement
with a porcine valve. Which patient does the nurse
understand may refuse the use of any porcine-based
product?
a. A patient of Catholic faith
b. A patient of Jewish faith
c. A patient of Baptist faith
d. A patient of Lutheran faith
13.
In which position would a client undergoing a lumbar
puncture be placed?
, a. Supine
b. Semi-Fowler's
c. Side-lying, knees to chest
d. Trendelenburg
14.
It is important for the nurse to assist a postsurgical client to
sit up and turn the head to one side when vomiting in order
to
a. maximize comfort.
b. avoid dizziness.
c. avoid aspiration.
d. help eliminate inhaled anesthetics.
15.
The client complains of weakness and dizziness as the nurse
assists the client to sit on the side of the bed. The nurse
recognizes the client is experiencing:
a. acute pain
b. anxiety
c. incisional pain
d. orthostatic hypotension
16.
A client who had abdominal surgery 4 days ago reports that
"something gave way" when he sneezed. The nurse observes
a wound evisceration. Which nursing action is the first
priority?
a. Applying a sterile, moist dressing
b. Monitoring vital signs
c. Inserting a nasogastric (NG) tube
d. Putting the client on nothing-by-mouth (NPO) status
17.
What intervention by the nurse is most effective for
reducing hospital-acquired infections?
a. Administration of prophylactic antibiotics
b. Aseptic wound care
c. Control of upper respiratory tract infections
d. Proper hand-washing techniques
