NURS 3130 Adult Health I Final Exam
Review Questions With Correct Answers
A patient is scheduled for surgery requiring general anesthesia at an
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ambulatory surgical center. The nurse asks him when he ate last. He
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replies that he had a light breakfast a couple of hours before coming to
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the surgery center. Which action would the nurse take?
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a. Have the patient void before giving any preoperative medication.
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b. Notify the anesthesia care provider of when and what the patient last
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ate.
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c. Tell the patient to come back tomorrow since he ate a breakfast.
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d. Proceed with the preoperative checklist, including site identification. -
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CORRECT ANSWER✔✔-b. Notify the anesthesia care provider of when
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and what the patient last ate.
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A patient who take metformin 500 mg every morning for control of type
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2 diabetes asks if she should take her medication the day of surgery.
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Which recommendation would the nurse make?
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a. Get instructions from the surgeon about medication adjustments.
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b. Take her medication as usual with a sip of water in the morning.
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,c. Skip her medication the day of surgery.
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d. Take her usual morning dose at bedtime the night before surgery. -
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CORRECT ANSWER✔✔-a. Get instructions from the surgeon about
| | | | | | | |
medication adjustments.
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Th nurse is caring for a patient undergoing surgery for a knee
| | | | | | | | | | |
replacement. Which factors are critical to the patient's safety during the
| | | | | | | | | | |
procedure? (select al that apply)
| | | | |
a. The patient's allergies are conveyed to the surgical team.
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b. The ACP is an anesthesiologist.
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c. Universal safety protocols if followed.
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d. The patient has adequate health insurance.
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e. Waiting until the entire surgical team is present before the time-out.
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f. The patient's family is in the surgery waiting area. - CORRECT
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ANSWER✔✔-a. The patient's allergies are conveyed to the surgical
| | | | | | | | |
team.
|
c. Universal safety protocols if followed.
| | | | |
e. Waiting until the entire surgical team is present before the time-out.
| | | | | | | | | | |
,Which actions would the nurse prioritize when admitting a patient to
| | | | | | | | | |
the PACU?
| |
a. Review results of intraoperative laboratory values and medications
| | | | | | | |
received.
|
b. Assess for airway patency and quality of respirations and obtain vital
| | | | | | | | | | |
signs.
|
c. Assess the amount of urine output and the presence of bladder
| | | | | | | | | | |
distention.
|
d. Assess the surgical site, noting presence and character of drainage. -
| | | | | | | | | | |
CORRECT ANSWER✔✔-b. Assess for airway patency and quality of
| | | | | | | | |
respirations and obtain vital signs.
| | | | |
After admitting a postoperative patient to the clinical unit, which
| | | | | | | | |
assessment data require attention first?
| | | | |
a. Temperature of 100.4° F (38° C)
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b. O2 saturation of 85%.
| | | |
c. Respiratory rate of 13/min
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d. Blood pressure of 90/60 mm Hg - CORRECT ANSWER✔✔-b. O2
| | | | | | | | | |
saturation of 85%.
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, A patient scheduled for an elective hysterectomy tells the nurse, "I am
| | | | | | | | | | |
afraid that I will die in surgery like my mother did!" Which initial
| | | | | | | | | | | | |
response would the nurse provide?
| | | | |
a. "Tell me more about what happened to your mother."
| | | | | | | | |
b. "Surgical techniques have improved in recent years."
| | | | | | |
c. "You should talk to the doctor again about the surgery."
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d. "You will receive medication to reduce your anxiety." - CORRECT
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ANSWER✔✔-a. "Tell me more about what happened to your mother."
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A postoperative patient has not voided for 8 hours after return to the
| | | | | | | | | | | |
clinical unit. Which action would the nurse take first?
| | | | | | | | |
a. Encourage increased oral fluid intake.
| | | | |
b. Perform a bladder scan.
| | | |
c. Assist the patient to ambulate to the bathroom.
| | | | | | | |
d. Insert a straight catheter. - CORRECT ANSWER✔✔-b. Perform a
| | | | | | | | |
bladder scan
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Which nursing action should the operating room (OR) nurse manager
| | | | | | | | |
delegate to the registered nurse first assistant (RNFA) when caring for a
| | | | | | | | | | | |
surgical patient?
| |
Review Questions With Correct Answers
A patient is scheduled for surgery requiring general anesthesia at an
| | | | | | | | | |
ambulatory surgical center. The nurse asks him when he ate last. He
| | | | | | | | | | | |
replies that he had a light breakfast a couple of hours before coming to
| | | | | | | | | | | | | |
the surgery center. Which action would the nurse take?
| | | | | | | | |
a. Have the patient void before giving any preoperative medication.
| | | | | | | | |
b. Notify the anesthesia care provider of when and what the patient last
| | | | | | | | | | | |
ate.
|
c. Tell the patient to come back tomorrow since he ate a breakfast.
| | | | | | | | | | | |
d. Proceed with the preoperative checklist, including site identification. -
| | | | | | | | |
CORRECT ANSWER✔✔-b. Notify the anesthesia care provider of when
| | | | | | | | |
and what the patient last ate.
| | | | | |
A patient who take metformin 500 mg every morning for control of type
| | | | | | | | | | | |
2 diabetes asks if she should take her medication the day of surgery.
| | | | | | | | | | | | |
Which recommendation would the nurse make?
| | | | | |
a. Get instructions from the surgeon about medication adjustments.
| | | | | | | |
b. Take her medication as usual with a sip of water in the morning.
| | | | | | | | | | | | |
,c. Skip her medication the day of surgery.
| | | | | | |
d. Take her usual morning dose at bedtime the night before surgery. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-a. Get instructions from the surgeon about
| | | | | | | |
medication adjustments.
| |
Th nurse is caring for a patient undergoing surgery for a knee
| | | | | | | | | | |
replacement. Which factors are critical to the patient's safety during the
| | | | | | | | | | |
procedure? (select al that apply)
| | | | |
a. The patient's allergies are conveyed to the surgical team.
| | | | | | | | |
b. The ACP is an anesthesiologist.
| | | | |
c. Universal safety protocols if followed.
| | | | |
d. The patient has adequate health insurance.
| | | | | |
e. Waiting until the entire surgical team is present before the time-out.
| | | | | | | | | | |
f. The patient's family is in the surgery waiting area. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-a. The patient's allergies are conveyed to the surgical
| | | | | | | | |
team.
|
c. Universal safety protocols if followed.
| | | | |
e. Waiting until the entire surgical team is present before the time-out.
| | | | | | | | | | |
,Which actions would the nurse prioritize when admitting a patient to
| | | | | | | | | |
the PACU?
| |
a. Review results of intraoperative laboratory values and medications
| | | | | | | |
received.
|
b. Assess for airway patency and quality of respirations and obtain vital
| | | | | | | | | | |
signs.
|
c. Assess the amount of urine output and the presence of bladder
| | | | | | | | | | |
distention.
|
d. Assess the surgical site, noting presence and character of drainage. -
| | | | | | | | | | |
CORRECT ANSWER✔✔-b. Assess for airway patency and quality of
| | | | | | | | |
respirations and obtain vital signs.
| | | | |
After admitting a postoperative patient to the clinical unit, which
| | | | | | | | |
assessment data require attention first?
| | | | |
a. Temperature of 100.4° F (38° C)
| | | | | |
b. O2 saturation of 85%.
| | | |
c. Respiratory rate of 13/min
| | | |
d. Blood pressure of 90/60 mm Hg - CORRECT ANSWER✔✔-b. O2
| | | | | | | | | |
saturation of 85%.
| | |
, A patient scheduled for an elective hysterectomy tells the nurse, "I am
| | | | | | | | | | |
afraid that I will die in surgery like my mother did!" Which initial
| | | | | | | | | | | | |
response would the nurse provide?
| | | | |
a. "Tell me more about what happened to your mother."
| | | | | | | | |
b. "Surgical techniques have improved in recent years."
| | | | | | |
c. "You should talk to the doctor again about the surgery."
| | | | | | | | | |
d. "You will receive medication to reduce your anxiety." - CORRECT
| | | | | | | | | |
ANSWER✔✔-a. "Tell me more about what happened to your mother."
| | | | | | | | | |
A postoperative patient has not voided for 8 hours after return to the
| | | | | | | | | | | |
clinical unit. Which action would the nurse take first?
| | | | | | | | |
a. Encourage increased oral fluid intake.
| | | | |
b. Perform a bladder scan.
| | | |
c. Assist the patient to ambulate to the bathroom.
| | | | | | | |
d. Insert a straight catheter. - CORRECT ANSWER✔✔-b. Perform a
| | | | | | | | |
bladder scan
| |
Which nursing action should the operating room (OR) nurse manager
| | | | | | | | |
delegate to the registered nurse first assistant (RNFA) when caring for a
| | | | | | | | | | | |
surgical patient?
| |
