NURS 120 - QUIZ # 1
1) The first nursing action indicated when a patient returns to the surgical unit following a
thyroidectomy is to
Assess respiratory rate and effort
2) During the client’s admission to PACU, which intervention is priority for the nurse to perform?
Assess for airway patency and quality of respiration and obtain vital signs
3) Following admission of the postoperative client to the clinical unit, which of the following
assessment data requires the most immediate attention
Oxygen saturation of 85%
4) An adult with type 2 diabetes mellitus has been NPO since 10 pm in preparation for having an
appendectomy the next day. At 6 am on the day of surgery, the nurse reviews the client’s chart and
laboratory. Which finding should the nurse report to the physician?
Potassium of 5.8 mEq
5) Nurse is preparing the client one week before the surgery. The nurse instructs the client to stop
taking Kava and Valerian. The client asks the nurse the rationales behind sopping these supplements.
Which of the following responses by the nurse is the best?
These supplements can cause excessive sedation
6) Which of the following preoperative client findings should be reported to the client’s provider?
(SATA)
WBC count of 18,800/mm3
Glucose level of 320 mg/dL
7) When a client states an allergy to avocados, kiwis, and bananas, a nurse should expect that a client is
most likely at risk for:
An iodine allergy
8) A nurse is caring for a client who is postoperative and is at risk for developing venous
thromboembolism (VTE). Which of the following statements made by the client’s son requires a
further teaching?
I will have her exercise by flexing and extending ankles every day
9) A nurse instructs a preoperative client in the proper use of an incentive spirometer (IS). Which does
the nurse use to determine that the client is using the IS effectively?
Productive coughing
10) Which identifies accurate nursing documentation notations? (SATA)
Abdominal wound dressing is dry and intact without drainage
The client’s lower medial leg wound is 3 cm in length without redness, drainage, or edema
The client appears to become anxious when it is time for respiratory treatments
The client slept through the night
The client seemed angry when awakened for vital signs
This study source was downloaded by 100000812546443 from CourseHero.com on 11-26-2022 03:46:50 GMT -06:00
https://www.coursehero.com/file/69761161/NURS-120-QUIZ-1docx/
1) The first nursing action indicated when a patient returns to the surgical unit following a
thyroidectomy is to
Assess respiratory rate and effort
2) During the client’s admission to PACU, which intervention is priority for the nurse to perform?
Assess for airway patency and quality of respiration and obtain vital signs
3) Following admission of the postoperative client to the clinical unit, which of the following
assessment data requires the most immediate attention
Oxygen saturation of 85%
4) An adult with type 2 diabetes mellitus has been NPO since 10 pm in preparation for having an
appendectomy the next day. At 6 am on the day of surgery, the nurse reviews the client’s chart and
laboratory. Which finding should the nurse report to the physician?
Potassium of 5.8 mEq
5) Nurse is preparing the client one week before the surgery. The nurse instructs the client to stop
taking Kava and Valerian. The client asks the nurse the rationales behind sopping these supplements.
Which of the following responses by the nurse is the best?
These supplements can cause excessive sedation
6) Which of the following preoperative client findings should be reported to the client’s provider?
(SATA)
WBC count of 18,800/mm3
Glucose level of 320 mg/dL
7) When a client states an allergy to avocados, kiwis, and bananas, a nurse should expect that a client is
most likely at risk for:
An iodine allergy
8) A nurse is caring for a client who is postoperative and is at risk for developing venous
thromboembolism (VTE). Which of the following statements made by the client’s son requires a
further teaching?
I will have her exercise by flexing and extending ankles every day
9) A nurse instructs a preoperative client in the proper use of an incentive spirometer (IS). Which does
the nurse use to determine that the client is using the IS effectively?
Productive coughing
10) Which identifies accurate nursing documentation notations? (SATA)
Abdominal wound dressing is dry and intact without drainage
The client’s lower medial leg wound is 3 cm in length without redness, drainage, or edema
The client appears to become anxious when it is time for respiratory treatments
The client slept through the night
The client seemed angry when awakened for vital signs
This study source was downloaded by 100000812546443 from CourseHero.com on 11-26-2022 03:46:50 GMT -06:00
https://www.coursehero.com/file/69761161/NURS-120-QUIZ-1docx/
