IGNATAVICIUS MEDICAL-SURGICAL
NURSING, EXAM WITH CORRECT
ANSWERS
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for
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the nurse to relay to the surgical team? - correct answer Use of multiple herbs and supplements
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A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which
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one has the greatest need for the nurse to consult other members of the health care team for postdischarge
w w w w w w w w w w w w w w w w w w w
care? - correct answer Older adult who lives alone at home despite some memory loss.
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A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching,
w w w w w w w w w w w w w w w w w w w
forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? -
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correct answer Assess the client for anxiety.
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A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result
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warrants immediate communication with the surgical team? - correct answer Potassium: 2.9 mEq/L (2.9
w w w w w w w w w w w w w w
mmol/L)
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The
w w w w w w w w w w w w w w w w w w
client asks about possible complications from the operation. What response by the nurse is best? - correct
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answer Do not have the client sign the consent and call the primary health care provider.
w w w w w w w w w w w w w w w
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having
w w w w w w w w w w w w w w w w w w
pain medication. What action by the nurse is best? - correct answer Demonstrate how to splint the incision.
w w w w w w w w w w w w w w w w w
, A nurse is giving a client instructions for showering the night before surgery. What instruction is most
w w w w w w w w w w w w w w w w w
appropriate? - correct answer "Use the prescribed solution and wash the area where you will have surgery
w w w w w w w w w w w w w w w w w
very thoroughly."
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A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the
w w w w w w w w w w w w w w w w w
priority client problems related to the drain are being met? - correct answer There is no redness, warmth, or
w w w w w w w w w w w w w w w w w w w
drainage at the insertion site. w w w w
The perioperative nurse manager and the postoperative unit manager are concerned about the increasing
w w w w w w w w w w w w w w
number of surgical infections in their hospital. What action by the managers is best? - correct answer Audit
w w w w w w w w w w w w w w w w w w
charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met.
w w w w w w w w w w w w
A nurse assesses a client in the preoperative holding area and finds brittle nails and hair, dry skin turgor, and
w w w w w w w w w w w w w w w w w w w w
muscle wasting. What action by the nurse is best? - correct answer Consult the primary health care provider
w w w w w w w w w w w w w w w w w w
about a dietitian referral.
w w w
A client has arrived in the inpatient postoperative unit. What action by the inpatient nurse takes priority? -
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correct answer Participating in hand-off report
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The postanesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which
w w w w w w w w w w w w w w w
client would the nurse assess first? - correct answer Client with a respiratory rate of 6 breaths/min
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A client had a surgical procedure with spinal anesthesia. The client's blood pressure was 122/78 mm Hg 30
w w w w w w w w w w w w w w w w w w
minutes ago and is now 138/60 and the client reports nausea. What action by the nurse is best? - correct
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answer Notify the primary health care provider.
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A postoperative client vomited. After cleaning and comforting the client, which action by the nurse is most
w w w w w w w w w w w w w w w w w
important? - correct answer Auscultate lung sounds. w w w w w w
A postoperative client has just been admitted to the postanesthesia care unit (PACU). What assessment by
w w w w w w w w w w w w w w w w
the PACU nurse takes priority? - correct answer Airway
w w w w w w w w
A postoperative client has respiratory depression after receiving morphine for pain. Which medication and
w w w w w w w w w w w w w w
dose does the nurse prepare to administer? - correct answer Naloxone 0.4 to 2 mg
w w w w w w w w w w w w w w
NURSING, EXAM WITH CORRECT
ANSWERS
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for
w w w w w w w w w w w w w w w w w
the nurse to relay to the surgical team? - correct answer Use of multiple herbs and supplements
w w w w w w w w w w w w w w w w
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which
w w w w w w w w w w w w w w w w w
one has the greatest need for the nurse to consult other members of the health care team for postdischarge
w w w w w w w w w w w w w w w w w w w
care? - correct answer Older adult who lives alone at home despite some memory loss.
w w w w w w w w w w w w w w
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching,
w w w w w w w w w w w w w w w w w w w
forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? -
w w w w w w w w w w w w w w w w w w w w w w w
correct answer Assess the client for anxiety.
w w w w w w
A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result
w w w w w w w w w w w w w w w w
warrants immediate communication with the surgical team? - correct answer Potassium: 2.9 mEq/L (2.9
w w w w w w w w w w w w w w
mmol/L)
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The
w w w w w w w w w w w w w w w w w w
client asks about possible complications from the operation. What response by the nurse is best? - correct
w w w w w w w w w w w w w w w w w
answer Do not have the client sign the consent and call the primary health care provider.
w w w w w w w w w w w w w w w
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having
w w w w w w w w w w w w w w w w w w
pain medication. What action by the nurse is best? - correct answer Demonstrate how to splint the incision.
w w w w w w w w w w w w w w w w w
, A nurse is giving a client instructions for showering the night before surgery. What instruction is most
w w w w w w w w w w w w w w w w w
appropriate? - correct answer "Use the prescribed solution and wash the area where you will have surgery
w w w w w w w w w w w w w w w w w
very thoroughly."
w
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the
w w w w w w w w w w w w w w w w w
priority client problems related to the drain are being met? - correct answer There is no redness, warmth, or
w w w w w w w w w w w w w w w w w w w
drainage at the insertion site. w w w w
The perioperative nurse manager and the postoperative unit manager are concerned about the increasing
w w w w w w w w w w w w w w
number of surgical infections in their hospital. What action by the managers is best? - correct answer Audit
w w w w w w w w w w w w w w w w w w
charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met.
w w w w w w w w w w w w
A nurse assesses a client in the preoperative holding area and finds brittle nails and hair, dry skin turgor, and
w w w w w w w w w w w w w w w w w w w w
muscle wasting. What action by the nurse is best? - correct answer Consult the primary health care provider
w w w w w w w w w w w w w w w w w w
about a dietitian referral.
w w w
A client has arrived in the inpatient postoperative unit. What action by the inpatient nurse takes priority? -
w w w w w w w w w w w w w w w w w w
correct answer Participating in hand-off report
w w w w w
The postanesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which
w w w w w w w w w w w w w w w
client would the nurse assess first? - correct answer Client with a respiratory rate of 6 breaths/min
w w w w w w w w w w w w w w w w
A client had a surgical procedure with spinal anesthesia. The client's blood pressure was 122/78 mm Hg 30
w w w w w w w w w w w w w w w w w w
minutes ago and is now 138/60 and the client reports nausea. What action by the nurse is best? - correct
w w w w w w w w w w w w w w w w w w w w
answer Notify the primary health care provider.
w w w w w w
A postoperative client vomited. After cleaning and comforting the client, which action by the nurse is most
w w w w w w w w w w w w w w w w w
important? - correct answer Auscultate lung sounds. w w w w w w
A postoperative client has just been admitted to the postanesthesia care unit (PACU). What assessment by
w w w w w w w w w w w w w w w w
the PACU nurse takes priority? - correct answer Airway
w w w w w w w w
A postoperative client has respiratory depression after receiving morphine for pain. Which medication and
w w w w w w w w w w w w w w
dose does the nurse prepare to administer? - correct answer Naloxone 0.4 to 2 mg
w w w w w w w w w w w w w w
