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1
NUR 337 Final exam with correct solutions
pass guaranteed.2025 A+graded.
A postoperative patient has a nursing diagnosis of ineffective airway clearance.
b b b b b b b b b b
The nurse determines that interventions for this nursing diagnosis have been successful if which activity or assessment
b b b b b b b b b b b b b b b b
is observed?
b
b
b
a. Patient uses the spirometer 10 times every hour.
b b b b b b b b
b. Patient's breath sounds are clear to auscultation.
b b b b b b b
c. Patient's temperature is less than 100.4° F orally.
b b b b b b b b
d. Patient drinks 2 to 3 L of fluid in 24 hours. - CORRECT ANSWER✔✔B?
b b b b b b b b b b b b b b
In the postanesthesia care unit (PACU), a patient's vital signs are blood pressure 116/72, pulse 74, respirations 12, and
b b b b b b b b b b b b b b b b b b
SpO2 91%. The patient is sleepy but awakens easily.
b b b b b b b b b
Which action should the nurse take first?
b
b b b b b b
a. Increase the rate of the postoperative IV fluids.
b
b b b b b b b b
b. Place the patient in a side-lying position.
b
b b b b b b b
c. Encourage the patient to take deep breaths.
b
b b b b b b b
d. Prepare to transfer the patient to a clinical unit. - CORRECT ANSWER✔✔C?
b b b b b b b b b b b b
What instruction would be appropriate for the nurse give to nursing assistive personnel (NAP) caring for a postsurgical
b b b b b b b b b b b b b b b b b
patient?
b
b
a. "Please reassure the family, and explain to them what is going on."
b
b b b b b b b b b b b b
b. "Let me know when the patient's family arrives on the floor."
b
b b b b b b b b b b b
c. "Please teach him about the incentive spirometer while I speak with the physician."
b
b b b b b b b b b b b b b
d. "Assess his urine output, and compare it to intake." - CORRECT ANSWER✔✔B
b b b b b b b b b b b b
What is the most effective, primary way in which the nurse can lower a patient's risk for postsurgical complications?
b
b b b b b b b b b b b b b b b b b b
a. Identify deviations from normal that may interfere with the recovery process.
b b b b b b b b b b b
b. Adequately prepare the patient for discharge from the agency.
b b b b b b b b b
c. Evaluate the patient's emotional reaction to the surgical process.
b b b b b b b b b
d. Provide continuity of nursing care throughout the patient's stay at the agency. - CORRECT ANSWER✔✔A?
b b b b b b b b b b b b b b b
When a patient returns to the unit from the PACU, how would the nurse best assess possible urinary retention?
b
b b b b b b b b b b b b b b b b b b
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2
a. Check the chart for lab values specific to urinary function.
b
b b b b b b b b b b
b. Encourage the patient to void.
b
b b b b b
c. Complete a bladder scan.
b
b b b b
d. Straight-catheterize the patient. - CORRECT ANSWER✔✔C?
b b b b b b
The nurse is preparing to witness the client signing the operative consent form when the client states, "I do not really
b b b b b b b b b b b b b b b b b b b b
understand what the doctor said."
b b b b b
Which action is best for the nurse to take?
b b b b b b b b
b
a. Provide an explanation of the planned surgical procedure.
b
b b b b b b b b
b. Administer the prescribed preoperative antibiotics and withhold any ordered sedative medications.
b
b b b b b b b b b b b
c. Notify the surgeon that the informed consent process is not complete.
b
b b b b b b b b b b b
d. Notify the operating room staff that the surgeon needs to give a more complete explanation of the procedure. -
b b b b b b b b b b b b b b b b b b b
CORRECT ANSWER✔✔D? Not sure
b b b b
A patient who has never had any prior surgeries tells the nurse doing the pre-operative assessment about an allergy to
b b b b b b b b b b b b b b b b b b b
bananas and avocados.
b b b
Which action is most important for the nurse to take?
b
b b b b b b b b b
a. Notify the dietitian about the food allergies.
b
b b b b b b b
b. Ask whether the patient uses antihistamines to reduce allergic reactions.
b
b b b b b b b b b b
c. Alert the surgery center about a possible latex allergy.
b
b b b b b b b b b
d. Reassure the patient that all allergies are noted on the medical record. - CORRECT ANSWER✔✔C
b b b b b b b b b b b b b b b
The nurse plans to provide pre-operative teaching to an alert older man who has hearing and vision deficits.
b b b b b b b b b b b b b b b b b
His wife usually answers most questions that are directed to the patient.
b b b b b b b b b b b
Which action by the nurse reflects best practice when providing patient education?
b
b b b b b b b b b b b
a. Direct the teaching toward the wife because she is the obvious support and caregiver for the patient.
b
b b b b b b b b b b b b b b b b b
b. Ask the patient's wife to wait in the hall in order to focus preoperative teaching with the patient himself.
b
b b b b b b b b b b b b b b b b b b b
c. Use printed materials for instruction so that the patient will have more time to review the material.
b
b b b b b b b b b b b b b b b b b
d. Provide additional time for the patient to understand pre-operative instructions and carry out procedures. -
b b b b b b b b b b b b b b b
CORRECT ANSWER✔✔D
b b
Post-operatively, Susan Patton has been ordered which of the following medications for pain management?
b
b b b b b b b b b b b b b
a. Fentanyl
b
b
b. Hydromorphone
b
b
c. Morphine Sulfate
b
b b
d. Tylenol with Codeine - CORRECT ANSWER✔✔C
b b b b b b
The surgical procedure that Susan Patton is scheduled for is a laproscopic _________________________. -
b b b b b b b b b b b b b
CORRECT ANSWER✔✔Cholecystectomy
b b
An overweight patient is scheduled for a laparoscopic cholecystectomy at an outpatient surgery setting. What is the
b b b b b b b b b b b b b b b b
nurse's priority client teaching focus for this procedure? - CORRECT ANSWER✔✔surgery will involve multiple
b b b b b b b b b b b b b b
small incisions
b b
What is the definition of cholelithiasis? - CORRECT ANSWER✔✔the gallbladder
b b b b b b b b b
Immediately before going back for surgery, the client tells the nurse, "I'm so scared! I'm frightened about the amount of
b b b b b b b b b b b b b b b b b b b
pain I'll have when I come back to recovery!"
b b b b b b b b b
What is the priority nursing intervention to assist this preoperative patient in coping with fear of postoperative pain? -
b b b b b b b b b b b b b b b b b b
CORRECT ANSWER✔✔Explain the pain management plan, including the use of a pain rating scale.
b b b b b b b b b b b b b b
1
NUR 337 Final exam with correct solutions
pass guaranteed.2025 A+graded.
A postoperative patient has a nursing diagnosis of ineffective airway clearance.
b b b b b b b b b b
The nurse determines that interventions for this nursing diagnosis have been successful if which activity or assessment
b b b b b b b b b b b b b b b b
is observed?
b
b
b
a. Patient uses the spirometer 10 times every hour.
b b b b b b b b
b. Patient's breath sounds are clear to auscultation.
b b b b b b b
c. Patient's temperature is less than 100.4° F orally.
b b b b b b b b
d. Patient drinks 2 to 3 L of fluid in 24 hours. - CORRECT ANSWER✔✔B?
b b b b b b b b b b b b b b
In the postanesthesia care unit (PACU), a patient's vital signs are blood pressure 116/72, pulse 74, respirations 12, and
b b b b b b b b b b b b b b b b b b
SpO2 91%. The patient is sleepy but awakens easily.
b b b b b b b b b
Which action should the nurse take first?
b
b b b b b b
a. Increase the rate of the postoperative IV fluids.
b
b b b b b b b b
b. Place the patient in a side-lying position.
b
b b b b b b b
c. Encourage the patient to take deep breaths.
b
b b b b b b b
d. Prepare to transfer the patient to a clinical unit. - CORRECT ANSWER✔✔C?
b b b b b b b b b b b b
What instruction would be appropriate for the nurse give to nursing assistive personnel (NAP) caring for a postsurgical
b b b b b b b b b b b b b b b b b
patient?
b
b
a. "Please reassure the family, and explain to them what is going on."
b
b b b b b b b b b b b b
b. "Let me know when the patient's family arrives on the floor."
b
b b b b b b b b b b b
c. "Please teach him about the incentive spirometer while I speak with the physician."
b
b b b b b b b b b b b b b
d. "Assess his urine output, and compare it to intake." - CORRECT ANSWER✔✔B
b b b b b b b b b b b b
What is the most effective, primary way in which the nurse can lower a patient's risk for postsurgical complications?
b
b b b b b b b b b b b b b b b b b b
a. Identify deviations from normal that may interfere with the recovery process.
b b b b b b b b b b b
b. Adequately prepare the patient for discharge from the agency.
b b b b b b b b b
c. Evaluate the patient's emotional reaction to the surgical process.
b b b b b b b b b
d. Provide continuity of nursing care throughout the patient's stay at the agency. - CORRECT ANSWER✔✔A?
b b b b b b b b b b b b b b b
When a patient returns to the unit from the PACU, how would the nurse best assess possible urinary retention?
b
b b b b b b b b b b b b b b b b b b
, https://www.stuvia.com/user/Smartscroll
2
a. Check the chart for lab values specific to urinary function.
b
b b b b b b b b b b
b. Encourage the patient to void.
b
b b b b b
c. Complete a bladder scan.
b
b b b b
d. Straight-catheterize the patient. - CORRECT ANSWER✔✔C?
b b b b b b
The nurse is preparing to witness the client signing the operative consent form when the client states, "I do not really
b b b b b b b b b b b b b b b b b b b b
understand what the doctor said."
b b b b b
Which action is best for the nurse to take?
b b b b b b b b
b
a. Provide an explanation of the planned surgical procedure.
b
b b b b b b b b
b. Administer the prescribed preoperative antibiotics and withhold any ordered sedative medications.
b
b b b b b b b b b b b
c. Notify the surgeon that the informed consent process is not complete.
b
b b b b b b b b b b b
d. Notify the operating room staff that the surgeon needs to give a more complete explanation of the procedure. -
b b b b b b b b b b b b b b b b b b b
CORRECT ANSWER✔✔D? Not sure
b b b b
A patient who has never had any prior surgeries tells the nurse doing the pre-operative assessment about an allergy to
b b b b b b b b b b b b b b b b b b b
bananas and avocados.
b b b
Which action is most important for the nurse to take?
b
b b b b b b b b b
a. Notify the dietitian about the food allergies.
b
b b b b b b b
b. Ask whether the patient uses antihistamines to reduce allergic reactions.
b
b b b b b b b b b b
c. Alert the surgery center about a possible latex allergy.
b
b b b b b b b b b
d. Reassure the patient that all allergies are noted on the medical record. - CORRECT ANSWER✔✔C
b b b b b b b b b b b b b b b
The nurse plans to provide pre-operative teaching to an alert older man who has hearing and vision deficits.
b b b b b b b b b b b b b b b b b
His wife usually answers most questions that are directed to the patient.
b b b b b b b b b b b
Which action by the nurse reflects best practice when providing patient education?
b
b b b b b b b b b b b
a. Direct the teaching toward the wife because she is the obvious support and caregiver for the patient.
b
b b b b b b b b b b b b b b b b b
b. Ask the patient's wife to wait in the hall in order to focus preoperative teaching with the patient himself.
b
b b b b b b b b b b b b b b b b b b b
c. Use printed materials for instruction so that the patient will have more time to review the material.
b
b b b b b b b b b b b b b b b b b
d. Provide additional time for the patient to understand pre-operative instructions and carry out procedures. -
b b b b b b b b b b b b b b b
CORRECT ANSWER✔✔D
b b
Post-operatively, Susan Patton has been ordered which of the following medications for pain management?
b
b b b b b b b b b b b b b
a. Fentanyl
b
b
b. Hydromorphone
b
b
c. Morphine Sulfate
b
b b
d. Tylenol with Codeine - CORRECT ANSWER✔✔C
b b b b b b
The surgical procedure that Susan Patton is scheduled for is a laproscopic _________________________. -
b b b b b b b b b b b b b
CORRECT ANSWER✔✔Cholecystectomy
b b
An overweight patient is scheduled for a laparoscopic cholecystectomy at an outpatient surgery setting. What is the
b b b b b b b b b b b b b b b b
nurse's priority client teaching focus for this procedure? - CORRECT ANSWER✔✔surgery will involve multiple
b b b b b b b b b b b b b b
small incisions
b b
What is the definition of cholelithiasis? - CORRECT ANSWER✔✔the gallbladder
b b b b b b b b b
Immediately before going back for surgery, the client tells the nurse, "I'm so scared! I'm frightened about the amount of
b b b b b b b b b b b b b b b b b b b
pain I'll have when I come back to recovery!"
b b b b b b b b b
What is the priority nursing intervention to assist this preoperative patient in coping with fear of postoperative pain? -
b b b b b b b b b b b b b b b b b b
CORRECT ANSWER✔✔Explain the pain management plan, including the use of a pain rating scale.
b b b b b b b b b b b b b b
