VNSG 1400 Chapter14 (Med-Surg) Test
Questions with Actual Answers 2025.
The nurse is educating a community group about types of surgery. A member of the group asks
the nurse to describe a type of surgery that is curative. What response by the nurse is true? -
Answer Tumor excision
Explanation: An example of a curative surgical procedure is tumor excision. A biopsy, a face-lift,
and the placement of a gastrostomy tube are not examples of curative surgical procedures.
A nurse prepares to suction a client's tracheostomy tube. Place the procedure steps in correct
order. - Answer Position the client in Fowler’s position.
Don sterile gloves.
Lubricate the sterile suction catheter.
Insert suction catheter into the lumen of the tube.
Apply intermittent suction while withdrawing the catheter.
Explanation: Suctioning a tracheostomy is a sterile procedure. The nurse should first position
the client in Fowler's position then don sterile gloves. Next, the nurse will lubricate the sterile
suction catheter and insert the catheter into the lumen of the tube. Finally, the nurse will apply
intermittent suction while withdrawing the catheter.
An adult client is in the recovery room following a nephrectomy performed for the treatment of
renal cell carcinoma. The client's vital signs and level of consciousness have stabilized, but the
client then reports severe nausea and begins to retch. What should the nurse do next? - Answer
Turn the client completely to one side
Explanation: Turning the client completely to one side allows collected fluid to escape from the
side of the mouth if the client vomits. After turning the client to the side, the nurse can offer a
cool cloth to the client's forehead. Ice chips can increase feelings of nausea. An analgesic is not
given for nausea and vomiting.
A nurse is providing preoperative care for a client who is scheduled for cholecystectomy under
general anesthesia. When the nurse instructs that the client will need to remove face makeup
before the surgery, the client complains by saying, "They're not operating on my face." What
would the nurse tell this client? - Answer The surgical team needs to observe the natural color
, appropriate for a client who is already likely anxious about surgery. It is not appropriate to
suggest that an exception could be made. Cosmetics would not cause an adverse reaction with
anesthesia.
Which clinical manifestation is often the earliest sign of malignant hyperthermia? - Answer
Tachycardia (heart rate >150 beats per minute)
Explanation: Tachycardia is often the earliest sign of malignant hyperthermia. Hypotension is a
later sign of malignant hyperthermia. The rise in temperature is actually a late sign that
develops quickly. Scant urinary output is a later sign of malignant hyperthermia.
An OR nurse is teaching a nursing student about the principles of surgical asepsis as a
requirement in the restricted zone of the operating suite. What personal protective equipment
should the nurse wear at all times in the restricted zone of the OR? - Answer Mask covering
the nose and mouth
Explanation: Masks are worn at all times in the restricted zone of the OR. Shoe covers are worn
one time only; goggles and gloves are worn as required, but not necessarily at all times.
The nurse is caring for a client after abdominal surgery in the PACU. The client's blood pressure
has increased and the client is restless. The client's oxygen saturation is 97%. What cause for
this change in status should the nurse first suspect? - Answer Pain
Explanation: An increase in blood pressure and restlessness are symptoms of pain. The client's
oxygen saturation is 97%, so hypothermia, hypoxia, and shock are not likely causes of the
client's restlessness.
The OR personnel responsible for maintaining the safety of the client and the surgical
environment is the: - Answer Circulating nurse
Explanation: The circulating nurse is responsible for maintaining the safety of the client and the
surgical environment.
The home health nurse is caring for a postoperative client who was discharged home on day 2
after surgery. The nurse is performing the initial visit on the client's postoperative day 2. During
the visit, the nurse will assess for wound infection. For most clients, what is the earliest
postoperative day that a wound infection becomes evident? - Answer Day 5
Questions with Actual Answers 2025.
The nurse is educating a community group about types of surgery. A member of the group asks
the nurse to describe a type of surgery that is curative. What response by the nurse is true? -
Answer Tumor excision
Explanation: An example of a curative surgical procedure is tumor excision. A biopsy, a face-lift,
and the placement of a gastrostomy tube are not examples of curative surgical procedures.
A nurse prepares to suction a client's tracheostomy tube. Place the procedure steps in correct
order. - Answer Position the client in Fowler’s position.
Don sterile gloves.
Lubricate the sterile suction catheter.
Insert suction catheter into the lumen of the tube.
Apply intermittent suction while withdrawing the catheter.
Explanation: Suctioning a tracheostomy is a sterile procedure. The nurse should first position
the client in Fowler's position then don sterile gloves. Next, the nurse will lubricate the sterile
suction catheter and insert the catheter into the lumen of the tube. Finally, the nurse will apply
intermittent suction while withdrawing the catheter.
An adult client is in the recovery room following a nephrectomy performed for the treatment of
renal cell carcinoma. The client's vital signs and level of consciousness have stabilized, but the
client then reports severe nausea and begins to retch. What should the nurse do next? - Answer
Turn the client completely to one side
Explanation: Turning the client completely to one side allows collected fluid to escape from the
side of the mouth if the client vomits. After turning the client to the side, the nurse can offer a
cool cloth to the client's forehead. Ice chips can increase feelings of nausea. An analgesic is not
given for nausea and vomiting.
A nurse is providing preoperative care for a client who is scheduled for cholecystectomy under
general anesthesia. When the nurse instructs that the client will need to remove face makeup
before the surgery, the client complains by saying, "They're not operating on my face." What
would the nurse tell this client? - Answer The surgical team needs to observe the natural color
, appropriate for a client who is already likely anxious about surgery. It is not appropriate to
suggest that an exception could be made. Cosmetics would not cause an adverse reaction with
anesthesia.
Which clinical manifestation is often the earliest sign of malignant hyperthermia? - Answer
Tachycardia (heart rate >150 beats per minute)
Explanation: Tachycardia is often the earliest sign of malignant hyperthermia. Hypotension is a
later sign of malignant hyperthermia. The rise in temperature is actually a late sign that
develops quickly. Scant urinary output is a later sign of malignant hyperthermia.
An OR nurse is teaching a nursing student about the principles of surgical asepsis as a
requirement in the restricted zone of the operating suite. What personal protective equipment
should the nurse wear at all times in the restricted zone of the OR? - Answer Mask covering
the nose and mouth
Explanation: Masks are worn at all times in the restricted zone of the OR. Shoe covers are worn
one time only; goggles and gloves are worn as required, but not necessarily at all times.
The nurse is caring for a client after abdominal surgery in the PACU. The client's blood pressure
has increased and the client is restless. The client's oxygen saturation is 97%. What cause for
this change in status should the nurse first suspect? - Answer Pain
Explanation: An increase in blood pressure and restlessness are symptoms of pain. The client's
oxygen saturation is 97%, so hypothermia, hypoxia, and shock are not likely causes of the
client's restlessness.
The OR personnel responsible for maintaining the safety of the client and the surgical
environment is the: - Answer Circulating nurse
Explanation: The circulating nurse is responsible for maintaining the safety of the client and the
surgical environment.
The home health nurse is caring for a postoperative client who was discharged home on day 2
after surgery. The nurse is performing the initial visit on the client's postoperative day 2. During
the visit, the nurse will assess for wound infection. For most clients, what is the earliest
postoperative day that a wound infection becomes evident? - Answer Day 5
