Nursing II Exam 2 Test Questions and
All Correct Answers Graded A+ 2025-
2026 Updated.
Which nursing action should the PACU nurse take to prevent postoperative complications in
clients? - Answer Assist the client to do leg exercises to increase venous return.
Which surgical client does the nurse in the preoperative setting anticipate has the greatest
potential for surgical complications? - Answer A 76-year-old client with a history of renal
failure and chronic bronchitis
The nurse enters a postoperative client's room and finds that the client is bleeding profusely
from the surgical incision. What would be the nurse's most appropriate initial response? -
Answer Apply pressure to the surgical site to decrease bleeding.
A client had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's
assessment this morning confirms that the client has not yet had a bowel movement since prior
to surgery. How should the nurse best respond to this assessment finding? - Answer Monitor
the client closely and promote fluid intake.
When preparing a client for surgery, it is essential for the nurse to take which actions? - Answer
• educating client about postoperative care
• measuring baseline vital signs
• having the client void immediately before surgery
• checking that all diagnostic tests are completed
Which client most likely requires special preoperative assessment and treatment as a result of
the existing medication regimen? - Answer a woman who takes daily anticoagulants to treat
atrial fibrillation
In the postoperative phase of abdominal surgery, the client reports severe abdominal pain. In
the second postoperative day, the client's bowel sounds are absent. What does the nurse
suspect? - Answer Paralytic ileus
The nurse knows the term perioperative phase refers to care given to the client: - Answer
, "An advance directive will communicate your wishes for health care postoperatively in case you
are unable to do so."
Which effects of medications should the nurse consider when assessing patients for surgical
risks? (Select all that apply.) - Answer • Diuretics may cause respiratory depression from
anesthesia.
• Tranquilizers may increase the hypotensive effect of anesthetic agents.
• Abrupt withdrawal from adrenal steroids may cause cardiovascular collapse in long-term
users.
The nurse has entered the room of a client who is postoperative day 1 and finds the client
grimacing and guarding her incision. The client refuses the nurse's offer of p.r.n. analgesia and,
on discussion, states that this refusal is motivated by his fear of becoming addicted to pain
medications. How should the nurse respond to the client's concerns? - Answer "Research has
shown that there is very little risk of clients becoming addicted to painkillers after they have
surgery."
A nurse is monitoring a client post cardiac surgery. What action would help to prevent
cardiovascular complications for this client? - Answer Implement leg exercises and turn the
client in bed every 2 hours.
A client had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's
assessment this morning confirms that the client has not yet had a bowel movement since prior
to surgery. How should the nurse best respond to this assessment finding? - Answer Monitor
the client closely and promote fluid intake.
A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue
from the base of the great toe) which will be conducted on an ambulatory basis. Which
characteristic applies to this type of surgery? - Answer The client will be admitted the day of
surgery and return home the same day.
A client has presented to a clinic for a preoperative consult, during which the client has
expressed concern about having to fast before surgery. Current recommendations for
preoperative fasting include: - Answer allowing clear liquids up to 2 hours before surgery.
Which nursing action will best promote pain management for a client in the postoperative
phase? - Answer Performing relaxation techniques
All Correct Answers Graded A+ 2025-
2026 Updated.
Which nursing action should the PACU nurse take to prevent postoperative complications in
clients? - Answer Assist the client to do leg exercises to increase venous return.
Which surgical client does the nurse in the preoperative setting anticipate has the greatest
potential for surgical complications? - Answer A 76-year-old client with a history of renal
failure and chronic bronchitis
The nurse enters a postoperative client's room and finds that the client is bleeding profusely
from the surgical incision. What would be the nurse's most appropriate initial response? -
Answer Apply pressure to the surgical site to decrease bleeding.
A client had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's
assessment this morning confirms that the client has not yet had a bowel movement since prior
to surgery. How should the nurse best respond to this assessment finding? - Answer Monitor
the client closely and promote fluid intake.
When preparing a client for surgery, it is essential for the nurse to take which actions? - Answer
• educating client about postoperative care
• measuring baseline vital signs
• having the client void immediately before surgery
• checking that all diagnostic tests are completed
Which client most likely requires special preoperative assessment and treatment as a result of
the existing medication regimen? - Answer a woman who takes daily anticoagulants to treat
atrial fibrillation
In the postoperative phase of abdominal surgery, the client reports severe abdominal pain. In
the second postoperative day, the client's bowel sounds are absent. What does the nurse
suspect? - Answer Paralytic ileus
The nurse knows the term perioperative phase refers to care given to the client: - Answer
, "An advance directive will communicate your wishes for health care postoperatively in case you
are unable to do so."
Which effects of medications should the nurse consider when assessing patients for surgical
risks? (Select all that apply.) - Answer • Diuretics may cause respiratory depression from
anesthesia.
• Tranquilizers may increase the hypotensive effect of anesthetic agents.
• Abrupt withdrawal from adrenal steroids may cause cardiovascular collapse in long-term
users.
The nurse has entered the room of a client who is postoperative day 1 and finds the client
grimacing and guarding her incision. The client refuses the nurse's offer of p.r.n. analgesia and,
on discussion, states that this refusal is motivated by his fear of becoming addicted to pain
medications. How should the nurse respond to the client's concerns? - Answer "Research has
shown that there is very little risk of clients becoming addicted to painkillers after they have
surgery."
A nurse is monitoring a client post cardiac surgery. What action would help to prevent
cardiovascular complications for this client? - Answer Implement leg exercises and turn the
client in bed every 2 hours.
A client had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's
assessment this morning confirms that the client has not yet had a bowel movement since prior
to surgery. How should the nurse best respond to this assessment finding? - Answer Monitor
the client closely and promote fluid intake.
A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue
from the base of the great toe) which will be conducted on an ambulatory basis. Which
characteristic applies to this type of surgery? - Answer The client will be admitted the day of
surgery and return home the same day.
A client has presented to a clinic for a preoperative consult, during which the client has
expressed concern about having to fast before surgery. Current recommendations for
preoperative fasting include: - Answer allowing clear liquids up to 2 hours before surgery.
Which nursing action will best promote pain management for a client in the postoperative
phase? - Answer Performing relaxation techniques
