NUR 313 Final Exam Questions And All
Correct Answers.
Which condition would the nurse be concerned about for a postoperative patient who has bronchial
obstruction from retained secretions and an oxygen saturation of 87%?
Pulmonary embolism
Bronchospasm
Hypoventilation
Atelectasis - Answer Atelectasis
Which assessment finding indicates that the postoperative patient is experiencing hypoventilation?
Rales in bilateral lower lung fields
Blood pressure reading of 96/58
Respiratory rate of 8
Capillary refill is 3 seconds - Answer Respiratory rate of 8
Which instruction would the nurse provide to help prevent atelectasis in a patient recovering from
abdominal surgery?
"Support the incision with a folded blanket and try to cough up some mucus."
"Take rapid, shallow breaths every hour to prevent pain."
"Lay flat to prevent coughing as it can cause the sutures to rupture."
"Avoid liquids as it will cause you to need to use the bathroom frequently." - Answer "Support the
incision with a folded blanket and try to cough up some mucus."
Which action would the nurse perform when caring for a postoperative patient who is hypertensive?
Administer an antipyretic.
Apply a continuous cardiac monitor.
Hold analgesics medications.
Assist in emptying the patient's bladder. - Answer Assist in emptying the patient's bladder.
, Which action would the nurse take initially upon the patient's arrival to the surgical floor from the
postanesthesia care unit?
Obtain the patient's vital signs.
Assess the patient's pain.
Check the rate of the IV infusion.
Review the surgeon's postoperative orders. - Answer Obtain the patient's vital signs.
Which factor would the nurse include when assessing pain in the postoperative patient? Select all that
apply. One, some, or all responses may be correct.
Location
Intensity
Room temperature
Quality
Changes in vital signs - Answer Location
Intensity
Quality
Changes in vital signs
Which priority action would the nurse take after noting new, bright red drainage about 5 cm in diameter
on a patient's surgical dressing on the first postoperative day?
Recheck in 1 hour for increased drainage.
Assess the patient's blood pressure and heart rate.
Remove the dressing and assess the surgical incision.
Notify the surgeon of a potential hemorrhage. - Answer Assess the patient's blood pressure and heart
rate.
Which priority treatment would the nurse anticipate for a patient who had abdominal surgery with an
estimated blood loss of 400 mL, received 300 mL of 0.9% normal saline, and has a blood pressure of
70/48?
IV fluid administration
Correct Answers.
Which condition would the nurse be concerned about for a postoperative patient who has bronchial
obstruction from retained secretions and an oxygen saturation of 87%?
Pulmonary embolism
Bronchospasm
Hypoventilation
Atelectasis - Answer Atelectasis
Which assessment finding indicates that the postoperative patient is experiencing hypoventilation?
Rales in bilateral lower lung fields
Blood pressure reading of 96/58
Respiratory rate of 8
Capillary refill is 3 seconds - Answer Respiratory rate of 8
Which instruction would the nurse provide to help prevent atelectasis in a patient recovering from
abdominal surgery?
"Support the incision with a folded blanket and try to cough up some mucus."
"Take rapid, shallow breaths every hour to prevent pain."
"Lay flat to prevent coughing as it can cause the sutures to rupture."
"Avoid liquids as it will cause you to need to use the bathroom frequently." - Answer "Support the
incision with a folded blanket and try to cough up some mucus."
Which action would the nurse perform when caring for a postoperative patient who is hypertensive?
Administer an antipyretic.
Apply a continuous cardiac monitor.
Hold analgesics medications.
Assist in emptying the patient's bladder. - Answer Assist in emptying the patient's bladder.
, Which action would the nurse take initially upon the patient's arrival to the surgical floor from the
postanesthesia care unit?
Obtain the patient's vital signs.
Assess the patient's pain.
Check the rate of the IV infusion.
Review the surgeon's postoperative orders. - Answer Obtain the patient's vital signs.
Which factor would the nurse include when assessing pain in the postoperative patient? Select all that
apply. One, some, or all responses may be correct.
Location
Intensity
Room temperature
Quality
Changes in vital signs - Answer Location
Intensity
Quality
Changes in vital signs
Which priority action would the nurse take after noting new, bright red drainage about 5 cm in diameter
on a patient's surgical dressing on the first postoperative day?
Recheck in 1 hour for increased drainage.
Assess the patient's blood pressure and heart rate.
Remove the dressing and assess the surgical incision.
Notify the surgeon of a potential hemorrhage. - Answer Assess the patient's blood pressure and heart
rate.
Which priority treatment would the nurse anticipate for a patient who had abdominal surgery with an
estimated blood loss of 400 mL, received 300 mL of 0.9% normal saline, and has a blood pressure of
70/48?
IV fluid administration
