____

1. Notify the registered nurse

____

2. Help the patient ambulate. who had an abdominal hysterectomy and reports pain from gas postoperatively.

____

3. patient says, I am scared of this surgery. Its normal to be scared. What is it that scares you

____

4. The nurse is to preoperatively administer 8 mg of morphine intramuscularly to a patient. The nurse has
available morphine 10 mg/mL. How many milliliters should the nurse give? 0.8 mL

____

5. Patient states pain relief is satisfactory

____

6. Place the patient in low Fowlers position for a wound evisceration.

____

7. Maintain a patent airway for a patient that becomes restless, hypotensive, tachycardic, and tachypneic.

____

8. the most common human response to the stress associated with surgery is Anxiety

____

9. Providing privacy to allow the patient to ask questions to address the patients psychological concerns

____ 10. The nurse is caring for a patient who is to have a nephrectomy. Yes, it can be classified as a curative
procedure
____ 11. a liver biopsy is considered Diagnostic.
____ 12. Pt with ineffective airway clearance. Correctly demonstrates coughing and deep breathing exercises
____ 13. A 55-year-old patient who is a marathon runner is the best condition for surgery and at lower risk for
complications?
____ 14.

What type of anesthesia causes a total loss of sensation and a complete loss of consciousness? General
anesthesia

____ 15. I have chronic obstructive pulmonary disease

____ 16. Hypotension may affect the safety of the patient when getting out of bed for the first time postoperatively
____ 17. The nurse is caring for a patient 23 hours after abdominal surgery. Abdominal distention requires the nurse
to take action
____ 18. The nurse is to witness an adult patients consent for a knee arthroscopy. the nurse needs to confirm Which is
the operative knee before witnessing the consent
____ 19. When the patient is allowed to get out of bed for the first time postoperatively Teach the patient to request
help before rising
____ 20. Encouraging coughing and deep breathing for a patient who has developed an increased temperature
during the first 24 hours postoperatively.
____ 21. preoperative patient expresses a fear of dying. Allow the patient time to express concerns
____ 22. Ensure that the physician is informed of the patients history of steroid use
____ 23. Remains free from injury is an intraoperative outcome.
____ 24. The nurse is caring for a patient in the perianesthesia unit. Maintaining a patent airway is priority
____ 25. Thrombophlebitis can be prevented by early ambulation

____ 26. Apply sterile saline-moistened dressings after positioning the patient supine with flexed knees?
____ 27. Inhale deeply until the target is reached when using an incentive spirometer.
____ 28. Fracture repair urgent surgery is needed
____ 29. The nurse is assisting during surgery when a patient develops malignant hyperthermia Immediately cease
anesthesia and surgery, cool patient, and administer dantrolene sodium.
____ 30. Patients blood pressure is 100/60 mm Hg
____ 31. Administer the intramuscular medication now and then every 3 hours as ordered
____ 32. 80%
____ 33. 1 hour prior to surgery recommended for prophylactic antibiotics?
____ 34. Give the ibuprofen as ordered for pain
____ 35. Verify physicians order for intake before promoting patient intake of oral fluids?
____ 36. The nurse is caring for a postoperative patient at risk for deep vein thrombosis. Which of the following
actions should the nurse recommend be included in the patients plan of care?
Ambulate the patient tid.
Apply antiembolic stockings.
Perform leg exercises 10 times hourly while awake.
____ 37. The nurse has reinforced preoperative teaching with a patient about coughing and deep breathing techniques.
Which of the following statements by the client would indicate a correct understanding of the teaching
I should cough and deep breathe 10 times every hour while awake.
Coughing and deep breathing helps prevent respiratory problems.
____ 38. The practical/vocational nurse is preparing a patient for surgery who has asthma and is hard of hearing.
Which of the following are within the scope of practice for the nurse
Provide emotional support.
Apply antiembolism devices as ordered.
Assist patient with insertion of hearing aids.
Reinforce registered nurses instructions.
Send inhaler to surgery with patient.
____ 39. The intraoperative practical/vocational nurse is caring for a patient who is undergoing abdominal surgery with
general anesthesia. What interventions should the nurse implement
Assist physician as directed.
Assist with patient positioning.
Participate in a time out before surgery begins.
____ 40. The nurse is caring for a preoperative patient. The patient asks the nurse what types of anesthesia cause a loss
of sensation in a specific area of the body while the patient remains alert. Which of these responses should the
nurse give
Epidural anesthesia.
Local anesthesia.
Spinal anesthesia.

____ 41. The nurse is assisting in preparing the patient for surgery. Which surgical consent would the nurse recognize
as being a legal consent.
Consent signed by a 60-year-old patient 1 hour before receiving morphine.
Consent signed by a 17-year-old for her infants surgery.
Consent signed by a 28-year-old for his own elective surgery.
____ 42. The nurse is witnessing an adult patients surgical consent. Which of the following would the nurse need to
confirm before witnessing the surgical consent.
Whether the patient is informed about the surgery
The last time a sedative was administered
____ 43. The nurse notes upon the patients return to the surgical unit postoperatively that the surgical dressing
covering the Penrose drain is dry and intact. Two hours later, the patient reports pain of 5 on a scale of 0 to 10
at the incisional site. The nurse checks the dressing and finds a 1 1 inch area of serosanguineous drainage on
the dressing.
Monitor the drainage at the incisional site.
Review the analgesic administration record.
____ 44. The nurse provides recommendations for the plan of care for a patient scheduled to undergo a
cholecystectomy. What is the best rationale for including preoperative teaching of deep breathing exercises to
prevent postoperative complications for this patient?
Anesthesia increases retention of respiratory secretions.
Location of incision contributes to decreased lung expansion.
Incisional pain promotes decreased lung expansion.
____ 45. The nurse is caring for a postoperative patient. When getting the patient out of bed for the first time
postoperatively, which action should the nurse take to maintain safety? (Select all that apply.)
Dangle the patient at the bedside.
Instruct the patient to place the nurse light on to get up.
Use two people to assist patient.
____ 46. The postoperative nurse is caring for a patient who had abdominal surgery with general anesthesia. What
interventions should the nurse implement.
Monitor first voiding after catheter removal
Encourage use of incentive spirometer as ordered
Monitor for unilateral swelling of the calf.
Monitor pain level each hour that patient is awake.
____ 47. The nurse is contributing to an education program for older adults who are preparing for joint replacement
surgery. Which of the following interventions should the nurse use to enhance older patient learning.
Provide handouts with black print on white nonglare paper.
Convey positive attitude and self-care promotion for older adults.