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1.) A patient is now in the recovery room after having vaginal surgery.

Due to the
positioning of the procedure, you would want to assess for what while the patient is
in recovery?*
o Hemoglobin Level

o Bowel Sounds

o Homan's Sign

o Dysrhytmia

2.) After surgery your patient is semicomatose with vital signs within normal limits.
As the nurse, what position would be best for this patient?*
o Prone

o Semi-Fowlers

o Side positioning preferably on the left side

o Low-Fowlers

3.) After surgery your patient starts to shiver uncontrollably. What nursing
intervention would you do FIRST?*
o Apply warm blankets & continue oxygen as prescribed

o Take the patient's rectal temperature

o Adjust the thermostat in the room

o Page the doctor for further orders

4.) The nurse is monitoring the patient who is 24 hours post-opt from surgery.
Which finding requires intervention?*
o Temperature of 99.3' F

o BP 100/80

o Pain rating of 4 on 1-10 scale

o 24 hour urine output of 300 ml


5.) A patient is 6 days post-opt from abdominal surgery. The patient is to be
discharged later today. The patient uses the call light and asks you to come to his
room and look at his surgical site. On arrival, you see that approximately 2 inches
of internal organs are protruding through the incision. What intervention would you
NOT do?*
o Put the patient in prone position with knees extended to put pressure on the
site

o Notify the MD and administer as prescribed antiemetic to prevent vomiting

o Monitor for signs of shock

o Cover the wound with sterile normal saline dressing

6.) A patient reports he hasn't had a bowel movement or passed gas since surgery.
On assessment, you note the abdomen is distended and no bowel sounds are
noted in the four quadrants. You notify the MD. What non-invasive nursing
interventions can you perform without a MD order?*
o Encourage at least 3000 ml of fluids per day

o Insert a nasogastric attached to intermittent suction

o Encourage ambulation, maintain NPO status, and monitor intake & output

o Administer IV fluids

7.) What is a potential postoperative concern regarding a patient who has already
resumed a solid diet?*
o Passage of excessive flatus

o Patient reports a decreased appetite

o Failure to pass stool within 12 hours of eating solid foods

o Failure to pass stool within 48 hours of eating solid foods

8.) A nurse is developing a care plan for a patient who is at risk for developing
pneumonia after surgery. Which of the following is not an appropriate nursing
intervention?*
o Encourage patient intake of 3000 ml/day of fluids if not contraindicated
o Encourage patient to use the incentive spirometer device every 1-2 hours while
awake

o Repositioning every 3-4 hours

o Encourage early ambulation and patient to eat meals in beside chair

9.) When assessing your patient who is post-opt, you notice that the patient's right
calf vein feels hard, cordlike, and is tender to the touch. The patient reports it is
aching and painful. What would be an inappropriate nursing intervention for this
patient?*
o Administer anticoagulants as ordered by MD

o Allow the patient to dangle the legs to help increase circulation and alleviate
pain

o Instruct the patient to not sit in one position for a long period of time

o Elevate the extremity 30 degrees without allowing any pressure on affected


area

10.) A patient is recovering from surgery. The patient is very restless, heart rate is
120 bpm and blood pressure is 70/53, skin is cool/clammy. As the nurse you
would?*
o Obtain an EKG

o Check the patient's blood glucose

o Continue to monitor the patient

o Notify the MD

11.) A patient is taking Aspirin 325 mg PO by mouth daily. The patient is scheduled
for surgery in a week. What education do you provide the patient with before
surgery?*
o None of the above are correct

o To hold his morning dose of Aspirin because the nurse will give it to him before
surgery

o The medication should be discontinued for 48 hours prior to the scheduled


surgery date
o Educate the patient to take the scheduled dose of Aspirin the day of surgery to
help prevent blood clots

12.) You are observing your patient use the incentive spirometry. What
demonstration by the patient lets you know the patient understands how to use the
device properly?*
o The patient rapidly inhales on the devices and exhales

o The patient inhales slowly on the device and maintains the flow indicator
between 600 to 900 level

o The patient uses the incentive spirometry once a day

o The patient blows on the mouthpiece rapidly.

13.) As the nurse you are getting the patient ready for surgery. You are completing
the preoperative checklist. Which of the following is not part of the preoperative
checklist?*
o Informed consent is signed

o Conducting the Time Out

o Assess for allergies

o Ensuring that the history and physical examination has been completed

14.) You are completing the history on a patient who is scheduled to have surgery.
What health history increases the risk for surgery for the patient?*
o Hyperthyroidism

o Abuse of street drugs

o Urinary Tract infections

o History of Premature Ventricle Beats

15.) As a nurse, which statement is incorrect regarding an informed consent signed


by a patient?*
o It is the nurse's responsibility to ensure the patient has been educated by the
physician about the procedure before informed consent is obtained
o The nurse is responsible for obtaining the consent for surgery

o Patients under 18 years of age may need a parent or legal guardian to sign a
consent form

o The nurse can witness the client signing the consent form
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