Name: _____________________ Group/Sec: _______ Rot.

Sched: _________

Test I. Select the best answer. Encircle the letter of your choice.

1. A nurse is monitoring a post operative client after abdominal surgery for signs of complications. The nurse assesses the
client for the presence of Homan’s sign and determines that the sign is positive if which of the following is noted.

a. Pain with dorsiflexion on the foot. c. Absent bowel sounds.

b. Incisional pain. d. Crackles on auscultation of the lungs

2. A client who underwent preadmission testing had blood drawn for serum laboratory studies, including a complete blood
count, electrolytes, coagulation studies, and a creatinine level. Which of the following laboratory results would be
reported to the surgeon by the nurse knowing that it could cause surgery to be postponed?

a. Platelets 210,000 cells/ uL c. Sodium 141 mEq per liter

b. Serum creatinine 0.8mg per dL d. Hgb 8.9 g per dL

3. A nurse assesses a client’s surgical incision for signs of infection. Which finding by the nurse would be interpreted as a
normal finding at the surgical site?

a. Red, hard skin c. Serous drainage

b. Purulent drainage d. Warm, tender skin

4. A nurse has just reassessed the condition of a post op client who was admitted 1 hour ago to the surgical unit. The
nurse plans to monitor which of the following parameters most carefully during the next hour.

a. Serous drainage on the surgical dressing c. Urinary output of 20 mL per hour

b. BP of 100/ 70 mmHg d. Temp of 37.6 degree Celsius

5. The nurse is caring for a status post abdominal surgery client in complete bed rest. Which action by the nurse is most
important in preventing the formation of deep vein thrombosis?

a. Elevate the foot of the bed c. Encourage passive exercises

b. Apply knee high support stockings d. Prevent pressure at the back of knees

Test II. Compute what is asked in the problem. Write your answer in a separate sheet of paper. (2 pts)

1. Gentamicin sulfate (Garamycin), 80 mg in 100mL NS, is to be administered over 30 minutes. The drop factor is 10 drops per mL. a
nurse sets the flow rate at how many drops per minute?
2. A physician orders 3000 mL of NS to infuse over 24 hours. The drop factor is 15 drops per 1 mL. The nurse prepares to set the flow
rate at how many drops per minute?
3. A physician orders an intravenous dose o 400,000 units of penicillin G benzathine (Bicillin). The label on the 10 mL ampule sent from
the pharmacy reads penicillin G Benzathine 300,000 units per mL. a nurse prepares how much medication to administer the correct
dose?
4. A physician’s order reads potassium chloride 30 mEq, to be added to 1000 mL, NS and to be administered over a 10 hour period. The
label on the medication bottle reads 40 mEq (KCl) per 20 mL. A nurse prepares how many mL of KCL to administer the correct dose of
medication?
5. The nurse is caring for a client who has had extensive abdominal surgery and is critical condition. The nurse notes that the complete
blood count shows an 8g/dl hemoglobin and a 30% hematocrit. Dextrose 5% in half normal saline solution isinfusing through a triple
lumen catheter at 125 ml/hour. the physician orders include:
Gentamicin (Garamycin) 80 mg IV piggyback in 50mL D5W over 30 minutes
Ranitidine 50 mg IV in 50 mL D5W ppiggyback over 30 minutes
One unit of 250 mL of packed RBCs over 3 hours
Flush the nasogastric tube with 30mL normal saline every 2 hours
How many milliliters should the nurse document as the intake for an 8 hour shift?
___________________________________

Test III. Give the classification of the following drugs

1. Tramadol : _________________________
2. Mefenamic Acid : _________________________
3. Ambroxol : _________________________
4. Aeknil : _________________________
5. Cefuroxime : _________________________