ample Questions:

Case Study : Grace, age 18 years, is scheduled for a cholecystectomy. Questions 1 and 2 relate
to this scenario.

1. After the nurse completes the preoperative teaching, Grace states, “If I lie still and avoid
turning, I will avoid pain. Do you think this is a good idea?” What is the nurse’s best response?

A.It is always a good idea to rest quietly after surgery.

B.You need to turn from side to side every 2 hours.
C.The doctor will probably order you to lie flat for 24 hours.
D.Why don’t you decide about activity after your return from the recovery room?

Answer: B

Rationale: To prevent venous stasis and improve muscle tone, circulation, and respiratory
function, the client should be encouraged to move around after surgery. Pain medication will be
administered to permit movement.

2. Grace has returned from the operating room. When assessing her respiratory status as she
recovers from general anaesthesia, it is of primary importance for the nurse to evaluate the
patient’s ability to:

A.Inhale voluntarily.
B.Breathe deeply.
C.Swallow.
D.Speak.

Answer: C

Rationale: Anaesthesia interferes with the gag reflex until the gag reflex returns, the patient
cannot swallow without a risk of aspiration.

Case study:As a nurse, you are taking care of Mr. Denny, age 59 years, who has been admitted
with a myocardial infarction.Questions 3 to 6 related to this scenario.

3. You observe that Mr. Denny is very sad and dejected. He states, “Life will never be the same.”
How would you respond to him?

A.This makes you really sad?

B.Why do you think life will never be the same?
C.Could you b a little more hopeful of your recover from this heart attack?
D.You’re concerned when you think about how this will change your life?

Answer: D
Rationale: The response should be attune to the feelings of sadness and dejection as well as the
content of the patient’s statement.

4. What questions would you ask to determine his coping abilities?

A.What could you have done to prevent this illness?

B.How is this illness impacting you and your family?
C.How can we take away your worries while you are in hospital?
D.What are the worst challenges that you have faced?

Answer: B

5. Mr. Denny has been taking a diuretic, furosemide (Lasix). His serum potassium level is 3.2
mmol/L. Which assessment findings would confirm hypokalemia?

A.Muscle weakness and a weak, irregular pulse.

B.Diarrhea and cramps.
C.Tetany and tremors.
D.Headaches and poor tissue turgor.

Answer:A

Rationale: Muscle weakness and heart irregularities would be evident with hypokalemia.

6. When Mr. Denny goes home, he enters a community heart rehabilitation program. What
lifestyle changes will be reviewed?

A.Reduced intake of unsaturated fats, anaerobic activity, increase fluids.

B.Reduced intake of calcium, increased intake of sodium, rest periods.
C.Reduced cholesterol levels, progressive activity levels, coping strategies.
D.Increasing homocysteine levels, reducing weight, sedentary lifestyle

Answer: C
Rationale: Dietary changes, a progressive increase in activity, and effective coping strategies for
stress reduction should all be included to assist in rehabilitation and reduce the risk of recurrence.

Short answer Questions:

Case Study: Andrew is a 27-year-old man who has developed a seizure disorder. He is admitted
to hospital for investigation of his seizure activity.QUESTIONS 7-8refer to this case

7. Andrew has a generalized tonic-clonic seizure. What is the most important action by the nurse
during John’s seizure? 1.-----------------
Answer: list either of the following:
Protect from injury
Protect or maintain the airway

8. Andrew requires health teaching about living with a seizure disorder. State three teaching
points for the nurse to discuss with John.

1.---------------
2.---------------
Answer: list any two of the following:
Identifying an aura
Reducing stress
Limiting alcohol
Using anticonvulsant medication
Referral to community supports
Restrictions on motor vehicle driving and operating heavy machinery
Understanding the disease process
Possible lifestyle modifications
Feelings of self-image
Swimming restrictions
Identifying triggers
Ongoing medical supervision
Keeping a seizure diary