EXAM QUESTIONS WITH ACCURATE ANSWERS
VERIFIED ANSWERS | MULTIPLE CHOICES /
ALREADY GRADED A+ |2026 BRAND NEW EXAM!!
Once the OR team has assembled in the room, the circulating nurse calls for a
time out. What action should the nurse take during the time out?
A. Ensure that sufficient surgical supplies are available.
B. Check that all surgical personnel are properly attired.
C. Review the scheduled procedure, site, and client.
D. Confirm that informed consent has been obtained.
C
,Following surgery, Ms. Jackson is admitted to the Post Anesthesia Care Unit. The
operative report indicates that Ms. Jackson had a left hip replacement under
general anesthesia. The initial nursing assessment reveals that Ms. Jackson is not
responding to verbal stimuli. Her vital signs are T 97.6 F (36.4 C), P 88, R 14, BP
130/70. What action should the nurse implement first?
A. Position the client on her side
B. Observe the surgical dressing
C. Place the call bell within reach
D. Remove the oral airway
A
While assessing Ms. Jackson, the nurse observes that the surgical dressing is in
place on the left hip, with no visible drainage. How should the nurse document
this finding?
A. No problems with dressing on left hip
B. Left hip dressing clean, dry, intact
C. Dressing present over left hip incision
D. Incision well-approximated with no drainage
B
,When Ms. Jackson arrives on the unit, the nurse notes that her IV is wide open.
Review of Ms. Jackson's postoperative prescriptions indicates that 0.9% Normal
Saline is to infuse at 75 ml/hour, alternating with Lactated Ringer's solution at 75
ml/hour. An infusion pump is not immediately available, so the nurse notes that
the infusion tubing has a drop factor of 10 drops/ml and resets the IV.
At what rate should the IV infuse? (drops per minute)
19 (75mL/60 minutes x 15ggts/mL = 18.75)
While the nurse begins to assess the client, another nurse finds an infusion pump
and prepares a prescribed "now" dose of an intravenous antibiotic. The
prescription is for 2 grams of cefazolin (Ancef), which arrives from the pharmacy
diluted in 100 ml of normal saline and is to be administered over 30 minutes.
At what rate should the infusion pump be set? (mL/hr)
100 (50mL x 2)
The nurse continues the postoperative assessment. To assess for atelectasis, what
action should the nurse take?
A. Auscultate the client's breath sounds.
B. Observe the appearance of the sputum.
C. Determine the client's temperature.
D. Measure the client's blood pressure.
A
, The nurse determines that Ms. Jackson's bowel sounds are hypoactive. What
action should the nurse implement in response to this finding?
A. Document the assessment finding in the chart.
B. Notify the surgeon of the assessment finding.
C. Review the client's serum electrolyte values.
D. Administer a laxative prescribed for the PRN use.
A
During the postoperative assessment, the nurse observes Ms. Jackson's surgical
site. The left hip dressing has a moderate amount of sanguineous drainage. What
action(s) should the nurse implement? select all that apply.
A. Apply pressure to the site.
B. Elevate the leg on a pillow.
C. Observe the linens under the hip.
D. Use sterile technique to replace the dressing.
E. Mark the amount of drainage on the dressing.
CE