NURS 309 Quiz 1 Preoperative Patients UPDATED ACTUAL
Questions and CORRECT Answers
A client was originally scheduled for surgery at noon. The C. Adjust the administration time to be given within 1 hour before surgery.
surgeon is delayed, and the surgery has been
rescheduled for 3:00 p.m. How will the nurse plan to
administer the preoperative prophylactic antibiotic?
A. Give at noon as originally prescribed.
B. Cancel orders, preoperative prophylactic antibiotics
are given optionally.
C. Adjust the administration time to be given within 1 hour
before surgery.
D. Hold the preoperative antibiotic so it can be
administered immediately following surgery.
Which assessment data finding for a client scheduled for B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
total knee replacement surgery is most important for the C. The client took a total of 1300 mg of aspirin yesterday.
nurse to communicate to the surgeon and the anesthesia F. After receiving the preoperative medications, the client tells the nurses that he
provider before the procedure? SATA lied on the assessment form and that he really is a current smoker.
A. The oxygen saturation is 97%.
B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
D. The client requests to talk with a registered dietitian
about weight loss.
E. The client took a regularly scheduled antihypertensive
drug with a sip of water 2 hours ago.
F. After receiving the preoperative medications, the client
tells the nurses that he lied on the assessment form and
that he really is a current smoker.
What client teaching will the nurse provide regarding C. Point toes of one foot toward bottom of bed; then point toes of same leg
postoperative leg exercises to minimize the risk for toward his or her face. Repeat several times; then switch legs.
development of deep vein thrombosis after surgery?
A. Only perform each exercise one time to prevent
overuse.
B. Begin exercises by sitting at a 90-degree angle on the
side of the bed.
C. Point toes of one foot toward bottom of bed; then
point toes of same leg toward his or her face. Repeat
several times; then switch legs.
D. Bend knee and push heel of foot into the bed until the
calf and thigh muscles contract. Repeat several times;
then switch legs.
, The nurse is providing preoperative care for a client who D. Mark the left knee site with the client awake and the surgeon present.
will have an arthroscopy of the left knee. As part of the
Joint Commission National Patient Safety Goals (NPSG),
what will the nurse be required to do?
A. Ensure that the correct procedure is noted in the
client's history.
B. Remind the surgeon that the client will have a left knee
arthroscopy.
C. Verify with the client that a left knee arthroscopy will
be performed.
D. Mark the left knee site with the client awake and the
surgeon present.
A preoperative client smokes a pack of cigarettes a day. C. Teach the importance of incentive spirometry.
What is the nurse's teaching priority for the best physical
outcomes?
A. Instruct the client to quit smoking.
B. Teach about the dangers of tobacco.
C. Teach the importance of incentive spirometry.
D. Tell the client that smoking increases postoperative
complications.
The nurse is educating a client who is about to undergo D. "Pain medication will take away my pain."
cardiac surgery with general anesthesia. Which statement
by the client indicates the need for further instruction?
A. "I will wake up with a tube in my throat."
B. "I will have a bandage on my chest."
C. "My family will not be able to see me right away."
D. "Pain medication will take away my pain."
Which task would be best for the charge nurse to assign B. Insert a retention catheter in a client who requires a flap graft of a sacral
to the LPN/LVN working in the surgery admitting area? pressure ulcer.
A. Provide preoperative teaching to a client who needs
insertion of a tunneled central venous catheter.
B. Insert a retention catheter in a client who requires a
flap graft of a sacral pressure ulcer.
C. Obtain the medical history from a client who is
scheduled for a total hip replacement.
D. Assess the client who is being admitted for an elective
laparoscopic cholecystectomy.
A client is being prepared for gastrointestinal surgery and D. reduce the number of intestinal bacteria.
undergoes a bowel preparation. This preoperative
procedure is done to
A. decrease expected blood loss during surgery.
B. eliminate any risk of infection.
C. ensure that the bowel is sterile.
D. reduce the number of intestinal bacteria.
Questions and CORRECT Answers
A client was originally scheduled for surgery at noon. The C. Adjust the administration time to be given within 1 hour before surgery.
surgeon is delayed, and the surgery has been
rescheduled for 3:00 p.m. How will the nurse plan to
administer the preoperative prophylactic antibiotic?
A. Give at noon as originally prescribed.
B. Cancel orders, preoperative prophylactic antibiotics
are given optionally.
C. Adjust the administration time to be given within 1 hour
before surgery.
D. Hold the preoperative antibiotic so it can be
administered immediately following surgery.
Which assessment data finding for a client scheduled for B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
total knee replacement surgery is most important for the C. The client took a total of 1300 mg of aspirin yesterday.
nurse to communicate to the surgeon and the anesthesia F. After receiving the preoperative medications, the client tells the nurses that he
provider before the procedure? SATA lied on the assessment form and that he really is a current smoker.
A. The oxygen saturation is 97%.
B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
D. The client requests to talk with a registered dietitian
about weight loss.
E. The client took a regularly scheduled antihypertensive
drug with a sip of water 2 hours ago.
F. After receiving the preoperative medications, the client
tells the nurses that he lied on the assessment form and
that he really is a current smoker.
What client teaching will the nurse provide regarding C. Point toes of one foot toward bottom of bed; then point toes of same leg
postoperative leg exercises to minimize the risk for toward his or her face. Repeat several times; then switch legs.
development of deep vein thrombosis after surgery?
A. Only perform each exercise one time to prevent
overuse.
B. Begin exercises by sitting at a 90-degree angle on the
side of the bed.
C. Point toes of one foot toward bottom of bed; then
point toes of same leg toward his or her face. Repeat
several times; then switch legs.
D. Bend knee and push heel of foot into the bed until the
calf and thigh muscles contract. Repeat several times;
then switch legs.
, The nurse is providing preoperative care for a client who D. Mark the left knee site with the client awake and the surgeon present.
will have an arthroscopy of the left knee. As part of the
Joint Commission National Patient Safety Goals (NPSG),
what will the nurse be required to do?
A. Ensure that the correct procedure is noted in the
client's history.
B. Remind the surgeon that the client will have a left knee
arthroscopy.
C. Verify with the client that a left knee arthroscopy will
be performed.
D. Mark the left knee site with the client awake and the
surgeon present.
A preoperative client smokes a pack of cigarettes a day. C. Teach the importance of incentive spirometry.
What is the nurse's teaching priority for the best physical
outcomes?
A. Instruct the client to quit smoking.
B. Teach about the dangers of tobacco.
C. Teach the importance of incentive spirometry.
D. Tell the client that smoking increases postoperative
complications.
The nurse is educating a client who is about to undergo D. "Pain medication will take away my pain."
cardiac surgery with general anesthesia. Which statement
by the client indicates the need for further instruction?
A. "I will wake up with a tube in my throat."
B. "I will have a bandage on my chest."
C. "My family will not be able to see me right away."
D. "Pain medication will take away my pain."
Which task would be best for the charge nurse to assign B. Insert a retention catheter in a client who requires a flap graft of a sacral
to the LPN/LVN working in the surgery admitting area? pressure ulcer.
A. Provide preoperative teaching to a client who needs
insertion of a tunneled central venous catheter.
B. Insert a retention catheter in a client who requires a
flap graft of a sacral pressure ulcer.
C. Obtain the medical history from a client who is
scheduled for a total hip replacement.
D. Assess the client who is being admitted for an elective
laparoscopic cholecystectomy.
A client is being prepared for gastrointestinal surgery and D. reduce the number of intestinal bacteria.
undergoes a bowel preparation. This preoperative
procedure is done to
A. decrease expected blood loss during surgery.
B. eliminate any risk of infection.
C. ensure that the bowel is sterile.
D. reduce the number of intestinal bacteria.
