Comprehensive Test Bank HONDROS NUR 205 Exam
2 Verified Questions and Answers | 100% Solved |
HighYield with Detailed Rationales
Structure & Organization
This test bank is organized according to the core content areas covered
in HONDROS NUR 205 (Nursing Concepts I) Exam 2, reflecting the
foundational nursing concepts tested in the second examination.
Domain Topics Covered Q&A Count
I Perioperative Care 25
II Pain Management 20
III Wound Care & Pressure Injuries 20
IV Skin Integrity & Wound Healing 15
V Sensory Perception 15
VI Cognitive Impairment & Confusion 15
VII Sleep & Rest 15
VIII Stress & Coping 15
IX Grief & Loss 15
X Spirituality & End of Life 15
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Domain Topics Covered Q&A Count
XI Cultural Considerations 10
XII Teaching & Learning 10
Total 200
PART I: Perioperative Care
High-Yield Questions 1-25
1. A patient is scheduled for surgery at 0900. The patient ate a full
breakfast at 0700. What is the priority nursing action?
A) Document that the patient ate breakfast
B) Notify the surgeon and anesthesia provider
C) Proceed with surgery as scheduled
D) Administer preoperative medications
Answer: B) Notify the surgeon and anesthesia provider
Rationale: The patient has violated NPO (nothing by mouth) status.
Eating before surgery increases the risk of aspiration during anesthesia.
The surgery may need to be delayed or cancelled. The provider must be
notified immediately. Proceeding with surgery without notification is
unsafe.
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2. A patient is being prepared for surgery. Which of the following
findings would require postponement of the procedure?
A) Blood pressure 140/90 mm Hg
B) Temperature 38.5°C (101.3°F)
C) Heart rate 100 beats/min
D) Respiratory rate 20 breaths/min
Answer: B) Temperature 38.5°C (101.3°F)
Rationale: Fever may indicate infection, which increases surgical risk.
Surgery may be postponed until the cause is identified and treated. Mild
hypertension (140/90), tachycardia (100), and normal respiratory rate are
not absolute contraindications for surgery but should be evaluated.
3. A patient is in the preoperative holding area and asks the nurse,
"What will happen during my surgery?" The nurse's best response
is:
A) "Don't worry; the surgeon will take good care of you."
B) "Let me review the procedure with you and answer your questions."
C) "You should ask the surgeon when they come in."
D) "I can't tell you anything about the procedure."
Answer: B) "Let me review the procedure with you and answer
your questions."
Rationale: The nurse can reinforce teaching provided by the surgeon,
answer questions, and provide support. While the surgeon is responsible
for informed consent, the nurse plays a key role in preoperative teaching
and anxiety reduction. Dismissing the patient's question is inappropriate.
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4. A patient is to receive preoperative medication. The nurse
understands that the purpose of preoperative medication includes:
A) Reducing anxiety
B) Decreasing respiratory secretions
C) Facilitating induction of anesthesia
D) All of the above
Answer: D) All of the above
Rationale: Preoperative medications (sedatives, anticholinergics,
opioids) serve multiple purposes: reducing anxiety, decreasing
respiratory secretions (anticholinergics), providing analgesia, and
facilitating smooth induction of anesthesia.
5. A patient has signed an informed consent for surgery. The patient
now states, "I don't want to have this surgery." What should the
nurse do?
A) Tell the patient it's too late to change their mind
B) Notify the surgeon and respect the patient's decision
C) Encourage the patient to proceed with surgery
D) Administer preoperative medication to calm the patient
Answer: B) Notify the surgeon and respect the patient's decision
Rationale: Informed consent is a process, not a one-time event. A
patient has the right to withdraw consent at any time before surgery. The
nurse should notify the surgeon and support the patient's decision.
Coercion or proceeding without consent is unethical.
6. A patient is being prepared for surgery. Which of the following is
the nurse's priority action to prevent surgical site infection?