PRE-TEST for MED-SURG 1 (RLE)
1. As a nurse, what is the importance of a thorough preoperative
assessment?
1/1
a. To identify and correct problems before surgery and establish a baseline for
postoperative comparison
b. To save time doing an assessment after the patient returns from surgery
c. To provide the doctor with information that may have been missed during the
preadmission assessment
d. To ensure that postoperative complications don’t occur
2. On the morning of Mrs. Sy’s planned cholecystectomy, she awakens with
a pain in her right scapular area and thinks she slept in poor position. While
doing the pre-op check list you note that on her routine CB report her WBC
is 17,000. Your responsibility at this point is:
1/1
a. To record this finding in a prominent place on the pre-op checklist and in your pre-
op notes
b. To call the laboratory for a STAT repeat WBC
c. To notify the surgeon at once; this is an elevated WBC indicating an inflammatory
reaction
d. None. This is not an unusual finding
3. Which finding allows you to identify the patient's anemia as folic acid
deficiency rather than cobalamin deficiency?
1/1
a. Loss of appetite
b. Lack of neuromuscular symptoms
c. Red tongue
d. Change in nail shape
4. The main duties and responsibilities of a scrub nurse are the following.
(SELECT ALL THAT APPLY)
1/1
,a. Prepares, organizes and provides various surgical tools and instruments
to the surgeon during the case
b. First one to scrubbed in and set up a sterile surgical field for other team
members to join
c. Is the primary drivers in anticipating the needs of the surgical team
d. Grabs additional supplies as needed and help put the surgical team who
cannot leave the sterile field
5. A type of surgical instrument that is used to invade the tissue and carry
the suture material during the suturing process.
1/1
a. Needle
b. Tissue Frocep
c. Bard Parker Handle
d. Rampley Sponge Holder
6. A type of absorbable multifilament suture that is commonly used for
general soft tissue approximation and/or ligation
1/1
a. Silk
b. Prolene
c. Ethibond
d. Vicryl
7. Nursing assessment findings in a client with right-sided pneumothorax
would include which of the following?
1/1
a. Chronic cough and sudden onset of chills
b. Dyspnea and asymmetric chest expansion
c. Rust-colored sputum and increased temperature
d. Bradypnea and bronchovesicular breath sounds
8. Which of the following nursing diagnoses is appropriate for a client with
COPD who is anxious, dyspneic, and hypoxic?
,1/1
a. Ineffective breathing pattern related to anxiety
b. Risk for aspiration related to absence of protective mechanisms
c. Ineffective airway clearance related to presence of tracheobronchial secretions
d. Impaired gas exchange related to altered oxygen-carrying capacity of the blood
9. A patient appears dyspneic, but his oxygen saturation is 98%. What is
the best action by the nurse?
1/1
a. Change the sensor on the pulse oximeter.
b. Assess for other manifestations of hypoxia.
c. Obtain a new oximeter from central supply.
d. Tell the client to take slow, deep breaths.
10. Which of the following types of angina is most closely associated with
an impending myocardial infarction (MI)?
1/1
a. Stable angina
b. Unstable angina
c. Variant angina
d. Nocturnal angina
11. Which of the following medications is the drug of choice for angina
pectoris?
1/1
a. Aspirin
b. Furosemide
c. Calcium gluconate
d. Nitroglycerin
12. Which of the following are possible indications for performing suction?
1/1
a. Normal air entry on auscultation.
b. The patient has an effective cough.
, c. Reduced oxygen saturation levels.
d. Normal respiratory rate.
13. Prior donning a surgical gown, the surgical team members are required
to:
1/1
a. Take a shower and shampoo their hair.
b. Sterilize their hands and arms.
c. Don rubber glove.
d. Scrub their hands.
14. True or False. Testicular Self Examination is best performed during:
1/1
a. At early morning, after waking up
b. When the individual is about to sleep
c. During and after taking a warm shower or bath
d. When lumps are noted
15. Are the two components of self-exam in which it focuses on the changes
of the breast.
1/1
a. Stop and Look
b. Look and Feel
c. Stop and Listen
d. Look and Listen
1. As a nurse, what is the importance of a thorough preoperative
assessment?
1/1
a. To identify and correct problems before surgery and establish a baseline for
postoperative comparison
b. To save time doing an assessment after the patient returns from surgery
c. To provide the doctor with information that may have been missed during the
preadmission assessment
d. To ensure that postoperative complications don’t occur
2. On the morning of Mrs. Sy’s planned cholecystectomy, she awakens with
a pain in her right scapular area and thinks she slept in poor position. While
doing the pre-op check list you note that on her routine CB report her WBC
is 17,000. Your responsibility at this point is:
1/1
a. To record this finding in a prominent place on the pre-op checklist and in your pre-
op notes
b. To call the laboratory for a STAT repeat WBC
c. To notify the surgeon at once; this is an elevated WBC indicating an inflammatory
reaction
d. None. This is not an unusual finding
3. Which finding allows you to identify the patient's anemia as folic acid
deficiency rather than cobalamin deficiency?
1/1
a. Loss of appetite
b. Lack of neuromuscular symptoms
c. Red tongue
d. Change in nail shape
4. The main duties and responsibilities of a scrub nurse are the following.
(SELECT ALL THAT APPLY)
1/1
,a. Prepares, organizes and provides various surgical tools and instruments
to the surgeon during the case
b. First one to scrubbed in and set up a sterile surgical field for other team
members to join
c. Is the primary drivers in anticipating the needs of the surgical team
d. Grabs additional supplies as needed and help put the surgical team who
cannot leave the sterile field
5. A type of surgical instrument that is used to invade the tissue and carry
the suture material during the suturing process.
1/1
a. Needle
b. Tissue Frocep
c. Bard Parker Handle
d. Rampley Sponge Holder
6. A type of absorbable multifilament suture that is commonly used for
general soft tissue approximation and/or ligation
1/1
a. Silk
b. Prolene
c. Ethibond
d. Vicryl
7. Nursing assessment findings in a client with right-sided pneumothorax
would include which of the following?
1/1
a. Chronic cough and sudden onset of chills
b. Dyspnea and asymmetric chest expansion
c. Rust-colored sputum and increased temperature
d. Bradypnea and bronchovesicular breath sounds
8. Which of the following nursing diagnoses is appropriate for a client with
COPD who is anxious, dyspneic, and hypoxic?
,1/1
a. Ineffective breathing pattern related to anxiety
b. Risk for aspiration related to absence of protective mechanisms
c. Ineffective airway clearance related to presence of tracheobronchial secretions
d. Impaired gas exchange related to altered oxygen-carrying capacity of the blood
9. A patient appears dyspneic, but his oxygen saturation is 98%. What is
the best action by the nurse?
1/1
a. Change the sensor on the pulse oximeter.
b. Assess for other manifestations of hypoxia.
c. Obtain a new oximeter from central supply.
d. Tell the client to take slow, deep breaths.
10. Which of the following types of angina is most closely associated with
an impending myocardial infarction (MI)?
1/1
a. Stable angina
b. Unstable angina
c. Variant angina
d. Nocturnal angina
11. Which of the following medications is the drug of choice for angina
pectoris?
1/1
a. Aspirin
b. Furosemide
c. Calcium gluconate
d. Nitroglycerin
12. Which of the following are possible indications for performing suction?
1/1
a. Normal air entry on auscultation.
b. The patient has an effective cough.
, c. Reduced oxygen saturation levels.
d. Normal respiratory rate.
13. Prior donning a surgical gown, the surgical team members are required
to:
1/1
a. Take a shower and shampoo their hair.
b. Sterilize their hands and arms.
c. Don rubber glove.
d. Scrub their hands.
14. True or False. Testicular Self Examination is best performed during:
1/1
a. At early morning, after waking up
b. When the individual is about to sleep
c. During and after taking a warm shower or bath
d. When lumps are noted
15. Are the two components of self-exam in which it focuses on the changes
of the breast.
1/1
a. Stop and Look
b. Look and Feel
c. Stop and Listen
d. Look and Listen
