Practice & Study Guide with Detailed
Explanatio
1. A patient is being admitted to the hospital on the day before
a scheduled surgery. What is the most appropriate initial
question for the nurse to ask this preoperative patient?
a) "What did your surgeon say to you about the type of surgery
you are having?"
b) "What questions do you have about your surgery?"
c) "What type of surgery are you having and why are you having
it done?"
,d) "What do you know about what will be done to you?" -
✔✔ANSWER ✔✔-c) "What type of surgery are you having and
why are you having it done?"
2. A benzodiazepine has been administered to a patient
preoperatively. After the drug has been administered, the
nurse plans to monitor the patient for which side effects?
Select all that apply.
a) Anxiety
b) Hypotension
c) Hypocalcemia
d) Level of Consciousness
e) Sedation - ✔✔ANSWER ✔✔-a) Anxiety
d) Level of Consciousness
e) Sedation
3. A preoperative patient has an elevated hemoglobin and
hematocrit. What would the nurse suspect regarding the
significance of this increased value?
a) Immune deficiency
b) Kidney dysfunction
c) Malignancy
,d) Dehydration - ✔✔ANSWER ✔✔-d) Dehydration
4. Which activities should the nurse carry out in the
preoperative period for a client scheduled for surgery? Select
all that apply.
a) Identify potential or actual health problems.
b) Verify the presence of a signed consent form.
c) Assess patient's response to interventions.
d) Intervene to prevent complications.
e) Assess effectiveness of teaching related to postoperative
recovery. - ✔✔ANSWER ✔✔-a) Identify potential or actual
health problems.
b) Verify the presence of a signed consent form.
e) Assess effectiveness of teaching related to postoperative
recovery.
5. A patient having surgery has a degree of risk associated with
the surgery. The nurse would evaluate which patient-related
factors as contributing to a high degree of risk associated with
surgery? Select all that apply.
a) Type of institution where surgery is performed
b) Involvement of vital organs
, c) Average nutritional status
d) Low likelihood of procedure complications
e) A history of respiratory disease and diabetes - ✔✔ANSWER
✔✔-b) Involvement of vital organs
e) A history of respiratory disease and diabetes
6. A patient has just entered the postanesthesia care unit
(PACU) from surgery. For which priority needs should the nurse
immediately assess the postoperative patient?
a) Vital signs, level of consciousness, presence of pain
b) Skin coloring, surgical incision, limb movements
c) Skin temperature, blood pressure, mental status
d) Temperature, emotional status, wound drainage -
✔✔ANSWER ✔✔-a) Vital signs, level of consciousness,
presence of pain
7. The nurse in the postanesthesia care unit (PACU) is assessing
a postoperative patient. Which indicators suggest to the nurse
an alteration in tissue perfusion? Select all that apply.
a) Pallor or cyanosis
b) Difficulty with mobility
c) Pain in the incision area