NUR 212: Final Exam Study Questions
with correct answers
A nurse is assessing a client who is 48 hours post-op following abdominal surgery.
Which of the following findings should the nurse report to the provider?
A. Blood pressure 102/66 mm Hg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-Green drainage on the surgical incision
D. Respiratory rate 18/min - ANSWER C. Yellow-Green drainage
on the surgical incision
A nurse is caring for a client who is in the immediate postoperative period
following a partial laryngectomy. Which of the following parameters should the
nurse assess first?
A. Pain severity
B. Wound drainage
C. Tissue integrity
D. Airway patency - ANSWER D. Airway patency
A nurse is providing teaching to a client who is postoperative following coronary
artery bypass graft (CABG) surgery and is receiving opioid medications to manage
discomfort. Aside from managing pain, which of the following desired effects of
medications should the nurse identify as most important for the clients recovery?
,A. It decreases the clients level of anxiety
B. It facilitates the clients deep breathing
C. It enhances the clients ability to sleep
D. It reduces the clients blood pressure - ANSWER B. It facilitates
the clients deep breathing
A nurse on a medical-surgical unit is caring for four clients who are 24-36 hour
postoperative. Which of the following surgical procedures place the client at risk
for deep-vein thrombosis?
A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - ANSWER C. Hip arthroplasty
A nurse is assessing a client who has had staples removed from an abdominal
wound postoperatively. The nurse notes separation of the wound edges with
copious light-brown serous drainage. Which of the following actions should the
nurse perform first?
A. Check the clients vital signs
B. Assess the clients pain level
C. Cover the wound with a moist, sterile gauze dressing
D. Obtain a culture and sensitivity of the wound drainage - ANSWER
C. Cover the wound with a moist, sterile gauze dressing
, A nurse is developing a plan of care for a client who is postoperative. Which of the
following interventions should the nurse include in the plan to prevent pulmonary
complications?
A. Perform range of motion exercises
B. Place suction equipment at the bedside
C. Encourage the use of an incentive spirometer
D. Administer an expectorant - ANSWER C. Encourage the use of
an incentive spirometer
A nurse is assessing a client who will undergo abdominal surgery in 2 hr. The
client reports being nervous about the surgery, last had food and fluids at 2330 the
previous evening, and signed the surgical consent 2 days ago. Which of the
following is an appropriate nursing action regarding these findings?
A. Call the anesthesiologist to sedate the client
B. Notify the surgeon of the clients food and fluid consumption
C. Witness the surgical consent
D. Document the findings in the clients medical record - ANSWER
D. Document the findings in the clients medical record
A nurse is teaching a client who is preoperative how to do deep breathing exercises
and cough effectively after surgery. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I'll splint the incision with a pillow to cough"
B. "I'll ask for pain medication after I do the exercises"
C. "I'll use the incentive spirometer when I can get out of bed"
D. "I'll breathe deeply and cough every 4 hours" - ANSWER A.
"I'll splint my incision with a pillow to cough"
with correct answers
A nurse is assessing a client who is 48 hours post-op following abdominal surgery.
Which of the following findings should the nurse report to the provider?
A. Blood pressure 102/66 mm Hg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-Green drainage on the surgical incision
D. Respiratory rate 18/min - ANSWER C. Yellow-Green drainage
on the surgical incision
A nurse is caring for a client who is in the immediate postoperative period
following a partial laryngectomy. Which of the following parameters should the
nurse assess first?
A. Pain severity
B. Wound drainage
C. Tissue integrity
D. Airway patency - ANSWER D. Airway patency
A nurse is providing teaching to a client who is postoperative following coronary
artery bypass graft (CABG) surgery and is receiving opioid medications to manage
discomfort. Aside from managing pain, which of the following desired effects of
medications should the nurse identify as most important for the clients recovery?
,A. It decreases the clients level of anxiety
B. It facilitates the clients deep breathing
C. It enhances the clients ability to sleep
D. It reduces the clients blood pressure - ANSWER B. It facilitates
the clients deep breathing
A nurse on a medical-surgical unit is caring for four clients who are 24-36 hour
postoperative. Which of the following surgical procedures place the client at risk
for deep-vein thrombosis?
A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - ANSWER C. Hip arthroplasty
A nurse is assessing a client who has had staples removed from an abdominal
wound postoperatively. The nurse notes separation of the wound edges with
copious light-brown serous drainage. Which of the following actions should the
nurse perform first?
A. Check the clients vital signs
B. Assess the clients pain level
C. Cover the wound with a moist, sterile gauze dressing
D. Obtain a culture and sensitivity of the wound drainage - ANSWER
C. Cover the wound with a moist, sterile gauze dressing
, A nurse is developing a plan of care for a client who is postoperative. Which of the
following interventions should the nurse include in the plan to prevent pulmonary
complications?
A. Perform range of motion exercises
B. Place suction equipment at the bedside
C. Encourage the use of an incentive spirometer
D. Administer an expectorant - ANSWER C. Encourage the use of
an incentive spirometer
A nurse is assessing a client who will undergo abdominal surgery in 2 hr. The
client reports being nervous about the surgery, last had food and fluids at 2330 the
previous evening, and signed the surgical consent 2 days ago. Which of the
following is an appropriate nursing action regarding these findings?
A. Call the anesthesiologist to sedate the client
B. Notify the surgeon of the clients food and fluid consumption
C. Witness the surgical consent
D. Document the findings in the clients medical record - ANSWER
D. Document the findings in the clients medical record
A nurse is teaching a client who is preoperative how to do deep breathing exercises
and cough effectively after surgery. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I'll splint the incision with a pillow to cough"
B. "I'll ask for pain medication after I do the exercises"
C. "I'll use the incentive spirometer when I can get out of bed"
D. "I'll breathe deeply and cough every 4 hours" - ANSWER A.
"I'll splint my incision with a pillow to cough"
