UPDATED ACTUAL Questions and
CORRECT Answers
What does Ambulatory mean? - CORRECT ANSWER -Day surgery (max stay 23 hours)
What does inpatient surgical care mean? - CORRECT ANSWER -Admitted to hospital (min 24
hours)
Surgery classifications? - CORRECT ANSWER -Elective
Diagnostic
Acute
List 3 patient orientated goals post surgery? - CORRECT ANSWER -Return to normal physical
function
Remain free from post op complications
Achieve emotional and physical comfort
What is included in a pre-op assessment? (5) - CORRECT ANSWER -Obtain history
Physical assessment
Determine patient understanding
Identify emotional state and coping skills
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
What does atelectasis mean? - CORRECT ANSWER -Collapse or closure of lung resulting in
reduced or absent gas exchange
List 5 ways to safely care for post op patients? - CORRECT ANSWER -Fluid balance input and
output
,Pain management
Assessing wound
Vital signs every five minutes
Checking IV site
What is meningitis? - CORRECT ANSWER -A serious disease in which there is inflammation of
the meninges
Signs and symptoms of meningitis? - CORRECT ANSWER -Intense headache
Fever
Light sensitivity
Muscular rigidity
Main cause of meningitis? - CORRECT ANSWER -Bacterial: Streptococcus pneumoniae
Viral: Enterovirus
Signs of raised intercranial pressure? (4) - CORRECT ANSWER -Headache
Nausea
Increased bp
Confusion
What is the purpose of the nursing council? - CORRECT ANSWER -To protect the health and
safety of members of the public by ensuring RNs are registered, fit to practise, and competent.
Signs of otitis? (Ear infection/inflammation) - CORRECT ANSWER -Ear pain
Fever
Difficulty hearing
,What would you do if prescribed medication was not signed by the doctor? - CORRECT
ANSWER -Do not give until a signature or verbal consent has been given with a witness
Signs of a patient on methamphetamine? (5) - CORRECT ANSWER -Dilated pupils
Agitation
Increased bp
Loss of appetite
Paranoia
List 5 pieces of advice to give a patient following a total hip replacement? - CORRECT
ANSWER -Place a pillow between legs when lying on side
Avoid bending past 90 degrees
Avoid crossing legs
Sit on chairs higher than knee height
Take short frequent walks
What is airway obstruction caused by? - CORRECT ANSWER -Tongue
Laryngospasm
Retained secretions
Insufficient anaesthetic reversal
Treatment for airway obstruction? - CORRECT ANSWER -Correct positioning
o2 therapy
Suctioning
Close monitoring
Viral signs
Anti emetics
Manifestations of atelectasis? - CORRECT ANSWER -Insidious onset
, Early s&s: cough, sputum, low grade fever
Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
What is a pulmonary embolism? - CORRECT ANSWER -Occurs from a deep vein thrombosis, clot
forms, travels to lungs or brain, life threatening
Diagnosis of a pulmonary embolism? - CORRECT ANSWER -Chest X-ray
Ecg
Abg
Ultra sound
Pulmonary angiography
How to prevent a pulmonary embolism? - CORRECT ANSWER -Pre op weight loss
Compression stockings
Early animation
Hydration
Meds
What causes a deep vein thrombosis? - CORRECT ANSWER -Occurs in leg veins due to inactivity,
body positioning, and pressure
Risk factors for DVTs? - CORRECT ANSWER -Elderly
Poor nutrition
Surgery over three hours
Limited mobility
Long haul flights
Diabetes