QUESTIONS AND ANSWERS 2026
Your patient with ascites becomes hypotensive post-procedure, what medication
would you expect to immediately give? Albumin
A client who has had abdominal surgery complains of feeling as though "something
gave way" in the incisional site. The nurse removes the dressing and notes the
presence of a loop of bowel protruding through the incision. Which nursing
interventions should the nurse take? Select all that apply Contact the surgeon, Instruct
the client to remain quiet, Prepare the client for wound closure, Document the findings and
actions taken
The nurse would be alerted to the occurrence of malignant hyperthermia when the
patient demonstrates what manifestation? Muscle rigidity
The nurse is reviewing a prescription sheet for preoperative client that states that he
client must be NPO after midnight. The nurse would telephone the physician to clarify
that which medication should be given to the client and not withheld? Prednisone
A nurse is assigned to assist in caring for a client who recently returned from the
operating room. On data collection, the nurse notes that the client's vital signs are as
follows: blood pressure (BP) 102/62 mm Hg, pulse 91 beats per minute, respirations
16 breaths per minute. Preoperative vital signs were BP 124/78 mm Hg, pulse 74
beats per minute, respirations 20 breaths per minute. Which of the following actions
should the nurse plan to take first? Recheck the vital signs in 15 minutes.
After surgery your patient is semicomatose with vital signs within normal limits. As
the nurse, what position would be best for this patient? Side positioning (preferably the
left side)
After surgery your patient starts to shiver uncontrollably. What nursing intervention
would you do FIRST? Apply warm blankets and continue oxygen as prescribed
You are completing the history on a patient who is scheduled to have surgery. What
health history increases the risk for surgery for the patient? Abuse of street drugs
The nurse is monitoring the patient who is 24 hours post-opt from surgery. Which
finding requires intervention? 24 hour urine output of 300 mL
A client who has undergone preadmission testing, has had blood drawn for serum
lab studies, including a complete blood count, coagulation studies and electrolytes
and creatine levels. Which lab result should be reported to the surgeon's office by the
nurse, knowing that it could cause surgery to be postponed? Hemoglobin, 8.0 g/dL
, What is a potential postoperative concern regarding a patient who has already
resumed a solid diet? Failure to pass stool within 48 hours of eating solid foods
A nurse is developing a care plan for a patient who is at risk for developing
pneumonia after surgery. Which of the following is not an appropriate nursing
intervention? Repositioning every 3-4 hours
A client in a short-procedure unit is recovering from renal angiography in which a
femoral puncture site was used. When providing postprocedure care, the nurse
should: check the client's pedal pulses frequently.
The client returns to the nursing unit following an open reduction with internal
fixation of the right hip. Nursing assessment findings include temperature 100.8
degrees Fahrenheit, heart rate 112 beats per minute, respiratory rate 28 breaths per
minute, and blood pressure 86/58. There is no urine in the Foley catheter collection
bag. The nurse interprets these findings as indicating which of the following
complications? Hypovolemic shock
Which client is at most risk for cancer? B. A 35- year old client who smokes ½ a pack of
cigarettes a day
The nurse is assessing the client with COPD. Which health promotion information is
most important for the nurse to obtain? Willingness to modify lifestyle.
What is the priority nursing intervention in helping a patient expectorate thick lung
secretions? Increase fluid intake to 3 L/day if tolerated.
The nurse is caring for a 73-year-old patient who underwent a left total knee
arthroplasty. On the third postoperative day, the patient complains of shortness of
breath, slight chest pain, and that "something is wrong." Temperature is 98.4° F,
blood pressure 130/88, respirations 36/minute, and oxygen saturation 91% on room
air. What action should the nurse take first? Sit the patient up in bed as tolerated and
apply oxygen.
Assist the client into a sitting position at 90 degrees.
Which statement made by the client diagnosed with chronic bronchitis indicates to
the nurse more teaching is required? "I need to return to the HCP to have my blood
drawn with my annual physical."
A nurse is caring for a male client immediately after removal of the endotracheal
tube. The nurse reports which of the following signs immediately if experienced by
the client? Stridor
Before discharge, the nurse discusses activity levels with a 61-year-old patient with
chronic obstructive pulmonary disease (COPD) and pneumonia. Which exercise goal