Medical-Surgical Nurse Exam Practice Test Questions

Exam (elaborations) Medical-Surgical Nurse Exam Practice Test Questions The client scheduled to have sx today cannot read or write. The surgeon obtaining the consent wants to have the client's spouse sign the consent instead. What is the nurse's best action? A. Nothing; a signed informed consent statement does not need to be obtained from this client. B. Locate the spouse because the informed consent statement must be signed by the client's closest relative C. Remind the surgeon that the client may sign the informed consent statement with an X in front of two witnesses D. Notify the administration because court must appoint a legal guardian 1 C.Remind the surgeon that the client may sign the informed consent statement with an X in front of two witnesses A female patient is having a biopsy of a nodule found in the right breast. Which classification identifies this surgery? A. Urgent B. Minor C. Cosmetic D. Diagnostic 2 D. Diagnostic Which statements best describes the preoperative period? (Select all that apply) A. It begins when the patient makes the appointment with the surgeon to discuss the need for surgery. B. It ends at the time of transfer to the surgical suite. C. It is a time during which the patients need for surgery is established. D. It begins when the patient is scheduled for surgery. E. It is a time during which the patient receives testing and education related to an impending surgery. 3 B. It ends at the time of transfer to the surgical suite. D. It begins when the patient is scheduled for surgery. Okay you can barely ambulate with a walker at home is having a left total knee replacement. What is the most appropriate category for the surgery? A. Urgent B. Restorative C. Simple D. Palliative 4 B. Restorative 5 Medical-Surgical Nurse Exam Practice Test Questions A colostomy is scheduled to be done on a patient who has severe Crohn's disease. What is the correct classification for this surgery? A. Palliative B. Minor C. Restorative D. Curative A. Palliative A male patient has a facial scar on his forehead from a third-degree burn. What is the correct classification for this surgery? A. Major B. Restorative C. Cosmetic D. Curative 6 C. Cosmetic An appendectomy is being performed on a patient with appendicitis. What is the correct classification for this surgery? A. Curative B. Diagnostic C. Urgent D. Radical 7 A. Curative A patient with an abdominal aortic aneurysm is having surgical repair. What is the correct classification of this surgery? A. Restorative B. Emergent C. Urgent D. Minor 8 B. Emergent A 76-year-old patient is having a bilateral cataract removal. What is the correct classification for this surgery? A. Major B. Cosmetic C. Elective D. Emergent 9 C. Elective 10 A 47-year-old patient is having surgery to remove kidney stones. What is the correct classification for this surgery? A. Restorative B. Emergent C. Palliative D. Urgent D. Urgent The nurse screens a preoperative patient for conditions that may increase the risk for complications during the perioperative period. Which conditions are possible risk factors? (Select all that apply) A. Emotionally stable B. 67 years old C. Obesity D. Marathon runner E. Pulmonary disease 11 B. 67 y.o. C. Obesity E. Pulmonary disease A 75-year-old patient is having an exploratory laparotomy tomorrow. The wife tells the nurse that at night the patient gets up and walks around his room. What does the nurse do next after hearing this information? A. Notifies the physician B. Develops a plan to keep the patient safe C. Obtains an order for sleep medication D. Tells the patient not to get out of bed at night 12 B. Develops a plan to keep the patient safe. Discharge planning is done for patients who have had which types of surgery? (Select all that apply) A. Minor B. Urgent C. Palliative D. Curative E. Emergent 13 A, B, C, D, E (all types of surgery) The nurse has received a patient in the holding area is scheduled for a left femoral-popliteal bypass. What are the priority safety measures for this patient before surgery? (Select all that apply) A. The operative limb is marked by the surgeon B. The patient is positively identified by checking the name and date of birth. C. The patient is asked to mark the operative limb. D. The patient is identified by checking the name and room number. E. The patient is instructed to verify any family members waiting. 14 A. The operative limb is marked by the surgeon. B. The patient is positively identified by checking the name and date of birth. D. The patient is identified by checking the name and room number In the preoperative setting, the nurse functions as a patient advocate when which factors are assessed in the discharge planning process? (Select all that apply) A. Support systems B. Any known allergies C. Self-care capabilities D. Preference for route of administration of analgesics E. Home environment 15 A. Support system C. Self-care capabilities E. Home environment The nurse is preparing the patient for surgery. Which common laboratory tests does the nurse anticipate to be ordered? (Select all that apply) A. Total cholesterol B. Electrolyte levels C. Uric acid D. Clotting studies E. Serum creatinine 16 B. Electrolyte levels D. Clotting studies E. Serum creatinine Which statement is true regarding the patient who has given consent for a surgical procedure? A. Information necessary to understand the nature of and reason for the surgery has been provided. B. The length of stay in the hospital has been preapproved by the managed care provider. C. Information about the surgeons experience has been provided. D. The nurse has provided detailed information about the surgical procedure. 17 A. Information necessary to understand the nature of and reason for the surgery has been provided. Which statement best describes the collaborative roles of the nurse and surgeon when obtaining the informed consent? A. The nurse is responsible for having the informed consent form on the chart for the physician to witness. B. The nurse my serve as a witness that the patient has been informed by the physician before surgery is performed. C. The nurse may serve as witness to the patients signature after the physician has the consent form signed before preoperative sedation is given and before surgery is performed. D. The nurse has no duties regarding the consent form if the patient has signed the informed consent form for the physician, even if the patient then asks additional questions about the surgery. 18 C. The nurse may serve as witness to the patients signature after the physician has the consent form signed before preoperative sedation is given and before surgery is performed. for which client preadmission testing laboratory result does the nurse take immediate action? A. International normalized ration 0.9 B. WBC count 8500/mm3 C. Serum Potassium level 2.8mEq/L D. Serum sodium level 132 mEq/L 19 C. Serum Potassium level 2.8mEq/L Which postoperative interventions will the nurse typically teach a patient to prevent complications following surgery? (Select all that apply) A. Range of motion exercises B. Massaging of lower extremities C. Taking pain medication only when experiencing severe pain. D. Incision splinting E. Deep-breathing exercises 20 A. Range of motion exercises D. Incision splinting E. Deep-breathing exercises The client scheduled for knee replacement sx today performed all of the following actions yesterday. Which action is most important for the nurse to report to the surgeon? A. Took 50 mg of diphenhydramine (Benadryl) at bedtime B. Smoked one pack of cigarettes instead of two C. Drank two 12-ounce glasses of beer D. Took two aspirins three times 21 D. took two aspirins three times A patient with diabetes is scheduled for surgery at 0700. What are the actions, in order of priority, that the nurse will perform preoperatively? (Select based on priority order) A. Modify the dose of insulin given based on the patient's blood glucose B. Completely preoperative checklist before 0700. C. Have non-licensed personnel obtain the patients Accucheck and vital signs. D. Check if the patient has any jewelry on and call security to secure valuables. 22 C. Have non-licensed personnel obtain the patients Accucheck and vital signs A. Modify the dose of insulin given based on the patient's blood glucose D. Check if the patient has any jewelry on an call security to secure valuables B. Complete the preoperative checklist before 0700 23 On admission to the preoperative area, the client scheduled for a hip replacement tells the nurse that three autologous blood donations for their sx have been made in the past 3 weeks. What is the nurse's best action? A. Check the client's international normalized ratio (INR) B. Call the lab to ensure that the blood is physically at the operating facility. C. Ensure that the client has given consent to receive blood if a transfusion is necessary. D. Inform the client that an autologous transfusion does not eliminate the risk for development of blood-borne diseases. B. Call the lab to ensure that the blood is physically at the operating facility. The client is NPO for surgery scheduled to occur in 4 hours. It is now 9 AM, and the client's regularly prescribed oral drugs (digoxin 0.125 mg, docusate [Colace] 300 mg, and ferrous fumarate [Feostat] 325 mg) are due to be administered. The physician will not be available until the time of surgery. What is the nurse's best action? A. Administer digoxin with minimal water and hold the other drugs. B. Administer all medications parenterally. C. Administer all medications orally. D. Hold all medications. 24 A. Administer digoxin with minimal water and hold the other drugs The nurse is educating a preoperative client about colostomy surgery. The colostomy surgery is categorized as what type of surgery? A. Cosmetic B. Curative C. Diagnostic D. Palliative 25 D. Palliative In going through the preoperative checklist, the nurse notices that the client's armband does not match the handwritten name on the informed consent, but it matches the stamped name. What does the nurse do first? A. Calls admissions B. Cancels the surgery C. Contacts the surgeon D. Talks to the operating team 26 D. Talks to the operating team As the nurse obtains the informed consent, the client asks, "Now what exactly are they going to do to me?" What is the nurse's response? A. Contacts the anesthesiologist B. Contacts the surgeon C. Explains the procedure D. Has the client sign the form 27 B. Contacts the surgeon The nurse is educating the client who is about to undergo cardiac surgery with general anesthesia. Which statement by the client indicates the need for further instruction? A. "I will wake up with a tube in my throat." B. "I will have a bandage on my chest." C. "My family will not be able to see me right away." D. "Pain medication