Med/Surg Periop B & S Test Bank
1. A client is admitted to the ED reporting severe abdominal pain and vomiting
"coffee-ground" like emesis. The client is diagnosed with a perforated gastric
ulcer and is
informed that they need surgery. When can the client most likely anticipate that
the
surgery will be scheduled?
A. Within 24 hours
B. Within the next week
C. Without delay
D. As soon as all the day's elective surgeries have been completed
C. Without delay
2. The nurse is performing a preoperative assessment on a client going to
surgery. The
client reports to the nurse drinking approximately two bottles of wine each day
for the
last several years. What postoperative difficulties should the nurse anticipate for
this
client?
A. Nonadherence to prescribed treatment after surgery
B. Increased risk for postoperative complications
C. Alcohol withdrawal syndrome upon administration of general anesthesia
D. Increased risk for allergic reactions
B. Increased risk for postoperative complications
3. In anticipation of a client's scheduled surgery, the nurse is teaching the client
to
perform deep breathing and coughing to use postoperatively. What action should
the
nurse teach the client?
A. The client should take three deep breaths and cough hard three times, at least
every 15 minutes for the immediate postoperative period.
B. The client should take three deep breaths and exhale forcefully and then take a
quick short breath and cough from deep in the lungs.
C. The client should take a deep breath in through the mouth and exhale through
the mouth, take a short breath, and cough from deep in the lungs.
D. The client should rapidly inhale, hold for 30 seconds or as long as possible,
and
exhale slowly.
C. The client should take a deep breath in through the mouth and exhale through
the mouth, take a short breath, and cough from deep in the lungs.
4. The nurse is preparing a client for surgery prior to her hysterectomy without
oophorectomy. The nurse is witnessing the client's signature on a consent form.
Which
comment by the client would best indicate informed consent?
,A. "I know I'll be fine because the health care provider has done this procedure
hundreds of times."
B. "I know I'll have pain after the surgery but they'll do their best to keep it to a
minimum."
C. "The health care provider is going to remove my uterus and told me about the
risk of bleeding."
D. "Because the health care provider isn't taking my ovaries, I'll still be able to
have
children."
C. "The health care provider is going to remove my uterus and told me about the
risk of bleeding."
5. The nurse is planning teaching for a client who is scheduled for an open
hemicolectomy. The nurse intends to address the topics of incision splinting and
leg
exercises during this teaching session. When is the best time for the nurse to
provide
teaching?
A. Upon the client's admission to the postanesthesia care unit (PACU)
B. When the client returns from the PACU
C. During the intraoperative period
D. As soon as possible, and before the surgical procedure
D. As soon as possible, and before the surgical procedure
6. The nurse is caring for a hospice client who is scheduled for a surgical
procedure to
reduce the size of a spinal tumor in an effort to relieve pain. The nurse should
plan this
client care with the knowledge that this surgical procedure is classified as which
of the
following?
A. Diagnostic
B. Laparoscopic
C. Curative
D. Palliative
D. Palliative
7. A nurse is providing preoperative teaching to a client who will soon undergo a
cardiac
bypass. The nurse's teaching plan includes exercises of the extremities. What is
the
purpose of teaching a client leg exercises prior to surgery?
A. Leg exercises increase the client's muscle mass postoperatively.
B. Leg exercises improve circulation and prevent venous thrombosis.
C. Leg exercises help to prevent pressure sores to the sacrum and heels.
D. Leg exercise help increase the client's level of consciousness after surgery.
B. Leg exercises improve circulation and prevent venous thrombosis.
8. During the care of a preoperative client, the nurse has given the client a
preoperative
, benzodiazepine. The client is now requesting to void. What action should the
nurse take?
A. Assist the client to the bathroom.
B. Offer the client a bedpan or urinal.
C. Wait until the client gets to the operating room and is catheterized.
D. Have the client go to the bathroom.
B. Offer the client a bedpan or urinal.
9. The nurse is preparing a client for surgery. The client reports being nervous
and not
really understanding the surgical procedure or its purpose. What is the most
appropriate
action for the nurse to take?
A. Have the client sign the informed consent and place it in the chart.
B. Call the health care provider to review the procedure with the client.
C. Explain the procedure clearly to the client and the family.
D. Provide the client with a pamphlet explaining the procedure.
B. Call the health care provider to review the procedure with the client.
10. The nurse is caring for a client who is admitted to the ER with the diagnosis of
acute
appendicitis. The nurse notes during the assessment that the client's ribs and
xiphoid
process are prominent. The client reports exercising two to three times daily, and
the
client's parent indicates that the client is being treated for anorexia nervosa. How
should
the nurse best follow up on these assessment data?
A. Inform the postoperative team about the client's risk for wound dehiscence.
B. Evaluate the client's ability to manage pain level.
C. Facilitate a detailed analysis of the client's electrolyte levels.
D. Instruct the client on the need for a high-sodium diet to promote healing.
C. Facilitate a detailed analysis of the client's electrolyte levels.
11. The nurse is doing preoperative client education with a client who has a 40
pack-year
history of cigarette smoking. The client will undergo an elective bunionectomy at
a time
that fits his work schedule in a few months. What would be the best instruction to
give to
this client?
A. Reduce smoking by 50% to prevent the development of pneumonia.
B. Continue smoking so as to help manage stress levels before and after surgery.
C. Aim to quit smoking in the postoperative period to reduce the chance of
surgical
complications.
D. Stop smoking as soon as possible before the scheduled surgery to enhance
pulmonary function and decrease infection.
1. A client is admitted to the ED reporting severe abdominal pain and vomiting
"coffee-ground" like emesis. The client is diagnosed with a perforated gastric
ulcer and is
informed that they need surgery. When can the client most likely anticipate that
the
surgery will be scheduled?
A. Within 24 hours
B. Within the next week
C. Without delay
D. As soon as all the day's elective surgeries have been completed
C. Without delay
2. The nurse is performing a preoperative assessment on a client going to
surgery. The
client reports to the nurse drinking approximately two bottles of wine each day
for the
last several years. What postoperative difficulties should the nurse anticipate for
this
client?
A. Nonadherence to prescribed treatment after surgery
B. Increased risk for postoperative complications
C. Alcohol withdrawal syndrome upon administration of general anesthesia
D. Increased risk for allergic reactions
B. Increased risk for postoperative complications
3. In anticipation of a client's scheduled surgery, the nurse is teaching the client
to
perform deep breathing and coughing to use postoperatively. What action should
the
nurse teach the client?
A. The client should take three deep breaths and cough hard three times, at least
every 15 minutes for the immediate postoperative period.
B. The client should take three deep breaths and exhale forcefully and then take a
quick short breath and cough from deep in the lungs.
C. The client should take a deep breath in through the mouth and exhale through
the mouth, take a short breath, and cough from deep in the lungs.
D. The client should rapidly inhale, hold for 30 seconds or as long as possible,
and
exhale slowly.
C. The client should take a deep breath in through the mouth and exhale through
the mouth, take a short breath, and cough from deep in the lungs.
4. The nurse is preparing a client for surgery prior to her hysterectomy without
oophorectomy. The nurse is witnessing the client's signature on a consent form.
Which
comment by the client would best indicate informed consent?
,A. "I know I'll be fine because the health care provider has done this procedure
hundreds of times."
B. "I know I'll have pain after the surgery but they'll do their best to keep it to a
minimum."
C. "The health care provider is going to remove my uterus and told me about the
risk of bleeding."
D. "Because the health care provider isn't taking my ovaries, I'll still be able to
have
children."
C. "The health care provider is going to remove my uterus and told me about the
risk of bleeding."
5. The nurse is planning teaching for a client who is scheduled for an open
hemicolectomy. The nurse intends to address the topics of incision splinting and
leg
exercises during this teaching session. When is the best time for the nurse to
provide
teaching?
A. Upon the client's admission to the postanesthesia care unit (PACU)
B. When the client returns from the PACU
C. During the intraoperative period
D. As soon as possible, and before the surgical procedure
D. As soon as possible, and before the surgical procedure
6. The nurse is caring for a hospice client who is scheduled for a surgical
procedure to
reduce the size of a spinal tumor in an effort to relieve pain. The nurse should
plan this
client care with the knowledge that this surgical procedure is classified as which
of the
following?
A. Diagnostic
B. Laparoscopic
C. Curative
D. Palliative
D. Palliative
7. A nurse is providing preoperative teaching to a client who will soon undergo a
cardiac
bypass. The nurse's teaching plan includes exercises of the extremities. What is
the
purpose of teaching a client leg exercises prior to surgery?
A. Leg exercises increase the client's muscle mass postoperatively.
B. Leg exercises improve circulation and prevent venous thrombosis.
C. Leg exercises help to prevent pressure sores to the sacrum and heels.
D. Leg exercise help increase the client's level of consciousness after surgery.
B. Leg exercises improve circulation and prevent venous thrombosis.
8. During the care of a preoperative client, the nurse has given the client a
preoperative
, benzodiazepine. The client is now requesting to void. What action should the
nurse take?
A. Assist the client to the bathroom.
B. Offer the client a bedpan or urinal.
C. Wait until the client gets to the operating room and is catheterized.
D. Have the client go to the bathroom.
B. Offer the client a bedpan or urinal.
9. The nurse is preparing a client for surgery. The client reports being nervous
and not
really understanding the surgical procedure or its purpose. What is the most
appropriate
action for the nurse to take?
A. Have the client sign the informed consent and place it in the chart.
B. Call the health care provider to review the procedure with the client.
C. Explain the procedure clearly to the client and the family.
D. Provide the client with a pamphlet explaining the procedure.
B. Call the health care provider to review the procedure with the client.
10. The nurse is caring for a client who is admitted to the ER with the diagnosis of
acute
appendicitis. The nurse notes during the assessment that the client's ribs and
xiphoid
process are prominent. The client reports exercising two to three times daily, and
the
client's parent indicates that the client is being treated for anorexia nervosa. How
should
the nurse best follow up on these assessment data?
A. Inform the postoperative team about the client's risk for wound dehiscence.
B. Evaluate the client's ability to manage pain level.
C. Facilitate a detailed analysis of the client's electrolyte levels.
D. Instruct the client on the need for a high-sodium diet to promote healing.
C. Facilitate a detailed analysis of the client's electrolyte levels.
11. The nurse is doing preoperative client education with a client who has a 40
pack-year
history of cigarette smoking. The client will undergo an elective bunionectomy at
a time
that fits his work schedule in a few months. What would be the best instruction to
give to
this client?
A. Reduce smoking by 50% to prevent the development of pneumonia.
B. Continue smoking so as to help manage stress levels before and after surgery.
C. Aim to quit smoking in the postoperative period to reduce the chance of
surgical
complications.
D. Stop smoking as soon as possible before the scheduled surgery to enhance
pulmonary function and decrease infection.
