TNCC FINAL EXAM 2 LATEST VERSIONS 2024
CONTAINS 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIONELS (VERIFIED QUESTIONS)
ALREADY GRADED A+
Which of the following intraoperative nursing responsibilities would be performed by the
scrub nurse? (Select all that apply.)
A) Documenting intraoperative care
B) Keeping track of irrigation solutions for monitoring of blood
loss
C) Passing instruments and supplies to the surgeon by
anticipating his or her needs
D) Coordinating the flow and activities of members of the surgical
team in the surgical suite
E) Performing the count of sponges, needles, and instruments
used during the surgical procedure - ANSWER- B)
Which of the following positions is preferred for the unconscious patient immediately
postoperative?
A) Supine
B) Lateral
C) Semi-Fowler's
D) High-Fowler's - ANSWER- B) Lateral
Before administering the prescribed daily dose of atenolol 100 mg PO, the nurse
assesses the patient carefully. Which of the following adverse effects is this patient at
risk for given the patient's health history?
A) Hypomania
B) Tachycardia
C) Bronchospasm
D) Nausea and vomiting - ANSWER- C) Bronchospasm
,During recovery from anesthesia in the post anesthesia care unit (PACU), a patient's
vital signs are blood pressure 118/72, pulse 76, respirations 12, and SpO2 91%. The
patient is sleepy but awakens easily. Which action should the nurse take at this time?
A) Place the patient in a side-lying position
B) Encourage the patient to take deep breaths
C) Prepare to transfer the patient from the PACU
D) Increase the rate of the postoperative IV fluids - ANSWER- B)
The patient's borderline SpO2 and sleepiness indicate hypoventilation. The nurse
should remind the patient to take deep breaths. Placing the patient in a lateral position
is needed when the patient first arrives in the PACU and is unconscious. The stable BP
and pulse indicate that no changes in fluid intake are required. The patient is not fully
awake and has a low SpO2; initiating a transfer from the PACU is not appropriate.
The nurse teaches a patient with hypertension that uncontrolled hypertension may
damage organs in the body primarily by which of the following mechanisms?
A) Hypertension promotes atherosclerosis and damage to the
walls of the arteries.
B) Hypertension causes direct pressure on organs, resulting in
necrosis and replacement of cells with scar tissue.
C) Hypertension causes thickening of the capillary membranes,
leading to hypoxia of organ systems.
D) Hypertension increases blood viscosity, which contributes to
Hypertension is a major risk factor for the development of atherosclerosis by
mechanisms not yet fully known. However, once atherosclerosis develops, it damages
the walls of arteries and reduces circulation to target organs and tissues.
In reviewing medication instructions with a patient being discharged on antihypertensive
medications, which of the following statements would be most appropriate for the nurse
to make when discussing atenolol (Tenormin)?
, A) A fast heart rate is a side effect to watch for while taking
atenolol.
B) Stop the drug and notify your doctor if you experience any
nausea or vomiting.
C) Because this drug may affect the lungs in large doses, it may
also help your breathing.
D) Make position changes slowly, especially when going from a
lying down to a standing position." - ANSWER- D) "
The nurse is caring for a pt admitted with a history of HTN. The patient's medication
history includes hydrochlorothiazide (Hydrodiuril) daily for the past 10 years. Which of
the following parameters would indicate the optimal intended effect of this drug therapy?
A) Weight loss of 2 lb.
B) Blood pressure 128/86
C) Absence of ankle edema
Output of 600 ml per shift - ANSWER- B) Blood pressure 128/86
Hydrochlorothiazide may be used alone as monotherapy to manage HTN or in
combination with other meds if not effective alone. After the first few weeks of therapy,
the diuretic effect diminishes, but the anti-HTN effect remains. Since the patient has
been taking this medication for 10 years, the most direct measurement of its intended
effect would be the blood pressure.
A patient in the cardiac unit is concerned about the risk factors associated with
atherosclerosis. Which of the following are hereditary risk factors for developing
atherosclerosis?
A) Family history of heart disease
B) Overweight
C) Smoking
D) Age - ANSWER- A)
CONTAINS 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIONELS (VERIFIED QUESTIONS)
ALREADY GRADED A+
Which of the following intraoperative nursing responsibilities would be performed by the
scrub nurse? (Select all that apply.)
A) Documenting intraoperative care
B) Keeping track of irrigation solutions for monitoring of blood
loss
C) Passing instruments and supplies to the surgeon by
anticipating his or her needs
D) Coordinating the flow and activities of members of the surgical
team in the surgical suite
E) Performing the count of sponges, needles, and instruments
used during the surgical procedure - ANSWER- B)
Which of the following positions is preferred for the unconscious patient immediately
postoperative?
A) Supine
B) Lateral
C) Semi-Fowler's
D) High-Fowler's - ANSWER- B) Lateral
Before administering the prescribed daily dose of atenolol 100 mg PO, the nurse
assesses the patient carefully. Which of the following adverse effects is this patient at
risk for given the patient's health history?
A) Hypomania
B) Tachycardia
C) Bronchospasm
D) Nausea and vomiting - ANSWER- C) Bronchospasm
,During recovery from anesthesia in the post anesthesia care unit (PACU), a patient's
vital signs are blood pressure 118/72, pulse 76, respirations 12, and SpO2 91%. The
patient is sleepy but awakens easily. Which action should the nurse take at this time?
A) Place the patient in a side-lying position
B) Encourage the patient to take deep breaths
C) Prepare to transfer the patient from the PACU
D) Increase the rate of the postoperative IV fluids - ANSWER- B)
The patient's borderline SpO2 and sleepiness indicate hypoventilation. The nurse
should remind the patient to take deep breaths. Placing the patient in a lateral position
is needed when the patient first arrives in the PACU and is unconscious. The stable BP
and pulse indicate that no changes in fluid intake are required. The patient is not fully
awake and has a low SpO2; initiating a transfer from the PACU is not appropriate.
The nurse teaches a patient with hypertension that uncontrolled hypertension may
damage organs in the body primarily by which of the following mechanisms?
A) Hypertension promotes atherosclerosis and damage to the
walls of the arteries.
B) Hypertension causes direct pressure on organs, resulting in
necrosis and replacement of cells with scar tissue.
C) Hypertension causes thickening of the capillary membranes,
leading to hypoxia of organ systems.
D) Hypertension increases blood viscosity, which contributes to
Hypertension is a major risk factor for the development of atherosclerosis by
mechanisms not yet fully known. However, once atherosclerosis develops, it damages
the walls of arteries and reduces circulation to target organs and tissues.
In reviewing medication instructions with a patient being discharged on antihypertensive
medications, which of the following statements would be most appropriate for the nurse
to make when discussing atenolol (Tenormin)?
, A) A fast heart rate is a side effect to watch for while taking
atenolol.
B) Stop the drug and notify your doctor if you experience any
nausea or vomiting.
C) Because this drug may affect the lungs in large doses, it may
also help your breathing.
D) Make position changes slowly, especially when going from a
lying down to a standing position." - ANSWER- D) "
The nurse is caring for a pt admitted with a history of HTN. The patient's medication
history includes hydrochlorothiazide (Hydrodiuril) daily for the past 10 years. Which of
the following parameters would indicate the optimal intended effect of this drug therapy?
A) Weight loss of 2 lb.
B) Blood pressure 128/86
C) Absence of ankle edema
Output of 600 ml per shift - ANSWER- B) Blood pressure 128/86
Hydrochlorothiazide may be used alone as monotherapy to manage HTN or in
combination with other meds if not effective alone. After the first few weeks of therapy,
the diuretic effect diminishes, but the anti-HTN effect remains. Since the patient has
been taking this medication for 10 years, the most direct measurement of its intended
effect would be the blood pressure.
A patient in the cardiac unit is concerned about the risk factors associated with
atherosclerosis. Which of the following are hereditary risk factors for developing
atherosclerosis?
A) Family history of heart disease
B) Overweight
C) Smoking
D) Age - ANSWER- A)
