NURS 612 Exam 1 (Perioperative, Diabetes,
Endocrine) Questions With 100% Correct
Answers
A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm Hg, and
his pulse is 134/min. Which of the following IV medication should the nurse administer?
a. Naloxone
b. Morphine
c. Flumazenil
d. Atropine
c. Flumazenil
A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during
the induction of anesthesia. Which of the following is the priority nursing action?
a. Assess oxygen saturation
b. Measure BP
c. Palpate pulse rate
d. check temperature
a. assess oxygen saturation
A nurse is caring for a client who develops malignant hyperthermia. Which of the following actions
should the nurse take? SELECT ALL THAT APPLY.
a. infuse iced IV fluids
b. provide 100% oxygen
c. place the client on a cooling blanket
d. treat the complication while continuing surgery
e. administer IV Dantrolene
a, b, c, e
A nurse is caring for a client who develops a systemic toxic reaction following a regional block. Which
of the following actions should the nurse take?
a. monitor serum creatinine levels
b. provide airway support
c. turn the client to the right side
d. administer 0.9% sodium chloride 500mL IV bolus
b. provide airway support
A nurse is caring for a client who reports a headache following an epidural regional nerve block.
Which of the following actions should the nurse take?
a. decrease the client's fluid intake
b. apply pressure to the puncture site
c. place the head of the bed flat
d. instruct the client to lie prone
c. place the head of the bed flat
A nurse is assessing a client's laboratory values before surgery. Which of the following results should
the nurse report to the provider? (Select all that apply.)
a. Potassium 3.9 mEq/L
b. Sodium 145 mEq/L
c. Creatinine 2.8 mg/dL
d. Blood glucose 235 mg/dL
,e. WBC 17,850/mm
C, D, E
A nurse is verifying informed consent for a client who is having a paracentesis. Which of the following
actions should the nurse take? (Select all that apply.)
A. Explain to the client the purpose of having the procedure.
B. Inform the client of risks to having the procedure.
C. Ensure the client understands information about the procedure.
D. Witness the client signing the informed consent form.
E. Determine if the client is capable of understanding the reason for the procedure.
C, D, E
A nurse is caring for a client who is scheduled for an exploratory laparotomy. The client's temperature
is 102.2 orally. Which of the following actions should the nurse take?
a. Inform the surgeon of the elevated temperature
b. transfer the client to the preoperative unit
c. apply ice packs to the groin
d. encourage the client to increase intake of clear liquids
A
A preoperative nurse is caring for a client who is having a colon resection. Which of the following
actions should the nurse take?
a. encourage the client to void after preoperative medication
b. administer antibiotics 2 hr prior to surgical incision
c. remove hair using a manual razor
d. remove nail polish on fingers and toes
D
A nurse is providing preoperative teaching to a client who is to have abdominal surgery. Which of the
following statements should the nurse make? (Select all that apply.)
a. "Take your heart medication with a sip of water before surgery."
b. "Splint the abdominal incision with a pillow when coughing and deep breathing."
c. "Bed rest is recommended for the first 48 hours."
d. "Anti embolism stockings are applied before surgery."
e. "you may eat solid food up to 4 hours before surgery."
A, B, D
A nurse is reviewing the health records of several clients in the PACU to identify risk factors that can
lead to postoperative complications. Which of the following clients are at risk for complications?
(Select all that apply.)
a. A client who has a WBC of 22,500/uL
b. A client who uses an insulin pump
c. A client who takes warfarin daily
d. A client who has heart failure
e. A client who has a BMI of 26
A, B, C, D
A nurse who is caring for a female client who mainfest indications of hypovolemia while in the PACU.
Which of the following findings requires action by the nurse?
a. urine output less than 25mL/hr
, b. hematocrit 48%
c. BUN 24 mg/dL
d. tenting of skin over the sternum
e. apical pulse rate 62/min
A, B, C, D
A nurse is caring for a client who arrived in the PACU following a total hip arthroplasty. The client is
not responding to verbal stimuli. Which of the following actions should the nurse perform first?
a. compare and contrast peripheral pulses
b. apply a warm blanket
c. assess dressings
d. place the client in a lateral position
D
A nurse is planning care for a client to prevent postoperative atelectasis. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply.)
a. encourage use of incentive spirometer every 2 hours
b. instruct the client to splint the incision when coughing and deep breathing
c. reposition the client every 2 hours
d. administer antibiotic therapy
e. assist with early ambulation
A, B, C, E
A nurse is caring for a client who reports nausea and vomiting 2 days postoperative following a
hysterectomy. Which of the following actions should the nurse perform first?
a. Assess bowel sounds
b. administer antiemetic medications
c. restart prescribed IV fluids
D. insert a prescribed nasogastric tube
A
A nurse is caring for a client who has a blood glucose 52 mg/dL. The client is lethargic but arousable.
Which of the following actions should the nurse perform first?
a. recheck blood glucose in 15 mins
b. provide a carbohydrate and protein
c. provide 4oz grape juice
d. report findings to the provider
c
a nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes
mellitus. Which of the following actions should the nurse implement?
a. check blood glucose immediately after breakfast
b. administer insulin when breakfast arrives
c. hold breakfast for 1 hr after insulin administration
d. clarify the prescription because insulin should not be administered at this time
B
A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who
has a blood glucose 278 mg/dL. Which of the following actions should the nurse take?
a. Draw up the regular insulin and then the glargine insulin in the same syringe
b. draw up the glargline insulin then the regular insulin in the same syringe
Endocrine) Questions With 100% Correct
Answers
A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm Hg, and
his pulse is 134/min. Which of the following IV medication should the nurse administer?
a. Naloxone
b. Morphine
c. Flumazenil
d. Atropine
c. Flumazenil
A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during
the induction of anesthesia. Which of the following is the priority nursing action?
a. Assess oxygen saturation
b. Measure BP
c. Palpate pulse rate
d. check temperature
a. assess oxygen saturation
A nurse is caring for a client who develops malignant hyperthermia. Which of the following actions
should the nurse take? SELECT ALL THAT APPLY.
a. infuse iced IV fluids
b. provide 100% oxygen
c. place the client on a cooling blanket
d. treat the complication while continuing surgery
e. administer IV Dantrolene
a, b, c, e
A nurse is caring for a client who develops a systemic toxic reaction following a regional block. Which
of the following actions should the nurse take?
a. monitor serum creatinine levels
b. provide airway support
c. turn the client to the right side
d. administer 0.9% sodium chloride 500mL IV bolus
b. provide airway support
A nurse is caring for a client who reports a headache following an epidural regional nerve block.
Which of the following actions should the nurse take?
a. decrease the client's fluid intake
b. apply pressure to the puncture site
c. place the head of the bed flat
d. instruct the client to lie prone
c. place the head of the bed flat
A nurse is assessing a client's laboratory values before surgery. Which of the following results should
the nurse report to the provider? (Select all that apply.)
a. Potassium 3.9 mEq/L
b. Sodium 145 mEq/L
c. Creatinine 2.8 mg/dL
d. Blood glucose 235 mg/dL
,e. WBC 17,850/mm
C, D, E
A nurse is verifying informed consent for a client who is having a paracentesis. Which of the following
actions should the nurse take? (Select all that apply.)
A. Explain to the client the purpose of having the procedure.
B. Inform the client of risks to having the procedure.
C. Ensure the client understands information about the procedure.
D. Witness the client signing the informed consent form.
E. Determine if the client is capable of understanding the reason for the procedure.
C, D, E
A nurse is caring for a client who is scheduled for an exploratory laparotomy. The client's temperature
is 102.2 orally. Which of the following actions should the nurse take?
a. Inform the surgeon of the elevated temperature
b. transfer the client to the preoperative unit
c. apply ice packs to the groin
d. encourage the client to increase intake of clear liquids
A
A preoperative nurse is caring for a client who is having a colon resection. Which of the following
actions should the nurse take?
a. encourage the client to void after preoperative medication
b. administer antibiotics 2 hr prior to surgical incision
c. remove hair using a manual razor
d. remove nail polish on fingers and toes
D
A nurse is providing preoperative teaching to a client who is to have abdominal surgery. Which of the
following statements should the nurse make? (Select all that apply.)
a. "Take your heart medication with a sip of water before surgery."
b. "Splint the abdominal incision with a pillow when coughing and deep breathing."
c. "Bed rest is recommended for the first 48 hours."
d. "Anti embolism stockings are applied before surgery."
e. "you may eat solid food up to 4 hours before surgery."
A, B, D
A nurse is reviewing the health records of several clients in the PACU to identify risk factors that can
lead to postoperative complications. Which of the following clients are at risk for complications?
(Select all that apply.)
a. A client who has a WBC of 22,500/uL
b. A client who uses an insulin pump
c. A client who takes warfarin daily
d. A client who has heart failure
e. A client who has a BMI of 26
A, B, C, D
A nurse who is caring for a female client who mainfest indications of hypovolemia while in the PACU.
Which of the following findings requires action by the nurse?
a. urine output less than 25mL/hr
, b. hematocrit 48%
c. BUN 24 mg/dL
d. tenting of skin over the sternum
e. apical pulse rate 62/min
A, B, C, D
A nurse is caring for a client who arrived in the PACU following a total hip arthroplasty. The client is
not responding to verbal stimuli. Which of the following actions should the nurse perform first?
a. compare and contrast peripheral pulses
b. apply a warm blanket
c. assess dressings
d. place the client in a lateral position
D
A nurse is planning care for a client to prevent postoperative atelectasis. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply.)
a. encourage use of incentive spirometer every 2 hours
b. instruct the client to splint the incision when coughing and deep breathing
c. reposition the client every 2 hours
d. administer antibiotic therapy
e. assist with early ambulation
A, B, C, E
A nurse is caring for a client who reports nausea and vomiting 2 days postoperative following a
hysterectomy. Which of the following actions should the nurse perform first?
a. Assess bowel sounds
b. administer antiemetic medications
c. restart prescribed IV fluids
D. insert a prescribed nasogastric tube
A
A nurse is caring for a client who has a blood glucose 52 mg/dL. The client is lethargic but arousable.
Which of the following actions should the nurse perform first?
a. recheck blood glucose in 15 mins
b. provide a carbohydrate and protein
c. provide 4oz grape juice
d. report findings to the provider
c
a nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes
mellitus. Which of the following actions should the nurse implement?
a. check blood glucose immediately after breakfast
b. administer insulin when breakfast arrives
c. hold breakfast for 1 hr after insulin administration
d. clarify the prescription because insulin should not be administered at this time
B
A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who
has a blood glucose 278 mg/dL. Which of the following actions should the nurse take?
a. Draw up the regular insulin and then the glargine insulin in the same syringe
b. draw up the glargline insulin then the regular insulin in the same syringe
