Exam 1 Practice Questions: Adult 1
A nurse is caring for a client who has bradycardia following a
surgical procedure using spinal anesthesia. The nurse should plan
to administer which of the following medications to the client?
a. amiodarone
b. propranolol
✅✅-d. epinerphrine
c. methyldopa
d. epinephrine -
(epinephrine is a vasopressor which would increase the client's
heart rate and prevent cardiac arrest
A nurse is planning care for a client who is postoperative and has a
closed-wound drainage system in place. which of the following
interventions should the nurse plan include?
a. check the patency of the drain every 12 hours
b. clamp the drain while the client is ambulating
✅✅
c. cleanse the drain plug with alcohol after emptying
d. secure the drain to the client's bed sheet - -c. cleanse the
drain plug with alcohol after emptying
(after emptying the drain, the nurse should use one hand to
compress the top and bottom of the device together and the other
to cleanse the plug before placing it. Nurse should check amount,
color, and type of drainage at least every 8 hours)
A nurse is reviewing the medical record of a client who is
scheduled for an elective surgery. Which of the following
medications should the nurse expect the provider to discontinue
prior to surgery to minimize the risk of complications?
a. cefazolin
b. digoxin
c. ondansetron
,d. warfarin - ✅✅-d. warfarin
( the nurse should anticipate that they will discontinue warfarin
because it increases the risk of bleeding during and following
surgery. digoxin does not increase client's risk for surgical
complications)
a surgical nurse enters a surgical suite to ensure surgical asepsis
is maintained. which of the following requires intervention by the
nurse?
a. the scrub technologist is wearing a watch under his scrubs
b. the circulating nurse opens dressing packages before applying
sterile gloves
✅✅
c. the surgeon has her hands folded 2 inches above her waist
d. the holding area nurse is performing client educaiton - -a.
the scrub technologist is wearing a watch under his scrubs
(finger and wrist jewelry are likely contaminated with
microorganisms and bacteria)
A nurse is providing discharge instructions for a client who is
postoperative following abdominal surgery. Which of the following
client statements indicates an understanding of the teaching?
a. "I will have an increase in yellow-colored drainage from my
incision for 2 weeks"
b. "I will eat foods that are high in protein and vitamin C during my
recovery"
c. "I should avoid taking OTC pain medication if my pain is not
severe
✅✅
d. "I will remain on bed rest until my follow-up appointment with my
doctor - -b. "I will eat foods that are high in protein and
vitamin C during my recovery (which promotes wound healing)
,A nurse is caring for a client who is preoperative and is asking
multiple questions about the risks of the procedure. Which of the
following actions should the nurse take?
a. explain the risks and benefits of the surgery to the client
b. Ask the surgeon to speak to the client for verification
c. reassure the client that the procedure is necessary for recovery
✅✅
d. notify the circulating nurse that the client has questions about
the procedure - -b. ask the surgeon to speak to the client for
clarification
(It is the responsibility of the surgeon to explain the risks and
benefits of the surgery.)
A nurse is assessing a client who is 2 days postop following a total
prostatectomy. The nurse notes that the client's right calf is red,
edematous, and warm to the touch. Which of the following actions
should the nurse take?
a. apply an ice pack to the client's right calf
b. elevate the client's right extremity
✅✅
c. administer testosterone to the client
d. gently massage the client's right calf - -b. elevate the
client's right extremity (These findings suggest the client has
deep-vein thrombosis. The nurse should keep the client's right
extremity elevated to promote venous return.)
A nurse is caring for a client who has a surgical wound with a
Penrose drain in place. Which of the following interventions should
the nurse plan to perform?
a. cut a slit in a 4-inch gauze pad to place around the drain
b. use sterile technique when performing dressing changes
✅✅
c. establish a clamping schedule prior to removal
d. apply negative pressure when emptying the drain - -b. use
the sterile technique when performing dressing changes
, (The nurse should change the Penrose drain dressing using the
surgical aseptic technique. A drain sponge should be used around
a Penrose drain. A gauze pad should never be cut and used around
a drain due to the risk of dressing fibers becoming embedded in
the wound. Establish a clamping schedule prior to removal.
Clamping a Penrose drain can lead to infection. A Penrose drain is
an open system and drains by gravity.)
A nurse is assessing the client's recovery from spinal anesthesia.
Which of the following sensations should the nurse expect to
return to the client first?
a. pain
b. cold
✅✅-c. touch
c. touch
d. warmth -
(first touch, then pain, then warmth, then cold)
A nurse is caring for a client who is 12 hour postop from a
gastrectomy and has an NG tube set to continuous low suction.
Which of the following findings requires intervention by the nurse?
a. gastric distention
b. absent bowel sounds
✅✅
c. urine output of 150 mL over the last 4 hours
d. yellow drainage in the NG tube - -a. gastric distention
(Gastric distention is an indication that the NG tube is not patent.
The nurse should check the tubing for kinks, blockages, and loose
connections. The nurse should also reposition the client to
facilitate drainage. The nurse should avoid removing or irrigating
the tube unless directed to do so by the surgeon.)
A nurse is providing teaching for a client who is scheduled to
undergo moderate sedation for a bronchoscopy. The nurse should
A nurse is caring for a client who has bradycardia following a
surgical procedure using spinal anesthesia. The nurse should plan
to administer which of the following medications to the client?
a. amiodarone
b. propranolol
✅✅-d. epinerphrine
c. methyldopa
d. epinephrine -
(epinephrine is a vasopressor which would increase the client's
heart rate and prevent cardiac arrest
A nurse is planning care for a client who is postoperative and has a
closed-wound drainage system in place. which of the following
interventions should the nurse plan include?
a. check the patency of the drain every 12 hours
b. clamp the drain while the client is ambulating
✅✅
c. cleanse the drain plug with alcohol after emptying
d. secure the drain to the client's bed sheet - -c. cleanse the
drain plug with alcohol after emptying
(after emptying the drain, the nurse should use one hand to
compress the top and bottom of the device together and the other
to cleanse the plug before placing it. Nurse should check amount,
color, and type of drainage at least every 8 hours)
A nurse is reviewing the medical record of a client who is
scheduled for an elective surgery. Which of the following
medications should the nurse expect the provider to discontinue
prior to surgery to minimize the risk of complications?
a. cefazolin
b. digoxin
c. ondansetron
,d. warfarin - ✅✅-d. warfarin
( the nurse should anticipate that they will discontinue warfarin
because it increases the risk of bleeding during and following
surgery. digoxin does not increase client's risk for surgical
complications)
a surgical nurse enters a surgical suite to ensure surgical asepsis
is maintained. which of the following requires intervention by the
nurse?
a. the scrub technologist is wearing a watch under his scrubs
b. the circulating nurse opens dressing packages before applying
sterile gloves
✅✅
c. the surgeon has her hands folded 2 inches above her waist
d. the holding area nurse is performing client educaiton - -a.
the scrub technologist is wearing a watch under his scrubs
(finger and wrist jewelry are likely contaminated with
microorganisms and bacteria)
A nurse is providing discharge instructions for a client who is
postoperative following abdominal surgery. Which of the following
client statements indicates an understanding of the teaching?
a. "I will have an increase in yellow-colored drainage from my
incision for 2 weeks"
b. "I will eat foods that are high in protein and vitamin C during my
recovery"
c. "I should avoid taking OTC pain medication if my pain is not
severe
✅✅
d. "I will remain on bed rest until my follow-up appointment with my
doctor - -b. "I will eat foods that are high in protein and
vitamin C during my recovery (which promotes wound healing)
,A nurse is caring for a client who is preoperative and is asking
multiple questions about the risks of the procedure. Which of the
following actions should the nurse take?
a. explain the risks and benefits of the surgery to the client
b. Ask the surgeon to speak to the client for verification
c. reassure the client that the procedure is necessary for recovery
✅✅
d. notify the circulating nurse that the client has questions about
the procedure - -b. ask the surgeon to speak to the client for
clarification
(It is the responsibility of the surgeon to explain the risks and
benefits of the surgery.)
A nurse is assessing a client who is 2 days postop following a total
prostatectomy. The nurse notes that the client's right calf is red,
edematous, and warm to the touch. Which of the following actions
should the nurse take?
a. apply an ice pack to the client's right calf
b. elevate the client's right extremity
✅✅
c. administer testosterone to the client
d. gently massage the client's right calf - -b. elevate the
client's right extremity (These findings suggest the client has
deep-vein thrombosis. The nurse should keep the client's right
extremity elevated to promote venous return.)
A nurse is caring for a client who has a surgical wound with a
Penrose drain in place. Which of the following interventions should
the nurse plan to perform?
a. cut a slit in a 4-inch gauze pad to place around the drain
b. use sterile technique when performing dressing changes
✅✅
c. establish a clamping schedule prior to removal
d. apply negative pressure when emptying the drain - -b. use
the sterile technique when performing dressing changes
, (The nurse should change the Penrose drain dressing using the
surgical aseptic technique. A drain sponge should be used around
a Penrose drain. A gauze pad should never be cut and used around
a drain due to the risk of dressing fibers becoming embedded in
the wound. Establish a clamping schedule prior to removal.
Clamping a Penrose drain can lead to infection. A Penrose drain is
an open system and drains by gravity.)
A nurse is assessing the client's recovery from spinal anesthesia.
Which of the following sensations should the nurse expect to
return to the client first?
a. pain
b. cold
✅✅-c. touch
c. touch
d. warmth -
(first touch, then pain, then warmth, then cold)
A nurse is caring for a client who is 12 hour postop from a
gastrectomy and has an NG tube set to continuous low suction.
Which of the following findings requires intervention by the nurse?
a. gastric distention
b. absent bowel sounds
✅✅
c. urine output of 150 mL over the last 4 hours
d. yellow drainage in the NG tube - -a. gastric distention
(Gastric distention is an indication that the NG tube is not patent.
The nurse should check the tubing for kinks, blockages, and loose
connections. The nurse should also reposition the client to
facilitate drainage. The nurse should avoid removing or irrigating
the tube unless directed to do so by the surgeon.)
A nurse is providing teaching for a client who is scheduled to
undergo moderate sedation for a bronchoscopy. The nurse should
