MEDICAL SURGICAL NURSING REVISION
(QUESTIONS AND THEIR CORRECT
EXPECTED ANSWERS)
The surgical patient who is malnourished is at risk for
Poor wound healing and infection
What are the causes of shock during the
postoperative period? Select all that apply.
Dehydration without adequate replacement, Loss of blood,
effect of anesthesia
A patient with liver disease is scheduled for knee
surgery, The patient faces a postoperative risk for?
Risk for bleeding
A patient with diabetes is scheduled for surgery, The
patient is risk postoperatively for?
Infection
Pulmonary emboli usually originate from the thrombi
that develops in the veins of the?
Legs and Pelvis
Clean sutures incisions heal by?
First intention
Which medication should be withheld before surgery?
Select all that apply.
Aspirin, Ginger, Ginseng, Anticoagulants
Your patient is scheduled for tooth extraction, What
type of anesthesia would not be recommended?
General Anesthetics
,What measures are used to prevent thrombophlebitis
and related pulmonary emboli?
Anti- embolic stockings, Coughing and Deep Breathing,
Monitor vital signs, Early Ambulation
What type of surgery is done to remove a malignant
tumor obstruction the intestines even though cancer
is widespread in the body?
Palliative Surgery
What type of surgery is performed to remove diseased
tissue?
Ablative Surgery
All of the following are responses of the Sympathetic
nervous system except?
Constricted Pupils
Cold application for pain is contraindicated for
patients with peripheral vascular disease or heart
disease because it may cause further vasodilation of
blood vessels?
False
Heat should not be applied to certain body sites for
pain. Select all that apply.
Sites of decreased sensation, Sites of decreased
circulation, Malignancy
NASID's should be used cautiously for all of the
following patients., Select all that apply.
Patients with a history of CVA, Patients with a history of
MI, Patients with a history of CHF
Mr. Smith has an order for Fentanyl Transdermal
Patch, All of the following are true regarding the
application. Select all that apply.
,Apply to hairless areas, Apply to the Upper Torso, Apply
pressure for 30 seconds to assure adherence
The "S" in the "Sedation Scale" stands for?
Sleeping but easy to arouse when called or stimulated
Naloxone is recommended to reverse all of the
following medications. Select all that apply.
Morphine, Dilaudid
All of the following could potentially cause
hypovolemia shock, except?
Spinal injury
All of the following are stages of shock except?
Post Shock
Your patient is diagnosed with hip fracture, He was
taught by physical therapy to contract his thigh
muscles, hold for several seconds, relax briefly, and
contract again, This is described as?
Isometric Exercises
The best preventative measures to decrease the risk
of developing a pressure ulcer is?
Frequent position changes
You are assessing your patient's wound and you
notice bone, tendon, and muscle exposure, this is
described as?
Full Thickness Tissue Loss
Incentive spirometry is recommended post op surgery
to prevent?
Pneumonia
During surgery, your patient suffered a GI bleed and
required 2 units of PRBCs. This period is described as
Intraoperative Nursing Care
, All of the following will decrease the risk for post op
DVT except?
Incentive Spirometry
Diabetic medications should be held the morning of
surgery.
True
The most important immediate assessment after your
patient receives regional anesthesia is?
Assessing the Surgical site
All of the following patients are at risk for pneumonia
and atelectasis post op surgery.
Obese adults, Older adults, COPD patients
Cyanosis is an early sign of hypoxia.
False
During the post op period, Diabetics are at a higher
risk for?
Infection
You are assessing your patient's wound you notice
pinkish drainage, This is described as?
Serosanguineous
Your patient was diagnosed with atelectasis, how do
you expect the lungs to sound?
Decreased
You are teaching your patient how to utilize an
incentive spirometer, Which of the following is a true
statement?
Inhale as long as possible to suspend the ball
Which patient is at risk for Reye's syndrome?
A 3 year old patient taking aspirin who was recently
diagnosed with influenza
Which patient is at risk for Salicylism?
(QUESTIONS AND THEIR CORRECT
EXPECTED ANSWERS)
The surgical patient who is malnourished is at risk for
Poor wound healing and infection
What are the causes of shock during the
postoperative period? Select all that apply.
Dehydration without adequate replacement, Loss of blood,
effect of anesthesia
A patient with liver disease is scheduled for knee
surgery, The patient faces a postoperative risk for?
Risk for bleeding
A patient with diabetes is scheduled for surgery, The
patient is risk postoperatively for?
Infection
Pulmonary emboli usually originate from the thrombi
that develops in the veins of the?
Legs and Pelvis
Clean sutures incisions heal by?
First intention
Which medication should be withheld before surgery?
Select all that apply.
Aspirin, Ginger, Ginseng, Anticoagulants
Your patient is scheduled for tooth extraction, What
type of anesthesia would not be recommended?
General Anesthetics
,What measures are used to prevent thrombophlebitis
and related pulmonary emboli?
Anti- embolic stockings, Coughing and Deep Breathing,
Monitor vital signs, Early Ambulation
What type of surgery is done to remove a malignant
tumor obstruction the intestines even though cancer
is widespread in the body?
Palliative Surgery
What type of surgery is performed to remove diseased
tissue?
Ablative Surgery
All of the following are responses of the Sympathetic
nervous system except?
Constricted Pupils
Cold application for pain is contraindicated for
patients with peripheral vascular disease or heart
disease because it may cause further vasodilation of
blood vessels?
False
Heat should not be applied to certain body sites for
pain. Select all that apply.
Sites of decreased sensation, Sites of decreased
circulation, Malignancy
NASID's should be used cautiously for all of the
following patients., Select all that apply.
Patients with a history of CVA, Patients with a history of
MI, Patients with a history of CHF
Mr. Smith has an order for Fentanyl Transdermal
Patch, All of the following are true regarding the
application. Select all that apply.
,Apply to hairless areas, Apply to the Upper Torso, Apply
pressure for 30 seconds to assure adherence
The "S" in the "Sedation Scale" stands for?
Sleeping but easy to arouse when called or stimulated
Naloxone is recommended to reverse all of the
following medications. Select all that apply.
Morphine, Dilaudid
All of the following could potentially cause
hypovolemia shock, except?
Spinal injury
All of the following are stages of shock except?
Post Shock
Your patient is diagnosed with hip fracture, He was
taught by physical therapy to contract his thigh
muscles, hold for several seconds, relax briefly, and
contract again, This is described as?
Isometric Exercises
The best preventative measures to decrease the risk
of developing a pressure ulcer is?
Frequent position changes
You are assessing your patient's wound and you
notice bone, tendon, and muscle exposure, this is
described as?
Full Thickness Tissue Loss
Incentive spirometry is recommended post op surgery
to prevent?
Pneumonia
During surgery, your patient suffered a GI bleed and
required 2 units of PRBCs. This period is described as
Intraoperative Nursing Care
, All of the following will decrease the risk for post op
DVT except?
Incentive Spirometry
Diabetic medications should be held the morning of
surgery.
True
The most important immediate assessment after your
patient receives regional anesthesia is?
Assessing the Surgical site
All of the following patients are at risk for pneumonia
and atelectasis post op surgery.
Obese adults, Older adults, COPD patients
Cyanosis is an early sign of hypoxia.
False
During the post op period, Diabetics are at a higher
risk for?
Infection
You are assessing your patient's wound you notice
pinkish drainage, This is described as?
Serosanguineous
Your patient was diagnosed with atelectasis, how do
you expect the lungs to sound?
Decreased
You are teaching your patient how to utilize an
incentive spirometer, Which of the following is a true
statement?
Inhale as long as possible to suspend the ball
Which patient is at risk for Reye's syndrome?
A 3 year old patient taking aspirin who was recently
diagnosed with influenza
Which patient is at risk for Salicylism?
