PNVN 1631 Module 9 Exam/ 100 Qs with
Certified Solutions.
A nurse administers scopolamine as prescribed to a client in preparation for surgery. For which
side effect of this medication does the nurse monitor the client? - Answer: Complaints of dry
mouth
A nurse is preparing a client for transfer to the operating room. Which action should the take in
the care of this client at this time? - Answer: Ensuring that the client has voided
A nurse receives a telephone call from a nurse on the post-anesthesia care unit, who reports
that a client is being transferred to the surgical unit. What should the nurse plan to do first on
arrival of the client? - Answer: Assess the patency of the airway
A client without a history of respiratory disease has a pulse oximeter in place after surgery. The
nurse monitors the pulse oximeter readings to ensure that oxygen saturation remains above
which value? - Answer: 95%
Page 1 of 16
,A client who underwent preadmission testing 1 week before surgery had blood drawn for
several serum laboratory studies. Which abnormal laboratory results should the nurse report to
the surgeon's office? Select all that apply. - Answer: Hematocrit 30%
Hemoglobin 8.9 g/dL
A client has been scheduled for magnetic resonance imaging (MRI). For which of the following
conditions, a contraindication to MRI, does the nurse check the client's medical history? -
Answer: Pacemaker insertion
A client has just undergone lumbar puncture. Into which position does the nurse assist the
client after the procedure? - Answer: Flat
A client has just returned to the nursing unit after computerized tomography (CT) with contrast
medium. Which action should the nurse expect to see included as part of after-care for this
client? - Answer: Encouraging fluid intake
A client reports for a scheduled electroencephalogram (EEG). Which statement by the client
indicates a need for additional preparation for the test? - Answer: "I didn't shampoo my hair."
Blood is drawn from a client with suspected uric acid calculi for a serum uric acid determination.
Which value does the nurse recognize as a normal uric acid level? - Answer: 5.8 mg/dL
A nurse is providing post-procedure instructions to a client returning home after arthroscopy of
the shoulder. The nurse should provide which client teaching? - Answer: To report to the health
care provider the development of fever or redness and heat at the site
Page 2 of 16
, A client is tested for the presence of the human immunodeficiency virus (HIV) with the use of an
enzyme-linked immunosorbent assay (ELISA), and the test result is positive. The nurse should
provide the client with which information? - Answer: The test will need to be confirmed with
the use of a Western blot.
For which vitamin deficiency should the nurse monitor the client
A client who has undergone abdominal surgery calls the nurse and reports that she just felt
"something give way" in the abdominal incision. The nurse checks the incision and notes the
presence of wound dehiscence. The nurse immediately takes which action? - Answer: Covers
the abdominal wound with a sterile dressing moistened with sterile saline solution
A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is
restless and her pulse rate is increased. As the nurse continues the assessment, the client begins
to vomit a copious amount of bright-red blood. Which is the immediate nursing action? -
Answer: Notify the surgeon
A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and
tachypnea. The nurse suspects that the client has a pulmonary embolism and immediately takes
which action? - Answer: Administering oxygen by way of nasal cannula
A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes
constant bubbling in the water seal chamber. What actions should the nurse take? Select all that
apply. - Answer: Assessing the system for an external air leak
Documenting assessment findings, actions taken, and client response
A nurse is helping a client with a closed chest tube drainage system get out of bed and into a
chair. During the transfer, the chest tube is caught on the leg of the chair and dislodged from the
Page 3 of 16
Certified Solutions.
A nurse administers scopolamine as prescribed to a client in preparation for surgery. For which
side effect of this medication does the nurse monitor the client? - Answer: Complaints of dry
mouth
A nurse is preparing a client for transfer to the operating room. Which action should the take in
the care of this client at this time? - Answer: Ensuring that the client has voided
A nurse receives a telephone call from a nurse on the post-anesthesia care unit, who reports
that a client is being transferred to the surgical unit. What should the nurse plan to do first on
arrival of the client? - Answer: Assess the patency of the airway
A client without a history of respiratory disease has a pulse oximeter in place after surgery. The
nurse monitors the pulse oximeter readings to ensure that oxygen saturation remains above
which value? - Answer: 95%
Page 1 of 16
,A client who underwent preadmission testing 1 week before surgery had blood drawn for
several serum laboratory studies. Which abnormal laboratory results should the nurse report to
the surgeon's office? Select all that apply. - Answer: Hematocrit 30%
Hemoglobin 8.9 g/dL
A client has been scheduled for magnetic resonance imaging (MRI). For which of the following
conditions, a contraindication to MRI, does the nurse check the client's medical history? -
Answer: Pacemaker insertion
A client has just undergone lumbar puncture. Into which position does the nurse assist the
client after the procedure? - Answer: Flat
A client has just returned to the nursing unit after computerized tomography (CT) with contrast
medium. Which action should the nurse expect to see included as part of after-care for this
client? - Answer: Encouraging fluid intake
A client reports for a scheduled electroencephalogram (EEG). Which statement by the client
indicates a need for additional preparation for the test? - Answer: "I didn't shampoo my hair."
Blood is drawn from a client with suspected uric acid calculi for a serum uric acid determination.
Which value does the nurse recognize as a normal uric acid level? - Answer: 5.8 mg/dL
A nurse is providing post-procedure instructions to a client returning home after arthroscopy of
the shoulder. The nurse should provide which client teaching? - Answer: To report to the health
care provider the development of fever or redness and heat at the site
Page 2 of 16
, A client is tested for the presence of the human immunodeficiency virus (HIV) with the use of an
enzyme-linked immunosorbent assay (ELISA), and the test result is positive. The nurse should
provide the client with which information? - Answer: The test will need to be confirmed with
the use of a Western blot.
For which vitamin deficiency should the nurse monitor the client
A client who has undergone abdominal surgery calls the nurse and reports that she just felt
"something give way" in the abdominal incision. The nurse checks the incision and notes the
presence of wound dehiscence. The nurse immediately takes which action? - Answer: Covers
the abdominal wound with a sterile dressing moistened with sterile saline solution
A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is
restless and her pulse rate is increased. As the nurse continues the assessment, the client begins
to vomit a copious amount of bright-red blood. Which is the immediate nursing action? -
Answer: Notify the surgeon
A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and
tachypnea. The nurse suspects that the client has a pulmonary embolism and immediately takes
which action? - Answer: Administering oxygen by way of nasal cannula
A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes
constant bubbling in the water seal chamber. What actions should the nurse take? Select all that
apply. - Answer: Assessing the system for an external air leak
Documenting assessment findings, actions taken, and client response
A nurse is helping a client with a closed chest tube drainage system get out of bed and into a
chair. During the transfer, the chest tube is caught on the leg of the chair and dislodged from the
Page 3 of 16
