NURS-842 EXAM|CARE OF SURGICAL PATIENT QUIZ WITH ANS
2025 A+
• Why .might .the .older .adult .patient .not .respond .to .surgical .treatment .as .well .as .a
.younger .adult .patient?
a. Poor .skin .turgor
b. Fear .of .the .unknown
c. Response .to .physiological .changes
d. Decreased .peristalsis .related .to .anesthesia
ANS: . C
Of .specific .concern .in .older .adults .is .the .body’s .response .to .temperature .changes,
.cardiovascular .shifts, .respiratory .needs, .and .renal .function. .Fear .of .the .unknown .and
.decreased .peristalsis .are .common .to .all .ages.
DIF: Cognitive .Level: .Application REF: . . Page .17 OBJ: . 5
TOP: . Older .adult .patients KEY: .Nursing .Process .Step:
.Planning .MSC: . NCLEX: .Physiological .Integrity
• The .postoperative .nursing .intervention .that .would .be .contraindicated .for .a .45-year-
old .patient .who .has .had .a .repair .of .a .cerebral .aneurysm .and .is .presenting .signs .of
.increased .intracranial .pressure .(ICP) .would .be:
a. coughing .every .2 .hours.
b. turning .every .2 .hours.
c. monitoring .intravenous .therapy .at .50 .ml/hr.
d. assessing .vital .signs .every .2 .hours.
ANS: . A
,Coughing .increases .ICP.
, DIF: Cognitive .Level: .Analysis REF: .Page .28, .Box .2-
6 .OBJ: . 12 TOP: . Postoperative .complications
KEY: .Nursing .Process .Step: .Implementation
.MSC: . NCLEX: .Physiological .Integrity
• The .nurse .acting .as .a .circulating .nurse .has .a .responsibility .for:
a. observing .for .breaks .in .sterile .technique.
b. identifying .and .handling .surgical .specimens .correctly.
c. assisting .with .surgical .draping .of .the .patient.
d. maintaining .count .of .sponges, .needles, .and .instruments .during .surgery.
ANS: . A
The .circulating .nurse .is .responsible .for .observing .breaks .in .sterile .technique. .The .scrub
.nurse .handles .the .surgical .specimens, .drapes .the .patient, .and .maintains .needle .and .sponge
.count .during .surgery, .then .does .a .final .sponge .and .needle .check .with .the .circulating .nurse
.before .closing.
DIF: Cognitive .Level: .Analysis REF: .Page .43, .Box .2-
7 .OBJ: . 11 TOP: . Duties .of .circulating .nurse
KEY: . Nursing .Process .Step: .Assessment MSC: . NCLEX: .Safe, .Effective .Care .Environment
• Which .statement .made .by .a .patient .during .a .preoperative .assessment .would .be .significant
.to .report .to .the .charge .nurse .and .surgeon?
a. “I .have .been .taking .an .herbal .product .of .feverfew .for .my .migraines.”
b. “I .exercise .for .3 .hours .a .day.”
, c. “I .drink .2 .glasses .of .wine .a .day.”
d. “I .use .atropine .eyedrops .every .day.”
ANS: . A
The .herbal .remedy .of .feverfew .acts .as .an .anticoagulant .and .increases .the .possibility .of
.hemorrhage. .The .drug .should .be .stopped .before .surgery, .and .bleeding .and .clotting .times
.should .be .evaluated.
DIF: Cognitive .Level: .Application REF: . Page .21, .Table .2-
3 .OBJ: . 14 TOP: . Preoperative .assessment
KEY: . Nursing .Process .Step: .Assessment MSC: . NCLEX: .Physiological .Integrity
• A .patient .is .on .postoperative .day .2 .after .a .nephrectomy. .What .is .the .most .effective .way
.to .increase .her .peristalsis?
a. Ambulation
b. An .enema
c. Encouraging .hot .liquids
d. Administering .a .laxative
ANS: . A
Encouraging .activity .(turning .every .2 .hours, .early .ambulation) .assists .GI .activity.
DIF: Cognitive .Level: .Comprehension REF: . . Page .50 OBJ: . 13
TOP: . Postoperative .complications KEY: .Nursing .Process .Step:
.Planning .MSC: . NCLEX: .Physiological .Integrity
• A .patient .is .transferred .from .the .operating .room .to .the .recovery .room .after .undergoing .an
2025 A+
• Why .might .the .older .adult .patient .not .respond .to .surgical .treatment .as .well .as .a
.younger .adult .patient?
a. Poor .skin .turgor
b. Fear .of .the .unknown
c. Response .to .physiological .changes
d. Decreased .peristalsis .related .to .anesthesia
ANS: . C
Of .specific .concern .in .older .adults .is .the .body’s .response .to .temperature .changes,
.cardiovascular .shifts, .respiratory .needs, .and .renal .function. .Fear .of .the .unknown .and
.decreased .peristalsis .are .common .to .all .ages.
DIF: Cognitive .Level: .Application REF: . . Page .17 OBJ: . 5
TOP: . Older .adult .patients KEY: .Nursing .Process .Step:
.Planning .MSC: . NCLEX: .Physiological .Integrity
• The .postoperative .nursing .intervention .that .would .be .contraindicated .for .a .45-year-
old .patient .who .has .had .a .repair .of .a .cerebral .aneurysm .and .is .presenting .signs .of
.increased .intracranial .pressure .(ICP) .would .be:
a. coughing .every .2 .hours.
b. turning .every .2 .hours.
c. monitoring .intravenous .therapy .at .50 .ml/hr.
d. assessing .vital .signs .every .2 .hours.
ANS: . A
,Coughing .increases .ICP.
, DIF: Cognitive .Level: .Analysis REF: .Page .28, .Box .2-
6 .OBJ: . 12 TOP: . Postoperative .complications
KEY: .Nursing .Process .Step: .Implementation
.MSC: . NCLEX: .Physiological .Integrity
• The .nurse .acting .as .a .circulating .nurse .has .a .responsibility .for:
a. observing .for .breaks .in .sterile .technique.
b. identifying .and .handling .surgical .specimens .correctly.
c. assisting .with .surgical .draping .of .the .patient.
d. maintaining .count .of .sponges, .needles, .and .instruments .during .surgery.
ANS: . A
The .circulating .nurse .is .responsible .for .observing .breaks .in .sterile .technique. .The .scrub
.nurse .handles .the .surgical .specimens, .drapes .the .patient, .and .maintains .needle .and .sponge
.count .during .surgery, .then .does .a .final .sponge .and .needle .check .with .the .circulating .nurse
.before .closing.
DIF: Cognitive .Level: .Analysis REF: .Page .43, .Box .2-
7 .OBJ: . 11 TOP: . Duties .of .circulating .nurse
KEY: . Nursing .Process .Step: .Assessment MSC: . NCLEX: .Safe, .Effective .Care .Environment
• Which .statement .made .by .a .patient .during .a .preoperative .assessment .would .be .significant
.to .report .to .the .charge .nurse .and .surgeon?
a. “I .have .been .taking .an .herbal .product .of .feverfew .for .my .migraines.”
b. “I .exercise .for .3 .hours .a .day.”
, c. “I .drink .2 .glasses .of .wine .a .day.”
d. “I .use .atropine .eyedrops .every .day.”
ANS: . A
The .herbal .remedy .of .feverfew .acts .as .an .anticoagulant .and .increases .the .possibility .of
.hemorrhage. .The .drug .should .be .stopped .before .surgery, .and .bleeding .and .clotting .times
.should .be .evaluated.
DIF: Cognitive .Level: .Application REF: . Page .21, .Table .2-
3 .OBJ: . 14 TOP: . Preoperative .assessment
KEY: . Nursing .Process .Step: .Assessment MSC: . NCLEX: .Physiological .Integrity
• A .patient .is .on .postoperative .day .2 .after .a .nephrectomy. .What .is .the .most .effective .way
.to .increase .her .peristalsis?
a. Ambulation
b. An .enema
c. Encouraging .hot .liquids
d. Administering .a .laxative
ANS: . A
Encouraging .activity .(turning .every .2 .hours, .early .ambulation) .assists .GI .activity.
DIF: Cognitive .Level: .Comprehension REF: . . Page .50 OBJ: . 13
TOP: . Postoperative .complications KEY: .Nursing .Process .Step:
.Planning .MSC: . NCLEX: .Physiological .Integrity
• A .patient .is .transferred .from .the .operating .room .to .the .recovery .room .after .undergoing .an
