FINAL COACHING - MS 1
A client underwent total thyroidectomy. The nurse anticipates that the doctor will
prescribed a lifetime supply of
1. Levothyroxine
2. Propylthiouracil
3. Calcium
4. Methimazole
5. Iodine
A. 1 and 2
B. 1 and 3
C. 1 and 4
D. 1 and 5
E. 1 only - Answers -B. 1 and 3
A client with megaloblastic anemia and experiencing peripheral numbness and tingling
sensation will be given
A. Folic Acid
B. Cyanocobalamine
C. Ferrous sulphate
D. Erythropoietin
E. None of the above - Answers -B. Cyanocobalamine
A client with renal failure is receiving ferrous sulphate, erythropoietin and calcium
gluconate to
A. Treat anemia
B. Relieve fatigue
C. Supplement for loss
D. None of the above - Answers -C. Supplement for loss
Mr. James is a 56-year-old client with chronic renal failure. The nurse should recognize
that this client will be at particular risk for which condition?
A. Rapid development of drug toxicity
B. Development of allergic reaction to nephrotoxic drugs
C. Slow development of tolerance for drugs
D. Need for increased doses of prescribed drugs - Answers -A. Rapid development of
drug toxicity
,A client is receiving morphine for severe metastatic bone pain. To prevent complications
from a side effect of morphine, the nurse should:
A. Monitor for diarrhea
B. Wake the client every two hours
C. Observe for an opiate addiction
D. Assess for altered breathing patterns - Answers -D. Assess for altered breathing
patterns
A client with arthritis is taking ibuprofen, a non-steroidal anti-inflammatory drug, and
large doses of aspirin. The nurse, teaching about the symptoms of aspirin toxicity,
advises the client to notify the physician if the client develops:
A. Feelings of drowsiness
B. Intermittent constipation
C. Tinnitus
D. A metallic taste in the mouth - Answers -C. Tinnitus
A client with arthritis asks the nurse if acetaminophen can be substituted for the aspirin
that causes stomach irritation. The nurse's response should be based on the knowledge
that acetaminophen:
A. Lacks anticoagulant action
B. Lacks an anti-inflammatory action
C. Has the same action as aspirin
D. Has more severe side effects than aspirin - Answers -B. Lacks an anti-inflammatory
action
A client who has had a long leg cast applied is to be discharged. When discussing pain
management, the nurse should advise the client to take the prescribed prn Tylenol with
codeine:
A. Just as a last resort
B. When the discomfort begins
C. Before going to sleep
D. As the pain becomes intense - Answers -B. When the discomfort begins
A physician orders 1000 mL of IV solution be administered over 8 hours. If the IV
infusion set delivers 15 drops per mL, how many drops per minute should the nurse
administer to the patient?
A. 15 drops/min
B. 20 drops/min
C. 32 drops/min
D. 64 drops/min - Answers -C. 32 drops/min
,The nurse begins administering 500 mL of 5% dextrose and water solution at 01:00 to
run over 4 hours. At 02:00, the nurse administers 80 mg gentamicin in 50 cc normal
saline to infuse over 30 minutes. How many mL of fluid will the nurse administer to the
patient between 02:00 and 03:00?
A. 175 ml
B. 150 ml
C. 125 ml
D. 100 ml - Answers -A. 175 ml
The sterile nurse or sterile personnel touch only sterile supplies and instruments. When
there is a need for sterile supply which is not in the sterile field, who hands out these
items by opening its outer cover?
A. Circulating nurse
B. Anesthesiologist
C. Surgeon
D. Nursing aide - Answers -A. Circulating nurse
The OR team performs distinct roles for one surgical procedure to be accomplished
within a prescribed time frame and deliver a standard patient outcome. While the
surgeon performs the surgical procedure, who monitors the status of the client like urine
output, blood loss?
A. Scrub nurse
B. Surgeon
C. Anesthesiologist
D. Circulating nurse - Answers -C. Anesthesiologist
Surgery schedules are communicated to the OR usually a day prior to the procedure by
the nurse of the floor or ward where the patient is confined. For orthopedic cases, what
department is usually informed to be present in the OR?
A. Rehabilitation department
B. Laboratory department
C. Maintenance department
D. Radiology department - Answers -D. Radiology department
Troy is a one day post open reduction and internal fixation (ORIF) of the left hip and is
in pain. Which of the following observation would prompt you to call the doctor?
A. Dressing is intact but partially soiled
B. Left foot is cold to touch and pedal pulse is absent
C. Left leg in limited functional anatomic position
D. BP 114/78, pulse of 82 beats/minute - Answers -B. Left foot is cold to touch and
pedal pulse is absent
, There is an order of Demerol 50 mg I.M. now and every 6 hours p r n. You injected
Demerol at 5 pm. The next dose of Demerol 50 mg I.M. is given:
A. When the client asks for the next dose
B. When the patient is in severe pain
C. At 11pm
D. At 12pm - Answers -C. At 11pm
Which of the following should be given highest priority when receiving patient in the
OR?
A. Assess level of consciousness
B. Verify patient identification and informed consent
C. Assess vital signs
D. Check for jewelry, gown, manicure and dentures - Answers -B. Verify patient
identification and informed consent
Surgeries like I and D (incision and drainage) and debridement are relatively short
procedures but considered 'dirty cases'. When are these; procedures best scheduled?
A. Last case
B. In between cases
C. According to availability of anesthesiologist
D. According to the surgeon's preference - Answers -A. Last case
Another nursing check that should not be missed before the induction of general
anesthesia is:
A. Check for presence underwear
B. Check for presence dentures
C. Check patient's blood studies
D. Check baseline vital signs - Answers -D. Check baseline vital signs
Some different habits and hobbies affect postoperative respiratory function. If your client
smokes 3 packs of cigarettes a day for the past 10 years, you will anticipate increased
risk for:
A. Perioperative anxiety and stress
B. Delayed coagulation time
C. Delayed wound healing
D. Postoperative respiratory dysfunction - Answers -D. Postoperative respiratory
dysfunction
Which of the following role would be the responsibility of the scrub nurse?
A client underwent total thyroidectomy. The nurse anticipates that the doctor will
prescribed a lifetime supply of
1. Levothyroxine
2. Propylthiouracil
3. Calcium
4. Methimazole
5. Iodine
A. 1 and 2
B. 1 and 3
C. 1 and 4
D. 1 and 5
E. 1 only - Answers -B. 1 and 3
A client with megaloblastic anemia and experiencing peripheral numbness and tingling
sensation will be given
A. Folic Acid
B. Cyanocobalamine
C. Ferrous sulphate
D. Erythropoietin
E. None of the above - Answers -B. Cyanocobalamine
A client with renal failure is receiving ferrous sulphate, erythropoietin and calcium
gluconate to
A. Treat anemia
B. Relieve fatigue
C. Supplement for loss
D. None of the above - Answers -C. Supplement for loss
Mr. James is a 56-year-old client with chronic renal failure. The nurse should recognize
that this client will be at particular risk for which condition?
A. Rapid development of drug toxicity
B. Development of allergic reaction to nephrotoxic drugs
C. Slow development of tolerance for drugs
D. Need for increased doses of prescribed drugs - Answers -A. Rapid development of
drug toxicity
,A client is receiving morphine for severe metastatic bone pain. To prevent complications
from a side effect of morphine, the nurse should:
A. Monitor for diarrhea
B. Wake the client every two hours
C. Observe for an opiate addiction
D. Assess for altered breathing patterns - Answers -D. Assess for altered breathing
patterns
A client with arthritis is taking ibuprofen, a non-steroidal anti-inflammatory drug, and
large doses of aspirin. The nurse, teaching about the symptoms of aspirin toxicity,
advises the client to notify the physician if the client develops:
A. Feelings of drowsiness
B. Intermittent constipation
C. Tinnitus
D. A metallic taste in the mouth - Answers -C. Tinnitus
A client with arthritis asks the nurse if acetaminophen can be substituted for the aspirin
that causes stomach irritation. The nurse's response should be based on the knowledge
that acetaminophen:
A. Lacks anticoagulant action
B. Lacks an anti-inflammatory action
C. Has the same action as aspirin
D. Has more severe side effects than aspirin - Answers -B. Lacks an anti-inflammatory
action
A client who has had a long leg cast applied is to be discharged. When discussing pain
management, the nurse should advise the client to take the prescribed prn Tylenol with
codeine:
A. Just as a last resort
B. When the discomfort begins
C. Before going to sleep
D. As the pain becomes intense - Answers -B. When the discomfort begins
A physician orders 1000 mL of IV solution be administered over 8 hours. If the IV
infusion set delivers 15 drops per mL, how many drops per minute should the nurse
administer to the patient?
A. 15 drops/min
B. 20 drops/min
C. 32 drops/min
D. 64 drops/min - Answers -C. 32 drops/min
,The nurse begins administering 500 mL of 5% dextrose and water solution at 01:00 to
run over 4 hours. At 02:00, the nurse administers 80 mg gentamicin in 50 cc normal
saline to infuse over 30 minutes. How many mL of fluid will the nurse administer to the
patient between 02:00 and 03:00?
A. 175 ml
B. 150 ml
C. 125 ml
D. 100 ml - Answers -A. 175 ml
The sterile nurse or sterile personnel touch only sterile supplies and instruments. When
there is a need for sterile supply which is not in the sterile field, who hands out these
items by opening its outer cover?
A. Circulating nurse
B. Anesthesiologist
C. Surgeon
D. Nursing aide - Answers -A. Circulating nurse
The OR team performs distinct roles for one surgical procedure to be accomplished
within a prescribed time frame and deliver a standard patient outcome. While the
surgeon performs the surgical procedure, who monitors the status of the client like urine
output, blood loss?
A. Scrub nurse
B. Surgeon
C. Anesthesiologist
D. Circulating nurse - Answers -C. Anesthesiologist
Surgery schedules are communicated to the OR usually a day prior to the procedure by
the nurse of the floor or ward where the patient is confined. For orthopedic cases, what
department is usually informed to be present in the OR?
A. Rehabilitation department
B. Laboratory department
C. Maintenance department
D. Radiology department - Answers -D. Radiology department
Troy is a one day post open reduction and internal fixation (ORIF) of the left hip and is
in pain. Which of the following observation would prompt you to call the doctor?
A. Dressing is intact but partially soiled
B. Left foot is cold to touch and pedal pulse is absent
C. Left leg in limited functional anatomic position
D. BP 114/78, pulse of 82 beats/minute - Answers -B. Left foot is cold to touch and
pedal pulse is absent
, There is an order of Demerol 50 mg I.M. now and every 6 hours p r n. You injected
Demerol at 5 pm. The next dose of Demerol 50 mg I.M. is given:
A. When the client asks for the next dose
B. When the patient is in severe pain
C. At 11pm
D. At 12pm - Answers -C. At 11pm
Which of the following should be given highest priority when receiving patient in the
OR?
A. Assess level of consciousness
B. Verify patient identification and informed consent
C. Assess vital signs
D. Check for jewelry, gown, manicure and dentures - Answers -B. Verify patient
identification and informed consent
Surgeries like I and D (incision and drainage) and debridement are relatively short
procedures but considered 'dirty cases'. When are these; procedures best scheduled?
A. Last case
B. In between cases
C. According to availability of anesthesiologist
D. According to the surgeon's preference - Answers -A. Last case
Another nursing check that should not be missed before the induction of general
anesthesia is:
A. Check for presence underwear
B. Check for presence dentures
C. Check patient's blood studies
D. Check baseline vital signs - Answers -D. Check baseline vital signs
Some different habits and hobbies affect postoperative respiratory function. If your client
smokes 3 packs of cigarettes a day for the past 10 years, you will anticipate increased
risk for:
A. Perioperative anxiety and stress
B. Delayed coagulation time
C. Delayed wound healing
D. Postoperative respiratory dysfunction - Answers -D. Postoperative respiratory
dysfunction
Which of the following role would be the responsibility of the scrub nurse?
