PREBOARDS NP3 exam questions with |\ |\ |\ |\ |\
answers
1. When Nurse Jane is admitting a client for surgery, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
question is most useful in determining the client's current
|\ |\ |\ |\ |\ |\ |\ |\ |\
nutritional status? |\
A. "How is your appetite usually?"
|\ |\ |\ |\ |\
B. "What did you eat and drink yesterday?"
|\ |\ |\ |\ |\ |\ |\
C. "Have you noticed any weight loss recently?"
|\ |\ |\ |\ |\ |\ |\
D. "Who does most of your shopping and cooking?" - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔B. "What did you eat and drink yesterday?"
|\ |\ |\ |\ |\ |\ |\ |\
2. A client complains of severe pain 2 days after surgery. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
initial action should Nurse Jane take after assessing the character
|\ |\ |\ |\ |\ |\ |\ |\ |\
of the pain?
|\ |\ |\
A. have the client rest
|\ |\ |\ |\
B. take the client's vital signs
|\ |\ |\ |\ |\
C. administer the prn analgesic
|\ |\ |\ |\
D. document the client's complaint - CORRECT ANSWERS ✔✔B.
|\ |\ |\ |\ |\ |\ |\ |\ |\
take the client's vital signs
|\ |\ |\ |\
,3. A client who is scheduled for a Billroth II procedure asks the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse to explain what will be done during the surgery. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
response should the nurse make? |\ |\ |\ |\
A. "The surgeon will explain the procedure to you since the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
doctor is responsible for obtaining consent."
|\ |\ |\ |\ |\
B. "Your stomach is completely removed and the esophagus is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
connected to the small intestine." |\ |\ |\ |\
C. "The bottom part of the stomach is removed and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
remainder is attached to the small intestine." |\ |\ |\ |\ |\ |\
D. "The nerves that go to your stomach are cut and a larger
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opening is made for stomach emptying." - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔C. "The bottom part of the stomach is removed and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
remainder is attached to the small intestine." |\ |\ |\ |\ |\ |\
4. On the first postoperative day after an open Billroth II
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure a client develops hiccups, 6 on a scale of 10 epigastric
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain, and a drop in blood pressure. The nurse's initial actions
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be to: |\ |\
A. assess the amount of drainage from the nasogastric (NG) tube.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. notify the client's physician.
|\ |\ |\ |\
C. assess the abdominal dressing.
|\ |\ |\ |\
D. administer the ordered Morphine Sulfate 4 mg IV. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A. assess the amount of drainage from the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nasogastric (NG) tube. |\ |\
,5. As a Surgical Nurse management of Peri-operative clients
|\ |\ |\ |\ |\ |\ |\ |\ |\
demand the use of knowledge, judgement and skills based on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
principles of surgical nursing practice. Which information
|\ |\ |\ |\ |\ |\ |\ |\
obtained in the postoperative assessment of a 32-year-old client
|\ |\ |\ |\ |\ |\ |\ |\ |\
with Peritonitis will be of most concern to the nurse?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Bowel sounds are decreased in all four quadrants.
|\ |\ |\ |\ |\ |\ |\ |\
B. Drainage from wound drains is purulent.
|\ |\ |\ |\ |\ |\
C. Oxygen saturation is 90%.
|\ |\ |\ |\
D. Pain level is 6 on a scale of 10. - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Oxygen saturation is 90%. |\ |\ |\
Situation: The postoperative care continues after the patient's
|\ |\ |\ |\ |\ |\ |\ |\
condition stabilized as well as after the patient is discharged from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery facility. It is necessary for recovery room nurses to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
continue evaluating the patient's condition to anticipate and treat
|\ |\ |\ |\ |\ |\ |\ |\
complications.
|\
6. On the first postoperative day after an abdomino-perineal
|\ |\ |\ |\ |\ |\ |\ |\ |\
resection, the surgical nurse notes that there is a large quantity
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of serous drainage on the client's perineal dressing. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
will:
A. reinforce or change the dressing.
|\ |\ |\ |\ |\
B. notify the physician immediately.
|\ |\ |\ |\
C. irrigate the wound drain.
|\ |\ |\ |\
D. culture the drainage. - CORRECT ANSWERS ✔✔A. reinforce or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
change the dressing. |\ |\
, 7. When developing the postoperative plan of care for a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who has had a Cystectomy and creation of a neobladder, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action is appropriate to include?
|\ |\ |\ |\
A. Assess the stoma every hour for the first 24 hours after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery.
B. Call the surgeon if the urine appears cloudy or has clots.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. Change the ostomy bag when it is one-half full of urine. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔C. Irrigate the urethral catheter with |\ |\ |\ |\ |\ |\ |\ |\
saline every 2 to 4 hours. |\ |\ |\ |\ |\
8. Which information about a client on the first postoperative day
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after a total vaginal hysterectomy is most important to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communicate to the physician? |\ |\ |\
A. The client has hypotonic bowel sounds.
|\ |\ |\ |\ |\ |\
B. The client complains of incisional pain with coughing rated at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
8 on a scale of 10.
|\ |\ |\ |\ |\
C. The client's sanitary pad needs to be changed every hour.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. The client's temperature is 100.3 degrees F. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔C. The client's sanitary pad needs to be changed |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
every hour. |\
9. Mrs. Cambay 47 year old is being admitted for elective
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery. The client has a history of diabetes and hypertension.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She uses alternative therapies to assist in keeping her diabetes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
answers
1. When Nurse Jane is admitting a client for surgery, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
question is most useful in determining the client's current
|\ |\ |\ |\ |\ |\ |\ |\ |\
nutritional status? |\
A. "How is your appetite usually?"
|\ |\ |\ |\ |\
B. "What did you eat and drink yesterday?"
|\ |\ |\ |\ |\ |\ |\
C. "Have you noticed any weight loss recently?"
|\ |\ |\ |\ |\ |\ |\
D. "Who does most of your shopping and cooking?" - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔B. "What did you eat and drink yesterday?"
|\ |\ |\ |\ |\ |\ |\ |\
2. A client complains of severe pain 2 days after surgery. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
initial action should Nurse Jane take after assessing the character
|\ |\ |\ |\ |\ |\ |\ |\ |\
of the pain?
|\ |\ |\
A. have the client rest
|\ |\ |\ |\
B. take the client's vital signs
|\ |\ |\ |\ |\
C. administer the prn analgesic
|\ |\ |\ |\
D. document the client's complaint - CORRECT ANSWERS ✔✔B.
|\ |\ |\ |\ |\ |\ |\ |\ |\
take the client's vital signs
|\ |\ |\ |\
,3. A client who is scheduled for a Billroth II procedure asks the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse to explain what will be done during the surgery. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
response should the nurse make? |\ |\ |\ |\
A. "The surgeon will explain the procedure to you since the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
doctor is responsible for obtaining consent."
|\ |\ |\ |\ |\
B. "Your stomach is completely removed and the esophagus is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
connected to the small intestine." |\ |\ |\ |\
C. "The bottom part of the stomach is removed and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
remainder is attached to the small intestine." |\ |\ |\ |\ |\ |\
D. "The nerves that go to your stomach are cut and a larger
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opening is made for stomach emptying." - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔C. "The bottom part of the stomach is removed and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
remainder is attached to the small intestine." |\ |\ |\ |\ |\ |\
4. On the first postoperative day after an open Billroth II
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure a client develops hiccups, 6 on a scale of 10 epigastric
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain, and a drop in blood pressure. The nurse's initial actions
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be to: |\ |\
A. assess the amount of drainage from the nasogastric (NG) tube.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. notify the client's physician.
|\ |\ |\ |\
C. assess the abdominal dressing.
|\ |\ |\ |\
D. administer the ordered Morphine Sulfate 4 mg IV. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A. assess the amount of drainage from the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nasogastric (NG) tube. |\ |\
,5. As a Surgical Nurse management of Peri-operative clients
|\ |\ |\ |\ |\ |\ |\ |\ |\
demand the use of knowledge, judgement and skills based on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
principles of surgical nursing practice. Which information
|\ |\ |\ |\ |\ |\ |\ |\
obtained in the postoperative assessment of a 32-year-old client
|\ |\ |\ |\ |\ |\ |\ |\ |\
with Peritonitis will be of most concern to the nurse?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Bowel sounds are decreased in all four quadrants.
|\ |\ |\ |\ |\ |\ |\ |\
B. Drainage from wound drains is purulent.
|\ |\ |\ |\ |\ |\
C. Oxygen saturation is 90%.
|\ |\ |\ |\
D. Pain level is 6 on a scale of 10. - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Oxygen saturation is 90%. |\ |\ |\
Situation: The postoperative care continues after the patient's
|\ |\ |\ |\ |\ |\ |\ |\
condition stabilized as well as after the patient is discharged from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery facility. It is necessary for recovery room nurses to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
continue evaluating the patient's condition to anticipate and treat
|\ |\ |\ |\ |\ |\ |\ |\
complications.
|\
6. On the first postoperative day after an abdomino-perineal
|\ |\ |\ |\ |\ |\ |\ |\ |\
resection, the surgical nurse notes that there is a large quantity
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of serous drainage on the client's perineal dressing. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
will:
A. reinforce or change the dressing.
|\ |\ |\ |\ |\
B. notify the physician immediately.
|\ |\ |\ |\
C. irrigate the wound drain.
|\ |\ |\ |\
D. culture the drainage. - CORRECT ANSWERS ✔✔A. reinforce or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
change the dressing. |\ |\
, 7. When developing the postoperative plan of care for a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who has had a Cystectomy and creation of a neobladder, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action is appropriate to include?
|\ |\ |\ |\
A. Assess the stoma every hour for the first 24 hours after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery.
B. Call the surgeon if the urine appears cloudy or has clots.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. Change the ostomy bag when it is one-half full of urine. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔C. Irrigate the urethral catheter with |\ |\ |\ |\ |\ |\ |\ |\
saline every 2 to 4 hours. |\ |\ |\ |\ |\
8. Which information about a client on the first postoperative day
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after a total vaginal hysterectomy is most important to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communicate to the physician? |\ |\ |\
A. The client has hypotonic bowel sounds.
|\ |\ |\ |\ |\ |\
B. The client complains of incisional pain with coughing rated at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
8 on a scale of 10.
|\ |\ |\ |\ |\
C. The client's sanitary pad needs to be changed every hour.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. The client's temperature is 100.3 degrees F. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔C. The client's sanitary pad needs to be changed |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
every hour. |\
9. Mrs. Cambay 47 year old is being admitted for elective
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery. The client has a history of diabetes and hypertension.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She uses alternative therapies to assist in keeping her diabetes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
