NUR 116 W13 ASSIGNMENTS EXAM ACTUAL QUESTIONS AND ANSWERS
The nurse is receiving a change of shift report on a client who has a terminal illness and has exhibited a
slow and progressive decline in the health status over the past several days. Which data supports the
client's impending death? Select all that apply.
A regular apical pulse of 90 beats/minute
Cyanotic nail beds in hands and feet bilaterally
Distended abdomen with last bowel movement documented 7 days ago
Gurgling sounds emanating from the client's throat with each breath
Systolic blood pressure which rose from 100 to 110 mm Hg - CORRECT ANSWER✅✅Cyanotic nail beds
in hands and feet bilaterally
Distended abdomen with last bowel movement documented 7 days ago
Gurgling sounds emanating from the client's throat with each breath
Which of the following preoperative medications is a highly selective alpha 2-adrenergic receptor
agonist that is helpful in reducing anesthesia requirements?
Midazolam
Alfentanil
Dexmedetomidine
Spironolactone - CORRECT ANSWER✅✅Dexmedetomidine
Which of the following assessments are performed frequently during the first hour after surgery which
specifically involves spinal anesthesia?
Level of consciousness
Neurologic checks
Intake and output
Body temperature - CORRECT ANSWER✅✅Neurologic checks
, TF Evidence-based guidelines for the management of acute surgical pain are based on the principle that
"the pain reported by the patient is the determining factor of pain control." - CORRECT
ANSWER✅✅True
TF Nurses should provide preoperative teaching to patients as far in advance of the procedure as
possible. - CORRECT ANSWER✅✅False
Administering anesthesia via an epidural is considered which of the following?
Moderate analgesia
Local anesthesia
Regional anesthesia
General anesthesia - CORRECT ANSWER✅✅Regional anesthesia
TF A tonsillectomy is an example of a surgical procedure classified as urgent. - CORRECT
ANSWER✅✅False
Which of the following postsurgical activities is encouraged to decrease the risk of thrombophlebitis or
emboli?
Leg exercises
Turning in bed
Coughing
Incentive spirometry - CORRECT ANSWER✅✅Leg exercises
TF Final verification of the patient's identity, the procedure, and the correct surgical site is referred to as
the time-out, and is completed by the RN, the surgeon, the OR technician, and the anesthesia provider. -
CORRECT ANSWER✅✅True
Which of the following medication categories may lead to cardiovascular collapse during surgery when
taken long term?
The nurse is receiving a change of shift report on a client who has a terminal illness and has exhibited a
slow and progressive decline in the health status over the past several days. Which data supports the
client's impending death? Select all that apply.
A regular apical pulse of 90 beats/minute
Cyanotic nail beds in hands and feet bilaterally
Distended abdomen with last bowel movement documented 7 days ago
Gurgling sounds emanating from the client's throat with each breath
Systolic blood pressure which rose from 100 to 110 mm Hg - CORRECT ANSWER✅✅Cyanotic nail beds
in hands and feet bilaterally
Distended abdomen with last bowel movement documented 7 days ago
Gurgling sounds emanating from the client's throat with each breath
Which of the following preoperative medications is a highly selective alpha 2-adrenergic receptor
agonist that is helpful in reducing anesthesia requirements?
Midazolam
Alfentanil
Dexmedetomidine
Spironolactone - CORRECT ANSWER✅✅Dexmedetomidine
Which of the following assessments are performed frequently during the first hour after surgery which
specifically involves spinal anesthesia?
Level of consciousness
Neurologic checks
Intake and output
Body temperature - CORRECT ANSWER✅✅Neurologic checks
, TF Evidence-based guidelines for the management of acute surgical pain are based on the principle that
"the pain reported by the patient is the determining factor of pain control." - CORRECT
ANSWER✅✅True
TF Nurses should provide preoperative teaching to patients as far in advance of the procedure as
possible. - CORRECT ANSWER✅✅False
Administering anesthesia via an epidural is considered which of the following?
Moderate analgesia
Local anesthesia
Regional anesthesia
General anesthesia - CORRECT ANSWER✅✅Regional anesthesia
TF A tonsillectomy is an example of a surgical procedure classified as urgent. - CORRECT
ANSWER✅✅False
Which of the following postsurgical activities is encouraged to decrease the risk of thrombophlebitis or
emboli?
Leg exercises
Turning in bed
Coughing
Incentive spirometry - CORRECT ANSWER✅✅Leg exercises
TF Final verification of the patient's identity, the procedure, and the correct surgical site is referred to as
the time-out, and is completed by the RN, the surgeon, the OR technician, and the anesthesia provider. -
CORRECT ANSWER✅✅True
Which of the following medication categories may lead to cardiovascular collapse during surgery when
taken long term?
