Nursing II Exam 2 Questions With Complete Solutions
A 51-year-old woman with a diagnosis of breast cancer has been
scheduled for a unilateral mastectomy during which biopsies of
her axillary lymph nodes will be taken. Which categorizations of
surgical procedures are represented in this client's case? Select
all that apply. Correct Answer • Diagnostic
• Ablative
A client had an open cholecystectomy (gall bladder removal) 36
hours earlier, and the nurse's assessment this morning confirms
that the client has not yet had a bowel movement since prior to
surgery. How should the nurse best respond to this assessment
finding? Correct Answer Monitor the client closely and
promote fluid intake.
A client had an open cholecystectomy (gall bladder removal) 36
hours earlier, and the nurse's assessment this morning confirms
that the client has not yet had a bowel movement since prior to
surgery. How should the nurse best respond to this assessment
finding? Correct Answer Monitor the client closely and
promote fluid intake.
A client has arrived to the postanesthesia care unit (PACU) and
is drowsy with a respiratory rate of 12 breaths per minute.
Which of the following would be an accurate interpretation by
the nurse? Correct Answer This is an expected finding in the
immediate postoperative period.
A client has presented to a clinic for a preoperative consult,
during which the client has expressed concern about having to
, fast before surgery. Current recommendations for preoperative
fasting include: Correct Answer allowing clear liquids up to 2
hours before surgery.
A client is going to surgery, and the nurse is having the client
sign his informed consent. Which client would be appropriate to
sign the informed consent for surgery? Correct Answer a 70-
year-old hypertensive client having a colonoscopy
A female client age 54 years has been scheduled for a
bunionectomy (removal of bone tissue from the base of the great
toe) which will be conducted on an ambulatory basis. Which
characteristic applies to this type of surgery? Correct Answer
The client will be admitted the day of surgery and return home
the same day.
A nurse administers anticholinergics to a patient as a
postoperative medication. What condition does this medication
help to prevent? Correct Answer Laryngospasm
A nurse caring for patients in a PACU assesses a patient who is
displaying signs and symptoms of shock. What is the priority
nursing intervention for this patient? Correct Answer Place
the patient in a flat position with legs elevated 45 degrees.
A nurse from the ambulatory surgical center is preparing
discharge instructions for a client who has had pelvic surgery.
Which criterion would the client need to demonstrate to ensure
that she is ready for discharge? Correct Answer Void
normally
A 51-year-old woman with a diagnosis of breast cancer has been
scheduled for a unilateral mastectomy during which biopsies of
her axillary lymph nodes will be taken. Which categorizations of
surgical procedures are represented in this client's case? Select
all that apply. Correct Answer • Diagnostic
• Ablative
A client had an open cholecystectomy (gall bladder removal) 36
hours earlier, and the nurse's assessment this morning confirms
that the client has not yet had a bowel movement since prior to
surgery. How should the nurse best respond to this assessment
finding? Correct Answer Monitor the client closely and
promote fluid intake.
A client had an open cholecystectomy (gall bladder removal) 36
hours earlier, and the nurse's assessment this morning confirms
that the client has not yet had a bowel movement since prior to
surgery. How should the nurse best respond to this assessment
finding? Correct Answer Monitor the client closely and
promote fluid intake.
A client has arrived to the postanesthesia care unit (PACU) and
is drowsy with a respiratory rate of 12 breaths per minute.
Which of the following would be an accurate interpretation by
the nurse? Correct Answer This is an expected finding in the
immediate postoperative period.
A client has presented to a clinic for a preoperative consult,
during which the client has expressed concern about having to
, fast before surgery. Current recommendations for preoperative
fasting include: Correct Answer allowing clear liquids up to 2
hours before surgery.
A client is going to surgery, and the nurse is having the client
sign his informed consent. Which client would be appropriate to
sign the informed consent for surgery? Correct Answer a 70-
year-old hypertensive client having a colonoscopy
A female client age 54 years has been scheduled for a
bunionectomy (removal of bone tissue from the base of the great
toe) which will be conducted on an ambulatory basis. Which
characteristic applies to this type of surgery? Correct Answer
The client will be admitted the day of surgery and return home
the same day.
A nurse administers anticholinergics to a patient as a
postoperative medication. What condition does this medication
help to prevent? Correct Answer Laryngospasm
A nurse caring for patients in a PACU assesses a patient who is
displaying signs and symptoms of shock. What is the priority
nursing intervention for this patient? Correct Answer Place
the patient in a flat position with legs elevated 45 degrees.
A nurse from the ambulatory surgical center is preparing
discharge instructions for a client who has had pelvic surgery.
Which criterion would the client need to demonstrate to ensure
that she is ready for discharge? Correct Answer Void
normally
