NURS 327 EXAM 1 NEWEST / NURS 327 EXAM 1 PREPARATION /NURS
327 EXAM 1 PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS| BRAND NEW VERSION!
A nurse evaluates the potential effects of a client's medication therapies before
surgery. Which drug classification may cause respiratory depression from an
associated electrolyte imbalance during anesthesia?
corticosteroids
diuretics
insulin
anticoagulants - Correct Answer-Diuretics
A client is undergoing a surgical procedure to repair an ulcerated colon. Which
client education topics will be discussed preoperatively? Select all that apply.
postoperative pain control
cough and deep-breathing exercises
the client's spouse's thoughts about the upcoming surgery
the surgeon's fee and other hospital charges
intravenous fluids and other lines and tubes - Correct Answer-Postoperative pain
control
Cough and deep-breathing exercises
Intravenous fluids and other lines and tubes
A 17-year-old client is having same-day surgery. Solely during the intraoperative
phase of perioperative care, the nurse:
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continuously monitors the sedated client.
performs a complete assessment of the client.
obtains a surgical consent from the client's mother.
assesses how well the client is recovering from anesthesia. - Correct Answer-
Continuously monitor the sedated client.
At which time does the nurse realize that it is best to begin teaching about care
needed during the postoperative period?
During the preoperative period
Upon arrival to the surgical unit
Following the surgical procedure
At the time of discharge instructions - Correct Answer-During the preoperative
period
Which nursing statement would best decrease a client's anxiety before an
emergency operative procedure?
"You will be just fine; the operating room nurses will take good care of you."
"It is best to take deep breaths and relax before the procedure."
"Let me explain to you what will happen next."
"We will keep your family informed of your progress." - Correct Answer-"Let me
explain to you what will happen next."
A client is scheduled for a cholecystectomy. Which finding by the nurse is least
likely to contribute to surgical complications?
Pregnancy
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Diabetes
Urinary tract infection
Osteoporosis - Correct Answer-Osteoporosis
A nurse is teaching a client about diaphragmatic breathing. What client action
indicates that further teaching is needed?
The client places the hands on the lower chest to feel the rise and fall with
breathing.
The client performs diaphragmatic breathing in a semi-Fowler's position.
The client exhales forcefully with a short expiration.
The client breathes in deeply through the nose and mouth. - Correct Answer-The
client exhales forcefully with a short expiration.
The nurse has provided preoperative instructions to a client scheduled for surgery
at an ambulatory care center. Which statement, made by the client, would
indicate that further instruction is needed?
"If I do not follow the instructions, my surgery could be cancelled."
"The nurse will explain the details of the surgery before I sign a consent."
"My medical records will be sent to the ambulatory care center prior to my
surgery."
"The physician will update my family after the procedure and provide specific
discharge instructions." - Correct Answer-"The nurse will explain the details of the
surgery before I sign a consent."
A client has been transported to the operating room for emergent surgery. Which
statement by the nurse best supports the need for emergent surgery?
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"The client was unresponsive, had a distended abdomen, and had unstable vital
signs after a motor vehicle accident."
"The client had epigastric abdominal pain, an elevated white blood count, and
vomiting for 1 day."
"The client had severe pain and a laceration to the face with minimal bleeding
after being attacked by a dog 1 hour ago."
"The client was tachycardic, had progressive weight loss, and experienced bouts of
insomnia as a result of hyperthyroidism." - Correct Answer-"The client was
unresponsive, had a distended abdomen, and had unstable vital signs after a
motor vehicle accident."
What is the blood glucose level goal for a diabetic client who will be having a
surgical procedure?
80 to 110 mg/dL
150 to 240 mg/dL
250 to 300 mg/dL
300 to 350 mg/dL - Correct Answer-80-100 mg/dL
Which of the following activities are nursing activities in the preoperative phase of
care? Select all that apply.
Discussing and reviewing the advanced directive document
Establishing an intravenous line
Ensuring that the sponge, needle, and instrument counts are correct
Administering medications, fluid, and blood component therapy, if prescribed
Beginning discharge planning - Correct Answer-Discussing and reviewing the
advanced directive document.
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