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MED SURG 2 RESPIRATORY EXAM 1 ACTUAL
PREP QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE UPDATE
WITH VERIFIED SOLUTIONS – ASSURES PASS
A nurse transfers a client to the PACU postoperatively. During the hand-off report,
the nurse states that, "Dr. Jones performed a bowel resection." Which of the
following sections of the SBAR communication tool does this statement address?
situation
A nurse is caring for a client who is scheduled for a laparotomy. The client states
that they are concerned about the possibility of postoperative infection. Which of
the following actions should the nurse take to address the client's concern and
decrease the risk of infection?
Educate the client about wound care during the preoperative phase.
A transplant nurse is providing care related to a client's kidney transplant. Which
priority nursing action would be most likely to take place during the preoperative
phase?
Educating the client's caregivers about the transplant process
A nurse is caring for a client who is having a total abdominal hysterectomy. The
nurse reinforces teaching to the surgical client about minimizing the pain and
discomfort postoperatively. Which priority instruction should the nurse give the
client?
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Splinting the incision and deep breathing exercises
A surgical nurse receives additional training to become a transplant nurse. When
the nurse administers postoperative care to a transplant client for the first time,
which element of care will be new for that nurse?
Monitoring for signs of organ rejection
A nurse is admitting a client to the surgical clinic for elective surgery. Which of
the following is the priority focus during the preoperative phase?
Prepare the client mentally and physically for surgery.
A nurse is providing preoperative education to a client scheduled for elective
surgery. Which of the following is the best time for the nurse to provide
preoperative teaching?
The afternoon or evening prior to surgery
This is the best time to provide preoperative instructions because it is not too far in
advance. The client has probably finished lab work at this time, there is less
anxiety, and the client can retain and understand the instructions provided.
A nurse is reinforcing teaching with a client about breathing and relaxation
exercises during the preoperative phase. Which postoperative complication would
breathing and relaxation exercises assist with?
Pain
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A nurse documents how much solution is administered to a postoperative client
intravenously, as well as how much output is collected in the client's catheter bag.
Which of the following elements of postoperative care is the nurse directly
performing?
Maintain adequate fluid balance
A nurse is preparing a client for a surgical procedure. During which of the
following timeframes should the nurse initiate the prescribed antibiotic to help
decrease surgical site infections?
60 minutes before performing the surgical incision
A nurse is preparing a client for a surgical procedure, explaining that perioperative
nursing care is primarily focused on the client to provide high quality care. The
nurse is demonstrating knowledge of the Perioperative Patient Focused Model.
Which of the following domains of this model has more emphasis on structural
standardized data elements and analytical reporting?
Health System
A nurse observes a client signing their informed consent for surgery. The client
says to the nurse, "I am not sure why I have to have this surgery." Which of the
following actions should the nurse take first?
Contact the provider and notify them that the informed consent process is not
complete, then notify the perioperative staff that the surgery is on hold.
MED SURG 2 RESPIRATORY EXAM 1 ACTUAL
PREP QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE UPDATE
WITH VERIFIED SOLUTIONS – ASSURES PASS
A nurse transfers a client to the PACU postoperatively. During the hand-off report,
the nurse states that, "Dr. Jones performed a bowel resection." Which of the
following sections of the SBAR communication tool does this statement address?
situation
A nurse is caring for a client who is scheduled for a laparotomy. The client states
that they are concerned about the possibility of postoperative infection. Which of
the following actions should the nurse take to address the client's concern and
decrease the risk of infection?
Educate the client about wound care during the preoperative phase.
A transplant nurse is providing care related to a client's kidney transplant. Which
priority nursing action would be most likely to take place during the preoperative
phase?
Educating the client's caregivers about the transplant process
A nurse is caring for a client who is having a total abdominal hysterectomy. The
nurse reinforces teaching to the surgical client about minimizing the pain and
discomfort postoperatively. Which priority instruction should the nurse give the
client?
,2|Page
Splinting the incision and deep breathing exercises
A surgical nurse receives additional training to become a transplant nurse. When
the nurse administers postoperative care to a transplant client for the first time,
which element of care will be new for that nurse?
Monitoring for signs of organ rejection
A nurse is admitting a client to the surgical clinic for elective surgery. Which of
the following is the priority focus during the preoperative phase?
Prepare the client mentally and physically for surgery.
A nurse is providing preoperative education to a client scheduled for elective
surgery. Which of the following is the best time for the nurse to provide
preoperative teaching?
The afternoon or evening prior to surgery
This is the best time to provide preoperative instructions because it is not too far in
advance. The client has probably finished lab work at this time, there is less
anxiety, and the client can retain and understand the instructions provided.
A nurse is reinforcing teaching with a client about breathing and relaxation
exercises during the preoperative phase. Which postoperative complication would
breathing and relaxation exercises assist with?
Pain
, 3|Page
A nurse documents how much solution is administered to a postoperative client
intravenously, as well as how much output is collected in the client's catheter bag.
Which of the following elements of postoperative care is the nurse directly
performing?
Maintain adequate fluid balance
A nurse is preparing a client for a surgical procedure. During which of the
following timeframes should the nurse initiate the prescribed antibiotic to help
decrease surgical site infections?
60 minutes before performing the surgical incision
A nurse is preparing a client for a surgical procedure, explaining that perioperative
nursing care is primarily focused on the client to provide high quality care. The
nurse is demonstrating knowledge of the Perioperative Patient Focused Model.
Which of the following domains of this model has more emphasis on structural
standardized data elements and analytical reporting?
Health System
A nurse observes a client signing their informed consent for surgery. The client
says to the nurse, "I am not sure why I have to have this surgery." Which of the
following actions should the nurse take first?
Contact the provider and notify them that the informed consent process is not
complete, then notify the perioperative staff that the surgery is on hold.
