NCM 112 - Prelims NCLEX Qs (PeriOp and Onco)
Exam Questions With Correct Answers
A patient is now in the recovery room after having vaginal surgery. Due to the
| | | | | | | | | | | | | | |
positioning of the procedure, you would want to assess for what while the
| | | | | | | | | | | | |
patient is in recovery? | | |
A. Bowel Sounds
| |
B. Dysrhythmia
|
C. Homan's Sign
| |
D. Hemoglobin Level - CORRECT ANSWER✔✔-C. Homan's Sign
| | | | | | |
After surgery your patient is semi-comatose with vital signs within normal limits.
| | | | | | | | | | | |
As the nurse, what position would be best for this patient?
| | | | | | | | | |
A. Semi-Fowlers
|
B. Prone|
C. Low-Fowlers
|
D. Side positioning preferably on the left side - CORRECT ANSWER✔✔-D. Side
| | | | | | | | | | | |
positioning preferably on the left side | | | | |
Placing the patient onto their side preferably the left will help decrease the risk of
| | | | | | | | | | | | | |
aspiration and promote cardiovascular circulation.
| | | | |
,After surgery your patient starts to shiver uncontrollably. What nursing
| | | | | | | | | |
intervention would you do FIRST? | | | |
A. Apply warm blankets & continue oxygen as prescribed
| | | | | | | |
B. Take the patient's rectal temperature
| | | | |
C. Page the doctor for further orders
| | | | | |
D. Adjust the thermostat in the room - CORRECT ANSWER✔✔-A. Apply warm
| | | | | | | | | | | |
blankets & continue oxygen as prescribed
| | | | |
The nurse is monitoring the patient who is 24 hours post-opt from surgery. Which
| | | | | | | | | | | | |
finding requires intervention?
| | |
A. BP 100/80
| |
B. 24-hour urine output of 300 ml
| | | | | |
C. Pain rating of 4 on 1-10 scale
| | | | | | |
D. Temperature of 99.3' F - CORRECT ANSWER✔✔-B. 24-hour urine output of 300
| | | | | | | | | | | |
ml
|
A patient is 6 days post-opt from abdominal surgery. The patient is to be
| | | | | | | | | | | | | |
discharged later today. The patient uses the call light and asks you to come to his
| | | | | | | | | | | | | | | |
room and look at his surgical site. On arrival, you see that approximately 2 inches
| | | | | | | | | | | | | | |
of internal organs are protruding through the incision. What intervention would
| | | | | | | | | | |
you NOT do? | |
A. Put the patient in prone position with knees extended to put pressure on the
| | | | | | | | | | | | | | |
site
,B. Cover the wound with sterile normal saline dressing
| | | | | | | |
C. Monitor for signs of shock
| | | | |
D. Notify the MD and administer as prescribed antiemetic to prevent vomiting -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-A. Put the patient in prone position with knees extended
| | | | | | | | | | |
to put pressure on the site
| | | | |
The patient is experiencing wound evisceration. The patient should be placed in
| | | | | | | | | | | |
low Fowler's position with the knees bent to prevent abdominal tension
| | | | | | | | | |
A patient reports he hasn't had a bowel movement or passed gas since surgery.
| | | | | | | | | | | | | |
On assessment, you note the abdomen is distended and no bowel sounds are
| | | | | | | | | | | | |
noted in the four quadrants. You notify the MD. What non-invasive nursing
| | | | | | | | | | | |
interventions can you perform without a MD order? | | | | | | |
A. Insert a nasogastric attached to intermittent suction
| | | | | | |
B. Administer IV fluids
| | |
C. Encourage ambulation, maintain NPO status, and monitor intake & output
| | | | | | | | | |
D. Encourage at least 3000 ml of fluids per day - CORRECT ANSWER✔✔-C.
| | | | | | | | | | | | |
Encourage ambulation, maintain NPO status, and monitor intake & output
| | | | | | | | |
This patient is most likely experiencing a paralytic ileus which is failure for the
| | | | | | | | | | | | | |
bowels to move its contents. The only correct non-invasive option is to encourage
| | | | | | | | | | | |
ambulation, maintain NPO status, and monitor intake & output. Inserting a NG
| | | | | | | | | | | | |
tube or administering IV fluids is invasive and requires a MD order.
| | | | | | | | | | |
What is a potential postoperative concern regarding a patient who has already
| | | | | | | | | | | |
resumed a solid diet? | | |
, A. Failure to pass stool within 12 hours of eating solid foods
| | | | | | | | | | |
B. Failure to pass stool within 48 hours of eating solid foods
| | | | | | | | | | |
C. Passage of excessive flatus
| | | |
D. Patient reports a decreased appetite - CORRECT ANSWER✔✔-B. Failure to pass
| | | | | | | | | | |
stool within 48 hours of eating solid foods
| | | | | | | |
After a patient resumes solid food, they should have a bowel movement within
| | | | | | | | | | | | |
48 hours. The patient may be experiencing constipation and appropriate
| | | | | | | | | |
interventions must be followed. | | |
A nurse is developing a care plan for a patient who is at risk for developing
| | | | | | | | | | | | | | | |
pneumonia after surgery. Which of the following is not an appropriate nursing
| | | | | | | | | | | |
intervention?
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
| | | | | | | | | | |
B. Encourage patient to use the incentive spirometer device 10 times every 1-2
| | | | | | | | | | | | |
hours while awake | |
C. Encourage early ambulation and patient to eat meals in beside chair
| | | | | | | | | | |
D. Repositioning every 3-4 hours - CORRECT ANSWER✔✔-D. Repositioning every
| | | | | | | | | |
3-4 hours |
If the patient is unable to reposition themselves or ambulate, they must be
| | | | | | | | | | | | |
repositioned every 1 to 2 hours minimally. | | | | | |
Exam Questions With Correct Answers
A patient is now in the recovery room after having vaginal surgery. Due to the
| | | | | | | | | | | | | | |
positioning of the procedure, you would want to assess for what while the
| | | | | | | | | | | | |
patient is in recovery? | | |
A. Bowel Sounds
| |
B. Dysrhythmia
|
C. Homan's Sign
| |
D. Hemoglobin Level - CORRECT ANSWER✔✔-C. Homan's Sign
| | | | | | |
After surgery your patient is semi-comatose with vital signs within normal limits.
| | | | | | | | | | | |
As the nurse, what position would be best for this patient?
| | | | | | | | | |
A. Semi-Fowlers
|
B. Prone|
C. Low-Fowlers
|
D. Side positioning preferably on the left side - CORRECT ANSWER✔✔-D. Side
| | | | | | | | | | | |
positioning preferably on the left side | | | | |
Placing the patient onto their side preferably the left will help decrease the risk of
| | | | | | | | | | | | | |
aspiration and promote cardiovascular circulation.
| | | | |
,After surgery your patient starts to shiver uncontrollably. What nursing
| | | | | | | | | |
intervention would you do FIRST? | | | |
A. Apply warm blankets & continue oxygen as prescribed
| | | | | | | |
B. Take the patient's rectal temperature
| | | | |
C. Page the doctor for further orders
| | | | | |
D. Adjust the thermostat in the room - CORRECT ANSWER✔✔-A. Apply warm
| | | | | | | | | | | |
blankets & continue oxygen as prescribed
| | | | |
The nurse is monitoring the patient who is 24 hours post-opt from surgery. Which
| | | | | | | | | | | | |
finding requires intervention?
| | |
A. BP 100/80
| |
B. 24-hour urine output of 300 ml
| | | | | |
C. Pain rating of 4 on 1-10 scale
| | | | | | |
D. Temperature of 99.3' F - CORRECT ANSWER✔✔-B. 24-hour urine output of 300
| | | | | | | | | | | |
ml
|
A patient is 6 days post-opt from abdominal surgery. The patient is to be
| | | | | | | | | | | | | |
discharged later today. The patient uses the call light and asks you to come to his
| | | | | | | | | | | | | | | |
room and look at his surgical site. On arrival, you see that approximately 2 inches
| | | | | | | | | | | | | | |
of internal organs are protruding through the incision. What intervention would
| | | | | | | | | | |
you NOT do? | |
A. Put the patient in prone position with knees extended to put pressure on the
| | | | | | | | | | | | | | |
site
,B. Cover the wound with sterile normal saline dressing
| | | | | | | |
C. Monitor for signs of shock
| | | | |
D. Notify the MD and administer as prescribed antiemetic to prevent vomiting -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-A. Put the patient in prone position with knees extended
| | | | | | | | | | |
to put pressure on the site
| | | | |
The patient is experiencing wound evisceration. The patient should be placed in
| | | | | | | | | | | |
low Fowler's position with the knees bent to prevent abdominal tension
| | | | | | | | | |
A patient reports he hasn't had a bowel movement or passed gas since surgery.
| | | | | | | | | | | | | |
On assessment, you note the abdomen is distended and no bowel sounds are
| | | | | | | | | | | | |
noted in the four quadrants. You notify the MD. What non-invasive nursing
| | | | | | | | | | | |
interventions can you perform without a MD order? | | | | | | |
A. Insert a nasogastric attached to intermittent suction
| | | | | | |
B. Administer IV fluids
| | |
C. Encourage ambulation, maintain NPO status, and monitor intake & output
| | | | | | | | | |
D. Encourage at least 3000 ml of fluids per day - CORRECT ANSWER✔✔-C.
| | | | | | | | | | | | |
Encourage ambulation, maintain NPO status, and monitor intake & output
| | | | | | | | |
This patient is most likely experiencing a paralytic ileus which is failure for the
| | | | | | | | | | | | | |
bowels to move its contents. The only correct non-invasive option is to encourage
| | | | | | | | | | | |
ambulation, maintain NPO status, and monitor intake & output. Inserting a NG
| | | | | | | | | | | | |
tube or administering IV fluids is invasive and requires a MD order.
| | | | | | | | | | |
What is a potential postoperative concern regarding a patient who has already
| | | | | | | | | | | |
resumed a solid diet? | | |
, A. Failure to pass stool within 12 hours of eating solid foods
| | | | | | | | | | |
B. Failure to pass stool within 48 hours of eating solid foods
| | | | | | | | | | |
C. Passage of excessive flatus
| | | |
D. Patient reports a decreased appetite - CORRECT ANSWER✔✔-B. Failure to pass
| | | | | | | | | | |
stool within 48 hours of eating solid foods
| | | | | | | |
After a patient resumes solid food, they should have a bowel movement within
| | | | | | | | | | | | |
48 hours. The patient may be experiencing constipation and appropriate
| | | | | | | | | |
interventions must be followed. | | |
A nurse is developing a care plan for a patient who is at risk for developing
| | | | | | | | | | | | | | | |
pneumonia after surgery. Which of the following is not an appropriate nursing
| | | | | | | | | | | |
intervention?
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
| | | | | | | | | | |
B. Encourage patient to use the incentive spirometer device 10 times every 1-2
| | | | | | | | | | | | |
hours while awake | |
C. Encourage early ambulation and patient to eat meals in beside chair
| | | | | | | | | | |
D. Repositioning every 3-4 hours - CORRECT ANSWER✔✔-D. Repositioning every
| | | | | | | | | |
3-4 hours |
If the patient is unable to reposition themselves or ambulate, they must be
| | | | | | | | | | | | |
repositioned every 1 to 2 hours minimally. | | | | | |
