NUR 212: Final Exam Study Questions
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WITH ANSWERS |\
A nurse is assessing a client who is 48 hours post-op following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abdominal surgery. Which of the following findings should the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse report to the provider?
|\ |\ |\ |\
A. Blood pressure 102/66 mm Hg
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B. Straw-colored urine from an indwelling urinary catheter
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C. Yellow-Green drainage on the surgical incision
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D. Respiratory rate 18/min - CORRECT ANSWERS ✔✔C. Yellow-
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Green drainage on the surgical incision
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A nurse is caring for a client who is in the immediate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative period following a partial laryngectomy. Which of|\ |\ |\ |\ |\ |\ |\ |\
the following parameters should the nurse assess first?
|\ |\ |\ |\ |\ |\ |\
A. Pain severity
|\ |\
B. Wound drainage
|\ |\
C. Tissue integrity
|\ |\
D. Airway patency - CORRECT ANSWERS ✔✔D. Airway patency
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A nurse is providing teaching to a client who is postoperative
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following coronary artery bypass graft (CABG) surgery and is
|\ |\ |\ |\ |\ |\ |\ |\ |\
receiving opioid medications to manage discomfort. Aside from
|\ |\ |\ |\ |\ |\ |\ |\
managing pain, which of the following desired effects of
|\ |\ |\ |\ |\ |\ |\ |\ |\
,medications should the nurse identify as most important for the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clients recovery? |\
A. It decreases the clients level of anxiety
|\ |\ |\ |\ |\ |\ |\
B. It facilitates the clients deep breathing
|\ |\ |\ |\ |\ |\
C. It enhances the clients ability to sleep
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D. It reduces the clients blood pressure - CORRECT ANSWERS
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✔✔B. It facilitates the clients deep breathing
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A nurse on a medical-surgical unit is caring for four clients who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are 24-36 hour postoperative. Which of the following surgical
|\ |\ |\ |\ |\ |\ |\ |\ |\
procedures place the client at risk for deep-vein thrombosis? |\ |\ |\ |\ |\ |\ |\ |\
A. Myringotomy
|\
B. Laparoscopic appendectomy
|\ |\ |\
C. Hip arthroplasty
|\ |\
D. Cataract extraction - CORRECT ANSWERS ✔✔C. Hip
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arthroplasty
A nurse is assessing a client who has had staples removed from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an abdominal wound postoperatively. The nurse notes separation
|\ |\ |\ |\ |\ |\ |\ |\
of the wound edges with copious light-brown serous drainage.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following actions should the nurse perform first?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Check the clients vital signs
|\ |\ |\ |\ |\
B. Assess the clients pain level
|\ |\ |\ |\ |\
C. Cover the wound with a moist, sterile gauze dressing
|\ |\ |\ |\ |\ |\ |\ |\ |\
, D. Obtain a culture and sensitivity of the wound drainage -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔C. Cover the wound with a moist, sterile
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gauze dressing |\
A nurse is developing a plan of care for a client who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative. Which of the following interventions should the |\ |\ |\ |\ |\ |\ |\ |\
nurse include in the plan to prevent pulmonary complications?
|\ |\ |\ |\ |\ |\ |\ |\
A. Perform range of motion exercises
|\ |\ |\ |\ |\
B. Place suction equipment at the bedside
|\ |\ |\ |\ |\ |\
C. Encourage the use of an incentive spirometer
|\ |\ |\ |\ |\ |\ |\
D. Administer an expectorant - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\
Encourage the use of an incentive spirometer |\ |\ |\ |\ |\ |\
A nurse is assessing a client who will undergo abdominal surgery
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in 2 hr. The client reports being nervous about the surgery, last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
had food and fluids at 2330 the previous evening, and signed the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgical consent 2 days ago. Which of the following is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate nursing action regarding these findings? |\ |\ |\ |\ |\
A. Call the anesthesiologist to sedate the client
|\ |\ |\ |\ |\ |\ |\
B. Notify the surgeon of the clients food and fluid consumption
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Witness the surgical consent
|\ |\ |\ |\
D. Document the findings in the clients medical record -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔D. Document the findings in the clients
|\ |\ |\ |\ |\ |\ |\ |\ |\
medical record |\
|\ |\ |\ |\ |\ |\
WITH ANSWERS |\
A nurse is assessing a client who is 48 hours post-op following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abdominal surgery. Which of the following findings should the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse report to the provider?
|\ |\ |\ |\
A. Blood pressure 102/66 mm Hg
|\ |\ |\ |\ |\
B. Straw-colored urine from an indwelling urinary catheter
|\ |\ |\ |\ |\ |\ |\ |\
C. Yellow-Green drainage on the surgical incision
|\ |\ |\ |\ |\ |\
D. Respiratory rate 18/min - CORRECT ANSWERS ✔✔C. Yellow-
|\ |\ |\ |\ |\ |\ |\ |\
Green drainage on the surgical incision
|\ |\ |\ |\ |\
A nurse is caring for a client who is in the immediate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative period following a partial laryngectomy. Which of|\ |\ |\ |\ |\ |\ |\ |\
the following parameters should the nurse assess first?
|\ |\ |\ |\ |\ |\ |\
A. Pain severity
|\ |\
B. Wound drainage
|\ |\
C. Tissue integrity
|\ |\
D. Airway patency - CORRECT ANSWERS ✔✔D. Airway patency
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is providing teaching to a client who is postoperative
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following coronary artery bypass graft (CABG) surgery and is
|\ |\ |\ |\ |\ |\ |\ |\ |\
receiving opioid medications to manage discomfort. Aside from
|\ |\ |\ |\ |\ |\ |\ |\
managing pain, which of the following desired effects of
|\ |\ |\ |\ |\ |\ |\ |\ |\
,medications should the nurse identify as most important for the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clients recovery? |\
A. It decreases the clients level of anxiety
|\ |\ |\ |\ |\ |\ |\
B. It facilitates the clients deep breathing
|\ |\ |\ |\ |\ |\
C. It enhances the clients ability to sleep
|\ |\ |\ |\ |\ |\ |\
D. It reduces the clients blood pressure - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔B. It facilitates the clients deep breathing
|\ |\ |\ |\ |\ |\
A nurse on a medical-surgical unit is caring for four clients who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are 24-36 hour postoperative. Which of the following surgical
|\ |\ |\ |\ |\ |\ |\ |\ |\
procedures place the client at risk for deep-vein thrombosis? |\ |\ |\ |\ |\ |\ |\ |\
A. Myringotomy
|\
B. Laparoscopic appendectomy
|\ |\ |\
C. Hip arthroplasty
|\ |\
D. Cataract extraction - CORRECT ANSWERS ✔✔C. Hip
|\ |\ |\ |\ |\ |\ |\ |\
arthroplasty
A nurse is assessing a client who has had staples removed from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an abdominal wound postoperatively. The nurse notes separation
|\ |\ |\ |\ |\ |\ |\ |\
of the wound edges with copious light-brown serous drainage.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following actions should the nurse perform first?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Check the clients vital signs
|\ |\ |\ |\ |\
B. Assess the clients pain level
|\ |\ |\ |\ |\
C. Cover the wound with a moist, sterile gauze dressing
|\ |\ |\ |\ |\ |\ |\ |\ |\
, D. Obtain a culture and sensitivity of the wound drainage -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔C. Cover the wound with a moist, sterile
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gauze dressing |\
A nurse is developing a plan of care for a client who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative. Which of the following interventions should the |\ |\ |\ |\ |\ |\ |\ |\
nurse include in the plan to prevent pulmonary complications?
|\ |\ |\ |\ |\ |\ |\ |\
A. Perform range of motion exercises
|\ |\ |\ |\ |\
B. Place suction equipment at the bedside
|\ |\ |\ |\ |\ |\
C. Encourage the use of an incentive spirometer
|\ |\ |\ |\ |\ |\ |\
D. Administer an expectorant - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\
Encourage the use of an incentive spirometer |\ |\ |\ |\ |\ |\
A nurse is assessing a client who will undergo abdominal surgery
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in 2 hr. The client reports being nervous about the surgery, last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
had food and fluids at 2330 the previous evening, and signed the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgical consent 2 days ago. Which of the following is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate nursing action regarding these findings? |\ |\ |\ |\ |\
A. Call the anesthesiologist to sedate the client
|\ |\ |\ |\ |\ |\ |\
B. Notify the surgeon of the clients food and fluid consumption
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Witness the surgical consent
|\ |\ |\ |\
D. Document the findings in the clients medical record -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔D. Document the findings in the clients
|\ |\ |\ |\ |\ |\ |\ |\ |\
medical record |\
