Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS, Exams of Nursing

NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+/NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+/NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+

Typology: Exams

2024/2025

Available from 12/30/2024

perfectsolutions
perfectsolutions 🇺🇸

4.1

(56)

907 documents

Partial preview of the text

Download NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS and more Exams Nursing in PDF only on Docsity!

NUR 206 FINAL EXAM LATEST 2024 - 2025 ACTUAL EXAM

QUESTIONS WITH CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) GRADED A+

The nurse is instructing a patient who is on a biologic response modifier (BRM) colony- stimulating drug. The nurse teaches that about which desired action from this medication? - Correct Answer - Enhanced recovery of bone marrow A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. Lab studies reveal hyperkalemia and Hyperuricemia the nurse recognizes that the patient is most likely suffering from? - Correct Answer - Tumor Lysis Syndrome (TLS) A patient receiving chemotherapy has thrombocytopenia. What is the most appropriate that the nurse should teach the patient? - Correct Answer - Do not take aspirin for a headache The nurse is constructing a teaching plan about fatigue management for a patient who is taking radiation treatments. Which information should the nurse include? - Correct Answer - Prioritize activities and alternate rest with periods of activity. A 32 - year-old mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days. How should the nurse best prepare for the patient's 8-year-old twins to visit? - Correct Answer - Put chairs in the hall for "long- distance" visitation. Which description(s) is/are characteristic of a malignant neoplasm? (Select all that apply.) - Correct Answer - - Disorganization

  • Altered DNA
  • Invasion of nearby organs
  • Travel through body fluid

The 52-year-old male who was diagnosed with a benign growth in her colon is concerned about the growth spreading. Which explanation best allays the patient's anxiety? - Correct Answer - "Benign growths are surrounded by fibrous tissue that prevents spread." The nurse assesses several patients in the outpatient clinic. Which patient has the greatest risk for developing cancer? - Correct Answer - 45 - year-old farmer from Texas who has worked on his family's cotton farm since the age of 12 The nurse assesses a man who is scheduled for a prostate-specific antigen (PSA) test. The nurse understands that which situation could delay the test? - Correct Answer - The patient reports having a recent urinary tract infection (UTI). The nurse is educating the 40 - year-old female patient about the American Cancer Society (ACS) recommendations for early detection of cancer. Which information should she include when teaching? - Correct Answer - Obtain a mammogram every year The 26 - year-old patient with a malignant neoplasm has experienced a 10 - pound weight loss in 3 weeks. To which factor is this patient's rapid weight loss most likely related? - Correct Answer - The malignancy's high nutritional demand The nurse cautions that the most common site of cancer in adult men is the: - Correct Answer - Prostate A patient has developed stomatitis from chemotherapy. What should the appropriate intervention for this condition include? - Correct Answer - Using a soft toothbrush A patient is undergoing external radiation and helping the patient with effects the nurse would? - Correct Answer - Instruct the patient to wear loose fitting, cotton clothing The nurse caring for a patient who has peritonitis and has developed a paralytic ileus assesses that the patient is passing gas (flatus). The assessment is an indication of: - Correct Answer - returned peristalsis.

The nurse is caring for a patient with a 4-day-old ileostomy. The patient complains of cramping, the nurse notes decreased output, and the bowel sounds have a high pitched sound. What action should the nurse take? - Correct Answer - Notify the charge nurse immediately. The nurse is reinforcing teaching with a client who is post-op following an ileostomy. Which of the following instructions should the nurse include in the teaching? - Correct Answer - Avoid medications encapsulated Which type of hernia can lead to necrosis? - Correct Answer - Strangulated hernia The nurse is aware that an unresolved intestinal obstruction can lead to which complications? - Correct Answer - Intestinal rupture and shock The nurse explains which advantage benefits patients with a Kock pouch ileostomy? - Correct Answer - The patient does not have to wear a collection device. The nurse is educating a patient with diverticulitis. Which statement indicates that the nurse's teaching about the importance of seeking treatment has been successful? - Correct Answer - "If left untreated, the inflamed bowel can perforate and cause peritonitis." Which viruses are responsible for specific cancers? (Select all that apply.) - Correct Answer - - Liver cancer from hepatitis B virus

  • Burkitt lymphoma from Epstein-Barr virus
  • Cervical cancer from human papillomavirus
  • Kaposi sarcoma from human immunodeficiency virus The patient has terminal cancer of the prostate and screams at you. What type of emotion he he experiencing? - Correct Answer - Anger The nurse reinforces patient instructions regarding neutropenic precautions. Important topics should include which of the following? - Correct Answer - - No fresh fruit
  • No raw vegetables or salads
  • Encourage hand hygiene The nurse is teaching a 50 - year-old male patient who is taking estrogens as treatment of prostate cancer. The nurse should educate the patient about which expected side effect? - Correct Answer - Gynecomastia The nurse is caring for a terminally ill cancer patient who is receiving palliative care. The patient's wife asks how her husband's pain will be controlled as he nears death. Which is the nurse's best response? - Correct Answer - "Most of the time we can manage the pain with oral morphine and transdermal pain medication." The nurse explains that metastasis from the original site to a new site can occur in a variety of ways. Which mechanisms do malignant cells use to metastasize? (Select all that apply.) - Correct Answer - - "Transplantation" via surgical instruments during surgery.
  • Entering a body cavity and attaching to an organ.
  • Traveling through the lymphatic system.
  • "Relocation" from contaminated gloves during surgery. The nurse found a pellet in the bed of a patient receiving sealed internal radiation. What should the nurse do? - Correct Answer - Pick it up with a long handled lead tong and place it in lead container. Radiation has an immediate and delayed effect on cells. What statement holds true? - Correct Answer - The delayed effect is that it alters the DNA and impairs the ability to replicate or reproduce Using the TNM staging classification system, what does a tumor staged as T2N2M mean? - Correct Answer - large tumor, with lymph node involvement, and metastases Tumors originating from epithelial tissues and epithelial cells are? - Correct Answer - melanomas

Which of the following are thrombocytopenic precautions? - Correct Answer - Using an electric razor Which of the following people should avoid visiting a patient receiving internal-beam radiation? - Correct Answer - Pregnant woman in her third trimester Which statement is most appropriate for a nurse to tell the patient before insertion of radioactive implant? - Correct Answer - "Nurses will always be available but will only spend short periods of time at your bedside." In order to provide optimum nursing care it is important for the nurse to know that the standard of pain and pain control is best determined by who? - Correct Answer - The patient The home health nurse educates the 75-year-old patient about the warm compresses he is using on his swollen elbow. Which information is most important to include in the teaching plan? - Correct Answer - Allow the compress to remain in place for 15 to 20 minutes. The hospitalized post surgical is reluctant to take the opioid pain medication because of drowsiness. Which response is most informative for the nurse to make? - Correct Answer - "Sleep and pain relief promote helping." The nurse clarifies the basics of the gate theory of pain control. Which information should the nurse include? - Correct Answer - The "gate" can be closed to pain by the use of non-painful stimuli. The nurse explains that the pain threshold and pain tolerance are different. Which statement about the pain threshold is true? - Correct Answer - Pain threshold is the point at which pain is perceived. The nurse is caring for a 45 - year-old male Arab patient who is in pain. Which action can most likely be attributed to the patients' cultural belief about pain? - Correct Answer - The patient asks for pain relief to control pain.

The nurse is caring for a patient that is receiving intravenous morphine sulfate. The patient breaks out in hives and begins to itch. What should the nurse do first? - Correct Answer - Stop the infusion The nurse is caring for a patient who is having constant nociceptor pain. Which intervention best addresses the patient's pain during the perception phase of pain? - Correct Answer - Engage the patient in conversation regarding his family, hobbies, and plans following discharge from the facility. The nurse is caring for a patient who is having neuropathic pain. Which agents will most effectively control his pain? - Correct Answer - - anti-depressant

  • anti-inflammatory
  • anti-convulsant The nurse is educating the home health patient about indications for acetaminophen. Which information should the nurse include in the teaching plan? - Correct Answer - Take acetaminophen before pain becomes severe. The nurse is planning to teach a family member about effective massage techniques. Which information is most important to include in the teaching plan? - Correct Answer - Use long, firm strokes while avoiding areas of inflammation. The patient is experiencing phantom pain following the amputation of her foot. which type of pain is most associated with phantom pain? - Correct Answer - Neuropathic The patient on frequent doses of merperidine (Demerol) complains of constipation. Which initial intervention is best? - Correct Answer - Increase oral fluid intake. To help with pain control, how should the nurse time the distraction activities for a patient? - Correct Answer - To bridge the time between administration and onset.

What are the functions of endorphins? - Correct Answer - - Inhibition of unpleasant stimuli

  • diminished anxiety
  • feelings of euphoria When giving care to a 30-year-old Hispanic male, which action can most likely be attributed to the patients cultural beliefs about pain? - Correct Answer - The patient maintains a stoic affect about pain. While bathing a patient, the nurse notes that a transdermal patch that was meant to be on the patient for 3 days now is now gone on the second day. What action should the nurse take? - Correct Answer - Document the loss and apply a fresh patch to be replaced in 3 days. A patient reports pain relief after having received a placebo. Which conclusion is most accurate for the nurse to determine? - Correct Answer - The patient was relieved of the anxiety that there is no ready source of pain remedy. A patient was scheduled for a laparoscopic cholecystectomy, but complications developed and he underwent an open cholecystectomy with a T-tube inserted into the common bile duct. What is the purpose of the T-tube? - Correct Answer - To keep the duct open and allow drainage of the bile until edema resolves. Why is it advantageous for a live person to be a liver donor? - Correct Answer - Because the donor donates only a part of the liver Esophageal varices is a common side effect of - Correct Answer - Cirrhosis While assessing a patient with suspected acute pancreatitis, the nurse would expect to find: - Correct Answer - elevated amylase Which would be most appropriate in the prevention of hepatitis B in high-risk health workers? - Correct Answer - Hepatitis B vaccine

Which procedure is used to remove gallstones obstructing the common bile duct? - Correct Answer - endoscopic retrograde cholangiopancreatography (ERCP) The nurse watches a patient perform an insulin injection. Which observation(s) indicate(s) that the patient needs additional instruction? (select all that apply.) - Correct Answer - - The patient rubs the injection site after administration of the insulin injection.

  • The patient draws up the cloudy insulin and then the clear insulin.
  • The patient shakes the insulin bottle before administration. The nurse is caring for a patient suspected of having ketoacidosis. Which manifestation(s) is/are characteristic with early ketoacidosis? (select all that apply.) - Correct Answer - - Fruity breath
  • Polyuria
  • Thirst When discussing exercise programs with the diabetic, which instruction(s) is/are important for the nurse to include? (select all that apply.) - Correct Answer - - Delay exercise until glucose controlled.
  • Keep a quick source of glucose readily available while exercising.
  • Begin slowly and build up to 30 to 45 minutes.
  • Only use the abdominal injection site for insulin. What are the advantages of fixed-combination insulins, like Humulin 70/30? - Correct Answer - To minimize the amount of injections daily Which of the following is characterized by blood glucose over 600 - Correct Answer - severe dehydration with type 2 diabetes (HHS) To decrease the risk of microvascular complications associated with diabetes the recommended level of A1C is: - Correct Answer - 6.5%

Hypoglycemia may be caused by which of the following: - Correct Answer - - going for a last minute 8 mile hike

  • missing a meal Which reason best explains why diabetics are prone to infection? - Correct Answer - Atherosclerotic vascular changes decrease blood supply to tissues. What are the three P's? - Correct Answer - - polydipsia
  • polyuria
  • polyphagia A nurse is assisting with teaching a group of clients about monitoring for diabetic peripheral neuropathy. Which if the following client statements indicates understanding of the information? - Correct Answer - I might lose awareness of when I'm stepping on a harmful object An adult client newly diagnosed with type 2 diabetes mellitus asks a nurse to explain how he developed the condition. Which of the following responses should the nurse make? - Correct Answer - Your body doesn't process glucose well The nurse is educating a 50-year-old patient about diabetes monitoring. Which statement reinforces the American Diabetes Association's (ADA's) recommendation? - Correct Answer - Obtain regularly scheduled fasting blood glucose levels. A patient with diabetes asks her nurse about foot care when she is discharged home. What is the nurse's best response? - Correct Answer - "Inspect each foot daily for cuts, cracks, blisters, or abrasions." Type 2 diabetes cases compose approximately what percentage of all known cases of diabetes? - Correct Answer - 95% Type 1 diabetes cases compose approximately what percentage of all known cases of diabetes? - Correct Answer - 5 - 10%

The nurse is counseling an overweight, noncompliant, 30-year-old female with type 2 diabetes. Which change is most important for the nurse to suggest? - Correct Answer - Begin an exercise program and lose weight A patient recently diagnosed with type 1 diabetes mellitus (DM) asks why she is experiencing increased thirst. Which explanation is most appropriate? - Correct Answer

  • High glucose levels in the blood pull cellular water into circulating volume and increase thirst. The nurse is caring for a patient with Ketoacidosis. Which statement indicates that the patient correctly understands the phenomenon? - Correct Answer - "The condition resulted when my body tried to break down and use my stores of fats." The nurse is caring for a patient with type 1 diabetes who is diaphoretic and clammy. The patient complains of hunger but denies pain. The nurse performs a bedside blood glucose check. What should the nurse do next? - Correct Answer - Give 6 ounces of orange juice The nurse notes that the HbA1c level of an assigned patient demonstrated a drop from 9.4% to 5.4%. What can the nurse infer from these findings? - Correct Answer - The patient's blood glucose control has improved over the last several months. The nurse is caring for a patient who struggles to maintain glycemic control at night and during early morning hours. Which statement correctly explains the reason for this problem? - Correct Answer - Counterregulatory hormones produce hyperglycemia. "Dawn Phenomenon" A patient with type 1 diabetes mellitus (DM) is preparing for a moderate 30-minute exercise period. Which action best indicates that the patient understands condition management? - Correct Answer - The patient consumes a simple carbohydrate snack after 30 minutes of activity.

A nurse is caring for a client who has cholelithiasis with bile obstruction and should expect which of the following findings upon assessment? (Select all that apply) - Correct Answer - - Amber urine

  • Yellow sclera
  • Right clavicle pain A nurse is assessing a client with advanced cirrhosis which the following manifestation should the nurse expect to find? (Select all that apply) - Correct Answer - - Spider angiomas
  • Blueish veins around the belly button A nurse is caring for a patient who has a history of pancreatitis. Which of the following food choices should the client avoid? - Correct Answer - Cheddar Cheese The patient's cirrhosis of the liver has also caused a dilation of the veins of the lower esophagus secondary to portal hypertension, resulting in the development of the complication of: - Correct Answer - Esophageal varices What is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis? - Correct Answer - Have patient void immediately before procedure What should the nurse expect of a patient with a malabsorption of vitamin K? - Correct Answer - Increased prothrombin time When caring for an extremely jaundiced patient with cirrhosis, what should the nurse include provisions for in the plan of care? - Correct Answer - Skin care to relieve pruritus Which medical intervention and management system control the bleeding of esophageal varices? - Correct Answer - Band ligation The nurse is caring for a patient who presents to the emergency department with severe nausea and vomiting with stomach pain that radiates to his right scapula. The patient

has a temperature of 101.2° F. The nurse anticipates that this patient will undergo workup for which problem? - Correct Answer - Cholecystitis Dietary teaching for a patient who is treated conservatively for cholecystitis is necessary to keep the patient comfortable. Which foods should be avoided? (Select all that apply.)

  • Correct Answer - - Peanut butter
  • Whole milk
  • Glazed chocolate doughnuts A male patient states that he returned from a 2 - week camping trip a few days ago. He complains of nausea and anorexia, and dark urine. What additional information would assist in diagnosing hepatitis A? - Correct Answer - Recent ingestion of raw fish A patient with pancreatitis is NPO. The patient asks the nurse why he is unable to have anything by mouth. Which of the following is the best response? - Correct Answer - "The pancreas is stimulated whenever you eat or drink, and causes pain." The nurse is providing discharge teaching for a patient who underwent a laparoscopic cholecystectomy. Which statement indicates that the nurse's teaching has been successful - Correct Answer - "I should let these Steri-Strips fall off on their own." A nurse is caring for a patient who is 4 hours postoperative after a laparoscopic cholecystectomy. The patient reports abdominal fullness and mild discomfort. After verifying that the patient's vital signs are stable, what action is most important for the nurse to take next? - Correct Answer - Ambulate the patient The nurse is caring for a patient admitted with suspected acute viral hepatitis. Which laboratory value would best support this diagnosis? - Correct Answer - Increased prothrombin time The nurse is aware that a definitive diagnosis of cirrhosis is made based on the results of which diagnostic or laboratory test? - Correct Answer - Liver biopsy

The nurse is caring for a patient with cirrhosis. Which assessment finding warrants the nurse's immediate attention? - Correct Answer - Confusion A patient has reported to the clinic with concerns about contracting hepatitis A from her boyfriend. What response by the nurse is most appropriate? - Correct Answer - "Hepatitis A is not transmitted as a result of close contact with an infected individual." The nurse is preparing to administer liquid laxative to a patient in preparation for a colonoscopy. Which action should the nurse take? - Correct Answer - Chill the laxative and pour it over ice The nurse is caring for a client who has hemorrhoids. What can the nurse do to help the client. - Correct Answer - Follow a high fiber diet to establish bowel regularity. The nurse lists foods and beverages that may trigger an attack of irritable bowel syndromes (IBS), which include: (Select all that apply.) - Correct Answer - - coffee

  • whole wheat bread
  • yoghurt The nurse is aware that the diagnostic criteria for the confirmation of irritable bowel syndrome include: (Select all that apply.) - Correct Answer - - mucorrhea
  • abdominal pain with change of stool consistency
  • bloating The nurse cautions that constant stress can cause which alteration to the gastrointestinal (GI) system? - Correct Answer - Increased digestive juices resulting in a gastric ulcer In pernicious anemia, intrinsic factor deficiency impairs - Correct Answer - Vitamin B absorption

When chyme leaves the stomach it passes through which structures in which order? - Correct Answer - Duodenum, Jejunum, ileum, ileocecal valve, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and anus Common causes of dysphagia include include all of the following except? - Correct Answer - barium swallow test The nurse is discussing bariatric surgery complications with a patient. Which statement indicates that the patient accurately understands the nurse's teaching about common procedural side effects? - Correct Answer - "Gallstones are a common occurrence in patients who have bariatric surgery." All of the following are important for colostomy care except? - Correct Answer - vigorously scrub the skin while changing the appliance to ensure no fecal material remains on the skin Which of the following are appropriate nursing interventions for a patient with appendicitis waiting for surgery the next day? - Correct Answer - - apply cool compress for pain management

  • assess abdomen for rigidity which may indicate rupture All of the following statements about ulcerative colitis are true except? - Correct Answer
  • that it leads to anal fissures and fistulas A nurse is reinforcing teaching with a client who has Crohn's disease about foods to include in her diet, Which of the following foods should the nurse include in the teaching? - Correct Answer - Grilled Chicken Breast The nurse in the PACU performs postsurgical assessments on the newly admitted patient every minutes. - Correct Answer - every 15 minutes A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase her peristalsis? - Correct Answer - Ambulation

A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? - Correct Answer - Check airway for patency. A postoperative patient who had a left inguinal hernia repair is ready for his discharge instructions. Which information should the nurse provide? (Select all that apply.) - Correct Answer - - Care of the wound site and any dressings

  • When he may operate a motor vehicle
  • Signs and symptoms to report to the physician
  • Actions and side effects of any medications Anti-embolic stockings are in place on the obese post surgical patient. Which statement accurately describes the standard of care in regards to anti-embolic stockings? - Correct Answer - should be removed approximately 20 minutes every shift. Frequent assessment of a postoperative patient is essential. What is one of the first signs and symptoms of hemorrhage? - Correct Answer - Restlessness The nurse educates the postsurgical patient about which potential effect of smoking on postsurgical recovery? - Correct Answer - Delayed healing The nurse is caring for a 90-year-old postoperative patient whose oxygen saturation is frequently dropping below 90%. Which age-related change is most likely related to this finding? - Correct Answer - weakened respiratory muscles The nurse is caring for a patient during the first postoperative day. Which goal works to prevent atelectasis and is most appropriate for the nursing care plan? - Correct Answer
  • Patient will "huff-cough" every 2 hours The nurse is caring for a patient following abdominal surgery. The patient asks the nurse when he will be able to eat a normal diet. Which response is best? - Correct Answer - "Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance."

The nurse is caring for a patient who had spinal anesthesia. Which drink is the best choice for the nurse to offer the patient? - Correct Answer - Tea The nurse is caring for a surgical patient who complains of excessive gas. Which action should the nurse take? - Correct Answer - Ambulate the patient in the hall. The nurse is educating the patient about vitamins and wound healing. The nurse explains that which vitamin will enhance wound healing the most? - Correct Answer - Vitamin C The nurse is performing a neurological assessment on a patient who was just transferred from the PACU following abdominal surgery. Which action(s) correctly demonstrate(s) knowledge of a neurological assessment? (Select all that apply.) - Correct Answer - - Asking the patient to identify where he is.

  • Noting if the patient can identify the sensation of touch.
  • Asking the patient to move his arms and legs.
  • Assessing the patient's pupils for response to light. The nurse is performing the Aldrete scoring system. Which factor(s) must be assessed? (Select all that apply.) - Correct Answer - - Activity
  • Circulation
  • Level of consciousness
  • O2 saturation
  • Respiration The PACU nurse is caring for a semiconscious patient immediately following abdominal surgery. The nurse correctly places the patient in which position? - Correct Answer - Lateral

The PACU nurse is caring for an unconscious patient. Assessment reveals diminished breath sounds bilaterally. Which action should the nurse take? - Correct Answer - Document "diminished breath sounds in both lower lobes." The patient is brought into PACU still unconscious. What should the nurse do when the nurse assesses an oral temperature of 94° F? - Correct Answer - Cover with a warm blanket The postoperative nursing intervention that would be contraindicated for a 45 - year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP) would be: - Correct Answer - coughing every 2 hours When the postoperative patient complains of sudden chest pain combined with dyspnea, cyanosis, and tachycardia, the nurse recognizes the signs of: - Correct Answer - pulmonary embolus Which action is most important for the nurse to take prior to ambulating the postsurgical patient for the first time? - Correct Answer - Raise the head of the bed Which of the following early postoperative observations should be reported immediately? - Correct Answer - "Coffee ground" emesis While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention? - Correct Answer - Apply a warm, moist normal saline sterile dressing. During the course of surgery, the patient exhibits tachycardia, diaphoresis, and rising body temperature. The priority intervention by the circulating nurse is to: - Correct Answer - Alert the anesthesiologist and surgeon immediately. In which situation might surgery be delayed? - Correct Answer - The patient is still taking anticoagulants

The nurse clarifies the difference between regional anesthesia and procedural sedation anesthesia. Which statement about procedural sedation anesthesia is true? - Correct Answer - Procedural sedation anesthesia uses both intravenous (IV) sedation and regional anesthesia The nurse is caring for a patient who has just been given medication to reverse neuromuscular blocking agents. The nurse is aware that the patient is in which general anesthetic stage? - Correct Answer - Emergence The nurse is caring for a patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery. The nurse understands that this patient will likely: - Correct Answer - not require a blood transfusion during surgery The nurse is caring for an 82-year-old pre-surgical patient. Which abnormal finding is most important for the nurse to report immediately? - Correct Answer - Temperature of 99.8° F The nurse is caring for an Asian patient who received atropine as a preoperative drug. For which problem should the nurse should carefully monitor the patient? - Correct Answer - Tachycardia The nurse is performing a preoperative assessment on a patient scheduled for surgery today. The patient reports drinking two glasses of wine daily, smoking one pack of cigarettes daily for 20 years, completing a round of corticosteroids for asthma control 2 days ago, and taking a dose of passion flower extract yesterday. Which action should the nurse take next? - Correct Answer - Notify the physician immediately regarding the patient's recent use of corticosteroids. The nurse is reviewing the pre-surgical patient's laboratory reports and notes an elevated aspartate aminotransferase (AST) and bilirubin. The nurse understands that this patient is most at risk for which potential complication? - Correct Answer - Excessive bleeding during or after surgery The patient questions the nurse about robotics surgery. Which information should the nurse include? (Select all that apply.) - Correct Answer - - "Robotics gives the surgeon greater magnification than the human eye."

  • "Robotics allows the surgeon to be more precise than normal."
  • "Robotics allows for a smaller incision."
  • "Robotics procedures generally cause less postoperative pain." The patient refuses to take off her diamond wedding band before going to the op room. What action should the nurse take? - Correct Answer - Tape the ring to finger, covering the ring What are the purposes of preoperative medication? (Select all that apply.) - Correct Answer - - To reduce anxiety
  • To decrease mucus secretion
  • To counteract nausea
  • To synergize anesthesia What is the ideal time for preoperative teaching? - Correct Answer - 1 to 2 days before the surgery when anxiety is not as high What is the responsibility of the nurse as a witness to informed consent? - Correct Answer - Verify/obtain the patient's signature When the patient asks the nurse to make sure no one sees her with her dentures out, the nurse recognizes the common preoperative fear of: - Correct Answer - loss of control Prior to administering the preoperative medication of Demerol and atropine, the nurse should confirm that: - Correct Answer - Verify that a consent form is signed Which factor(s) may contribute to hypothermia during surgery? (Select all that apply. - Correct Answer - - Infusion of cool IV fluids
  • Inhalation of cool anesthetic gases
  • Exposure of body surfaces
  • Lowered metabolism Which medication would cause surgery to be delayed if it had not been discontinued several days before surgery? - Correct Answer - Anticoagulant agent Which physiological change(s) explain why the older adult is at greater surgical risk? (Select all that apply.) - Correct Answer - - Fewer physiologic reserves
  • Greater probability of a chronic illness
  • Greater vulnerability to fluid loss Which responses indicate to the nurse that the patient understands preoperative teaching? (Select all that apply.) - Correct Answer - - "I will need to sign a consent form before I am given my medications prior to my surgery."
  • "The surgeon will want me to ambulate as soon as possible after my surgery."
  • "My nurse will want me to take the deepest breaths I can tolerate following my surgery."
  • "I may experience some constipation if I am taking much pain medication after my surgery." Does general anesthesia prevent the patient to have any pain? - Correct Answer - No Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon? - Correct Answer - "I have been taking an herbal product of feverfew for my migraines." Although the patient with a kidney stone denies pain, the nurse assess cues that indicate that pain is perceived. Which assessments indicate that pain may be present? - Correct Answer - - muscle tension
  • diaphoresis
  • nausea
  • increased pulse rate

The nurse is aware that the person with ulcerative colitis is a risk factor for developing which disorder? - Correct Answer - Colon cancer The mechanical bowel obstruction caused when the bowel twists on itself is known as

. - Correct Answer - Volvulus The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight? - Correct Answer - 100% A nurse is collecting data from a client who has squamous cell carcinoma of the lower lip. Which of the following is an expected finding? - Correct Answer - an ulcerated lesion that is bleeding and painful A nurse is collecting data from a client and observes multiple cradle like abscess ulcers in the clients oral cavity. The nurse should use which of the following terms when documenting the findings? - Correct Answer - Stomatitis To best assist a patient with dysphagia, the nurse should implement which action(s)? (select all that apply.) - Correct Answer - - Encourage "practice swallowing" before the meal.

  • Coach the patient to chew thoroughly.
  • Assist the patient to sit upright with the head forward and chin tucked. The nurse is caring for a patient who is being treated for a gunshot wound to the abdomen. The patient is receiving total parenteral nutrition (TPN), and the physician has prescribed insulin coverage on a sliding scale. The patient reports he has never had diabetes before. What response is best for the nurse to make? - Correct Answer - "The TPN you are receiving has high amounts of glucose." The nurse documenting the presence of pain in a patient with possible gastric ulcer would anticipate that the pain would occur at which time? - Correct Answer - At bedtime

A patient is admitted with GI bleeding. His vital signs are BP - 140/80, Pulse - 72, Respirations - 14, and temperature is 98.9F. Which of these findings should be reported to the Registered Nurse or Physician immediately? - Correct Answer - Blood pressure - 100/50 Which of these would you recognize as the most common cause of acute diarrhea? - Correct Answer - Bacterial or viral infection You note on rounds that your patient's NG tube has not been draining as much as usual. Your patient is complaining of nausea, and you note abdominal distention. Which of the following is your next course of action? - Correct Answer - Assess patency of the tube Medications that neutralize gastric acid secretion: - Correct Answer - - Proton-pump inhibitors

  • Histamine receptors
  • Antacids The nurse is caring for a patient whose home medications include bismuth subsalicylate (pepto). The nurse should educate the patient about which side effects of this medication? - Correct Answer - Black stools The nurse is caring for a patient with anorexia nervosa. Which intervention(s) might the nurse use to stimulate appetite? (select all that apply.) - Correct Answer - - Arrange for preferred foods to be served.
  • Encourage family members to bring food from home.
  • Suggest that family members or friends come and socialize during the meal.
  • Allow ample time to eat and enjoy the meal. Which causative agent is the primary cause of Barrett esophagus? - Correct Answer - GERD

The nurse is educating a patient with a hiatal hernia. Which statement indicates that the patient understands the nurse's teaching? - Correct Answer - "I should avoid tea and chocolate." The nurse is caring for a patient with a peptic ulcer. The patient also has a history of chronic bronchitis, diabetes, and arthritis. Which component of the patient's history is the most likely contributing factor to the patient's ulcer? - Correct Answer - The patient takes ibuprofen daily for arthritis pain. How long should the nurse auscultate the bowel sounds before documenting "absent bowel sounds"? - Correct Answer - 5 minutes Which alternative therapy helps with nausea and vomiting? - Correct Answer - Ginger Which action(s) should the nurse recommend to promote a patient's bowel health? (select all that apply.) - Correct Answer - - Drink adequate water.

  • Include adequate bulk in the diet.
  • Defecate at approximately the same time every day.
  • Exercise regularly. The nurse is caring for a patient who returns to the floor at lunch time after undergoing an upper GI (UGI series). Which action is most important for the nurse to perform first? - Correct Answer - Administer a laxative. Metabolism is defined as: - Correct Answer - Chemical process to make substances needed by the body A 45 - year-old man has a history of calcium oxalate stones which can result in further renal calculi. What should you include about diet in this patient's education? - Correct Answer - He should increase fluids and dietary calcium. A nurse is providing teaching to a male client who has a ileal conduit following surgery to treat bladder cancer. Which of the following statements by the patient indicates

further teaching? - Correct Answer - "I must insert a catheter through your stoma to drain the urine." What are ways to prevent UTIs? - Correct Answer - drink at least 8 full glasses of water everyday What is the purpose of the creatinine test? - Correct Answer - to determine kidney function A nurse is caring for a client with hemodialysis. Which measurement should the nurse compare before and after the procedure to determine fluid losses? - Correct Answer - Measure body weight Which statement best indicates that the patient understands teaching about dietary restrictions in glomerulonephritis? - Correct Answer - "I should avoid canned soups and hot dogs." As chronic glomerulonephritis progresses, how is the kidney usually affected? - Correct Answer - The kidney atrophies. The home health nurse is caring for a patient with chronic renal failure. Which assessment finding(s) indicate(s) that the patient is experiencing uremic syndrome? (select all that apply.) - Correct Answer - - Restless legs

  • Dry, scaly skin
  • Nausea A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful - Correct Answer - include the patient in making the plan of care A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is voiding a bright red-orange urine. What should the nurse do - Correct Answer - explain to the patient that this is normal

A patient age 69 is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months. The physician suspects renal cancer. In obtaining a nursing history from this patient, the nurse recognizes which of the following as a significant risk factor for renal cancer - Correct Answer - cigarette smoking An intravenous pyelogram confirms the presence of a large renal calculus in the proximal left ureter of a newly admitted patient. The patient is not a candidate for conservative measures, so surgical correction is ordered. A temporary stent is inserted. In addition to observing the patient for hemorrhage, what should be the nurse's postsurgical interventions include for this patient? - Correct Answer - Providing aseptic care of the surgical site As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and - Correct Answer - creatinine It is 2 days after a 42 year old male patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care even though the staff has spent time explaining the care to him. What is the most likely explanation for his behavior - Correct Answer - he is reacting to the loss of self-esteem and altered body image The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable. What should the nurse do next? - Correct Answer - Request an order for a urinalysis. A 25 - year-old woman comes to the emergency department with nonspecific urethritis. Which information is most important for the nurse to obtain? - Correct Answer - "How often do you use bath salts or take bubble baths?" A 25 - year-old man comes to the college clinic with fever of 101° F, nausea, and flank pain that radiates into the thigh and genitals. The nurse anticipates that the patient will undergo workup for which infection? - Correct Answer - Pyelonephritis