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NR226 NR-226 Final Exam (45 OUT OF 45)(Latest Update) Fundamentals [Patient Care], Exams of Nursing

NR226 NR-226 Final Exam (45 OUT OF 45)(Latest Update) Fundamentals [Patient Care]

Typology: Exams

2023/2024

Available from 07/08/2024

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Download NR226 NR-226 Final Exam (45 OUT OF 45)(Latest Update) Fundamentals [Patient Care] and more Exams Nursing in PDF only on Docsity! NR-226 Final Exam 1. The nurse is precepting a student nurse and explains that perioperative nursing care occurs: a) Before, during, and after surgery. Correct b) In preadmission testing. c) During the surgical procedure. d) In the post anesthesia care unit. 2. The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient’s laboratory tests and allergies. In which perioperative nursing phase would this work be completed? a) Perioperative b) Preoperative Correct c) Intraoperative d) Postoperative 3. The nurse is caring for a patient in the post anesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. This procedure would be classified as: a) Elective. b) Urgent. c) Emergency. Correct d) Major. 4. The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologist of P3. Which of the following assessments would support this classification? a) Denial of any major illnesses or conditions b) Normal, healthy patient c) History of hypertension, 80 pounds overweight, history of asthma Correct d) History of myocardial infarction that limits activity 5. The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. Moderate sedation is used routinely for procedures that require: a) Performance on an outpatient basis. b) A depressed level of consciousness. Correct c) Loss of sensation in an area of the body. d) The patient to be immobile. 6. The nurse is caring for a patient in the post anesthesia care unit who has undergone a left total knee arthroplasty. The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block. Which assessment would be an expected finding for a patient with this type of regional block? a) Decreased pulse at the left posterior tibia b) Left toes cool to touch and slightly cyanotic c) Sensation decreased in the left leg Correct d) Patient report of pain in the left foot 7. The nurse is preparing a patient for surgery. Aims of assessment before surgery include: a) Establishing a patient’s baseline of normal function. Correct b) Planning for care after the procedure. c) Educating the patient and family about the procedure. d) Gathering appropriate equipment for the patient’s needs. 8. The nurse is completing a medication history for the surgical patient in preadmission testing. Which of the following medications should the nurse instruct the patient to hold in preparation for surgery? a) Ibuprofen Correct b) Acetaminophen c) Vitamin C d) Miconazole 9. The nurse is caring for a potential surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking warfarin (Coumadin). Which of the following actions should the nurse take? a) Consult with the physician regarding a radiological examination of the chest. b) Consult with the physician regarding an international normalized ratio (INR). Correct c) Consult with the physician regarding blood urea nitrogen (BUN). d) Consult with the physician regarding a complete blood count (CBC). Which of the following comments from the patient indicates the need for additional education on this topic? a) “I will take the pain medication as the physician prescribes it.” b) “I will be asked to rate my pain on a pain scale.” c) “I will have minimal pain because of the anesthesia.” Correct d) “I will take my pain medications before doing postoperative exercises.” 21. The nurse is making a preoperative education appointment with a patient. The patient asks if he should bring family with him to the appointment. What is the best response by the nurse? a) “There is no need for an additional person at the appointment.” b) “Your family can come and wait with you in the waiting room.” c) “We recommend including family in this appoint to ease everyone’s anxiety.” Correct d) “It is required that you have a family member at this appointment.” 22. The nurse is reviewing the surgical consent with the patient during preoperative education. The patient indicates that he does not understand what procedure will be completed. What is the nurse’s best next step? a) Notify the physician about the patient’s question. Correct b) Explain the procedure that will be completed. c) Ask the patient to sign the form. d) Continue with preoperative education. 23. During preoperative assessment for a 7:30 case, the patient indicates to the nurse that he had a cup of coffee this morning. The nurse reports this information to the anesthesia provider anticipating: a) A delay in or cancellation of surgery. Correct b) Questions regarding components of the coffee. c) Additional questions about why the patient had coffee. d) Instructions to determine what education was provided in the preoperative visit. 24. The nurse has administered an anxiolytic as a preoperative medication to the patient going to surgery. Which of the following is the best next step? a) Waste any unused medication according to policy. b) Notify the operating suite that the medication has been given. c) Instruct the patient to call for help to go to the restroom. Correct d) Ask the patient to sign the consent for surgery. 25. The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Of the following, which would be the most important next step? a) Notify the operating suite that the patient has a latex allergy. Correct b) Document that the patient had a bath at home this morning. c) Ask the nursing assistant to obtain vital signs. d) Administer the ordered preoperative intravenous antibiotic. 26. The nurse is preparing a patient for a surgical procedure on the right great toe. Which of the following actions would be most important to include in this patient’s preparation? a) Ascertain that the surgical site has been correctly marked. Correct b) Ascertain where the family will be located during the procedure. c) Place the patient in a clean surgical gown. d) Ask the patient to remove all hairpins and cosmetics. 27. The nurse is caring for a patient intraoperatively. Primary roles of the circulating nurse include: a) Establishing and implementing the plan of care. Correct b) Maintaining a sterile field. c) Assisting with applying sterile drapes. d) Handing sterile instruments and supplies to the surgeon. 28. The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action would be most appropriate for this area? a) Monitor vital signs every 15 minutes. b) Empty the urinary drainage bag. c) Apply a warm blanket. Correct d) Check the surgical dressing. 29. The nurse is caring for a patient in the operating suite. Which of the following outcomes would be most appropriate for this patient? a) At the end of the intraoperative phase, the patient will be free of burns at the grounding pad. Correct b) At the end of the intraoperative phase, the patient will be free of infection. c) At the end of the intraoperative phase, the patient will be free of nausea and vomiting. d) At the end of the intraoperative phase, the patient will be free of pain. 30. The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which of the following actions helps to minimize skin breakdown? a) Encouraging the patient to bathe before surgery b) Securing attachments to the operating table with foam padding Correct c) Periodically adjusting the patient during the surgical procedure d) Measuring the time a patient is in one position during surgery 31. The nurse is caring for a postoperative patient with a history of obstructive sleep apnea. The nurse monitors for which of the following? a) Choking and noisy, irregular respirations Correct b) Shallow respirations c) Moaning and reports of pain d) Disorientation 32. The nurse is caring for a patient in the operating suite who is experiencing hypercarbia, tachypnea, tachycardia, premature ventricular contractions, and muscle rigidity. The nurse suspects that this patient may be experiencing: a) Hypoxia. b) Malignant hyperthermia. Correct c) Fluid imbalance. d) Hemorrhage. 33. The nurse is caring for a postoperative patient who has had a carpel tunnel repair. The patient has a temperature of 97° F and is shivering. Which of the following is the best reason for this condition? a) The patient is dressed only in a gown. b) Anesthesia lowers metabolism. Correct c) The surgical suite has laminar flow. d) The open body cavity contributed to heat loss. 34. The nurse is monitoring a patient in the post anesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which of the following actions would be most appropriate for this patient? a) Encourage copious amounts of water. b) Weigh the patient and compare with preoperative weight. c) Measure and record all intake and output. Correct d) Start an additional intravenous (IV) line. 35. The nurse is caring for a patient in the post anesthesia care unit. The patient asks for a bedpan and states to the nurse, “I feel like I need to go to the bathroom, but I can’t.” Which of the following nursing interventions would be most
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