NURS 341 Final Exam Review questions with correct
answers
What is the rationale for using preoperative checklists on the day of
surgery?
a. The patient is correctly identified
b. All pre-op orders are carried out, records are complete
c. Family is informed where they can wait for the patient
d. Pre-op meds are the last procedure before going to the OR Correct
Answer-b. All pre-op orders are carried out, records are complete
Which lab result should be immediately brought to the attention of the
surgeon?
a. Serum K+ 3.8 mEq/L
b. Hemoglobin of 15 g/dL
c. Blood glucose of 100 mg/dL
d. WBC 18,500/uL Correct Answer-d. WBC 18,500/uL
What does the progression of patients through phases of care in a PACU
primarily depend on?
a. Condition of patient
b. Type of anesthesia used
,c. Preference of the surgeon
d. Type of surgical procedure Correct Answer-a. Condition of patient
What will the nurse do to prevent airway obstruction in the postop
patient who is semiconscious?
a. Encourage deep breathing
b. Elevate the head of the bed
c. Administer oxygen per mask
d. Position the patient in a side-lying position Correct Answer-d.
Position the patient in a side-lying position
The RN determines the patient has residual vasodilating effects of
anesthesia when what is assessed?
a. A urinary output of > 30 mL/hr
b. An oxygen saturation of 88%
c. A normal pulse with warm, dry, pink skin
d. A narrowing pulse pressure with a normal pulse Correct Answer-c. A
normal pulse with warm, dry, pink skin
A patient in the PACU is thrashing and agitated. What should the nurse
assess first?
a. Hypoxemia
, b. Neurologic injury
c. Distended bladder
d. Cardiac dysrhythmias Correct Answer-a. Hypoxemia
A patient is experiencing stress from the effects of surgery. What can
this stress cause?
a. Diuresis
b. Hyperkalemia
c. Fluid retention
d. Impaired blood coagulation Correct Answer-c. Fluid retention
Teaching about a high-calorie/high-protein diet is effective when which
foods are selected?
a. 2 poached eggs, hash brown potatoes, and whole milk
b. 2 slices of toast w/ butter and jelly, orange juice, skim milk
c. 3 pancakes with syrup/butter, 2 slices of bacon, apple juice
d. Cream of wheat, 1/2 grapefruit, and a high protein milkshake Correct
Answer-a. 2 poached eggs, hash brown potatoes, and whole milk
36 hours post-op, a patient has a temp of 100*F. What is the most likely
cause?
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