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NRS 3015. Exam #1 Practice Questions with Accurate Answers 2024
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NRS 3015. Exam #1 Practice QuestionsWhich of the following is the nurse responsible before in the pre-operative setting?
(Select all that apply.)
a. Confirm health insurance and obtain consent
b. Complete a physical assessment
c. Explain risk/benefits of procedure
d. Review labs including coagulation studies, CBC - answerb, d
What is the purpose of a surgical drain?
a. Stop bleeding
b. Prevent accumulation of excess fluid
c. Prevent infection
d. Provide sterile irrigation - answerb
True or False: Penrose drains are active drains. - answerFalse
What type of drain is a Jackson-Pratt?
a. Active
b. Passive - answera
What is the term for the separation of a surgical incision or rupture of a wound closure?
a. Evisceration
b. Dehiscence
c. Slough
d. Laceration - answerb
Which of the following nursing interventions reduce the risk of wound dehiscence?
(Select all that apply.)
a. Limit physical activity and lift weights (> 10 lbs)
b. Splinting incision site while coughing, sneezing, baring down
c. Utilization of an abdominal binder
d. Educate the patient to get out of bed quickly rather than slowly - answera, b, c
Which of the following findings could indicate a post-operative ileus? (Select all that
apply.)
a. Fever
,b. Absent bowel sounds
c. Absent flatus
d. Abdominal distention - answerb, c, d
The acronym VTE means:
a. vein to emboli
b. venous thromboembolism
c. variable thrombi
d. vein tenderness - answerb
This route of Heparin administration is used for VTE prophylaxis:
a. IM
b. Subcutaneous
c. PO
d. IV - answerb
This route of Heparin administration is used for VTE management:
a. IM
b. Subcutaneous
c. PO
d. IV - answerd
Which of the following is a S/S related to a deep vein thrombosis?
a. Shortness of breath
b. Unilateral lower extremity edema
c. Bilateral lower extremity edema
d. Decreased pulse in affected extremities - answerb
Which of the following patients is at MOST at risk for developing VTE?
a. A 45-year-old with hyperlipidemia and diabetes
b. A 70-year-old with severe anxiety
c. A 25-year-old with IV drug dependency
d. A 60-year-old day 1 post-op knee replacement - answerd
Why does Fentanyl cause hypotension?
a. Vasoconstriction
b. Vasodilation
c. Dizziness
d. Bradycardia - answerb
,Midazolam (Versed) is in the following drug family:
a. Opioid
b. NSAID
c. Benzodiazepines
d. Antihistamine - answerc
Precautions of Ondansetron (Zofran) are:
a. Cardiac arrhythmia risk
b. Renal impairment
c. Intestinal obstruction
d. Hepatic impairment - answera
What may cause post-operative hypoventilation? (Select all that apply.)
a. Pain
b. Depressed respiratory drive 2/2 drowsiness
c. Poor muscle tone
d. Anxiety - answera, b, c
A client received glycopyrrolate peri-op to dry secretions. The PACU nurse may note:
a. A cough
b. Respiratory wheezes
c. Dysuria
d. Diarrhea - answerc
A pre-operative patient receives glycopyrrolate, an anti-cholinergic medication. What is
the best response to "Why do I need this medication?"
a. "It decreases respiratory secretions during surgery."
b. "It helps you breathe better during surgery."
c. "It increases urinary output during surgery."
d. "It will help maintain BP during surgery." - answera
Which of the following are appropriate non-pharmacological interventions for PACU
patients?
a. 3 course dinner and drinks
b. Warm blankets, dim lights, education, distraction, back rub
c. IV opiates
d. Early mobilization in the PACU - answerb
Your patient has arrived from PACU and is complaining of hunger, what should you do?
, a. No bowel sounds = no food
b. Provide phone for dining menu
c. Check diet order in EHR
d. Ignore patient's statement - answerc
Hypothermic patients require gradual rewarming in PACU to prevent:
a. Fluid loss
b. Nausea
c. Hypotension
d. Bradycardia - answerc
You are caring for a pre-operative patient who is scared, crying, and shaking. You can
anticipate an order for:
a. Opioid
b. Hypnotic
c. Benzodiazepine
d. Paralytic - answerc
When should a pre-operative antibiotic be given?
a. Within 2 hours of surgery
b. Within half an hour of surgery
c. Within 1 hour of surgery
d. During surgery - answerc
The circulating nurse: (Select all that apply.)
a. Scrubs in
b. Is the patient's advocate
c. Is the communication link to other departments
d. Checks electrical and mechanical equipment - answerb, c, d
Treatment for malignant hyperthermia is prompt administration of:
a. Narcan
b. Dilaudid
c. Dantrolene
c. Cyclobenzaprine - answerc
True or False: The unconscious post-operative patient should be positioned supine in
semi-Fowlers. - answerFalse
Opioids can cause: (Select all that apply.)
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