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NUR 326 Perioperative Online Practice ATI 2019.pdf
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NUR 326 Perioperative Online Practice ATI
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1. A surgical nurse enters a surgical suite to ensure surgical asepsis is maintained. For which of the followingfindings should the nurse intervene?
a. The scrub technologist is wearing a watch under their scrubs
b. The circulating nurse opens dressing packages before applying sterile gloves
c. The surgeon has their hands folded 5 cm (2 in) above their waist
d. The holding area nurse is performing client education
2. A nurse is providing preoperative teaching for a client who is scheduled to have a below-the-knee amputation.
Which of the following instructions should the nurse include?
a. “You should avoid lying on your abdomen after surgery.”
b. “Your surgeon might prescribe an antibiotic before surgery.”
c. “It is important for you to sit in a chair at the bedside for several hrs everyday to reduce the risk of
pneumonia.”
d. “To promote wound healing, it is important to reduce your intake of carbohydrates once you return
home.”
3. A nurse is providing teaching for a client who is scheduled to undergo moderate sedation for a bronchoscopy.
Which of the following client statements indicates an understanding of the teaching?
a. “I will need to complete a bowel prep the day before the procedure.”
b. “I will drink plenty of fluids the morning of the procedure.”
c. “I can eat as soon as the procedure is over.”
d. “I can expect to feel sleepy for several hrs after the procedure.”
4. A client had an open transverse colectomy 5 days ago. The nurse enters the client's room and recognizes that
the wound has eviscerated. After covering the wound with a sterile, saline-soaked dressing, which of the
following actions should the nurse take?
a. Go to the nurses’ station to seek assistance
b. Reinsert the organs into the abdominal cavity
c. Place client in reverse Trendelenburg position
d. Obtain vital signs to assess for shock
5. A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general
anesthesia. Which of the following instructions should the nurse include?
a. “Lie on your side when resting for the 1st week after surgery.”
b. “Limit intake to clear liquids for the first 24 hrs after surgery.”
c. “Use cool compresses on your eyes, nose, and face.”
d. “Close your mouth when you are about to sneeze.”
6. A nurse is caring for a client who has bradycardia following a surgical procedure using spinal anesthesia. The
nurse should plan to administer which of the following medications to the client?
a. Amiodarone
b. Propranolol
c. Methyldopa
d. Epinephrine (vasopressor: increases heart rate and prevent cardiac arrest)
7. A nurse is caring for a client who is receiving moderate (conscious) sedation with midazolam. The client's
respiratory rate decreases from 16/min to 6/min, and the oxygen saturation decreases from 92% to 85%. Which
of the following medications should the nurse administer?
a. Atropine
b. Acetylcysteine
c. Flumazenil
i. RR and O2 sat level indicate increased sedation caused by benzodiazepine. Flumazenil is
benzo agonist to reverse sedative effects
, d. Protamine sulfate
8. A nurse is providing teaching for a client who is in the immediate postoperative period and has a PCA pump.
Which of the following statements should the nurse include in the teaching?
a. “You will receive a dose of medication every time you push the button.”
b. “Do not allow visitors to push the PCA button if you are sleeping.”
c. “You cannot receive too much medication by pushing the button.”
d. “Do not push the PCA button until your pain reaches a severe level.”
9. A circulating nurse is monitoring the temperature in a surgical suite. The nurse should identify that cool
temperatures reduce a client's risk for which of the following potential complications of surgery?
a. Malignant hyperthermia
b. Blood clots
c. Infection
d. Hypoxia
10. A nurse is providing preoperative teaching to a client who is scheduled for a gastrectomy in 1 week. The client
is anxious about the upcoming surgery. Which of the following actions should the nurse take?
a. Sympathize w/ client’s feelings
b. Reassure the client that the surgery will go fine
c. Change the topic of discussion
d. Provide concise, factual information
11. A nurse is assessing a client's recovery from spinal anesthesia. Which of the following sensations should the
nurse expect to return to the client first?
a. Pain
b. Cold
c. Touch (sensation order: touch, pain, warmth, cold)
d. Warmth
12. A nurse is providing preoperative teaching to a client who is scheduled to have a mastectomy with
reconstructive surgery. Which of the following statements by the client indicates an understanding of the
teaching?
a. “I should wait to take my pain medication until after I have completed my ROM exercises.”
i. If they experience pain while ROM, they should take pain meds 30 min prior
b. “I should wait until a week after surgery to start my hand strengthening exercises.”
i. Nurse should encourage hand-strengthening exercises first day after
c. “I will be able to lift an object that weighs 10 lbs 2 weeks after my surgery.”
i. Avoid for at least 4 weeks
d. “I will be able to shower after the dr removes the drain.”
13. A nurse is reviewing the medical record of a client who is scheduled for an elective surgery. Which of the
following medications should the nurse expect the provider to discontinue prior to surgery to minimize the risk
of complications?
a. Cefazolin
b. Digoxin
c. Ondansetron
d. Warfarin (increases risk of bleeding during and following surgery)
14. A nurse is assessing a client who is 2 days postoperative following a total prostatectomy. The nurse notes that
the client's right is red, edematous, and warm to the touch. Which of the following actions should the nurse
take?
a. Apply an ice pack to client’s right calf
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