NUR 206 Final Exam 2023 Actual Questions and Answers 100% Verified
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NUR 206
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NUR 206
NUR 206 Final Exam 2023 Actual Questions and Answers 100% Verified
The nurse in the PACU performs postsurgical assessments on the newly admitted patient every _________ minutes.
every 15 minutes
A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase...
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NUR 206 Final Exam 2023 Actual Questions and Answers
100% Verified
The nurse in the PACU performs postsurgical assessments on the newly
admitted patient every _________ minutes.
every 15 minutes
A patient is on postoperative day 2 after a nephrectomy. What is the most
effective way to increase her peristalsis?
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?
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.)
- 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?
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?
Restlessness
The nurse educates the postsurgical patient about which potential effect of
smoking on postsurgical recovery?
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?
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?
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?
"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?
Tea
,The nurse is caring for a surgical patient who complains of excessive gas. Which
action should the nurse take?
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?
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.)
- 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.)
- 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?
Lateral
The PACU nurse is caring for an unconscious patient. Assessment reveals
diminished breath sounds bilaterally. Which action should the nurse take?
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?
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:
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:
pulmonary embolus
Which action is most important for the nurse to take prior to ambulating the
postsurgical patient for the first time?
Raise the head of the bed
Which of the following early postoperative observations should be reported
immediately?
"Coffee ground" emesis
While turning a patient who had a bowel resection yesterday, the wound
eviscerated. What is the initial nursing intervention?
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:
Alert the anesthesiologist and surgeon immediately.
In which situation might surgery be delayed?
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?
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?
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:
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?
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?
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?
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?
Excessive bleeding during or after surgery
The patient questions the nurse about robotics surgery. Which information
should the nurse include? (Select all that apply.)
- "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?
Tape the ring to finger, covering the ring
What are the purposes of preoperative medication? (Select all that apply.)
- To reduce anxiety
- To decrease mucus secretion
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