1. A: The nurse is preparing to send a client to the operating room for an exploratory
laparoscopy. The nurse recognizes that there is no informed consent for the proce-
dure on the client's chart. The nurse informs the physician who is performing the
procedure. The physician asks the nurse to obtain the informed consent signature
from the client. What is the nurse's best action to the physician's request?
A) Inform the physician that it is his or her responsibility to obtain the signature.
B) Obtain the signature and ask another nurse to cosign the signature.
C) Inform the physician that the nurse manager will need to obtain the signature.
D) Call the house officer to obtain the signature.
2. A: Upon assessment, a client reports that he drinks five to six bottles of beer every
evening after work. Based upon this information, the nurse is aware that the client
may require which of the following?
A) Larger doses of anesthetic agents and larger doses of postoperative analgesics
B) Larger doses of anesthetic agents and lower doses of postoperative analgesics
C) Lower doses of anesthetic agents and lower doses of postoperative analgesics
D) Lower doses of anesthetic agents and larger doses of postoperative analgesics
3. A: The telemetry unit nurse is reviewing laboratory results for a client who is
scheduled for an operative procedure later in the day. The nurse notes on the
laboratory report that the client has a serum potassium level of 6.5 mEq/L, indicative
of hyperkalemia. The nurse informs the physician of this laboratory result because
the nurse recognizes hyperkalemia increases the client's operative risk for which of
the following?
A) Cardiac problems
B) Infection
C) Bleeding and anemia
D) Fluid imbalances
4. A: The nurse is providing education to a client regarding pain control after surgery.
What time does the nurse inform the client is the best time to request pain medica-
tion?
A) Before the pain becomes severe
B) When the client experiences a pain rating of "10" on a 1-to-10 pain scale
C) When there is no pain, but it is time for the medication to be administered
D) After the pain becomes severe and relaxation techniques have failed
5. A: A client returning to the floor after orthopedic surgery is complaining of nausea.
The nurse is aware that an appropriate intervention is to do which of the following?
, Nursing Exam 3 Practice Questions
A) Avoid strong smelling foods.
B) Provide clear liquids with a straw.
C) Avoid oral hygiene until the nausea subsides.
D) Hold all medications.
6. A: In order to prevent the possibility of venous stasis, a nurse is teaching a surgical
client how to perform leg exercises. Which of the client's following statements
indicates a sound understanding of leg exercises?
A) "I'll practice these now and try to start them as soon as I can after my surgery."
B) "I'll try to do these lying on my stomach so that I can bend my knees more fully."
C) "I'll make sure to do these, as long as my doctor doesn't tell me to stay on bed
rest after my operation."
D) "I'm pretty sure my stomach muscles are strong enough to lift both of my legs off
the bed at the same time."
7. B: A female client is scheduled for liposuction surgery to reduce her weight. Based
on urgency, how is this surgery classified?
A) Urgent
B) Elective
C) Emergency
D) Emergent
8. A: A client scheduled for major surgery will receive general anesthesia. Why is
inhalation anesthesia often used to provide the desired actions?
A) Rapid excretion and reversal of effects
B) Safe administration in the client's own room
C) Involves only the respiratory system and skin
D) Slow onset of action and maintains reflexes
9. D: A nurse is educating a client about regional anesthesia. Which of the following
statements is accurate about this type of anesthesia?
A) "You will be asleep and won't be aware of the procedure."
B) "You will be asleep but may feel some pain during the procedure."
C) "You will be awake but will not be aware of the procedure."
D) "You will be awake and will not have sensation of the procedure."
10. B: A nurse has been asked to ensure informed consent for a surgical procedure.
What might be a role of the nurse?
, Nursing Exam 3 Practice Questions
A) Securing informed consent from the client
B) Signing the consent form as a witness
C) Ensuring the client does not refuse treatment
D) Refusing to participate based on legal guidelines
11. A: A client, scheduled for open-heart surgery, tells the nurse he does not want
to be "saved" if he dies during surgery. What should the nurse do next?
A) Discuss with and document the wishes of the client and family
B) Administer the ordered oral and intravenous preoperative medications
C) Notify the physician after completion of the surgical procedure
D) Verbally report the client's wishes to the operating room supervisor
12. C: An operating room nurse is preparing for a surgical procedure on an infant.
The nurse's perioperative care is based on what physiologic factor that puts infants
at greater risk from surgery than adults?
A) Increased vascular rigidity
B) Diminished chest expansion
C) Lower total blood volume
D) Decreased peripheral circulation
13. D: After conducting a preoperative health assessment, the nurse documents that
the client has physical assessments supporting the medical diagnosis of emphyse-
ma. Based on this finding, what postoperative interventions would be included on
the plan of care?
A) Perform sterile dressing changes each morning.
B) Administer pain medications as needed.
C) Conduct a head-to-toe assessment each shift.
D) Monitor respirations and breath sounds.
14. C: A preoperative assessment finds a client to be 75 pounds overweight. The
client is to have abdominal surgery. What nursing diagnosis would be appropriate
based on the client's weight?
A) Risk for Aspiration
B) Risk for Imbalanced Body Temperature
C) Risk for Infection
D) Risk for Falls
15. B: Which of the following interventions is of major importance during preopera-
tive education?
, Nursing Exam 3 Practice Questions
A) Performing skills necessary for gastrointestinal preparation
B) Encouraging the client to identify and verbalize fears
C) Discussing the site and extent of the surgical incision
D) Telling the client not to worry or be afraid of surgery
16. C: A nurse is reviewing results of preoperative screening tests and notes the
client's potassium level is dangerously low. What should the nurse do next?
A) Nothing; potassium levels have no influence on surgical outcome.
B) Include the information in the postoperative end of shift report.
C) Document the data and notify the physician who will do the surgery.
D) Ask the client and family members why the potassium is low.
17. D: A nurse is educating a surgical client on postoperative p.r.n. pain control.
Which of the following should be included?
A) "We will bring you pain medications; you don't need to ask."
B) "Even if you have pain, you may get addicted to the drugs."
C) "You won't have much pain so just tough it out."
D) "You need to ask for the medication before the pain becomes severe."
18. A: A nurse is educating a preoperative client on how to cough effectively. What
can the nurse tell the client to do to facilitate coughing?
A) "Hold a pillow or folded bath blanket over the incision."
B) "Get up and walk before you try to cough."
C) "It would be best if you do not cough until you feel better."
D) "When you cough, cover your nose and mouth with a tissue."
19. D: A cleansing enema is ordered for a client who is scheduled to have colon
surgery. What is the rationale for this procedure?
A) Surgical clients routinely are given a cleansing enema.
B) Cleansing enemas are given before surgery at the client's request.
C) There will be less flatus and discomfort postoperatively.
D) Peristalsis does not return for 24 to 48 hours after surgery.
20. D: A nurse working in a PACU is responsible for conducting assessments on
immediate postoperative clients. What is the purpose of these assessments?
A) To determine the length of time to recover from anesthesia
B) To use intraoperative data as a basis for comparison
C) To focus on cardiovascular data and findings
D) To prevent complications from anesthesia and surgery
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