NCLEX Examination Review Questions - Perioperative Care

[ludya]

Lewis: Medical-Surgical Nursing, 7^th Edition

 

NCLEX Examination Review Questions

Section Three: Perioperative Care

Chapters 18–20

1.      Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks the nurse to get up to go to the bathroom to urinate. Which of the following is the most appropriate action for the nurse to take?

a.       Assist patient to bathroom and stay next to door to assist patient back to bed when done.

b.      Allow patient to go to the bathroom since the onset of the medication will be more than 5 minutes.

c.       Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.

d.      Ask patient to hold the urine for a short period of time since a urinary catheter will be placed in the operating room.

2.      Which of the following is the primary reason for prioritizing the determination of the patient’s current medications during a preoperative assessment?

a.       Routine medications are usually withheld the day of surgery, requiring dosage and schedule adjustments.

b.      Some medications may alter the patient’s perceptions about surgery.

c.       Some medications may interact with anesthetics, altering the potency and effect of the drugs.

d.      Anesthetics alter renal and hepatic function, causing toxicity by other drugs.

3.      As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding ring. Which of the following is the most appropriate action by the nurse?

a.       Note the presence of the ring in the nurse’s notes of the chart.

b.      Insist the patient remove the ring.

c.       Explain that the hospital will not be responsible for the ring.

d.      Tape the ring securely to the finger.

4.      While performing preoperative teaching, the patient asks when she needs to stop drinking water before the surgery. Based on the most recent practice guidelines established by the American Society of Anesthesiologists, the nurse tells the patient that:

a.       She must be NPO after breakfast.

b.      She needs to be NPO after midnight.

c.       She can drink clear liquids up to 2 hours before surgery.

d.      She can drink clear liquids up until she is taken to the OR.

5.      The nurse is admitting a patient to the same day surgery unit. The patient tells the nurse that he was so nervous he had to take kava last evening to help him sleep. Which of the following nursing actions would be most appropriate?

a.       Inform the anesthesiologist of the patient’s ingestion of kava.

b.      Tell the patient that using kava to help sleep was a good idea.

c.       Tell the patient that the kava should continue to help him relax before surgery.

d.      Inform the patient about the dangers of taking herbal medicines without consulting his health care provider.

6.      The nurse would be alerted to the occurrence of malignant hyperthermia when the patient demonstrates:

a.       Hypocapnia

b.      Muscle rigidity

c.       Decreased body temperature

d.      Confusion upon arousal from anesthesia

7.      Before admitting a patient to the operating room, the nurse recognizes that which of the following must be attached to the chart of all patients?

a.       A functional status eval‎uation

b.      Renal and liver function tests

c.       A physical examination report

d.      An electrocardiogram

8.      Unless contraindicated by the surgical procedure, which of the following positions is preferred for the unconscious patient immediately postoperative?

a.       Supine

b.      Lateral

c.       Semi-Fowler’s

d.      High-Fowler’s

9.      A postoperative patient is transferred from the postanesthesia unit to the medical-surgical nursing floor. The nurse notes that the patient has an order for D₅½ NS to infuse at 125 ml/hr. Until an IV pump is available, the nurse regulates the IV flow rate at which of the following drops (gtts)/min, noting that the tubing has a drop factor of 10 drops/ml?

a.       13 gtts/min

b.      31 gtts/min

c.       25 gtts/min

d.      21 gtts/min

10.  The nurse is preparing to administer cefazolin (Ancef) 2 grams in 100 ml IVPB to a postoperative patient. Which of the following IV rates will infuse this medication over 20 minutes?

a.       100 ml/hr

b.      150 ml/hr

c.       200 ml/hr

d.      300 ml/hr

11.  The nurse is working on a surgical floor and is preparing to receive a postoperative patient from the postanesthesia unit. Which of the following should be the nurse’s initial action upon the patient’s arrival?

a.       Check the physician’s postoperative orders.

b.      Assess the patient’s pain.

c.       Check the rate of the IV infusion.

d.      Assess the patient’s vital signs.

12.  When assessing a patient’s surgical dressing on the first postoperative day, the nurse notes new bright-red drainage about 5 cm in diameter. In response to this finding, the nurse should do which of the following?

a.       Assess the patient’s blood pressure and heart rate.

b.      Remove the dressing and assess the surgical incision.

c.       Recheck the dressing in 1 hour for increased drainage.

d.      Notify the surgeon of a potential hemorrhage.

13.  In planning postoperative interventions to promote ambulation, coughing, deep breathing, and turning, the nurse recognizes that which of the following actions will best enable the patient to achieve the desired outcomes?

a.       Giving the patient positive feedback when the activities are completed

b.      Administering adequate analgesics to promote relative freedom from pain

c.       Warning the patient about possible complications if the activities are not performed

d.      Asking the patient to verbalize understanding of and demonstrate performance of activity

[꼭붙자]

정답 올려주세요...헷갈리는 부분이 쫌 있네요..

[ludya]

지금 해답 찾고 있는데 분명히 제가 저장해 두었는데 어디있는지 모르겠네여... 찾는대로 올려드릴께요.

[꼭붙자]

감사!!!

[ludya]

1. C 2. c 3. D 4. C 5. A 6. B 7. C 8. B 9. D 10. D 11. D 12. B 13. B 열심히 하셔서 꼭 합격하세요 !!!

[얼음여왕]

9번 계산문제 공식 좀요,, 잘 이해가 안되서요

[Winnie the pooh]

125 ml/hr = 125ml/60min. 125ml/60min X 10 drop/ml = (125ml x 10 drop/ml)/ 60min = 20.8 drop/min = 21 gtt/min

[Lani]

감사합니다...

[COMA]

감사합니다 ......

[truckee]

awsome

[ChristineChoi]

감사합니다

[toylover]

좋은 자료 감사해요...^^

[soonsoo1004]

좋은 자료 감사해요