AHN 02 & BPN 43 NCLEX Review Questions
The primary healthcare provider is providing instructions to a patient who is undergoing chemotherapy. Which statement made by the patient indicates the need for further education?
"I will eat a large amount of my favorite dishes."
Which of the following are true statements regarding medications and surgery? (Select all that apply.)
-Review of the patient's current medication regimen is essential to promote a safe surgical outcome. -An acutely ill patient may receive several medications in a perioperative setting at one time. -The patient's chart should be flagged to alert all health care providers to the patient's allergy status.
A patient who is undergoing postoperative radiation treatment for neck cancer developed dryness in the mouth. Which drug would be appropriate for treating this condition?
Amifostine (Ethyol)
What should the nurse do to help prevent respiratory complications in a patient postoperatively?
Assist the patient to ambulate within a few hours of surgery unless contraindicated.
What is a routine type of sedation that might be used for a surgical procedure that does not require complete anesthesia but rather a depressed level of consciousness?
Conscious sedation (Moderate sedation)
Which drug is used to minimize injury from extravasation of doxorubicin?
Dexrazoxane (Totec)
Which of the following is an accurate statement regarding the older adult facing surgery?
Disorientation or toxic reactions can occur in the older adult after the administration of anesthetics, sedatives, or analgesics. Rationale: Disorientation or toxic reactions can occur in the older adult after the administration of anesthetics, sedatives, or analgesics. These reactions are often present for days after administration of the medication. Older adults undergoing surgical procedures have higher mortality and morbidity rates than younger adults. Older patients tend to recover more slowly from surgery than younger patients; recovery can be affected by the level of mental functioning, coping ability, and support systems. Preoperative and postoperative teaching may require extra time with the older adult. Teaching should be given at the level of the patient's understanding; directions should be repeated and reinforced.
What is the usual interval at which nursing assessments, including vital signs, are monitored in the postoperative phase?
Fifteen minutes times 4; every 30 minutes times 4; every hour times 4; then every 4 hours
What stage of general anesthesia includes the administration of anesthetic agents and endotracheal intubation?
Induction
A patient diagnosed with cancer asks the nurse to "explain combination therapy." The nurse responds that combination therapy is based on which concept?
It is the administration of two types of chemotherapeutic drugs: cell cycle-specific and cell cycle-nonspecific agents
Which instruction does the nurse give to the caregiver of a patient receiving outpatient chemotherapy?
Keep the patient's soiled linens separate and wash twice
Which of the following statements regarding culture and ethnic considerations is considered to be a true statement?
Native Americans are often stoic when ill.
The purpose of taking filgrastim (Neupogen) is to increase the production of which factor?
Neutrophils
Which adverse effect may cause decreased food intake in a patient receiving methotrexate (MTX)?
Oral and gastrointestinal (GI) ulceration
The purpose of taking oprelvekin (Neumega) during chemotherapy is to stimulate the production of which factor?
Platelets at the stem cell level
Which of the following is true regarding preoperative teaching?
Preoperative information helps lessen anxiety, reduce the amount of anesthesia required, decrease postoperative pain, and reduce corticosteroid production.
Which principle guides the dosage of chemotherapeutic agents?
The dose should be sufficient to kill cancer cells but able to be tolerated by normal cells.
Which of the following is true regarding preoperative medication?
The preoperative phase is the optimal time to introduce the concept of patient-controlled analgesia (PCA) to the patient.
Which is the true statement regarding informed consent?
The witness of a consent form is only verifying that this is the person who signed the consent and that it is a voluntary consent.
The nurse is caring for a patient with diarrhea resulting from chemotherapy. Which nursing action does the nurse take?
Weighs the patient every day
