ATI Perioperative
A nurse is caring for a client who is 12 hours postoperative from a gastrectomy and has an NG tube set to continuous low suction. Which of the following findings requires intervention by the nurse? A. Gastric distention B. Absent bowel sounds C. Urine output of 150mL over the last 4 hours D. Yellow drainage in the NG tube
A.
A nurse is monitoring a client who received succinylcholine during a surgical procedure. Which of the following actions should the nurse take if the client develops manifestations of malignant hyperthermia? A. Administer dantrolene B. Institute seizure precautions C. Remove endotracheal tube D. Give IV atropine
A.
A nurse is reviewing the medication administration record for a client who is scheduled for surgery the next day. The nurse should identify that which of the following medications places the client at risk for complications during surgery and should be reported to the provider? A. Clopidogrel B. Atorvastatin C. Ranitidine D. Alendronate
A.
A surgical nurse enters a surgical suite to ensure surgical asepsis is maintained. Which of the following findings requires intervention by the nurse? A. The scrub tech is wearing a watch under his scrubs B. The circulating nurse opens dressing packages before sterile gloves C. The surgeon has her hands folded 5cm (2in) above her waist D. The holding area nurse is performing client education
A.
When caring for patient 2hrs postop following appendectomy, which finding should nurse report to provider? A. Urine output 20mL/hr B. Temp 36.5 (97.7) C. 2cm x 2cm area bloody drainage on dressing D. WBC 9,000
A.
When receiving afternoon report on 4 patient who have returned from PACU this morning, which patient first? A. A client who is postop following a thoracotomy w/chest tube w/150mL bright-red blood in collection chamber from first hour B. A client who is postop following a small bowel resection w/temp colostomy and absent bowel sounds in all 4 quadrants C. A client who is postop following a tonsillectomy with 1 episode of coffee-ground emesis D. A client who is postop following total knee arthroplasty and is reporting knee pain of 7 out of 10
A.
When reviewing medical record of patient who is to undergo general anesthesia for surgery, which of the following findings should nurse report to provider? A. Potassium 2.8 B. Sodium 140 C. INR 1.5 D. BUN 12
A.
A nurse is assessing a client who is preoperative. The nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection? A. Frequent use of echinacea B. Long-term use of corticosteroids C. History of osteoporosis D. Diet high in Vitamin C
B.
A nurse is caring for a client who is preoperative and is asking multiple question about risk of the procedure. Which of the following actions should the nurse take? A. Explain the risks and benefits of the surgery to the client B. Ask the surgeon to speak to the client for clarification C. Reassure the client that the procedure is necessary for recovery D. Notify the circulating nurse that the client has questions about the procedure
B.
A nurse is creating a plan of care for a client who is preoperative for a total hip arthroplasty, practices Judaism, and adheres to a kosher diet. Which of the following interventions is the nurse's priority? A. Listen and allow the client to express feelings about the surgery B. Determine if the client's faith conflicts with the treatment plan C. Ensure the client's meal plan serves only kosher food following surgery D. Teach the client how to perform various relaxation exercises
B.
A nurse is providing discharge instructions for a client who is postoperative following abdominal surgery. Which of the following client statements indicates an understanding of the teaching? A. "I will have an increase in yellow-colored drainage from my incision for 2 weeks" B. "I will eat food that are high in protein and Vitamin C during my recovery" C. "I should avoid taking over-the-counter pain meds if my pain is not severe" D. "I will remain on bed rest until my follow-up appointment with my dr"
B.
A nurse is providing preop 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 medications until after I have completed my ROM exercises" B. "I should wait a week after surgery to start my hand-strengthening exercises" C. "I will be able to life up an object that weighs 10 pounds 2 weeks after my surgery" D. "I will be able to shower after the doctor removes the drain"
B.
A nurse is providing preoperative for a client who is about 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 hours every day to reduce the risk of pneumonia" D. "To promote wound healing, it is important for you to reduce your intake
B.
Nurse providing teaching for patient who's in the immediate postop period and has PCA pump. Which of following statements should nurse include in teaching? A. You will receive a dose of medication every time you push the button B. Do not allow your family to push the PCA button if you're 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
B.
When assessing patient who's 2 days postop following total prostatectomy, nurse notes patients right calf is red, edematous, warm to the touch. Which action should nurse take? A. Apply ice pack to right calf B. Elevate right extremity C. Administer testosterone D. Gently massage right calf
B.
When caring for a patient 2 days postop following cholecystectomy, the patient has been vomiting for past 24hrs & reports pain level of 8 on scale 0-10. Nurse notes hard, distended abdomen and absent bowel sounds. After conferring with provider, which of following actions should nurse take first? A. Draw blood for electrolytes B. Insert NG tube C. Administer pain medication D. Initiate intake & output
B.
When caring for patient with surgical wound and Penrose drain in place, which interventions should nurse plan to perform? A. Cut slit in 4 in square gauze pad to place around drain B. Use sterile technique when performing dressing changes C. Establish clamping schedule prior to removal D. Apply negative pressure when emptying drain
B.
A nurse in the PACU is assessing a client who is postoperative. Which of the following findings should the nurse report to the provider? A. BP 10% lower than baseline B. Pain level of 4 on 0 to 10 scale C. Presence of inspiratory stridor D. Small amount of sanguinous drainage on dressing
C.
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 D. Warmth
C.
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following nursing interventions should the nurse perform to prevent respiratory complications? A. Instruct the client to exhale into the incentive spirometer every 1-2 hr B. Minimize the amount of pain meds the client receives to prevent sedation C. Advise the client to splint the surgical incision when coughing and deep breathing D. Reposition the client every 8 hours for the first 48 hours
C.
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 D. Protamine sulfate
C.
A nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place. Which of the following interventions should the nurse plan to include? A. Check the patency of the drain every 12 hr B. Clamp the drain while the client is ambulating C. Cleanse the drain plug with alcohol after emptying D. Secure the drain to the client's bed sheet
C.
A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia which would you include? A. "Lie on your side when resting for the first week after surgery" B. "Limit intake to clear for the first 24 hours after surgery" C. "Use a cool compresses on your eyes nose and face" D. "Close your mouth when you are about to sneeze"
C.
When working in surgical suite, check rooms are maintained at cool temperature with low humidity to decrease which of the following? A. Malignant Hyperthermia B. Blood clots C. Infection D. Hypoxia
C.
A client is transferred from the surgical suite to the PACU following oral surgery. While monitoring the client's vital signs, the nurse finds that the client's tongue has become swollen and is obstructing the airway. Which of the following actions should the nurse take first? A. Contact the anesthesiologist B. Assist with endotracheal intubation C. Increase the client's flow of oxygen D. Use the head-tilt, chin-lift method to open the airway
D.
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
D.
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 with the client's feelings B. Reassure the client that the surgery will go fine C. Change the topic of discussion D. Provide concise, factual information
D.
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
D.
Post open transverse coly 5 days ago, nurse recognizes the wound has eviscerated. After covering with sterile, saline-soaked dressing, which of following actions should nurse take first? A. Go to Nurses station to seek assistance B. Reinsert organs into abdominal cavity C. Place client in reverse trendelenburg D. Obtain V/S to assess for shock.
D.
When providing teaching for patient scheduled to undergo moderate (conscious) sedation for bronchoscopy. Which statement verifies that the patient understands the procedure? 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 hours after the procedure"
D.
