Module I and II Lecture Practice Questions
A 68-year-old male scheduled for hernia repair at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. Which response would the nurse provide? a. "Who is available to help you at home after the surgery?" b. "I'm sure you will be able to manage at home after surgery. It is a simple procedure." c. "We will teach you everything you need to know to be able to care for yourself after surgery." d. "Your health insurance will pay for inpatient care only if complications develop during surgery
a
The nurse is caring for a patient with a clean wound that has formed granulation tissue. Which intervention would be most appropriate for this patient? a. Allow the wound to dry by leaving open to air. b. Apply an absorption dressing to remove exudate. c. Debride the granulation tissue with a dry dressing. d. Keep the tissue moist with a transparent film dressing.
d
A nurse plans a community education program related to prevention of the cancer with the highest death rates in both women and men. What should the nurse include in the teaching plan? a. Smoking cessation b. Screening with colonoscopy c. Regular examination of reproductive organs d. Use of sunscreen as protection from ultraviolet light
A
The nurse is caring for a patient who is receiving antiretroviral therapy (ART) for treatment of HIV infection. Which assessment best indicates that the patient's condition is improving? a. Decreased viral load b. Increased drug resistance c. Decreased CD4+ T-cell count d. Increased aminotransferase levels
A
While in the PACU, the patient's blood pressure drops from an admission pressure of 126/82 to 106/78 with a pulse change of 70 to 94. After administering oxygen, which action would the nurse take next? a. Increase the rate of the IV fluids. b. Notifiy the anesthesia care provider. c. Perform neurovascular checks on the lower extremities. d. Use a cardiac monitor to assess the patient's heart rhythm.
A
A patient becomes restless and agitated in the postanesthesia care unit (PACU) as he begins to regain consciousness. Which action would the nurse take first? a. Turn the patient to a lateral position. b. Check the patient's oxygen saturation. c. Orient the patient and tell him surgery is over. d. Give the ordered postoperative pain medication.
B
During admission of the patient to the holding area or operating room before surgery, the perioperative nurse must: a. verify the patient's understanding of the risks of surgery. b. ensure the patient's identity with a formal identification process. c. prepare the skin by scrubbing the surgical site with an antimicrobial agent. d. perform a preoperative assessment with a patient history and physical examination.
B
The nurse informs the patient with a bacterial pneumonia that the most important factor in antibiotic treatment is: a. antibiotics should have been used to prevent pneumonia. b. all of the supplied antibiotics should be taken even when symptoms have resolved. c. enough antibiotics for 2 days' treatment should be reserved in case symptoms recur. d. patients should get antibiotics for any infection to prevent development of streptococcal-related diseases.
B
The nurse is administering 3.0 % saline solution IV to a patient with severe hyponatremia. It is most important for the nurse to observe for what? a. Decreased heart rate and blood pressure b. Prolonged QT interval and facial flushing c. Shortness of breath and increased respiratory rate d. Increased urine output and decreased urine specific gravity
C
The nurse is preparing to discharge a patient from the ambulatory surgery center following an inguinal hernia repair. The nurse delays the release of the patient upon discovering that the patient: a. had IV morphine 45 minutes ago. b. has an oxygen saturation of 92%. c. has not voided since before surgery. d. had an episode of vomiting 30 minutes ago.
C
A diagnosis of AIDS can be made for a patient with HIV with a. a WBC count less than 3000/µL. b. a CD4+ T-cell count less than 500/µL. c. development of oral candidiasis (thrush). d. onset of Pneumocystis jiroveci pneumonia.
D
After 3 weeks of radiation therapy and chemotherapy, H.J. tells you he wants to stop treatment because he wants to have children someday. What is your best response? a. There is no need to worry as the testes are not sensitive to radiation. b. Reproduction is not a priority at this important time in your treatment. c. The combination of radiation and chemotherapy reduce the chances of developing side effects. d. Low sperm counts and loss of motility are often seen with testicular cancer before therapy is begun.
D
The nurse is teaching a newly diagnosed 34-year-old male about his HIV infection. Which statement by the patient would indicate the patient needs additional education? a. "I will need to take my HIV medication daily for the rest of my life." b. "Although I only take one pill, it has multiple medications combined into a single tablet." c. "I should notify my HIV provider if I get fevers that do not go away with Tylenol or aspirin." d. "Once my viral load is undetectable I don't have to worry about taking my medication."
D
