NEW EXAM REVIEW FOR ADULT HEALTH FINAL FROM NCLEX EXAM

NEW EXAM REVIEW FOR ADULT HEALTH FINAL FROM NCLEX EXAM

B,C,D,E - Surgery is performed for which of the following reasons? (select all that apply) A)Recreation B)Cure C)Palliation D)Prevention E)Cosmetic improvement

C - A nurse is interviewing her patient preoperation. Her patient seems anxious and flustered. Which nursing response is inappropriate?A)"Tell me what your concerns are." B)"Do you have any questions about the procedure?" C)"Everything is going to be just fine, don't worry." D)"We are going to do our very best to make sure this surgery is successful."

D - A nurse is reviewing lab values and vital signs for a 21 year old female patient who is having a cholecystectomy the next day. Which value will require further investigation?

A)Blood glucose: 81

B)BP: 118/72

C)Respirations: 19

D)Hb: 8.6

C - A nurse is busy and needs to delegate some tasks to the patient tech. Which task would be inappropriate for the tech to perform for a patient who is pre-op?A)Taking the patient a warm blanket for comfort purposes B)Removing patient's nail polish and measuring oxygen saturation with pulse oximeter C)Teaching patient how to cough using a pillow as a splint D)Assisting the patient to take off all cosmetics

A,B,C,D - What is important information to gather during the patient interview? (Select all that apply) A)Obtain patient's health information B)Assess the patient's emotional needs C)Ask the patient if they understand what surgery they are having and if they know why.D)Ask when the last time they had something to eat.

C - The nurse is providing information to the patient on pain control after total hip replacement surgery. When does the nurse suggest to the patient the most appropriate time to request pain medication?A)After the pain is so severe that relaxation techniques won't help.B)When the patient rates the pain a "10" on a 1-10 scale.C)Before the pain becomes severe.D)When there is no pain, but the pain medication is available to take.

B - What preoperative teaching will be likely to reduce the changes of the patient experiencing complications of atelectasis?A)Adequate nutrition, fluid and electrolytes.B)Use of incentive spirometry C)Adequate pain control D)Guided imagery to control anxiety

C - Mr. C is waiting to go back to the surgical suite after receiving Versed and Atropine.Mr. C begins to get concerned and tells the nurse, "something must be wrong, my mouth is very dry and my heart is beating fast." What should be the nurse's first response?A)Explain to the patient that all the findings are normal with the medication he is receiving.B)Document the findings but continue to observe the patient C)Check the patient's B/P and Pulse.D)Prepare to administer an antidote and benadryl.

A,B,C - As a Perioperative nurse/Circulator, your sole responsibilities include (select all that apply) A)Preparing surgical rooms with other team members B)Maintaining pt safety and privacy C)Serving as a pts advocate throughout surgical experience D)Pass instruments during the surgical procedure

A,C - Trends have changed over the years. Now there are more ambulatory or outpatient surgeries being performed than in-hospital surgeries. What type of procedures are mostly likely found at an outpatient setting? (Select all that apply) A)Wisdom teeth removal B)Double lung transplant C)Cataract extraction D)Heart transplant

A,C,D - Personnel in street clothes interact with those in scrubs in what areas? (Select all that apply) A)Holding room B)Operating room C)Locker room D)Information desk E)Scrub sink areas

D - All of the following would be done in the holding room area EXCEPT?A)Inserting an IV B)Application of SCDs (sequential compression devices) C)Verification of relevant documentation D)Instrument documentation E)Procedure site marking

A - A patient was recently found to have malignant hyperthermia, but she does not understand what manifestations of this look like. Which of these will you NOT include in your explanation?A)Rise in body temperature is an early sign B)Tachypnea C)Hypercarbia D)Ventricular dysrhythmias E)Can eventually result in cardiac arrest and death

A,C,D,E - An elderly patient's response to an anesthetic is altered along with which other physiologic changes? (SELECT ALL THAT APPLY) A)Fluid loss B)Hyperthermia C)Pain D)Blood loss E)Tolerance to positioning

D - While under anesthesia, you notice that your patient who has a latex allergy suddenly has changes on their skin. You see welts forming, redness appearing, and a presence of a rash. What do you do in this situation?A)Ignore it, the body isn't use to the anesthesia, but it is ok.B)Make a note in your head to tell the physician after the procedure.C)Let the family know that the patient had signs of being really nervous throughout the procedure.D)Immediately notify Anesthesia.

B - A patient who is just waking up after having knee replacement surgery is agitated and confused. Which action should take first?A)Administer the ordered opioid B)Check the oxygen saturation C)Check pulse and blood pressure D)Restrain the patient E)Check incision for signs of infection

A,B,C - What should a nurse's care focus on post-op? (select all that apply) A)Protection of the patient B)Preventing complications post-surgical procedure C)Immediately start orients patient to PACU, even when eyes are closed D)Begin orienting the patient once they are awake E)Monitoring fluid intake and output

B,C,D - What actions can the nurse take to promote recovery and to prevent complications in a patient who just arrived on the med-surg floor after a total abdominal hysterectomy?A)Encourage bed rest

B)Remove urinary catheter when no longer indicated C)Promote early mobilization D)Teach splinting during coughing and deep breathing E)Limit fluid intake

C - All of the following information should be given on PACU admission report except.A)Age B)Surgeon C)Range of Motion D)Allergies E)Blood Loss

C - All of the following except are possible postoperative complications.A)Surgical/site wounds B)Urinary retention C)Depression D)Nausea and Vomiting

A,C,D,E - A patient is about to be discharged from Phase 1 to Phase 2 care. Which of the following are criteria must be met before the patient can be discharged? (Select all that apply) A)Patent Airway B)Absence of Pain C)No respiratory depression D)Oxygen Saturation <90% E)Report Given

C - As a nurse is assessing a patient in the PACU post-surgery, he notices that the patient's O2 saturation is at 89%. The patient is not yet awake from the anesthesia.What is the first action the nurse should take?A)Apply oxygen B)Wait until the patient awake to encourage deep breathing C)Perform jaw-thrust maneuver D)Take pulse, blood pressure, and vital signs E)Call the Doctor

B,D - A nurse is screening a male client for hypertension. The nurse should identify that which of the following actions by the client increases his risk for hypertension? (Select all that apply.) A)Drinking 8 oz nonfat milk daily B)Eating popcorn at the movie theater C)Walking 1 mile daily at 12 min/mile pace D)Consuming 36 oz of beer daily E)Getting a massage once a week