ANS 2 Test 1

Question 1

Which pt is at highest risk for hypothermia <96.8 F

Accepted Answer

34 yr old pt who is bed bound recovering 10 min from open heart surgery

Question 2

Your pt is a smoker and you’re discussing the importance of smoking cessation prior to surgery. Which is correct?

Accepted Answer

Encourage cessation at least 4 weeks before surgery

Question 3

You are tending to pts that all have surgeries today. Which pt is likely to have the highest risk surgery?

Accepted Answer

76 yr old with HTN and had a NSTEMI 4 months ago

Question 4

The lower the score the lower the criteria the pt reaches for discharge in PACU.

Accepted Answer

True

Question 5

What causes dysphagia? SATA

Accepted Answer

Parkinson’s disease, ALS (Lou Gehrig), Multiple sclerosis, Stroke

Question 6

Your pt is getting a brachial plexus block. Which of the following is inappropriate/ incorrect for this procedure? Sata

Accepted Answer

This procedure requires penetration of the dura space, It is ok to discuss weekend plans during the procedure

Question 7

Which of the following is not a part of the nursing pre op checklist?

Accepted Answer

Confirm and verify the correct surgical site

Question 8

Under general anesthesia, your pt displays: HR: 120, O2: 85% Bp: 90/40, RR: 10, Temp: 112 F. Which should be done? Sata

Accepted Answer

Administration of IV Dantrolene, Assist with the termination of surgery, Monitor cardiac rhythm and treat for dysrhythmias

Question 9

Which is an indicator that your pt needs further education on enteric nutrition?

Accepted Answer

“I will still be able to eat regularly as my main source of nutrition.”

Question 10

What are potential issues with parental nutrition? SATA

Accepted Answer

Thrombosis, Infection, Phlebitis, Hyper/hypo -glycemia

Question 11

Your pt has s/s of lightheadedness, low bp, dyspnea, itching, pruritus, likely due to.. and how do you treat it?

Accepted Answer

Anaphylactic reaction; IM epinephrine administration

Question 12

Anesthesia awareness is when a client is unexpectedly aware of what is occurring during surgery and able to remember

Accepted Answer

True

Question 13

A nurse is caring for a pt who is having a colon resection. Which of the following actions should the nurse take?

Accepted Answer

Remove nail polish on fingers and toes

Question 14

It is the nurse responsibility to witness the signature on a informed consent form as well as explain risk and benefits

Accepted Answer

False

Question 15

Your pt is receiving moderate sedation. Which of the following is incorrect in regards to this procedure?

Accepted Answer

May increase anxiety levels

Question 16

When should the patient stop taking Aspirin before surgery?

Accepted Answer

7 days prior

Question 17

Your pt wakes up with Emergence delirium. Which of the following are likely the s/s being displayed? SATA

Accepted Answer

Confusion, Altered attention levels, Impaired psychomotor skills, Disturbed sleep patterns

Question 18

A nurse is viewing a pts labs before surgery. Which of the following should the nurse report to the provider? SATA

Accepted Answer

Creatinine: 2.7 mg/dL, WBC 17,888/mm3, Blood glucose: 235 mg/dL

Question 19

Turn, cough, and deep breathe (TCDB) every 2 hrs is encouraged for every surgery

Accepted Answer

False

Question 20

Which of the following is not done before a dysphagia evaluation?

Accepted Answer

Keeping pt Npo

Question 21

Your pt is going under general anesthesia for their procedure. Which of the following should you consider FIRST before?

Accepted Answer

Check respiratory status (O2 sat, airway clearance)

Questions 21