Medsurg II exam 1 module 1

Question 1

actions the nurse implements during the informed consent process when providing patient care?

Accepted Answer

Witnessing the patient’s signature on the consent form, Reviewing the consent form, Validating pt understanding of the information presented for the procedure

Question 2

priority action by nurse when a pt discloses a medication allergy during the health history before a surgical procedure?

Accepted Answer

Placing an alert bracelet on the patient before leaving the unit

Question 3

Which of the following nursing actions is completed during phase III of postanesthesia care?

Accepted Answer

discharge teaching

Question 4

nurse conducting medication assessment for preop pt. action for pt prescribed metroprolol?

Accepted Answer

Monitoring blood pressure

Question 5

which of the following staff will take part in providing care during the intraoperative period of the surgical process?

Accepted Answer

circulating nurse, surgeon, anesthesiaologist

Question 6

The nurse working in PACU recognizes which of the following as risk factors for postoperative nausea and vomiting

Accepted Answer

undergoing neursurgical procedure, general anesthesia, female

Question 7

Which staffing ratios are appropriate nurse-to-patient ratios in the post-anesthesia care unit (PACU)?

Accepted Answer

1:1, 1:2, 1:3

Question 8

The nurse correlates which laboratory value as increasing the risk of infection in the postoperativepatient?

Accepted Answer

Glucose 120 mg/dL

Question 9

med assessment for preop pt. action for pt prescribed phenobarbital?

Accepted Answer

Maintaining the drug during the perioperative period

Question 10

nurse correlates hypertension and tachycardia in the post-anesthesia care unit to which of the following factors?

Accepted Answer

stress

Question 11

In teaching the patient about post-operative pain management, which statement by the nurse is best?

Accepted Answer

“It is important you request pain meds before the pain gets too severe.”

Question 12

Which action does circulating nurse anticipate when patient is intubated with the administration of general anesthesia?

Accepted Answer

Securing the patient’s airway

Question 13

The nurse monitors for which clinical manifestations in the patient diagnosed with malignant hyperthermia?

Accepted Answer

pH 7.32, PaCO2 48 mm Hg, dark brown urine

Question 14

patient is transferred to the operating table. Which dimension of operative period is the pt currently experiencing?

Accepted Answer

intraop period

Question 15

caring for a patient who had a total hip replacement today. Nurse correlates which medication admin for amnestic effect?

Accepted Answer

Diazepam (Valium)

Question 16

members of surgical team required to be involved in completion of the Surgical Safety Checklist before skin incision

Accepted Answer

Nurse, surgeon, Anesthesiologist or anesthetist

Question 17

nurse must verify a patient’s identity during the first time-out process. Which actions by the nurse are appropriate?

Accepted Answer

Asking the patient to state his or her Social Security number, Comparing the patient’s picture on the ID band to the patient, Asking the patient to state his or her name, Asking the patient to state his or her date of birth

Question 18

Pt in PACU complaining of severe pain & becoming restless, tachycardic after colon resection. who does nurse consult?

Accepted Answer

anesthesiologist

Question 19

Which should the nurse ask the patient to verify during the initial time-out, the “pause for cause”?

Accepted Answer

“What is the name of your surgeon?”, “Which procedure are you having done today?”, “Which side of the body is your procedure going to be completed on?”, “Is the information on your identification band correct?”

Question 20

When documenting the administration of cisatracurium, which terminology does the nurse use?

Accepted Answer

A nondepolarizing muscle relaxant

Question 21

Which lab test does the PACU nurse monitor in the pt who is having difficulty regaining consciousnes after procedure

Accepted Answer

glucose

Question 22

What is the priority nursing action when providing patient care during the preoperative phase of care?

Accepted Answer

completing a preop checklist

Question 23

conducting a medication assessment for preop pt. What action by nurse is appropriate for the pt prescribed warfarin

Accepted Answer

Tapering the drug 2 days before surgery

Question 24

task is inappropriate to delegate to the unlicensed assistive personnel during the intraoperative period of care?

Accepted Answer

Identifying the patient before the procedure

Question 25

Which assessment finding correlates to losing a large amount of blood during surgery

Accepted Answer

tachycardia

Question 26

nurse correlates increased risk of deep vein thrombosis formation in pt placed in what position during a procedure?

Accepted Answer

jackknife, reverse trendelenburg, lateral, fowlers

Question 27

what lab result correlates to fluid volume overload and cardiac dysrhythmias?

Accepted Answer

Potassium 3 mEq/L

Question 28

Which nursing actions are appropriate during phase I of the postoperative period?

Accepted Answer

Monitoring electrocardiogram continuously, Assessing vital signs per protocol

Question 29

Which of the following situations requires two signatures on the consent form?

Accepted Answer

The patient is incapable of signing., The patient can only mark with an “x.”

Question 30

Which gauge catheter does the nurse use when initiating intravenous (IV) access for a preoperative patient?

Accepted Answer

18

Question 31

Info included in handoff from PACU to med-surg

Accepted Answer

Information regarding the surgical procedure, Placement of intravenous (IV) lines, Fluid intake and blood loss

Question 32

pt scheduled for hip replacement surgery, this is an example of what surgical category?

Accepted Answer

restorative

Question 33

Which information does the PACU nurse receive from the operating room nurse during hand-off communication?

Accepted Answer

Estimated blood loss, Names of family members in the waiting room, The surgical procedure, Fluid intake during the procedure

Question 34

most important lab for postanesthesia care nurse to monitor closely in pt prescribed warfarin for tx of a-fib

Accepted Answer

prothrombin time

Question 35

med assessment for preop pt. action for pt prescribed insulin?

Accepted Answer

Assessing blood glucose levels closely during the perioperative period

Question 36

When documenting the administration of succinylcholine, which terminology does the nurse use?

Accepted Answer

A depolarizing muscle relaxant

Question 37

What drug does nurse prepare for the anesthesiologist to reverse effects of cisatracurium during a surgical procedure?

Accepted Answer

neostigmine

Question 38

pt finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?

Accepted Answer

Persistent nausea without vomiting

Question 39

pt having surgery & has contractures to both hands but is legally competent. actions during imformed consent process?

Accepted Answer

Telling the patient to place an “x” on signature line of the consent form

Question 40

Which patient is at greatest risk for the development of postoperative nausea and vomiting?

Accepted Answer

38yo male 15 pack/year hx, fractured humerus repair, general anesthesia

Question 41

Which is included in the scope of practice for the circulating registered nurse

Accepted Answer

Conducting the initial assessment in the operating room, Assisting the certified RN anesthetist with patient monitoring, Labeling patient samples and sending for analysis

Question 42

Which member of the intraoperative nursing team is considered sterile?

Accepted Answer

registered nurse first assistant

Question 43

Which clinical manifestations does the nurse correlate to inadequate anesthesia reversal in apatient in PACU

Accepted Answer

Decreased oxygen saturation

Question 44

The nurse correlates an increased risk of infection because of immunosuppression to which patient condition?

Accepted Answer

anxiety

Question 45

med assessment for preop pt. action for pt prescribed dexamethasone?

Accepted Answer

assess hyperglycemia

Question 46

The nurse is completing the health hx that is conducted during preop. What is the priority assessment?

Accepted Answer

bowel elinination pattern

Question 47

The nurse monitors for which potential complications in the patient who is receiving spinal anesthesia?

Accepted Answer

hypotension, headache

Question 48

nurse administers preop meds to pt 1hr before surgery. Then discovers the preop consent is not signed. actions?

Accepted Answer

Notify the healthcare provider that surgery will need to be canceled.

Question 49

Before advancing to phase II of postanesthesia care, the patient must achieve which outcomes?

Accepted Answer

stable airways, stable vital signs, O2 sat 98%

Question 50

priority initial assessment for a patient who is admitted to PACU after surgery with general anesthesia?

Accepted Answer

respiration

Question 51

assessing pt postop wound, finds it separated from suture line w extrusion of bowel through the opening. documentation?

Accepted Answer

Wound evisceration

Question 52

auscultating breath sounds during intubation w endotracheal tube. what correlates w right main-stem bronchus intubation?

Accepted Answer

Increased breath sounds on the right

Question 53

Which clinical manifestations are indicative of pain in the postoperative patient?

Accepted Answer

piloerection, restlessness, diaphoresis

Question 54

Which action does the circulating nurse anticipate during the induction of general anesthesia?

Accepted Answer

Administering oxygen to the patient by face mask

Question 55

pt rates pain at a 4 on a 1 to 10 pain scale. Which prescribed medication does the nurse administer to this pt?

Accepted Answer

ibuprofen

Question 56

What information does the nurse teach the patient regarding NPO status before a surgical procedure?

Accepted Answer

Nothing solid by mouth for 6 to 8 hours before surgery

Question 57

Which identifier should the nurse use during the initial time-out to determine the right patient?

Accepted Answer

date of birth

Question 58

pt experiencing moderate pain in PACU. Which prescribed medication does the nurse administer?

Accepted Answer

Hydromorphone (Dilaudid)

Question 59

What is the required time frame for long-acting antimicrobial sponge surgical scrub?

Accepted Answer

3-5 mins

Question 60

The post-anesthesia care unit (PACU) nurse receives report from which of the following providers from operating room?

Accepted Answer

Surgical team member, Anesthesia care provider, Operating room nurse

Question 61

specific assessments when admittung an older adult for surgery

Accepted Answer

Medications currently being taken, Skin integrity, Cognitive status

Question 62

patient scheduled for an arthroscopic procedure, postanesthesia care will most likely be provided in which setting?

Accepted Answer

Outpatient post-anesthesia care unit

Question 63

A pt develops malignant hyperthermia. which medication treats this?

Accepted Answer

dantrolene

Question 64

which of the following are required components of informed consent for the actual surgical procedure being planned?

Accepted Answer

Name and reason for the surgery, Name of surgeon performing the surgery, All alternative options to surgery

Medsurg II exam 1 module 1

Questions 78

Medsurg II exam 1 module 1

Questions 78