Infection Control and Shock Management

Question 1

A preoperative patient states, “I haven’t signed the consent, but I understand everything.” What is the best response?

Accepted Answer

I’ll notify the surgeon to obtain written consent.

Question 2

A pt recovering from abdominal surgery reports severe pain but refuses opioid medication/fear addiction. What's priority

Accepted Answer

Explain addiction is rare with short-term use

Question 3

A patient with neurogenic shock has hypotension and warm dry skin. What is the most likely cause?

Accepted Answer

Spinal cord injury

Question 4

A patient with chronic arthritis pain requests nonpharmacologic relief. Which intervention is most appropriate?

Accepted Answer

Heat therapy

Question 5

Which lab result indicates systemic infection?

Accepted Answer

Positive culture and sensitivity

Question 6

pt scheduled for abdominal surgery is at risk for venous thromboembolism. What preoperative action is most appropriate?

Accepted Answer

Apply sequential compression device (SCD)

Question 7

Which order would the nurse question for a patient in cardiogenic shock?

Accepted Answer

Normal saline bolus

Question 8

Which nursing action is most important before administering preoperative benzodiazepines?

Accepted Answer

Obtain surgical consent

Question 9

What is the first nursing action for a patient newly diagnosed with septic shock?

Accepted Answer

Obtain blood cultures

Question 10

A nurse sees a CNA allowing a catheter spout to touch the floor while emptying the bag. What is an appropriate response?

Accepted Answer

Re-educate CNA privately

Question 11

A patient on vancomycin reports hearing changes. What action should the nurse take first?

Accepted Answer

Notify provider

Question 12

A nurse is caring for a client diagnosed with Clostridioides difficile. Which infection control actions are appropriate?

Accepted Answer

Wash hands with soap and water after contact, Disinfect equipment before leaving room, Use contact precautions

Question 13

Which of the following should be avoided in a patient with angle-closure glaucoma?

Accepted Answer

Hydroxyzine, Diphenhydramine, Atropine eye drops

Question 14

What findings require immediate notification to the surgeon post-op?

Accepted Answer

Sudden restlessness, Pulse ox 88% on room air, Dressing saturated with blood

Question 15

Which interventions are appropriate to reduce postoperative respiratory complications?

Accepted Answer

Ambulate early as tolerated, Teach deep breathing exercises, Encourage splinting during coughing, Use of incentive spirometer

Question 16

A nurse observes the UAP assisting a post-op patient to ambulate who appears dizzy. What should the nurse do first?

Accepted Answer

Sit the patient down and assess vital signs

Question 17

A nurse is educating a client on how to report pain. Which statement demonstrates correct understanding?

Accepted Answer

I’ll report pain before it becomes severe.

Question 18

Which are examples of droplet transmission?

Accepted Answer

Pertussis, COVID-19 in close contact, Influenza

Question 19

Which nursing diagnosis is most appropriate for a patient with macular degeneration?

Accepted Answer

Self-Care Deficit

Question 20

pt is shivering, confused/ has purulent drainage from heel wound. VSHR 106, BP 96/78, RR 22, T 100.8°F. Priority action?

Accepted Answer

Notify HCP immediately

Question 21

The nurse is evaluating a PCA pump for effectiveness. Which findings indicate the therapy is working?

Accepted Answer

O2 sat is 99% on room air, Patient is alert and cooperative, Patient expresses control over pain, Pain score decreased from 8 to 3

Question 22

A nurse is reinforcing teaching on the types of shock. Which statement by the student requires correction?

Accepted Answer

Hypovolemic shock happens when the heart fails.

Question 23

A patient reports nausea and abdominal distension on postoperative day 2. Which action is the most appropriate?

Accepted Answer

Notify provider of possible paralytic ileus

Question 24

A patient with cataracts is scheduled for surgery. Which instruction should the nurse include in pre-op teaching?

Accepted Answer

Avoid lifting heavy objects post-op

Question 25

Which interventions are appropriate for a patient in any type of shock?

Accepted Answer

Maintain IV access, Provide oxygen, Monitor vital signs

Question 26

Which nursing action best prevents urinary tract infections in catheterized patients?

Accepted Answer

Securing catheter to thigh

Question 27

The nurse is caring for a pt with a DNR order who is scheduled for palliative surgery. Which is the best nursing action?

Accepted Answer

Confirm surgical team discussed intraoperative DNR plan

Question 28

The nurse reinforces teaching about acetaminophen. Which statement requires further education?

Accepted Answer

I can take this with alcohol to reduce stomach upset.

Question 29

Which patient condition should prompt concern for obstructive shock?

Accepted Answer

Jugular vein distention

Question 30

Which statements by the patient reflect understanding of transcutaneous electrical nerve stimulation (TENS)?

Accepted Answer

It works by applying electric stimulation., It helps with muscle relaxation., It blocks pain impulses., I’ll remove the electrodes before bathing.

Question 31

A patient presents with redness, swelling, and warmth at the surgical site. What should the nurse do first?

Accepted Answer

Perform a wound culture

Question 32

79-year-old pt reports seeing "halos around lights" /has increased intraocular pressure. Which condition is most likely?

Accepted Answer

Glaucoma

Question 33

Which actions are appropriate for a nurse managing acute pain in a postoperative patient?

Accepted Answer

Maintain around-the-clock analgesic schedule, Encourage deep breathing and relaxation, Reassess pain after intervention

Question 34

A patient is receiving conscious sedation. What is the nurse’s priority during this procedure?

Accepted Answer

Monitor oxygen saturation

Question 35

The nurse reinforces teaching about anti-infective medications. Which statements indicate understanding?

Accepted Answer

I’ll check with my doctor before using probiotics., I’ll take all antibiotics even if I feel better., I’ll call my doctor if I get white patches in my mouth.

Question 36

The nurse reinforces allergy education for a client with anaphylaxis risk. Which statements show understanding?

Accepted Answer

I wear a medical alert bracelet., I’ll avoid foods that triggered a reaction., I carry epinephrine at all times.

Question 37

What are priority nursing actions in the immediate postoperative period?

Accepted Answer

Monitor level of consciousness, Maintain airway patency, Check vital signs frequently, Assess for surgical site bleeding

Question 38

Which of the following is most accurate in describing nociceptive pain?

Accepted Answer

Results from tissue inflammation or trauma

Question 39

Which are compensatory responses to shock?

Accepted Answer

Tachycardia, Tachypnea, Oliguria

Question 40

A nurse notes a post-op patient with cool, clammy skin, BP 86/60, HR 120. What type of shock should the nurse suspect?

Accepted Answer

Hypovolemic

Question 41

A pt receiving morphine IV /post-op pain reports feeling drowsy and itchy. What is the most appropriate nursing action?

Accepted Answer

Monitor and continue as ordered

Question 42

Which outcome best demonstrates effective pain management?

Accepted Answer

Patient ambulates and eats without complaint

Question 43

pt w/pneumonia is on droplet precautions. What action would break the chain of infection at the mode of transmission

Accepted Answer

Practice hand hygiene

Question 44

Which patients are most susceptible to infections?

Accepted Answer

6-month-old infant, Elderly resident with chronic disease, Chemotherapy patient

Infection Control and Shock Management

Questions 44

Infection Control and Shock Management

Questions 44