Nursing Awareness : Nursing Exam Notes, Nursing Quizzes, Nursing Old Papers, Nursing Apps

1. Which of the following nursing actions would help the patient decrease anxiety during the preoperative period?

Spending time listening to the patient andanswering questions

Encouraging sleep and limitinginterruptions

Explaining all procedures thoroughly inchronological order

Reassuring the patient that the surgicalstaff are competent professiona

2. Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery?

To prevent malnutrition

To prevent aspiration pneumonia

To prevent intestinal obstruction

To prevent electrolyte imbalance

3. Which of the following is experienced by the patient who is under spinal anesthesia?

The patient experiences amnesia

The patient is unconscious

The patient is awake

The patient experiences total loss of sensation

4. How frequent should the nurse monitor the VS of the patient in the recovery room?

Every 30 mins

Every 15 minutes

Every 45 mins

Every 60 mins

5. The skin is shaved prior to surgery inorder to:

Facilitate skin incision

Indicate the site to be draped

To prevent wound infection

Reduce post op scarring

6. Immediately following spinal anesthesia,the greatest risk is:

Severe Hypoglycemia

Severe hemorrhage

Severe Hypotension

Hypertensive crisis

7. When the patient vomits, the most important nursing objective is to prevent:

Rupture of suture line

Dehydration

Aspiration

Met. Alkalosis

8. Headache after spinal anesthesia is due to:

Loss of CSF through dural hole

Traction placed on structures witin abdomen

Paralysis of vasomotor nerves

Administration of large amounts and heavy concentration of anesthetic agents

9. Nursing measures for post-opthrombophlebitis include the following EXCEPT:

Massage the painful extremities

Maintain bedrest

Elevate affected leg with pillow support

Apply antiembolic stockings

10. Modified radical mastectomy involves

Removal of the entire breast, axillary lymph nodes, pectoralis muscle

Removal of the lump of the breast

Removal of the entire breast, axillary and neck lymph nodes, including pectoralis muscles

Removal of the entire breast but nipple remains intact

11. Which of the following facts best explains why the duodenum is not removed during a subtotal gastrectomy?

The jejunum receives its blood supply through the duodenum

The wall of the jejunum contains no intestinal villi

The head of the pancreas is adherent tothe duodenal wall

The common bile duct empties into the duodenal lumen

12. In regards to the patient in the question above, which of the following options below is a nursing intervention you would provide to this patient?

Place the patient in supine position

Place a non-occlusive dressing over the chest wound

Prepare the patient for a thoracentesis

Place a sterile occlusive dressing over the chest wound and tape it on three sides

13. Which of the following is a LATE sign of the development of a tension pneumothorax?

Hypotension

Tachycardia

Tracheal deviation

Dyspnea

14. Which statement is CORRECT about a tension pneumothorax?

A tension pneumothorax is a medical emergency and is treated with needle decompression.

Tracheal deviation is an early sign of a tension pneumothorax

An open pneumothorax is the only cause of a tension pneumothorax.

This condition happens when an opening to the intrapleural space creates a two-way valve which causes pressure to build up in the space leading to shifting of the mediastinum.

15. Your patient with asthma is taking Theophylline. Which product below should the patient avoid consuming?

Caffeine

Dairy

Wheat

Shellfish

16. Which medication below blocks the function of Leukotriene for the treatment of asthma?

Salmeterol

Theophylline

Tiotropim

Montelukast

17. The physician orders the patient to start taking Omalizumab. How will you administer this medication as the nurse?

Intramuscular

Intravenous

Orally

Subcutaneously

18. A patient received a nebulizer of Albuterol. What is a side effect of this medication?

Bradycardia

Tachycardia

Drowsiness

Feeling cold

19. The term" blue bloaters" is used to describe patients with?

Emphysema

Chronic Bronchitis

Left-sided heart failure

Pulmonary hypertension

20. A patient with emphysema may present with all of the following symptoms EXCEPT?

Hyperinflation of the lungs

Barrel chest

Hypoventilation

Hypercapnia

Medical Surgical Nursing Test - 10