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EXAM 1 NUR 112 / NUR 1 12
(Newest 2025/2026) Actual
Exam Questions & Correct,
Certified Solutions
Terms in this set (98) _____________Quiz____________? The nurse provides postop instructions for an adult patient after cataract surgery. Which written statement, if provided by the nurse, would be the most appropriate? a. "to avoid contamination of the eye use aseptic tech. when applying eye drops." b."conjunctivitis may result if the eye is contaminated with wet or dirty eye patches." c. "to prevent infection in the eye, wash your hands before changing the eye patch or using eye drops." d. "coughing and bending over can cause increased intraocular pressure, resulting in retinal damage or displacement of the incraocular lens." -
Answer ✓✓
c _____________Quiz____________? When using the trans-theoretical model of health behavior change during the pt teaching, the nurse identifies that the pt who states, "I've walked regularly for about a year to help prevent osteoporosis, but recently I haven't been motivated to cont." Is in the stage of? a. action b. preparation c. termination d. maintenance -
Answer ✓✓
_____________Quiz____________? When a nurse is observing a pt draw up and mix insulin injections, which of the following best demonstrate that psychomotor learning has taken place? a. the pt is able to discuss the appropriate technique b. the pt is able to demonstrate the appropriate technique c. the pt states that he understands d. the pt is able to write the steps on a piece of paper -
Answer ✓✓
b _____________Quiz____________? A nurse in a provider's office is collecting data from the mother of a 1 year old child. The pt states that her child is old enough for potty training. Following an education session by the nurse, the pt now states that her earlier ideas has changed. She is now willing to postpone potty training until the child is older. Learning has occurred in which of the following domains? a. cognitive b. affective c. psychomotor d. kinesthetic -
Answer ✓✓
b _____________Quiz____________? A nurse is providing preoperative teaching for a pt who is sched. for a mastectomy the next day. Which of the following pt statements indicates that the pt is ready to learn? a. "I don't want my spouse to see my incision." b. "Will you be able to give me pain med after my surgery?" c. "Can you tell me about how long the surgery will take?" d. "My roommate listens to everything I say." -
Answer ✓✓
c
_____________Quiz____________? The pt tells the nurse in the preoperative setting that she has notices she has a reaction when wearing rubber gloves. What is the most appropriate nursing intervention? a. notify the surgeon so the case can be cancelled b. ask additional questions to assess for possible latex allergy c. notify the OR staff immediately so that the latex-free supplies can be used d. no intervention is needed because the pts rubber sensitivity has not bearing on surgery -
Answer ✓✓
b _____________Quiz____________? When a patient is admitted to the PACU, what are the priority interventions the nurse performs? a. assess the surgical site, noting presence and character of drainage. b. assess the amount of urine output and the presence of bladder distention. c. asses for airway patency and quality of respirations, and obtain vitals. d. Review the results of intraoperative lab values and medications received. -
Answer ✓✓
c _____________Quiz____________? A patient is admitted to the PACU after major abdominal surgery. During the initial assessment the pt tells the nurse he thinks he is going to throw up. a priority nursing intervention would be to. a. increase the rate of the iv fluid b. obtain vital signs, including o2 saturation c. position pt in lateral recovery position d. administer antiemetic medication as ordered -
Answer ✓✓
c
_____________Quiz____________? After admission of the postoperative pt to the clinical unit, which assessment data require the most immediate attention? a. O2 sat of 85% b. Resp rate of 13/min c. Temp of 100.4 F d. BP of 90/60 -
Answer ✓✓
a _____________Quiz____________? A 70 kg postoperative pt has an average urine output of 25 ml/hour during the first 8 hours. the priority nursing intervention given this assessment would be to a. preform a straight catheterization to measure the amount of urine in the bladder. b. notify the physician and anticipate obtaining blood work to evaluate renal function. c. continue to monitor the pt bc this is a normal finding during this time period. d. evaluate the pts fluid volume status since surgery and obtain a bladder ultrasound -
Answer ✓✓
d _____________Quiz____________? Discharge criteria for the phase II pt include (SATA) a. no nausea or vomiting b. ability to drive self home c. no respiratory depression d. written discharge instructions understood e. opioid pain medication given 45 min ago -
Answer ✓✓
C,D,E
A pt who normally takes 40 units of insulin at bedtime ask the nurse what to do about her dose the night before surgery. The best response would be to have her... a. skip her insulin dose at bedtime and eat a light breakfast in the morning b. take her usual dose at bedtime and eat a light breakfast in the morning c. eat a moderate meal before bedtime and then take half of her insulin dose d. get instructions from her surgeon or health care provider on any insulin adjustments -
Answer ✓✓
d _____________Quiz____________? Preop considerations for older adults include (select all that apply) a. only use large print education materials b. speaking louder for pts with hearing aids c. recognizing that sensory deficits may be present d. providing warm blankets to prevent hypothermia e. teaching important info early in the morning -
Answer ✓✓
c,d _____________Quiz____________? The nurse is caring for a pt undergoing surgery for a keen replacement. What is critical to the pts safety during the procedure? (select all that apply) a. universal protocol is followed b. the ACP is an anesthesiologist c. the pt has adequate health insurance d. the circulation nurse is a RN e. the pts allergies are conveyed to the surgical team -
Answer ✓✓
a, e
_____________Quiz____________? When positioning a pt in preparation for surgery, the nurse understands that injury to the pt is most likely to occur as a result of: a. incorrect musculoskeletal alignment b. loss of perception of pain or pressure c. pooling of blood in peripheral vessels d. disregarding the pts need for modesty -
Answer ✓✓
a _____________Quiz____________? The nurse's primary responsibility for the care of the pt undergoing surgery is.. a. developing an individualized plan of nursing care for the pt b. carrying out specific task r/t surgical procedures and policies c. ensuring that the pt has been assessed for safe administration of anesthesia d. performing a preop history and physical assessment to identify pt needs -
Answer ✓✓
a _____________Quiz____________? Activities that the nurse might preform in the role of a scrub nurse during surgery include (select all that apply) a. checking electrical equipment b. preparing the instrument table c. passing instruments to the surgeon and assistants d. coordinating activities occurring in the OR e. maintaining accurate counts of sponges, needles, and instruments -
Answer ✓✓
b, c, e
A 17 year old pt with a leg fracture is sched. for surgery. She reports that she is living w/a friend and is an emancipated minor. She has a statement from the court for verification. Which intervention is most appropriate? a. witness the permit after consent is obtained by the surgeon b. call a parent or legal guardian to sign the permit, since the pt is under 18 c. obtain verbal consent, since written consent is not necessary for emancipated minors d. investigate your states nurse practice act r/t emancipated minors and informed consent -
Answer ✓✓
a _____________Quiz____________? A nurse has administered midazolam (Versed) IV bolus to a pt before a procedure. The pts BP is 86/ and pulse is 134/min. Which of the following is an appropriate action by the nurse? a. administer naloxone (Narcan) IV b. administer morphine IV c. administer 0l9% sodium chloride IV bolus d. administer atropine IV -
Answer ✓✓
c _____________Quiz____________? A nurse is assisting an anesthesiologist in the delivery of nitrous oxide per face mask to a pt during the induction of anesthesia. Which of the following is a priority nursing action? a. assess O b. obtain BP c. palpate heart rate d. check temp -
Answer ✓✓
a _____________Quiz____________?
A nurse is providing info to a group of surgical nurses for the tx of malignant hyperthermia. Which of the following should the nurse include in the info? (select all that apply) a. infuse iced IV fluids b. provide 100% O c. place on a cooling blanket d. treat the condition while continuing surgery e. adminster IV dantrolene (Dantrium) -
Answer ✓✓
a, b, c, e _____________Quiz____________? A nurse is caring for a pt who displays systemic toxic reaction following a regional block. Which of the following actions by the nurse is appropriate? a. monitor serum creatinine levels b.prepare to administer IV thiopental (Pentothal) c. turn the pt to the right side d. administration 0.9% sodium chloride 500mL IV bolus -
Answer ✓✓
b _____________Quiz____________? A nurse is caring for a pt who reports a headache following an epidural regional nerve block. Which of the following is an appropriate nursing action? a. decrease the pts fluid intake b. apply pressure to puncture site c. place the pts head of the bed flat d. instruct the pt to lie prone -
Answer ✓✓
c _____________Quiz____________?
_____________Quiz____________? A nurse is preop teaching a pt scheduled for abdominal surgery. Which of the following statements by the nurse are appropriate? (select all that apply) a. take you BP med with a sip of water before surgery b. splint the abdominal incision with a pillow when coughing and deep breathing c. bedrest is recommended for the first 48 hrs d. antiembolism stocking are applied before surgery e. you may eat solid foods up to 4 hr before surgery -
Answer ✓✓
a, b, c _____________Quiz____________? A preop nurse is caring for a pt who is having a colon resection. WHich of the following is an appropriate nursing action? a. encourage the pt to void after med administration b. administer antibiotics 30 min prior to surgical incision c. remove half using a manual razor d. remove nail polish on fingers and toes -
Answer ✓✓
d _____________Quiz____________? A nurse is reviewing the health records of several pts in the postanesthesia care unit (PACU) to identify risk factors that can lead to postop complications. Which of the following pts are at risk for complications? (select all that apply) a. pt with WBC of 22, b. pt who uses an insulin pump c. a pt taking warfarin (coumadin) daily d. pt who had bowl prep e. pt who has BMI of 26 -
Answer ✓✓
a, b, c, d _____________Quiz____________? A nurse is caring for a female pt who manifest indications of hypovolemia while in the PACU. Which of the following findings requires actions from the nurse? (select all that apply) a. urine output less than 25 b. hematocrit 48% c. BUN 24 d. tenting of skin over sternum e. apical pulse 62/min -
Answer ✓✓
a, b, c, d _____________Quiz____________? A nurse is caring for a pt who has arrived in the PACU following a total hip arthoplasty. The pt is not responding to verbal stimuli. Which of the following actions should the nurse perform first? a. compare and contrast the peripheal pulses b. apply warm blanket c. assess the pts dressings d. place the pt in lateral position -
Answer ✓✓
d _____________Quiz____________? A nurse is planning care for a pt to prevent postop actelectasis. Which of the following interventions should the nurse include in the plan of care. (select all that apply) a. encourage the use of incentive spirometer q2h b. instruct to splint incision when coughing and deep breathing c. reposition pt q2h d. administer antibiotic therapy e. assist with early ambulation -
Answer ✓✓
b _____________Quiz____________? A pt becomes restless and agitatied in the postanesthesia care unit (PACU) as he begins to regain consciousness. The first action the nurse should take is? a. turn the patient into a lateral position b. orient the pt and tell him the surgery is over c. administer the ordered postop pain med d. check the pts o2 sat and pulse -
Answer ✓✓
d _____________Quiz____________? While in PACU, the pts BP drops from admission pressure of 126/82 to 107/78 with a pulse change of 70 to 94. The nurse administers oxygen and then? a. increases the rate of IV fluids b. notifies the anesthesia care provider c. performs nerovascular checks on lower extremities d. uses a cardiac monitor to assess the pts heart rhythm -
Answer ✓✓
a _____________Quiz____________? The nurse is preparing to discharge a pt from the ambulatory surgery center following an inguinal hernia repair. The nurses delays the release of the pt upon discovering that the pt? a. had IV morphine 45 min ago b. o2 sat of 92% c. has not voided since before surgery d. had one episode of vomiting 30 min ago -
Answer ✓✓
c _____________Quiz____________? A nurse is admitting a pt who reports nausea, vomiting, and weakness. Upon assessment the pt has dry oral mucous membranes, temp (101.3), pulse 92/min, respiration 24/min, skin cool with tenting present, and bp 102/64. His urine is concentrated with high specific gravity. Which of the following are clinical manifestations of fluid volume deficit? (select all that apply) a. decreased skin turgor b. concentrated urine c. bradycardia d. low-grade fever e. tachypnea -
Answer ✓✓
a, b, d, e _____________Quiz____________? A nurse is admitting an older adult pt who is experiencing dyspnea, weakness, and weight gain of 2lb with 1+ bilateral edema of the lower extremities. Upon assessment the pt has a temp of 99, pulse 96/min, repirations 26/min and o2 94% on 3 L oxygen via nasal cannula, and bp 152/96. Which of the following clinical manifestations are indicative of fluid volume excess? (select all that apply) a. dyspnea b.edema c. bradycardia d. hypertension e. weakness -
Answer ✓✓
a, b, d, e _____________Quiz____________? A nurse is caring for a pt who is dehydrated. Which of the following clinical manifestations should the nurse assess for that is indicative of fluid volume deficit?
A nurse is caring for a pt who has lab finding of serum potassium 5.4. The nurse should assess for which of the following clinical manifestations? a. ECG changes b. constipation c. polyuria d. hypotension -
Answer ✓✓
a _____________Quiz____________? A nurse is caring for a pt who has NG tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalance? a. hypercalcemia b. hyponatremia c. hyperphosphatemia d. hypomagnesmia -
Answer ✓✓
b _____________Quiz____________? A nurse is assessing a pt for Chovsteks sign. Which of the following techniques should the nurse use to preform this test? a. apply bp cuff to the pts arm b. place the stethoscope bell over the pts carotid artery c. tap lightly on the pts check d. ask the pt to lower his chin to his chest -
Answer ✓✓
c _____________Quiz____________?
A nurse is assessing a pt who has hyperkalemia. Which of the following conditions is associated with this electrolyte imbalance? a. diabetic ketoacidosis b. heart failure c. cushing's syndrome d. thyroidectomy -
Answer ✓✓
a _____________Quiz____________? A nurse is admitting a pt who has been vomiting for 24 hr. Arterial blood gases are obtained. Based on the lab findings, which of the following conditions should the nurse expect? a. respiratory acidosis b. respiratory alkalosis c. metabolic acidosis d. metabolic alkalosis -
Answer ✓✓
d _____________Quiz____________? During the postop care of a 76 year old pt, the nurse monitors the pts intake and output carefully, knowing that the pt is at risk for fluid and electrolyte imbalances primarily because a. older adults have an impaired thirst mechanism and need reminding to drink fluids b. water accounts for a greater percentage of body weight in the older adult than in younger adult c. older adults are more likely than younger adults to lose extracellular fluid during surgical procedures d. small losses of fluid are more significant because of body fluids account for only about 50% of body weight in older adults -
Answer ✓✓
d _____________Quiz____________?
