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Content text COMPRE - POST TEST - PERIOP (Mr. Mercado) SC


TOP RANK REVIEW ACADEMY, INC. Page 2 | 1 11. Which of the following primarily prevents postoperative complications? A. Adequate fluid intake B. Well - balanced diet C. Early ambulation D. Administration of antimicrobials 12. The diabetic patient who had undergone abdominal surgery experienced wound evisceration. Which of the following is the most appropriate immediate nursing action? A. Cover the wound with sterile gauze moistened with sterile normal saline B. Cover the wound with sterile dry gauze C. Cover the wound with a water-soaked gauze D. Leave the wound uncovered and pull the skin edges together 13. Which among the following is considered as part of the intraoperative phase? A. Patient has decided to have a reconstructive surgery B. Induction of the anesthesia C. Patient having two CTT after a heart transplant D. A patient diagnosed to have a constrictive pericarditis 14. During the first 8 hours postoperative, the total drainage from the Jackson-Pratt drain attached to the wound totaled to 25 mL. What is your next best action? A. Do nothing as the drainage is expected B. Empty the Jackson-Pratt device C. Notify the surgeon stat D. Inform the client that her wound is draining well. 15. It is important that Mr. Ros is advised by the Nurse to have nothing by mouth prior to surgery. If this is a major operation and the schedule of surgery is at seven in the morning, which of the following time for fasting should be observed by the patient? A. 7-8 hours fasting B. 9-10 hours fasting C. 4-5 hours fasting D. 3-4 hours fasting 16. Patient Lulu was transferred to the Surgical Ward from PACU with an RR of 8 cycles/min. The receiving nurse will FIRST do which of the following? A. Enhance patient stimulation through auditory and tactile stimuli to increase RR. B. Document as a normal finding. C. Wait for the RR to reach normal parameter before administering medication. D. Report to the anesthesiologist. 17. Nurse Rose documents her observation on a patient for abdominal surgery. Which of the following statements is legally appropriate notation? A. “The charge nurse spoke with the patient about the surgery” B. “The surgeon committed an error in the medication dose to be given” C. “Patient says he will sue the surgeon and the hospital if the operation turns out to be a failure.” D. “Patient says he feels sharp and stabbing pain in the abdominal area.” 18. You are the nurse of a patient on his Day 1 post- exploratory laparotomy. The patient is receiving morphine through a patient controlled analgesic pump. Throughout your shift, the patient is complaining of severe pain. Which of the following assessment would indicate that the patient is obtaining adequate pain relief? A. Respiratory rate of 10 breaths/minute B. Pain rating of 2 or 3 on a scale of 0 to 10 C. Verbalized episode of itching in the entire body D. Awakening several times to redoes 19. A client who is to receive general anesthesia has a serum potassium level of 5.8 mEq/L. What should be the nurse’s first response? A. Call the surgeon. B. Send the client to surgery. C. Make a note on the front of the chart. D. Notify the anesthesiologist. 20. Prior to being transported to the surgery suite, the nurse asks the client whether he has any allergies. The client responds, “Doesn’t anyone communicate with anyone? I have been asked that question over and over!” What is the nurse’s best response? A. “I’m sorry! I just have to ask that question for the record.” B. “It’s an important question and we just have to check.” C. “You will hear it again and again as you go through surgery.” D. “This question is asked for verification and safety with each new phase of treatment.” 21. The nurse is preparing to administer a preoperative medication. Which of the following actions should the nurse take first? A. Have the family present. B. Ensure that the preoperative shave is completed. C. Have the client empty his bladder. D. Make sure the client is covered with a warm blanket. 22. A client will receive I.V. midazolam hydrochloride (Versed) during surgery. Which of the following should the nurse determine as a therapeutic effect? A. Amnesia. B. Nausea. C. Mild agitation. D. Blurred vision. 23. A client is receive enoxaparin (Lovenox) 6 hours before the scheduled time of her laparoscopic vaginal assisted hysterectomy. Which of the following effects does the nurse recognize as an intended therapeutic action of the enoxaparin? A. Increase in red blood cell production.

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