Title ENHANCEMENT- PB EXAM - NP 4- STUDENT COPY.docx.pdf ✅

PREBOARDS EXAMINATION NURSING PRACTICE IV CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOLOGICAL ALTERATIONS (PART B) ENHANCEMENT PHASE GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation: Nurse Chotola has recently embarked on his journey as a perioperative nurse at a bustling hospital. This position represents his first foray into a surgical setting, and he is filled with determination to make a positive impact. On his first day on the job, Nurse Chotola is inspired to handle his responsibilities with excellence and dedication. 1. Nurse Chotola is going over a surgeon's prescription for a preoperative patient, which indicates that the patient should not eat or drink anything after midnight. Nurse Chotola should contact the surgeon to confirm which medication should be administered to the patient rather than being withheld? A. Ferrous sulfate B. Prednisone C. Alprazolam D. Conjugated estrogen 2. Nurse Chotola is instructing a patient on coughing and deep-breathing methods to help avoid complications after surgery. What would be the most suitable statement for Nurse Chotola to convey to the patient regarding these techniques? A. "Careful observation of your oxygen levels will detect the presence of hypoxemia." B. "The utilization of an incentive spirometer can reduce the risk of pneumonia." C. "Giving intravenous fluids will help prevent or address fluid imbalance." D. "Practicing early ambulation and providing blood thinners will help prevent the development of pulmonary embolism." 3. When creating a plan of care for a client scheduled for surgery, Nurse Chotola should include which of the following activities on the day of surgery? A. Encouraging the client to void before going into surgery B. Avoiding oral hygiene and mouthwash use C. Ensuring the client has not eaten for the last 24 hours to prevent aspiration D. Close monitoring and reporting of slight changes in vital signs, such as the blood pressure or pulse 4. Nurse Chotola demonstrates correct understanding when he says that all but one of the postoperative nursing management tasks in the clinical unit are being performed. A. Reviewing the postoperative orders, admit patient to the unit, and performing an initial assessment are essential parts of the postoperative nursing management tasks B. In the hours immediately post-surgery, nursing interventions focus on aiding the patient's recovery from anesthesia, conducting regular assessments, watching for complications, managing pain, and implementing strategies to encourage self-care, successful adherence to the treatment plan, home discharge, and complete recovery. C. During the first few hours after being admitted to the clinical unit, primary concerns include ensuring adequate ventilation, maintaining hemodynamic stability, addressing incisional pain, preserving surgical site integrity, managing nausea and vomiting, evaluating neurological status, and ensuring spontaneous voiding. D. Unless otherwise specified, vital signs, including pulse, blood pressure, and respirations, should be recorded every 15 minutes during the first 2 hours, followed by every 30 minutes for the subsequent two hours. Thereafter, they are measured less frequently if they remain stable. Monitoring of the patient's temperature is done every 2 hours for the first 24 hours postoperatively. 5. Nurse Chotola is providing preoperative education to a patient regarding the use of an incentive spirometer. Which information should he include during his discussion with the patient? A. Inhale as rapidly as possible. B. Keep a loose seal between the lips and the mouthpiece. C. After maximum inspiration, hold the breath for 15 seconds and exhale. D. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees 6. Jun Pooh is a newly hired nurse assigned to care for a patient who underwent posterior fossa decompression. Which of the following actions by Jun Pooh would require follow-up by the observing nurse preceptor? A. Monitor vital signs, and perform neurologic checks B. Spacing nursing interventions and assisting the patient with self-care C. Checking the patient’s motor function and sensory disturbances at intervals D. Encouraging the patient to perform deep breathing exercises and coughing frequently to facilitate respiratory function 7. Which of the following is not true about informed consent? A. The nurse reinforces information provided by the surgeon and provides information regarding the step by step surgical procedure to help alleviate the patient's anxiety. B. The nurse should notify the physician if the patient needs additional information to make his or her decision. C. The nurse should ensure that the consent form has been signed before giving the patient any psychoactive premedication. D. Ensures that the patient has received and comprehended the procedure, including its risks, benefits, and alternatives, and, most importantly, confirm that the patient was competent and consented voluntarily. 1 | Page