Content text PRETEST-PERIOP-KEY(NOV 2024).pdf
* NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * PRE-TEST PERIOPERATIVE NURSING NAME: 1. Nurse Adrian is developing a plan of care for Hannah, a patient scheduled for cholecystectomy. He should include which activity in the nursing care plan for the client on the day of surgery? A. Avoid oral hygiene and rinsing with mouthwash B. Verify that the client has not eaten for the last 24 hours C. Have the client void immediately before going into surgery D. Report immediately any slight increase in BP or pulse 2. Romina felt a sudden tearing pain in her epigastric area prompting ER consult. Upon imaging, a perforated gastric ulcer was found and was scheduled for surgery. She cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client? A. Obtain a court order for the surgery. B. Have the charge nurse sign the informed consent immediately C. Send the client to surgery without the consent form being signed D. Obtain a telephone consent from a family member, following agency policy 3. Nurse Alyssa is conducting preoperative teaching with Mario, a post- pneumonectomy client, about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client? 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 4. Nurse Lou assess a client's post-cesarean section incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site? A. Red, hard skin B. Serous drainage C. Purulent drainage D. Warm tender skin 5. Nurse Carla is reviewing a prescription sheet for Mandy, a pre-operative client for craniotomy tomorrow. It that states that he client must be NPO after midnight. The nurse would telephone the physician to clarify that which medication should be given to the client and not withheld? A. Prednisone B. Ferrous sulfate C. Cyclobenzaprine (Flexeril) D. Conjugated estrogen (Premarin) 1 TOPRANK REVIEW ACADEMY INC