Tiêu đề COMPRE - POST TEST - PERIOP (Ms. Carmona) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 3 | A. Reposition every 2 hours and use pressure-relieving surfaces B. Keep patient flat to avoid falls C. Encourage pillow use behind head only D. Limit repositioning 40. Patient asks why they received antibiotics in the OR. What’s the best nursing response? A. “To prevent surgical site infection by covering bacteria during incision” B. “To treat an existing infection” C. “Routine for all surgeries” D. “To reduce chances of malaria” 41. A patient 2 hours post-abdominal surgery has a BP of 85/60 mmHg, HR of 130 bpm, and the surgical dressing is saturated. What is the nurse’s priority action? A. Document dressing status and monitor B. Reinforce the dressing and reassess in 30 minutes C. Apply pressure, elevate legs, and notify the surgeon D. Increase IV fluids and wait for provider 42. A postoperative patient complains of calf pain and swelling, and the leg appears red and warm. What is the nurse’s best action? A. Massage the leg gently B. Elevate the leg and notify the physician C. Encourage ambulation D. Apply cold compress 43. A patient starts vomiting while still drowsy after general anesthesia. What should the nurse do first? A. Call the surgeon B. Place in side-lying position and suction airway C. Offer water D. Elevate head of bed 44. A diabetic patient’s surgical wound is not healing as expected on day 10. What factor most likely contributes to this? A. Age B. Nutrition C. Blood glucose control D. Body position 45. The nurse teaches a patient about leg exercises and ambulation post-surgery. What complication is most likely being prevented? A. Wound dehiscence B. Hemorrhage C. Thrombophlebitis D. Anemia 46. A patient receiving IV fluids postoperatively shows crackles, dyspnea, and edema. What complication is developing? A. Hypovolemia B. Pulmonary edema from fluid overload C. Bronchitis D. Infection 47. A patient in the PACU becomes pale, diaphoretic, and restless. BP is 88/60 mmHg; HR is 122 bpm. What is the priority nursing assessment? A. Fluid intake B. Wound drainage C. Capillary refill D. Dressing and signs of bleeding 48. A patient under general anesthesia starts displaying irregular breathing, rapid pulse rate and struggling. The nurse understands that the patient is in which stage of anesthesia? A. Stage I – Induction B. Stage II – Excitement C. Stage III – Surgical anesthesia D. Stage IV – Medullary depression 49. During surgery, the patient’s respiration becomes shallow, BP drops, and pupils are fixed and dilated. What is the nurse’s priority? A. Document findings B. Continue current anesthesia level C. Respiratory and cardiac support based on hospital protocol D. Lower the head of the bed 50. During surgery, the nurse observes that the patient's pupils are fixed and nonreactive to light. What stage of anesthesia may this indicate? A. Stage I B. Stage II C. Stage III D. Stage IV