Surgery Questions

Which instruction might the nurse give to nursing assistive personnel (NAP) regarding the care of a patient with an intravenous (IV) site dressing?A. "Assess the IV site frequently for signs of inflammation."B. "Be sure not to obscure the insertion site with the dressing."C. "If the gauze dressing looks damp, replace it with a dry 4 × 4 gauze."D. "Be sure to notify me if the patient reports that the IV site is painful or swollen."

While changing a patient's hospital gown, the extension set on the IV infusion becomes disconnected and ends up on the bed linens. What would the nurse do?A. Reconnect the extension set.B. Clean the end with an alcohol swab and reconnect it.C. Pull the IV from the site and insert a new catheter.D. Change the extension set tubing.

The provider orders that a patient be given 1000 mL of IV normal saline to run over 10 hours. The drop factor of the selected tubing is 15. What is the correct rate of infusion in drops per minute?A. 25 drops/minuteB. 30 drops/minuteC. 35 drops/minuteD. 40 drops/minute

The nurse receives an order to infuse 1000 mL of D5W at 125 mL continuously. Which of the following actions by the nurse indicates correct interpretation of this order?A. Infusing D5W 1000 mL for 8 hours and then discontinuing the infusionB. Infusing D5W at a rate of 125 mL/hr for 24 hours and then discontinuing the infusionC. Infusing D5W at a rate of 125 mL/hr until the health care provider changes the orderD. Calling the health care provider to clarify the order

Which instruction reflects the nurse's correct understanding of the role of nursing assistive personnel (NAP) in caring for a patient receiving an intravenous (IV) antibiotic medication by piggyback?A. "Assess the IV site frequently for signs of infiltration."B. "Let me know immediately if the patient complains of pain at the IV site."C. "Notify the physician that the patient is allergic to the medication prescribed."D. "Remember to hang the piggyback medication higher than the primary solution.

What are among the most important and most common causes of cell injury?A, Lack of nutrientsB. Chemical injuryC. InfectionD. Hypoxia/anoxia

The loss of cells, decrease in the size of a tissue, organ or the entire body is known as what?A. atrophyB. hypertrophyC. hyperplasiaD. metaplasiaE. dysplasia

What two factors are used to calculate cardiac output? Select all that apply:*A. Heart rateB. Blood pressureC. Stroke volumeD. Mean arterial pressure

___________ is the amount of blood pumped by the left ventricle with each beat.*A. Cardiac outputB. PreloadC. AfterloadD. Stroke volume

A patient with hypovolemic shock is given IV fluids. IV fluids will help _________ cardiac output by _________ ________:*A. decrease; decreasing preloadB. increase, increasing preloadC. increase, decreasing afterloadD. decrease, increasing contractility

Which statement below best describes the term cardiac preload?*A. The pressure the ventricles stretch at the end of systole.B. The amount the ventricles stretch at the end of diastole.C. The pressure the ventricles must work against to pump blood out of the heart.D. The strength of the myocardial cells to shorten with each beat.

A 72 year-old male patient who is diagnosed with bilateral lower lobe pneumonia is admitted to your unit. The patient has a history of systolic heart failure and arthritis. On assessment, you note the patient has a respiratory rate of 21, oxygen saturation 93% on 2L nasal cannula, is alert & oriented, and has a productive cough with green/yellowish sputum. Which of the following nursing interventions will you provide to this patient based on your assessment findings and the patient's diagnosis? Select-all-that-apply:A. Keep head-of-the-bed less than 30 degrees at all times.B. Collect sputum cultures.C. Encourage 3L of fluids a day to keep secretions thin.D. Encourage incentive spirometer usageE. Provide education about receiving the Pneumovax vaccine every 5 years

Select the statement below that best describes cardiac afterload:*A. It's the volume amount that fills the ventricles at the end of diastole.B. It's the volume the ventricles must work against to pump blood out of the body.C. It's the amount of blood the left ventricle pumps per beat.D. It's the pressure the ventricles must work against to open the semilunar valves so blood can be pumped out of the heart

Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:*A. A 53 year old female recovering from abdominal surgery.B. A 69 year old patient who recently received the pneumococcal conjugate vaccine.C. A 42 year old male with COPD and is on continuous oxygen via nasal cannula.D. A 8 month old with RSV (respiratory syncytial virus) infection.

Patients with chronic bronchitis and emphysema can MOST COMMONLY experience what type of acid-base imbalance?*A. High oxygen level and high carbon dioxide levelB. Low oxygen level and low carbon dioxide levelC. High oxygen level and low carbon dioxide levelD. Low oxygen level and high carbon dioxide level

You're providing discharge teaching to a patient who was admitted for pneumonia. You are discussing measures the patient can take to prevent pneumonia. Which of the following statements by the patient indicates they did NOT understand your education material?*A. "I'll use hand sanitizer regularly while I'm out in public."B. "It is important I don't receive the Pneumovax vaccine since I'm already immune to pneumonia."C. "I will try to avoid large crowds of people during the peak of flu season."D. "It is important I try to quit smoking."

Which of the following is NOT a sign and symptom of chronic bronchitis?*A. Productive coughB. Shortness of breathC. CyanosisD. Barrel chest

You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:*A. DiabetesB. Liver failureC. Long-term care residentD. InmateE. IV drug userF. HIVG. U.S. resident

A 55-year old male patient is admitted with an active tuberculosis infection. The nurse will place the patient in ____________ precautions and will always wear _____________ when providing patient care?*A. droplet, respiratorB. airborne, respiratorC. contact and airborne, surgical maskD. droplet, surgical mask

A patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in _________ so the results can be interpreted?*A. 24-48 hoursB. 12-24 hoursC. 48-72 hoursD. 24-72 hours