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Medical Surgical Nursing
Module 10 • 20 Questions
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Medical Surgical Nursing
Module 10
Question 1
Which of the following nursing actions would help the patient decrease anxiety during the preoperative period?
A
Spending time listening to the patient andanswering questions
B
Encouraging sleep and limitinginterruptions
C
Explaining all procedures thoroughly inchronological order
D
Reassuring the patient that the surgicalstaff are competent professiona
Question 2
Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery?
A
To prevent malnutrition
B
To prevent aspiration pneumonia
C
To prevent intestinal obstruction
D
To prevent electrolyte imbalance
Question 3
Which of the following is experienced by the patient who is under spinal anesthesia?
A
The patient experiences amnesia
B
The patient is unconscious
C
The patient is awake
D
The patient experiences total loss of sensation
Question 4
How frequent should the nurse monitor the VS of the patient in the recovery room?
A
Every 30 mins
B
Every 15 minutes
C
Every 45 mins
D
Every 60 mins
Question 5
The skin is shaved prior to surgery inorder to:
A
Facilitate skin incision
B
Indicate the site to be draped
C
To prevent wound infection
D
Reduce post op scarring
Question 6
Immediately following spinal anesthesia,the greatest risk is:
A
Severe Hypoglycemia
B
Severe hemorrhage
C
Severe Hypotension
D
Hypertensive crisis
Question 7
When the patient vomits, the most important nursing objective is to prevent:
A
Rupture of suture line
B
Dehydration
C
Aspiration
D
Met. Alkalosis
Question 8
Headache after spinal anesthesia is due to:
A
Loss of CSF through dural hole
B
Traction placed on structures witin abdomen
C
Paralysis of vasomotor nerves
D
Administration of large amounts and heavy concentration of anesthetic agents
Question 9
Nursing measures for post-opthrombophlebitis include the following EXCEPT:
A
Massage the painful extremities
B
Maintain bedrest
C
Elevate affected leg with pillow support
D
Apply antiembolic stockings
Question 10
Modified radical mastectomy involves
A
Removal of the entire breast, axillary lymph nodes, pectoralis muscle
B
Removal of the lump of the breast
C
Removal of the entire breast, axillary and neck lymph nodes, including pectoralis muscles
D
Removal of the entire breast but nipple remains intact
Question 11
Which of the following facts best explains why the duodenum is not removed during a subtotal gastrectomy?
A
The jejunum receives its blood supply through the duodenum
B
The wall of the jejunum contains no intestinal villi
C
The head of the pancreas is adherent tothe duodenal wall
D
The common bile duct empties into the duodenal lumen
Question 12
In regards to the patient in the question above, which of the following options below is a nursing intervention you would provide to this patient?
A
Place the patient in supine position
B
Place a non-occlusive dressing over the chest wound
C
Prepare the patient for a thoracentesis
D
Place a sterile occlusive dressing over the chest wound and tape it on three sides
Question 13
Which of the following is a LATE sign of the development of a tension pneumothorax?
A
Hypotension
B
Tachycardia
C
Tracheal deviation
D
Dyspnea
Question 14
Which statement is CORRECT about a tension pneumothorax?
A
A tension pneumothorax is a medical emergency and is treated with needle decompression.
B
Tracheal deviation is an early sign of a tension pneumothorax
C
An open pneumothorax is the only cause of a tension pneumothorax.
D
This condition happens when an opening to the intrapleural space creates a two-way valve which causes pressure to build up in the space leading to shifting of the mediastinum.
Question 15
Your patient with asthma is taking Theophylline. Which product below should the patient avoid consuming?
A
Caffeine
B
Dairy
C
Wheat
D
Shellfish
Question 16
Which medication below blocks the function of Leukotriene for the treatment of asthma?
A
Salmeterol
B
Theophylline
C
Tiotropim
D
Montelukast
Question 17
The physician orders the patient to start taking Omalizumab. How will you administer this medication as the nurse?
A
Intramuscular
B
Intravenous
C
Orally
D
Subcutaneously
Question 18
A patient received a nebulizer of Albuterol. What is a side effect of this medication?
A
Bradycardia
B
Tachycardia
C
Drowsiness
D
Feeling cold
Question 19
The term" blue bloaters" is used to describe patients with?
A
Emphysema
B
Chronic Bronchitis
C
Left-sided heart failure
D
Pulmonary hypertension
Question 20
A patient with emphysema may present with all of the following symptoms EXCEPT?
A
Hyperinflation of the lungs
B
Barrel chest
C
Hypoventilation
D
Hypercapnia
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