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Postoperative

40 Questions  I  By Justin82
Health Quizzes & Trivia
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1.  1.  You are the recovery room nurse who is admitting a patient from the OR. What is the first assessment you would make on a newly admitted patient?
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D.
2.  2.  Your patient is in the recovery room following chest surgery. The patient complains of severe nausea. What would you do next?
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B.
C.
D.
3.  3.  You are discharging your patient home from day surgery after a general anesthetic. What instruction would you give the patient prior to the patient leaving the hospital?
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D.
4.  4.  Your patient is a 78-year-old male who has had outpatient surgery. You are getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension, what should you plan to have the patient do?
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5.  5.  You admit a patient to the PACU who has undergone a surgical procedure that required the use of general anesthesia. What is the patient most at risk for following general anesthesia?
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D.
6.  6.  You are caring for a postoperative patient on the medical-surgical unit. During each patient assessment, you evaluate your patient for infection. Which sign or symptom would be most indicative of infection?
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D.
7.  7.  The nursing instructor is with a student nurse who is going to be changing an abdominal dressing. The first step is to provide the patient with information regarding the procedure. Which of the following is the best statement for completing this task?
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D.
8.  8.  Your patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output you recorded for this patient was 10 mL. The tubing of the Foley is patent. What should you do?
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D.
9.  9.  You are caring for a 79-year-old man who has returned to the medical-surgical unit following abdominal surgery. Your patient is unable to ambulate and is now refusing to wear an external pneumatic compression stocking. You explain that refusing to wear external pneumatic compression stockings places him at significant risk for what?
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D.
10.  10.  You admit a patient to the postanesthesia care unit with a blood pressure of 130/90 and a pulse of 68 beats per minute. After 30 minutes, the patient's blood pressure is 120/65, and the pulse is 100. You document the patient's skin as cold, moist, and pale. What is the patient showing signs of?
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B.
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D.
11.  11.  You are a nurse in the PACU caring for a 56-year-old male patient who had a hernia repair. The patient's blood pressure is now 164/92, he has no history of hypertension prior to surgery, and his preoperative blood pressure was 112/68. You know that hypertension following surgery is often related to what?
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D.
12.  12.  You are the nurse caring for a patient after abdominal surgery in the postanesthesia care unit. The patient's blood pressure has increased and the patient is restless. The patient's oxygen saturation is 97%. You know that the change in your patient is most likely caused by what?
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D.
13.  13.  You are the nurse in the emergency department (ED). You are caring for a man who has returned to the ED after receiving ten stitches for a knife wound while cleaning fish. The wound is now infected, the stitches were removed, and the wound is cleaned and packed with gauze. The ED doctor plans to have the man return tomorrow to remove the packing and resuture the wound. You are aware that the wound will now heal by what?
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14.  14.  You are the nurse caring for 82-year-old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless, and agitated. What are you aware of?
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D.
15.  15.  A 38-year-old patient has just been admitted to the PACU following abdominal surgery. As the patient begins to awaken, he is restless and asking for “a drink of water.” The nurse checks his skin and it is cold, moist, and pale. What is the nurse concerned the patient may be at risk for?
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B.
C.
D.
16.  16.  The nursing instructor is discussing postoperative care with the junior nursing students. A student nurse asks, “Why does the patient go to the PACU prior to the medical-surgical unit?” What is the nursing instructor's best response?
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17.  17.  The PACU nurse is caring for a patient who has arrived from the operating room who is still unconscious. During the initial assessment, the nurse notices that the patient's skin is blue and dusky. She looks, listens, and feels for breathing, and determines the patient is not breathing. The priority intervention is to
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18.  18.  You are doing teaching with a patient who has a leg ulcer. You are teaching about tissue repair and wound healing. Which of the following statements by the patient indicates that teaching has been effective?
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D.
19.  19.  You are the nurse caring for a patient who just had surgery. What is your highest priority?
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D.
20.  20.  Your patient has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. What is your first response?
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D.
21.  21.  You are the PACU nurse caring for a 45-year-old male patient who had a left lobectomy. You assess your patient frequently for airway patency and cardiovascular status. You know that the most common cardiovascular complications seen in the PACU include what? (Mark all that apply.)
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D.
E.
22.  22.  Your postoperative patient suddenly presents with hypotension; rapid, thready pulse; oliguria; and cold, pale skin. You suspect hemorrhage. What would be your first nursing action?
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D.
23.  23.  You are the intraoperative nurse transferring a patient from the OR to the PACU after replacement of the right knee. The patient is a 73-year-old female. You know that special attention must be paid to what?
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D.
24.  24.  What are the determining factors for a patient to be discharged from the PACU? (Mark all that apply.)
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25.  25.  You are the nurse in a same-day surgery center. What can you do to ensure patient safety and recovery?
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26.  26.  You are discharging a patient home from a same-day surgery center. You have gone over all of the discharge instructions with the patient and her caregiver. What else should you do before letting the patient leave the facility? (Mark all that apply.)
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27.  27.  The nursing instructor is discussing the difference between ambulatory surgical centers and hospital-based surgical units. A student asks why some patients have surgery in the hospital and others are sent to ambulatory surgery centers. What is the instructor's best response?
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D.
28.  28.  You have just received a postoperative patient from the PACU to the medical-surgical unit. Your patient is an 84-year-old female who had surgery for a left hip replacement. What is a primary concern for this patient in the first few hours on the unit?
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B.
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D.
29.  29.  The nurse's aide notifies you that your patient has decreased oxygen saturation levels. You assess the patient and find that he is tachypnic, has crackles on auscultation, and his sputum is frothy and pink. What do you suspect is wrong with this patient?
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B.
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D.
30.  30.  You are performing your shift assessment of your patient. You find his mental status, level of consciousness, speech, and orientation are intact and at baseline. Your patient tells you he is very anxious. What would you do next?
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D.
31.  31.  You are the nurse writing a plan of care for a patient who is status postsurgery for a broken femur. What is the most important goal for this patient?
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D.
32.  32.  You are caring for a 71-year-old patient who is 4 days postoperative for bilateral inguinal hernias. The patient has a history of congestive heart failure and peptic ulcer disease. The patient is refusing to ambulate and will not drink fluids except for hot tea with her meals. The nurse's aide reports to you that this patient's vital signs are slightly elevated and she has a nonproductive cough. When you assess the patient, you find there are crackles at the base of the lungs. What would you suspect is wrong with your patient?
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B.
C.
D.
33.  33.  The nurse is admitting a patient to the medical-surgical unit from the PACU. A concern for this patient is pneumonia. What would the nurse do to help the patient clear secretions and help prevent pneumonia?
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D.
34.  34.  Your patient has just returned to the unit from PACU with patient-controlled anesthesia (PCA). You know that the requirements for PCA include what?
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35.  35.  Wound assessment is an important part of the nursing care of the postoperative patient. What does ongoing assessment of the surgical site involve?
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36.  36.  In portable wound suction, the use of gentle, constant suction enhances drainage of these fluids and collapses the skin flaps against the underlying tissue, thus removing “dead space.” Which of the following is a portable suction device?
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B.
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D.
37.  37.  The nurse is caring for a postoperative patient who needs daily dressing changes. The patient is 3 days post-op and should be going home the next day. Up until now, the patient has refused to learn how to change her dressing. What would indicate to the nurse the patient's readiness to learn how to change her dressing? (Mark all that apply.)
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E.
38.  38.  The nursing instructor is talking with a group of medical-surgical students about deep vein thrombosis (DVT). A student asks what factors contribute to the formation of a DVT. What would be the instructor's best response?
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39.  39.  The home health nurse is caring for a postoperative patient who was discharged home on day 2 after surgery. The nurse is making her initial visit on the patient's post-op day 3. The nurse will assess for wound infection. Generally speaking, what is the latest post-op day that a wound infection may become evident?
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40.  40.  You are caring for an 88-year-old patient who is recovering from an ileac-femoral bypass graft. The patient is 2 days post-op and has been mentally intact. When you assess the patient, you find he is confused and has disturbed sleep patterns and impaired psychomotor skills. What would you suspect is the problem with the patient?
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D.
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