Surgical

40 Questions | Total Attempts: 75

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Surgical Technology Quizzes & Trivia

Questions and Answers
  • 1. 
    Ms Tobin, 22 yof, has recurrent ulcerative colitis unmanaged by meds. She is admitted for pending ileostomy.  Her stools are likely
    • A. 

      Bloody with mucus

    • B. 

      Formed and brown

    • C. 

      Frothy and green

    • D. 

      Clay colored liquid

  • 2. 
    Prior to Ms Tobin's ileostomy surgery, she makes a  statement indicating to the nurse that she has need for more education
    • A. 

      My ostomy will be a temporary need

    • B. 

      I will never have formed stools again

    • C. 

      I won't have to irrigate this ostomy

    • D. 

      This operation doesn't prevent me from having kids

  • 3. 
    Ms Tobin is taught deep breathing and coughing exercies by the nurse pre-op. Best indication of her learning is
    • A. 

      Ms Tobin is taught deep breathing and coughing exercies by the nurse pre-op. Best indication of her learning is

    • B. 

      She describes deep breathing & coughing

    • C. 

      She states these exercises help prevent pneumonia

    • D. 

      She states these exercises improve her oxygenation

  • 4. 
    Post-op, Ms Tobin's signs and symptoms of hemorrage include
    • A. 

      Hypotension

    • B. 

      Atrial fibrillation

    • C. 

      Increased skin warmth

    • D. 

      Lethargy

  • 5. 
    Ms Tobin's peristaltic activity returns post ileostomy when
    • A. 

      Output is noted in the ileostomy bag

    • B. 

      She passes gas

    • C. 

      She tolerates ice chips

    • D. 

      She produces emesis

  • 6. 
    To prevent skin excoriation around the ileostomy stoma, plan of care includes
    • A. 

      Keeping leakage off the skin

    • B. 

      Replacing the bag every 4-6 hours

    • C. 

      Irrigating the ileostomy bag with tap water

    • D. 

      Cleansing area around appliance daily

  • 7. 
    Ms Barnes, 45 years old, is scheduled for a cholecystectomy and exploration of the common bile duct in which an obstruction is evidenced by
    • A. 

      Schlera of the eyes are jaundice

    • B. 

      Cloudy, yellow urine

    • C. 

      Formed brown stools

    • D. 

      Pale, flushed skin

  • 8. 
    Referred pain from acute cholecystitis will radiate to
    • A. 

      Right shoulder and back

    • B. 

      Midsternum

    • C. 

      Left scapula

    • D. 

      Left upper abdominal quadrant

  • 9. 
    Post cholecystectomy and exploration of the common bile duct, Ms Barnes inquires about the attached T-tube.  The nurse correctly answers the purpose of the T-tube
    • A. 

      Keeps bile flowing til swelling in area decreased

    • B. 

      Collects bile for testing in the lab

    • C. 

      Indicates when bile production ends

    • D. 

      Protects skin from enzymatic leakage

  • 10. 
    Ms Barnes is encouraged to ambulate. She complains of right calf pain when she starts. The next action the nurse should take is
    • A. 

      To assist patient back to bed

    • B. 

      To massage the aching calf

    • C. 

      Reassure this is normal after lengthy bedrest

    • D. 

      Do leg exercises while in bed

  • 11. 
    The following statement is correct in regards to proper diet teaching post cholecystectomy
    • A. 

      Add fatty foods gradually to your diet

    • B. 

      No more fatty foods at all from now on

    • C. 

      Take in no more than 20 grams of fat each day

    • D. 

      Eat only polyunsaturated fats

  • 12. 
    When the nurse is asked what activities will help Ms Barnes heal faster after her cholecystectomy, his best response is for her to
    • A. 

      Walk a mile each day

    • B. 

      Sitting upright while planning for social events

    • C. 

      Bowling with her team every week

    • D. 

      Golf only nine holes a week the first month

  • 13. 
    Ms Huston is recovering from a left lower lobectomy with 2 chest tubes connected to water seal drainage. Plan of care includes
    • A. 

      Marking the level of total drainage per shift

    • B. 

      Clamping the tubes for rapid drainage

    • C. 

      Change the collection bottle every 24 hours

    • D. 

      Irrigate the tubes to prevent clot formation

  • 14. 
    Ms Huston complains of pain when she is reminded to perform deep breathing and coughing exercies  and currently breathes shallow. She receives her prn dose of morphine regularly the past two days. The
    • A. 

      Continue giving her med to make breaths easier

    • B. 

      Hold narcotics to prevent addiction

    • C. 

      Hold next dose to prevent respiratory depression

    • D. 

      Administer morphine for her anxiety

  • 15. 
    Ms Huston, noting her chest tubes, asks what the higher one does
    • A. 

      To remove air from the pleural space

    • B. 

      To remove blood from the chest cavity

    • C. 

      To balance the pressure within the cavity

    • D. 

      To promote the alveoli to remain open

  • 16. 
    Early signs and symptoms of hypoxia include
    • A. 

      Restlessness

    • B. 

      Confusion

    • C. 

      Cyanotic lips

    • D. 

      Low hemoglobin

  • 17. 
    Ms Huston's chest tubes are removed. The most likely complication within the next 24 hours would be
    • A. 

      Tension pneumothorax

    • B. 

      Pleural effusion

    • C. 

      Pneumonia

    • D. 

      ARDS

  • 18. 
    Prevention of ankylosis of the left shoulder (operative side), Ms Huston's plan of care includes
    • A. 

      Left arm & shoulder range of motion

    • B. 

      Securely snugged sling to left arm

    • C. 

      Squeezing a tension ball every hour

    • D. 

      Elevate left arm on 2 pillows

  • 19. 
    Today is post-op Day 4 for Gloria status post spinal fusion and insertion of Harrington rods.  She continues to routinely request her prn morphine q4h since surgery. The nurse will
    • A. 

      Administer the med as this is a painful surgery

    • B. 

      Hold back the med for growing dependency

    • C. 

      Use alternative methods like TV distraction

    • D. 

      Use therapeutic touch for high anxiety

  • 20. 
    On post-o Day 3, Gloria is whining and demanding and her family dotes on her constantly. Most likely interpretation of this behavior is
    • A. 

      A common response to a difficult situation

    • B. 

      Family guilt

    • C. 

      Codependency

    • D. 

      Gloria is schizophrenic

  • 21. 
    Randy is status post thyroidectomy today. He has an IV infusing and a JP drain to bulb suction from the operative site.Which measure is of immediate need to assess?
    • A. 

      Respiratory character

    • B. 

      Pain Control

    • C. 

      Gag reflex

    • D. 

      Verbalization ability

  • 22. 
    The following equipment is necessary outside of Randy's room post thryroidectomy today.
    • A. 

      Tracheostomy set

    • B. 

      Endotracheal tube

    • C. 

      Crash cart

    • D. 

      Defibrillator

  • 23. 
    Randy, post-op thyroidectomy today, will be placed in this position on return to his room
    • A. 

      Mid-Fowler's

    • B. 

      Supine

    • C. 

      Reverse Trendelenberg

    • D. 

      Trendelenberg

  • 24. 
    Immediately post thyroidectomy,  this drug is readily available
    • A. 

      Calcium gluconate

    • B. 

      Aminophylline

    • C. 

      Albuterol inhaler

    • D. 

      Protamine Sulfate

  • 25. 
    On post-op Day 2 of a thyroidectomy, Randy will get out of bed to ambulate. His baseline acitivity level is completely independent. The nurse will provide
    • A. 

      Support to the head

    • B. 

      Clamp the JP drain

    • C. 

      Nothing. He takes pride in his independence

    • D. 

      Direct him to log-roll out of bed