A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
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Question 2 of 98
A male patient has a scar on his forehead from a third-degree burn. What is the correct classification for this surgery?
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Question 3 of 98
The OR nurse is monitoring a patient's blood loss. What should the nurse report to the surgeon?
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Question 4 of 98
The OR nurse is participating in the appendectomy of a 20-year-old female patient who has a dangerously low body mass index. The nurse recognizes the patient's consequent risk for hypothermia. What action should the nurse implement to prevent the development of hypothermia?
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Question 5 of 98
During a surgical procedure using ketamine as the induction and maintenance agent, the perioperative nurse should:
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Question 6 of 98
Inductive reasoning is reasoning from
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Question 7 of 98
A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
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Question 8 of 98
The nurse is caring for a male patient who is having open heart surgery. The patient's chest is covered with thick hair, so the surgical technician begins to shave the patient's skin near the operative site. Which action by the technician requires intervention by the nurse to correct the technique?
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Question 9 of 98
An OR nurse will be participating in the intraoperative phase of a patient's kidney transplant. What action will the nurse prioritize in this aspect of nursing care?
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Question 10 of 98
The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of propofol, which terminology should the nurse use?
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Question 11 of 98
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed warfarin?
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Question 12 of 98
A 54-year-old man has just been diagnosed with small cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What fact about lung cancer treatment should inform the nurses response?
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Question 13 of 98
Which definition is appropriate for local anesthesia?
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Question 14 of 98
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
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Question 15 of 98
Avoidance, Displacement, Fantasy and Projection are examples of
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Question 16 of 98
The following patient is at risk for latex allergy and should not have latex products used in their care:
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Question 17 of 98
Select the appropriate nursing action that supports hands-free instrument passing and sharps safety.
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Question 18 of 98
The following are examples of gram-positive bacteria EXCEPT
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Question 19 of 98
Intestinal condition in which the bowel slides backwards into itself is called
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Question 20 of 98
A client who has undergone preadmission testing, has had blood drawn for serum lab studies, including a complete blood count, coagulation studies and electrolytes and creatine levels. Which lab result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?
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Question 21 of 98
The following nitrogenous wastes are excreted by the kidney EXCEPT
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Question 22 of 98
The OR will be caring for a patient who will receive a transsacral block. For what patient would the use of a transsacral block be appropriate for pain control?
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Question 23 of 98
There are principles of management propounded by Henry Fayol
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Question 24 of 98
The nurse is doing preoperative patient education with a 61-year-old male patient who has a 40-pack per year history of cigarette smoking. The patient will undergo an elective bunionectomy at a time that fits his work schedule in a few months. What would be the best instruction to give to this patient?
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Question 25 of 98
Pathogenic organisms cause in the body of the host
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Question 26 of 98
The following are parts of the respiratory system EXCEPT
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Question 27 of 98
In research, an error that is not determined by chance is
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Question 28 of 98
The following are examples of infectious diseases EXCEPT
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Question 29 of 98
The following are examples of genetic diseases EXCEPT
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Question 30 of 98
Induced deliberate hypotension is used for the following except
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Question 31 of 98
The following are secreted by the anterior pituitary gland EXCEPT
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Question 32 of 98
When assessing for Tinel's sign in a patient with possible right-sided carpal tunnel syndrome, the nurse will ask the patient about
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Question 33 of 98
Which of these is the commonest Computer Operating System?
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Question 34 of 98
The circulating nurse notices a puddle of fluid under the OR table. What should the nurse do?
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Question 35 of 98
A patient scheduled for surgery asks the nurse why he needs to wear an identification band. What is the nurse's best response?
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Question 36 of 98
An older adult patient has been diagnosed with COPD. What characteristic of the patients current health status would preclude the safe and effective use of a metered-dose inhaler (MDI)?
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Question 37 of 98
The following are examples of dermatological diseases EXCEPT
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Question 38 of 98
Characteristics of a good research topic includes all but one of the following
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Question 39 of 98
Which statement is true regarding the patient who has given consent for a surgical procedure?
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Question 40 of 98
To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
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Question 41 of 98
A client has developed malignant hyperthermia. The clients potassium is 6.5 mEq/L. What action by the nurse takes priority?
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Question 42 of 98
The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation rapidly dropping. The patient complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include what?
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Question 43 of 98
The full meaning of AORN is
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Question 44 of 98
The structure that attaches the ovary to the pelvic wall is
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Question 45 of 98
When caring for a patient who has an arterial catheter in the left radial artery for arterial pressure-based cardiac output (APCO) monitoring, which information obtained by the nurse is most important to report to the health care provider?
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Question 46 of 98
A veteran perioperative nurse remembers a time when all suture needles had eyes, and she even had her own needle rack. She hand-threaded all sutures according to the surgeon's preference. The newer sutures were originally called 'atraumatic' sutures because they did not double back through a needle eye and cause tissue trauma during pulling or suturing through the tissue. Today, we call this manufacturing process of connecting the suture thread to the needle:
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Question 47 of 98
The circulating nurse prepares the sterile field in the operating room (OR). Fifteen minutes later, the nurse is informed the surgery is delayed for 20 minutes because the surgeon is working at another hospital. Which is the best action for the nurse to take?
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Question 48 of 98
The nurse is caring for a patient on postoperative day 1 following a laminectomy. The patient reports numbness in both legs. What should the nurse do first?
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Question 49 of 98
The postoperative patient displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
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Question 50 of 98
Fallot's tetralogy comprises all these conditions EXCEPT
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Question 51 of 98
The following are examples of antibiotics EXCEPT
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Question 52 of 98
The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle. Which is the priority action of the nurse when the patient arrives on the unit?
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Question 53 of 98
Which one of the following is an indication for performing rhytidectomy procedure?
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Question 54 of 98
Which of these routes of drug administration is easy, convenient and inexpensive?
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Question 55 of 98
In a research study by Bandari and colleagues, of surgical briefings and debriefings, they concluded that this communication model was a practical and effective means to:
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Question 56 of 98
The nurse is performing an assessment of a patient who underwent a bowel resection 3 days ago. The nurse notes that the patient's abdominal incision is warm, red, and the patient reports increased tenderness at the site. What do these findings suggest?
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Question 57 of 98
The muscle that flexes the forearm is
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Question 58 of 98
Which nursing interventions are appropriate during stage 2 of anesthesia?
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Question 59 of 98
The morning after a patient's lower leg surgery, the nurse notes that the dressing is wet from drainage. The surgeon has not yet been in to see the patient on rounds. What does the nurse do about the dressing?
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Question 60 of 98
Which health care provider informs the patient of the benefits and risks of surgery prior to going to surgery?
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Question 61 of 98
A clinic nurse is conducting a preoperative interview with an adult patient who will soon be scheduled to undergo cardiac surgery. What interview question most directly addresses the patient's safety?
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Question 62 of 98
The nurse is assigned to provide preoperative teaching to a patient who is scheduled for surgery. When instructing the patient on how to use an incentive spirometer, the nurse determines the patient only understands Spanish. What is the best method for the nurse to teach the patient how to use this equipment?
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Question 63 of 98
The nurse is caring for a postoperative patient on the medical-surgical floor. To prevent venous stasis and the formation of thrombus after general anesthesia, the nurse encourages
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Question 64 of 98
A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
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Question 65 of 98
Fire fueled by combustibles such as paper is best extinguished with
The intraoperative nurse is transferring a patient from the OR to the PACU after replacement of the right knee. The patient is a 73-year-old woman. The nurse should prioritize which of the following actions?
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Question 68 of 98
The nurse receives a telephone call from the postanesthesia care unit, stating that a client is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the client?
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Question 69 of 98
The following are examples of special senses EXCEPT
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Question 70 of 98
The following statements are true about low transverse uterine incision EXCEPT
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Question 71 of 98
The doctrine of 'Res ipsa loquitor' can be used in favour of the to prove a case of negligence in the law court
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Question 72 of 98
A frail and thin 91-pound, 83-year-old woman is scheduled for a right pneumonectomy for non-small cell lung cancer. She will be positioned in left lateral position for her procedure. Based on the perioperative nurse's preoperative assessment, identify three position-related nursing diagnoses for this procedure and four relevant nursing interventions. Select from the options to fill in the blanks.
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Question 73 of 98
A patient is admitted to the emergency department (ED) for shock of unknown etiology. The first action by the nurse should be to
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Question 74 of 98
While in the holding area, a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?
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Question 75 of 98
Laparoscopic procedures that emergently convert to open procedures place the patient at risk for unintentional retained foreign objects (RFOs). What new and evolving risk reduction strategy could prevent RFOs and frustrating, time-consuming miscount adventures at the end of these procedures?
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Question 76 of 98
The school nurse is presenting a class on smoking cessation at the local high school. A participant in the class asks the nurse about the risk of lung cancer in those who smoke. What response related to risk for lung cancer in smokers is most accurate?
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Question 77 of 98
Which risk factor should the nurse include in the preoperative plan of care for a patient who smokes?
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Question 78 of 98
The coronary blood vessels are part of the circulatory system
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Question 79 of 98
An asthma educator is teaching a patient newly diagnosed with asthma and her family about the use of a peak flow meter. The educator should teach the patient that a peak flow meter measures what value?
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Question 80 of 98
The skin cells with sensory role are
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Question 81 of 98
After being hospitalized for 3 days with a right femur fracture, a 32-year-old patient suddenly develops shortness of breath and tachypnea. The patient tells the nurse, 'I feel like I am going to die!' Which action should the nurse take first?
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Question 82 of 98
The nurse admits a patient to the PACU with a blood pressure of 132/90 mm Hg and a pulse of 68 beats per minute. After 30 minutes, the patient's blood pressure is 94/47 mm Hg, and the pulse is 110. The nurse documents that the patient's skin is cold, moist, and pale. Of what is the patient showing signs?
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Question 83 of 98
Acts of misconduct that brings about disciplinary action include the following EXCEPT
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Question 84 of 98
How many providers from the operating room (OR) should participate in the hand-off communication that occurs with the postanesthesia care (PACU) nurse prior to patient transfer?
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Question 85 of 98
The nurse is caring for a patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, 'I feel like I need to go to the bathroom, but I can't.' Which of the following nursing interventions would be most appropriate?
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Question 86 of 98
A nurse is preparing the client for transfer to the operating room (OR). The nurse should take which of the following actions in the care of this client at this time?
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Question 87 of 98
In the PACU, the nurse assesses that a patient is bleeding profusely from an abdominal incision. What is the nurse's best first action?
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Question 88 of 98
As the placenta was delivered and the uterus prepared for closure, the scrub person gathered up all of the sponges and dropped them in the kick bucket while the circulating nurse frantically stuffed them into sponge bag pockets. Sharps, sponges, and instrument counts were correct on closure of the uterus and again on closure of the peritoneum. On final sharps and sponge counts before skin closure, a needle was missing. Select the appropriate order of corrective action for the team.
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Question 89 of 98
Select the nursing activity that would reduce the impact of an extrinsic factor that could cause a pressure injury to the patient.
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Question 90 of 98
A student nurse is preparing to care for a patient with bronchiectasis. The student nurse should recognize that this patient is likely to experience respiratory difficulties related to what pathophysiologic process?
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Question 91 of 98
To maintain proper cuff pressure of an endotracheal tube (ET) when the patient is on mechanical ventilation, the nurse should
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Question 92 of 98
A patient who underwent a bowel resection to correct diverticula suffered irreparable nerve damage. During the case review, the team is determining if incorrect positioning may have contributed to the patient's nerve damage. What surgical position places the patient at highest risk for nerve damage?
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Question 93 of 98
A patient who has been declared brain dead but whose organs will be removed for donor purposes is classified as
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Question 94 of 98
The hormone that directly influences the secretory phase of the menstrual cycle most is
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Question 95 of 98
Which of the following structure's secretion contributes to the motility and viability of sperm?
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Question 96 of 98
During preoperative assessment for a 7:30 case, the patient indicates to the nurse that he had a cup of coffee this morning. The nurse reports this information to the anesthesia provider anticipating
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Question 97 of 98
While conducting the preoperative interview with a patient scheduled for a septoplasty, the perioperative nurse learned that the patient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list and reassembled the surgical case cart setup to reflect this new information and change in care delivery. Which two phases of the nursing process are represented in the nurse's actions?
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Question 98 of 98
When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?
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