The mechanism of action of general anesthetics primarily results in:
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Question 2 of 98
During a hypermetabolic MH crisis, the patient will require major modalities of treatment. In addition to dantrolene what is another priority intervention?
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Question 3 of 98
The nurse is assessing a patient on postoperative day 2 following a nephrectomy. The patient's temperature is 100.4°F (38°C), and the incision is red. What should the nurse do first?
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Question 4 of 98
The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action would be most appropriate for this area?
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Question 5 of 98
A nurse is monitoring the status of the postoperative client. The nurse would become most concerned with which of the following signs, which could indicate an evolving complication?
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Question 6 of 98
When delegating a task, such as removing an intravenous (IV) catheter, to an unlicensed individual, the perioperative nurse:
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Question 7 of 98
The following are types of culture media EXCEPT
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Question 8 of 98
In providing discharge teaching for a client with a new ileostomy, what instruction is most important?
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Question 9 of 98
The following are examples of sexually transmitted infections EXCEPT
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Question 10 of 98
Which order best describes the process used to implement evidence-based professional nursing?
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Question 11 of 98
The OR nurse is preparing the sterile field. What action maintains surgical asepsis?
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Question 12 of 98
Which action most effectively demonstrates that a new staff member understands the role of scrub nurse?
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Question 13 of 98
The nurse is assigned to care for several patients on the surgical unit. Which patient need will the nurse address first?
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Question 14 of 98
A patient becomes restless and agitated in the post anesthesia care unit (PACU) as he begins to regain consciousness. The first action the nurse should take is:
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Question 15 of 98
The perioperative nurse is planning the care of an 81-year-old patient who underwent a left hip replacement under general anesthetic 48 hours ago. This patient's advanced age creates a need for careful monitoring of what system in the postoperative period?
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Question 16 of 98
The nurse and the nursing assistant are assisting a postoperative patient to turn in the bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
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Question 17 of 98
The following are layers of the epidermis from deep to superficial EXCEPT
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Question 18 of 98
An adult patient has tested positive for tuberculosis (TB). While providing patient teaching, what information should the nurse prioritize?
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Question 19 of 98
The following statements are true about diazepam EXCEPT
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Question 20 of 98
The primary use for suture is essentially to:
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Question 21 of 98
When witnessing the patient signature, you are verifying what?
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Question 22 of 98
The nurse is checking the informed consent for a 17-year-old who has just been married and expecting her first child. She is scheduled for a cesarean section. She is still living with her parents and is on her parents' health insurance. When obtaining informed consent for the cesarean section, who is legally responsible for signing?
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Question 23 of 98
Internal and external rotation of the humerus are made possible by a joint
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Question 24 of 98
Which nursing intervention is most appropriate for the patient in the operative setting?
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Question 25 of 98
A client in the operating room has developed malignant hyperthermia. The clients potassium is 6.5 mEq/L. What action by the nurse takes priority?
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Question 26 of 98
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery?
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Question 27 of 98
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of P3. Which of the following assessments would support this classification?
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Question 28 of 98
The circulating nurse is preparing for a lengthy procedure. What should the nurse ensure is available?
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Question 29 of 98
Risks can be
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Question 30 of 98
After change-of-shift report, which patient should the nurse assess first?
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Question 31 of 98
Which of these neurosurgical conditions is NOT as a result of injury?
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Question 32 of 98
The following are examples of occupational diseases EXCEPT
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Question 33 of 98
A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he just cant breathe enough. The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem?
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Question 34 of 98
Which nursing action is appropriate when providing care to a patient who is difficult to arouse in the postanesthesia care unit (PACU)?
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Question 35 of 98
Norepinephrine (Levophed) has been prescribed for a patient who was admitted with dehydration and hypotension. Which patient data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
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Question 36 of 98
The nurse is caring for a postoperative patient who is very sleepy following general anesthesia and administration of pain medication. The nurse notes that the patient is making snoring sounds and his pulse oximetry has dropped to 88%. What is the best action of the nurse?
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Question 37 of 98
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best?
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Question 38 of 98
The nurse educator is evaluating the performance of a new registered nurse (RN) who is providing care to a patient who is receiving mechanical ventilation with 15 cm Hâ‚‚O of peak end-expiratory pressure (PEEP). Which action indicates that the new RN is safe?
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Question 39 of 98
The anesthetist is coming to the surgical admissions unit to see a patient prior to surgery scheduled for tomorrow morning. Which of the following is the priority information that the nurse should provide to the anesthetist during the visit?
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Question 40 of 98
Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
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Question 41 of 98
When caring for a patient who has received a general anesthetic, the circulating nurse notes red, raised wheals on the patient's arms. Which action should the nurse take immediately?
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Question 42 of 98
is the only true gas in use for anaesthesia
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Question 43 of 98
The perioperative nurse is providing care for a patient who underwent a thyroidectomy 24 hours ago. What complication should the nurse monitor for in the immediate postoperative period?
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Question 44 of 98
A nurse is developing a teaching plan for a patient with COPD. What should the nurse include as the most important area of teaching?
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Question 45 of 98
The patient received moderate sedation (conscious sedation) by IV prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids, what must the nurse assess in this patient?
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Question 46 of 98
Prostatectomy surgical approach is NOT solely based on
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Question 47 of 98
Which is the priority nursing action when providing patient care during the preoperative phase of care?
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Question 48 of 98
Drugs like broad-spectrum antibiotics can lead to alterations in the normal microbial flora permitting the overgrowth of opportunistic organisms known as
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Question 49 of 98
Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurse's discharge teaching has been effective?
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Question 50 of 98
The structure that links the brain with the rest of the body is the
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Question 51 of 98
The following are parts of the upper respiratory tract EXCEPT
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Question 52 of 98
The following are examples of non-sterile specimens EXCEPT
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Question 53 of 98
The shelf life of a sterile instrument packed with calico is
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Question 54 of 98
Which of the following medications is a trigger for Malignant Hyperthermia (MH):
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Question 55 of 98
The approximate number of bones in the adult human skeleton is
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Question 56 of 98
Which of the following statements is the correct way for patients to splint incisions when they cough?
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Question 57 of 98
The branches of the brachial plexus are all except
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Question 58 of 98
An adult patient has just been admitted to the PACU following abdominal surgery. As the patient begins to awaken, he is uncharacteristically restless. The nurse checks his skin and it is cold, moist, and pale. The nurse is concerned the patient may be at risk for what?
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Question 59 of 98
The circulating nurse instructed the new anesthesia resident in the proper positioning of the arm and hands on the OR bed armboards. She cautioned him to avoid pressure on the elbow to prevent:
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Question 60 of 98
The following are examples of vector-borne diseases EXCEPT
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Question 61 of 98
The nurse screens a preoperative patient for conditions that may increase the risk for complications during the perioperative period. Which conditions are possible risk factors? (Select all that apply.)
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Question 62 of 98
The clinic nurse is doing a preoperative assessment of a patient who will be undergoing outpatient cataract surgery with lens implantation in 1 week. While taking the patient's medical history, the nurse notes that this patient had a kidney transplant 8 years ago and that the patient is taking immunosuppressive drugs. For what is this patient at increased risk when having surgery?
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Question 63 of 98
A nursing is planning the care of a patient with emphysema who will soon be discharged. What teaching should the nurse prioritize in the plan of care?
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Question 64 of 98
Which patient is most at risk for postoperative nausea and vomiting (PONV)?
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Question 65 of 98
The ligament that must be ligated before removing ovaries and fallopian tubes during total abdominal hysterectomy and bilateral salpingo-oophorectomy is
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Question 66 of 98
The following blood vessels contain valves EXCEPT
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Question 67 of 98
Surgical instruments that are not considered in the category of clamps, retractors, or cutting instruments, but are used in most procedures, are typically included within the category of:
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Question 68 of 98
The following are examples of epidemic diseases EXCEPT
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Question 69 of 98
A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD?
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Question 70 of 98
Infants under 2 years have type respiratory muscle fibres which fatigue easily
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Question 71 of 98
Which finding about a patient who is receiving vasopressin (Pitressin) to treat septic shock is most important for the nurse to communicate to the health care provider?
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Question 72 of 98
The perioperative nurse is constantly assessing the surgical patient for signs and symptoms of complications of surgery. Which symptom should first signal to the nurse the possibility that the patient is developing malignant hyperthermia?
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Question 73 of 98
The nurse is providing discharge teaching to a patient who underwent a cataract extraction. What should the nurse instruct the patient to avoid?
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Question 74 of 98
The uniqueness of probability sampling is that
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Question 75 of 98
Which action should the circulating nurse anticipate during the induction of general anesthesia?
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Question 76 of 98
The perioperative nurse is preparing to discharge a female patient home from day surgery performed under general anesthetic. What instruction should the nurse give the patient prior to the patient leaving the hospital?
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Question 77 of 98
When computer accepts data, it produces
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Question 78 of 98
A key factor in promoting patient safety is:
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Question 79 of 98
The vitamin that assists in blood clotting is
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Question 80 of 98
The approximate capacity of the urinary bladder is
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Question 81 of 98
Following a motorcycle accident, a 58-year-old patient arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
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Question 82 of 98
The nurse is preparing a patient for surgery prior to her hysterectomy without oophorectomy. The nurse is witnessing the patient's signature on a consent form. Which comment by the patient would best indicate informed consent?
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Question 83 of 98
The PACU nurse is assessing a patient transferred in from the OR. Which assessment findings apply to assessment of the cardiovascular system? (Select all that apply.)
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Question 84 of 98
The nurse is packing a patient's abdominal wound with sterile, half-inch Iodoform gauze. During the procedure, the nurse drops some of the gauze onto the patient's abdomen 2 inches (5 cm) away from the wound. What should the nurse do?
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Question 85 of 98
The first nurse researcher is
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Question 86 of 98
When assisting with the placement of a pulmonary artery (PA) catheter, the nurse notes that the catheter is correctly placed when the monitor shows a
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Question 87 of 98
Which of these mammoplasty procedures mostly requires extra tissue creation?
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Question 88 of 98
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a mild systemic disease?
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Question 89 of 98
The number of units selectively representing the entire population is called
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Question 90 of 98
The exposed axolemma between myelin sheaths is called
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Question 91 of 98
Items used for invasive procedure are classified as
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Question 92 of 98
The male reproductive cells are produced in the
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Question 93 of 98
A Nurse that deliberately pointed a needle and syringe to a child that has a phobia for injection has committed a tort of
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Question 94 of 98
As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point of-care serum electrolyte measurements revealed low potassium, sodium, and magnesium levels. On anesthesia induction, only 35 minutes earlier, these values were at normal levels, and the patient status was secure. The electrolyte levels were treated to normal and the patient was cannulated and placed on cardiopulmonary bypass. As the procedure continued the team pondered the cause to prevent a recurrence. What possible event could have caused, or contributed to, this loss of electrolytes?
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Question 95 of 98
An example of non-secondary agent of socialization is
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Question 96 of 98
A patient with respiratory failure has arterial pressure-based cardiac output (APCO) monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP) of 12 cm Hâ‚‚O. Which information indicates that a change in the ventilator settings may be required?
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Question 97 of 98
A patient experiences MH immediately after induction of anesthesia. What is the nurse anesthetist's first priority action?
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Question 98 of 98
Since its organization and establishment as a professional nursing association in the early 1950s, the Association of periOperative Registered Nurses (AORN) continues its endeavor to:
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