The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?
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Question 2 of 96
Which one of these structures firmly adheres to the brain and spinal cord?
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Question 3 of 96
The day after a 60-year-old patient has an open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the priority nursing diagnosis is
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Question 4 of 96
What is the primary purpose of a PACU?
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Question 5 of 96
The scrub nurse notices the sterile field has been brushed by a nonsterile sleeve. What should the nurse do?
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Question 6 of 96
The nurse is providing discharge teaching to a patient who underwent an outpatient herniorrhaphy earlier in the day. The patient asks, 'Why do I need to increase my intake of fruits and vegetables?' What is the nurse's best response?
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Question 7 of 96
Which identifier should the nurse use during the initial time-out to determine the right patient?
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Question 8 of 96
The nurse is providing care for a patient on postoperative day 1 following a craniotomy. The patient's urine output is 1500 mL over 2 hours. What should the nurse suspect?
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Question 9 of 96
The nurse is providing care for a patient who underwent a lumbar laminectomy 48 hours ago. What should the nurse include in the patient's plan of care to prevent complications?
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Question 10 of 96
The technique used by plastic surgeons for stretching normal tissue after mastectomy is
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Question 11 of 96
A critical-care nurse is caring for a patient diagnosed with pneumonia as a surgical complication. The nurses assessment reveals that the patient has an increased work of breathing due to copious tracheobronchial secretions. What should the nurse encourage the patient to do?
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Question 12 of 96
A patient is having pulmonary-function studies performed. The patient performs a spirometry test, revealing an FEV1/FVC ratio of 60%. How should the nurse interpret this assessment finding?
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Question 13 of 96
A patients severe asthma has necessitated the use of a long-acting beta2-agonist (LABA). Which of the patients statements suggests a need for further education?
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Question 14 of 96
Healthy patients are allowed clear liquids up to...
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Question 15 of 96
A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, 'Will the doctor put me to sleep with a mask over my face?' Which response by the nurse is most appropriate?
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Question 16 of 96
The nurse is caring for a patient receiving a continuous norepinephrine (Levophed) IV infusion. Which patient assessment finding indicates that the infusion rate may need to be adjusted?
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Question 17 of 96
Which action will the nurse include in the plan of care for a patient who has had a total right knee arthroplasty?
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Question 18 of 96
A postoperative client has respiratory depression after receiving midazolam (Versed) for sedation. Which action by the nurse is most appropriate?
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Question 19 of 96
The PACU nurse is caring for a patient who has arrived from the OR. During the initial assessment, the nurse observes that the patient's skin has become blue and dusky. The nurse looks, listens, and feels for breathing, and determines the patient is not breathing. What is the priority intervention?
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Question 20 of 96
A patient is receiving thrombolytic therapy for the treatment of pulmonary emboli. What is the best way for the nurse to assess the patients oxygenation status at the bedside?
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Question 21 of 96
The nurse has received a patient in the holding area who is scheduled for a left femoral-popliteal bypass. What are the priority safety measures for this patient before surgery? (Select all that apply.)
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Question 22 of 96
A patient who is receiving positive pressure ventilation is scheduled for a spontaneous breathing trial (SBT). Which finding by the nurse is most important to discuss with the health care provider before starting the SBT?
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Question 23 of 96
What is the implication of defective ADH receptors?
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Question 24 of 96
The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision. The patient states, 'I felt something just ripped open.' What is the priority action of the nurse?
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Question 25 of 96
A nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this patient?
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Question 26 of 96
The immune response that involves T-Lymphocytes is referred to as
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Question 27 of 96
Trauma patient is unconscious and needs emergent surgery. The family is 2 hours away but on the way. The circulating nurse should:
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Question 28 of 96
General anaesthesia can be administered through the following routes EXCEPT
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Question 29 of 96
Your 87 year old patient… is being prepared for a lumpectomy and node dissection under general anesthesia… It is most appropriate to:
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Question 30 of 96
Which action by the circulating nurse is appropriate when providing care to a patient during the maintenance phase of general anesthesia?
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Question 31 of 96
The nurse and the nursing assistant are caring for a group of postoperative patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises. The nurse directs the nursing assistant to
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Question 32 of 96
The following are examples of emerging diseases EXCEPT
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Question 33 of 96
The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total knee arthroplasty. The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block. Which assessment would be an expected finding for a patient with this type of regional block?
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Question 34 of 96
One of the following is not a descriptive study
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Question 35 of 96
Nonabsorbable sutures are strands of material that effectively resists enzymatic digestion in living animal tissue. The USP categorizes nonabsorbable surgical suture into classes. A suture composed of monofilament or multifilament metal wire would be a:
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Question 36 of 96
The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient research evidence for their project. Where might they look for information on best practices?
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Question 37 of 96
Which of the following situations requires informed consent from the patient/family?
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Question 38 of 96
The outermost layer of a nerve tissue is called
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Question 39 of 96
Who takes charge of the specimen in the operating room?
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Question 40 of 96
An OR nurse is participating in an interdisciplinary audit of infection control practices in the surgical department. The nurse should know that a basic guideline for maintaining surgical asepsis is what?
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Question 41 of 96
A patient is scheduled for surgery the next day and the different phases of the patient's surgical experience will require input from members of numerous health disciplines. How should the patient's care best be coordinated?
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Question 42 of 96
The following are types of epithelial tissues EXCEPT
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Question 43 of 96
The biochemical substance that supplies energy to the body is
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Question 44 of 96
Accumulation of fluid in the tunica vaginalis may lead to development of
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Question 45 of 96
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?
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Question 46 of 96
Which nursing interventions will prevent the potential intraoperative complication of radial joint stiffness, pain, and inflammation?
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Question 47 of 96
Which statement by the patient indicates a good understanding of the nurse's teaching about a new short-arm plaster cast?
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Question 48 of 96
The type of software that interacts with hardware circuit is called
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Question 49 of 96
Sterile packed instrument is considered sterile if
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Question 50 of 96
The following are examples of environmental diseases EXCEPT
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Question 51 of 96
The perioperative nurse has completed the presurgical assessment of an 82-year-old female patient who is scheduled for a left total knee replacement. When planning this patient's care, the nurse should address the consequences of the patient's aging cardiovascular system. These include an increased risk of which of the following?
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Question 52 of 96
The PACU nurse is assessing an older adult postoperative patient for pain. Which nonverbal manifestations by the patient suggest pain to the nurse? (Select all that apply.)
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Question 53 of 96
The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration?
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Question 54 of 96
The following are examples of disinfectants EXCEPT
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Question 55 of 96
The lobe of the cerebral cortex that interprets auditory impulses is
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Question 56 of 96
Which of the following medications is a specific depolarizing muscle relaxant than can produce generalized fasciculations?
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Question 57 of 96
Which statements best describe the preoperative period? (Select all that apply.)
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Question 58 of 96
The nurse is teaching a client about coughing and deep-breathing techniques to prevent postoperative complications. Which statement is most appropriate for the nurse to make to the client at this time as it relates to these techniques?
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Question 59 of 96
The nurse is caring for a patient who underwent a mastectomy 48 hours ago. The patient reports a pulling sensation at the incision site. What should the nurse do first?
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Question 60 of 96
The party who brings a civil suit in a court of law is called a
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Question 61 of 96
The following are examples of cardiovascular diseases EXCEPT
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Question 62 of 96
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?
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Question 63 of 96
segment Hirschsprung's disease affects the entire length of the large intestine
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Question 64 of 96
Pancuronium is atypical example of a(an) acting neuromuscular agent .
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Question 65 of 96
A patient with breast cancer is scheduled for a left mastectomy. The patient has informed the surgeon and nurse that she is a Jehovah's Witness and does not want any blood transfusions. In preparation for intraoperative care of this patient, what measures does the nurse take? (Select all that apply.)
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Question 66 of 96
The scrub nurse notices a tear in her glove during surgery. What should she do?
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Question 67 of 96
The following are examples of sexually transmitted diseases EXCEPT
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Question 68 of 96
A 72-year-old morbidly obese male patient with uncontrolled diabetes is examined by the anesthesia nurse practitioner in the preoperative holding area for physical status and airway assessment prior to surgery. His most likely American Society of Anesthesiology (ASA) physical status is:
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Question 69 of 96
The hormone that stimulates testosterone secretion is
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Question 70 of 96
Which of the following cervical vertebra does not have a spinous process?
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Question 71 of 96
The summary of a research work is known as a/an
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Question 72 of 96
The chest tube is placed at the to evacuate air from the chest cavity
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Question 73 of 96
The ED nurse is caring for an 11-year-old brought in by ambulance after having been hit by a car. The child's parents are thought to be en route to the hospital but have not yet arrived. No other family members are present and attempts to contact the parents have been unsuccessful. The child needs emergency surgery to save her life. How should the need for informed consent be addressed?
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Question 74 of 96
The central venous oxygen saturation (ScvOâ‚‚) is decreasing in a patient who has severe pancreatitis. To determine the possible cause of the decreased ScvOâ‚‚, the nurse assesses the patient's
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Question 75 of 96
The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit following a transurethral prostate resection (TUPR). The patient is reluctant to ambulate, citing the need to recover in bed. For what complication is the patient most at risk?
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Question 76 of 96
A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurse's best priority first action?
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Question 77 of 96
The bone that forms the posterior part of the skull is
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Question 78 of 96
The nurse is caring for a hospice patient who is scheduled for a surgical procedure to reduce the size of his spinal tumor in an effort to relieve his pain. The nurse should plan this patient's care with the knowledge that his surgical procedure is classified as which of the following?
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Question 79 of 96
is the most precarious period for the patient under general anaesthesia
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Question 80 of 96
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low. Which order by the health care provider will the nurse question?
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Question 81 of 96
Performance improvement activities in the perioperative practice setting are designed to promote:
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Question 82 of 96
During the draping procedure, the anesthesia provider asked the scrub person for two towel clamps to secure the top of the unsterile edge of the drape to the intravenous (IV) poles. The scrub person had two penetrating and two nonpenetrating clamps on the back table. She knew she would need to secure the suction and electrosurgical pencil to the sterile field as soon as draping was finished. How should the scrub person respond to the anesthesia provider's request for towel clips?
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Question 83 of 96
One of the things a nurse has taught to a patient during preoperative teaching is to have nothing by mouth for the specified time before surgery. The patient asks the nurse why this is important. What is the most appropriate response for the patient?
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Question 84 of 96
The nurse is preparing to discharge a patient from the ambulatory surgery center following an inguinal hernia repair. The nurse delays the release of the patient upon discovering that the patient:
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Question 85 of 96
A patient was positioned, prepped, and draped following general endotracheal anesthesia induction. The team assembled to perform the time-out as described in the WHO surgical checklist. Successful employment of the time-out can only be ensured when:
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Question 86 of 96
Which of the following forms the filum terminale?
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Question 87 of 96
Which assessment information is most important for the nurse to obtain to evaluate whether treatment of a patient with anaphylactic shock has been effective?
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Question 88 of 96
The lateral kidney position allows approach to the retroperitoneal area of the flank. To render the kidney region readily accessible, the ___ is raised, and the bed flexed so that the area between the twelfth rib and the iliac crest is elevated. Compression of the ___ can occur when the flank is raised too high.
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Question 89 of 96
The following are true of virus EXCEPT
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Question 90 of 96
The custom, habit, tradition, attitudes and beliefs of a social group of people are associated with
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Question 91 of 96
The enzyme that digests carbohydrates in the mouth is
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Question 92 of 96
Which one of the following is NOT part of stages in budgetary process?
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Question 93 of 96
Which nursing action is appropriate when providing care to a patient who is exhibiting symptoms of a venous thromboembolism (VTE)?
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Question 94 of 96
Which of the following is not correct about a scholarly literature review.
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Question 95 of 96
The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which of the following actions helps to minimize skin breakdown?
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Question 96 of 96
What one factor describes the high incidence of musculoskeletal disorders (MSDs) among surgical technologists and perioperative nurses?
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