Perioperative Nursing Care NCLEX Questions

ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 1 of 97

Which patient would be a candidate for moderate sedation? (Select all that apply.)

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 2 of 97

The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed dexamethasone?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 3 of 97

An appendectomy is being performed on a patient with appendicitis. What is the correct classification for this surgery?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 4 of 97

An institution has the following responsibilities EXCEPT

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 5 of 97

The PACU nurse is caring for a postoperative patient. The patient's oxygen saturation drops from 98% to 88%. What is the nurse's priority action?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 6 of 97

In a research study by Steelman and colleagues, perioperative nurses were surveyed to prioritize perioperative patient safety issues. The majority of nurses placed the highest priority and heightened awareness on preventing which patient safety risk?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 7 of 97

During change-of-shift report, the nurse is told that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 8 of 97

The most common source of pathogens in the surgical suite is:

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 9 of 97

Spring washing is done

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 10 of 97

A patient who has had an open reduction and internal fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 11 of 97

Smooth muscle cells of the myometrium and myoepithelial cells of the breast are target cells for

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 12 of 97

Which of these is a facial bone?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 13 of 97

A client is experiencing confusion in the immediate postoperative period. Which of the following assessments is essential to determine the reason for the confusion?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 14 of 97

While hypothermia was historically credited as a therapeutic modality benefitting all surgery because it decreases metabolism and reduces oxygen demand, inadvertent hypothermia is now recognized as impacting many critical physiologic functions and patient outcomes. Which of the following impairments can contribute to surgical site infections?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 15 of 97

Which laboratory test should the postanesthesia care nurse monitor for a patient who is having difficulty regaining consciousness after a surgical procedure?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 16 of 97

The PACU nurse is caring for a male patient who had a hernia repair. The patient's blood pressure is now 164/92 mm Hg; he has no history of hypertension prior to surgery and his preoperative blood pressure was 112/68 mm Hg. The nurse should assess for what potential causes of hypertension following surgery?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 17 of 97

The perioperative nurse implements protective measures to prevent skin or tissue injury caused by thermal sources. Successful accomplishment of this intervention would meet which of the following desired nursing outcomes?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 18 of 97

A nurse is caring for a 6-year-old patient with cystic fibrosis. In order to enhance the childs nutritional status, what intervention should most likely be included in the plan of care?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 19 of 97

The following are examples of parasitic diseases EXCEPT

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 20 of 97

Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 21 of 97

Positioning devices should be used according to the original equipment manufacturer's instructions to reduce the capillary interface pressure to below:

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 22 of 97

A circulating nurse answers a call light in the postoperative unit and finds a client with sudden bleeding from the incision. What action should the nurse take first?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 23 of 97

The nurse notes premature ventricular contractions (PVCs) while suctioning a patient's endotracheal tube. Which action by the nurse is a priority?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 24 of 97

The external female genitalia is referred to as

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 25 of 97

A nurse is admitting a new patient who has been admitted with a diagnosis of COPD exacerbation. How can the nurse best help the patient achieve the goal of maintaining effective oxygenation?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 26 of 97

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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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 27 of 97

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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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 28 of 97

Which of the following is a systemic complication of local anaesthesia?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 29 of 97

The act of assigning samples to different groups is called

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 30 of 97

The contextual meaning of words in the project is referred to as

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 31 of 97

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of morphine sulfate, which terminology should the nurse use?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 32 of 97

A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 33 of 97

A nurse is assigned to assist in caring for a client who recently returned from the operating room. On data collection, the nurse notes that the client's vital signs are as follows: blood pressure (BP) 102/62 mm Hg, pulse 91 beats per minute, respirations 16 breaths per minute. Preoperative vital signs were BP 124/78 mm Hg, pulse 74 beats per minute, respirations 20 breaths per minute. Which of the following actions should the nurse plan to take first?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 34 of 97

Early on, during the preliminary sponge count on closure of a repair of a ruptured abdominal aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had meticulously maintained accountability for all sponges and instruments discarded from the sterile field and bagged each sponge carefully. He immediately turned and addressed the entire team in a clear voice. Select the appropriate communication that the circulating nurse must employ during this count discrepancy.

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 35 of 97

The circulatory route from aorta to the venae cavae is the circuit

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 36 of 97

The following are examples of pandemic diseases EXCEPT

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 37 of 97

Which of the following is the functional unit of the testes?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 38 of 97

The three basic phases of anesthesia are:

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 39 of 97

The nurse is caring for a patient on postoperative day 1 following a gastrectomy. The patient reports severe pain at the incision site despite analgesics. What should the nurse do first?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 40 of 97

The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the patient?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 41 of 97

The circulating nurse will be participating in a 78-year-old patient's total hip replacement. Which of the following considerations should the nurse prioritize during the preparation of the patient in the OR?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 42 of 97

The respiratory centre is located in the

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 43 of 97

A 92-year-old frail female nursing home patient was admitted for dehydration, anemia, and respiratory symptoms. She has type 2 diabetes and low albumin levels, is underweight, and continues to smoke cigarettes. The patient is on complete bed rest in a hospital bed with an alternating pressure mattress overlay. She is not able to turn herself in bed and must be assisted to change position. Based on this description of the patient, which factor classification dominates her vulnerability and risk for injury?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 44 of 97

Which statement best describes the collaborative roles of the nurse and surgeon when obtaining the informed consent?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 45 of 97

A patient who involved in a workplace accident suffered a penetrating wound of the chest that led to acute respiratory failure. What goal of treatment should the care team prioritize when planning this patients care?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 46 of 97

The following are mechanisms of antibiotic action EXCEPT

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 47 of 97

A 49-year-old long-distance runner with dysfunctional uterine bleeding was scheduled for a hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine compartment and enhance visualization. The perioperative nurse meticulously monitored fluid use and documented infiltration to the uterus and fluid collected as drainage from the uterus. The perioperative nurse was concerned that approximately 500 mL of fluid was unaccounted for and alerted the surgeon. The nurse's motive for this surveillance was to:

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 48 of 97

The patient's surgery is nearly finished and the surgeon has opted to use tissue adhesives to close the surgical wound. This requires the nurse to prioritize assessments related to what complication?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 49 of 97

A 68-year-old patient is scheduled for a bilateral mastectomy. The OR nurse has come out to the holding area to meet the patient and quickly realizes that the patient is profoundly anxious. What is the most appropriate intervention for the nurse to apply?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 50 of 97

Which laboratory test should the nurse include in the plan of care for a patient who may require a blood transfusion during the surgical procedure?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 51 of 97

Which of the following items is included in a valid informed consent? Select all that apply

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Question 52 of 97

A very important principle observed in Plastic and Reconstructive preoperative management is

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 53 of 97

The OR nurse is preparing a patient for a cesarean section. What position is typically used?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 54 of 97

The nurse has administered an anxiolytic as a preoperative medication to the patient going to surgery. Which of the following is the best next step?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 55 of 97

The induction phase of general anaesthesia involves all except

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 56 of 97

Which of the following states the magnitude of the problem?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 57 of 97

When creating a vascular or intestinal anastomosis (connecting two tubular structures together), the surgeon will typically suture one-half of the anastomosis with one half of the suture and the other half of the anastomosis with the other half of the suture. This technique minimizes the drag and wear on the suture material and needle. The correct name for this type of suture and needle is:

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 58 of 97

The following are examples of autoimmune diseases EXCEPT

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 59 of 97

The most important ligaments that support and maintain the uterus in position are those situated at the level of the

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 60 of 97

A patient with cardiogenic shock has the following vital signs: BP 102/50, pulse 128, respirations 28. The pulmonary artery wedge pressure (PAWP) is increased and cardiac output is low. The nurse will anticipate an order for which medication?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 61 of 97

What instruction is most appropriate for a client preparing for surgery?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 62 of 97

The social institution where one learns by watching and imitation is

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Question 63 of 97

The perioperative nurse is planning the care of a patient who underwent a right total knee replacement 24 hours ago. What nursing intervention should the nurse prioritize in this patient's care?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 64 of 97

The acronym VACTERL syndrome comprises all the following EXCEPT

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Question 65 of 97

The acute, life-threatening complication of MH results from the use of which agents?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 66 of 97

The following are parts of the skin EXCEPT

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Question 67 of 97

A systematic and periodic process that assesses an individual employee's job performance and productivity in relation to certain pre-established criteria and organizational objectives is

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Question 68 of 97

You are providing preoperative teaching to a patient scheduled for hip replacement surgery in 1 month. During the preoperative teaching, the patient gives you a list of medications she takes, the dosage, and frequency. Which of the following interventions provides the patient with the most accurate information?

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Question 69 of 97

The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action?

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Question 70 of 97

Computer in health is useful for

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Question 71 of 97

The nurse is caring for a patient who is recovering from chest surgery. Which action by the patient indicates that additional teaching is needed about how to use the ordered incentive spirometer correctly?

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Question 72 of 97

The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. The patient has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy. What should the nurse teach the client?

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Question 73 of 97

The nurse is assessing a patient who underwent a bowel resection 48 hours ago. The patient's abdomen is distended, and bowel sounds are absent. What should the nurse suspect?

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Question 74 of 97

The nurse is preparing a patient for surgery and notes the patient is wearing nail polish. What should the nurse do?

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Question 75 of 97

Essential drug policy has the following advantages EXCEPT

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Question 76 of 97

A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems are being met?

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Question 77 of 97

The nurse in an ambulatory surgery center has administered the following preoperative medications to a patient scheduled for general surgery: diazepam (Valium), cefazolin (Ancef), and famotidine (Pepcid). What mode of transportation to the operating room (OR) would be the most appropriate for the nurse to arrange for this patient?

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Question 78 of 97

The following are examples of hematological diseases EXCEPT

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Question 79 of 97

The intensive care unit (ICU) nurse educator will determine that teaching about arterial pressure monitoring for a new staff nurse has been effective when the nurse

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Question 80 of 97

The nurse responds to a ventilator alarm and finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take next?

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ATI LPN · Perioperative Nursing Care NCLEX Questions

Question 81 of 97

The hormone that increases water reabsorption in the kidney is

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Question 82 of 97

A Nurse as a patient's advocate means that the Nurse

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Question 83 of 97

The nerve that supplies the diaphragm is

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Question 84 of 97

Select the true statement that best explains the Occupational Safety and Health Administration (OSHA) exposure control plan (ECP).

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Question 85 of 97

A nurse is preparing to perform an admission assessment on a patient with COPD. It is most important for the nurse to review which of the following?

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Question 86 of 97

The nurse transfers a patient to the PACU with an incision and drainage of an abscess in the right groin under general anesthesia. Blood pressure is 80/47 mm Hg, heart rate 117/min in sinus tachycardia, respiratory rate 28/min, pulse oximetry reading 93% on oxygen at 3 L nasal cannula, temp is 38.5Ã‚Â°C. Using the SBAR charting format, which information should be included in assessment?

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Question 87 of 97

The nurse is assessing a patient who has a 35 pack-year history of cigarette smoking. In light of this known risk factor for lung cancer, what statement should prompt the nurse to refer the patient for further assessment?

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Question 88 of 97

The arrest of blood flow from its vessel is called

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Question 89 of 97

The nurse is caring for a patient who has just been brought to the postoperative unit following major surgery and notes that the patient has many tubes and monitors in place. Which will the nurse assess first?

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Question 90 of 97

The following are examples of pathogenic bacteria EXCEPT

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Question 91 of 97

The nurse is providing care to a patient in the postanesthesia care unit (PACU) who lost a large amount of blood during a surgical procedure. Which assessment finding should the nurse monitor this patient for based on the current data?

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Question 92 of 97

The surgical management of epispadias is

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Question 93 of 97

The nurse is caring for a preoperative patient. The nurse teaches the principles and demonstrates leg exercises for the patient. The patient is unable to perform leg exercises correctly. What is the nurse's best next step?

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Question 94 of 97

The endocrine gland that secretes glucagon is

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Question 95 of 97

Which action will the urgent care nurse take when caring for a patient who has a possible knee meniscus injury?

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Question 96 of 97

The nurse educator facilitates student clinical experiences in the surgical suite. Which action, if performed by a student, would require the nurse educator to intervene?

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Question 97 of 97

The nurse is doing a preoperative assessment of an 87-year-old man who is slated to have a right lung lobe resection to treat lung cancer. What underlying principle should guide the nurse's preoperative assessment of an elderly patient?

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