The patient who is considered at risk for surgical complications is...
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Question 2 of 97
Which inhalation anesthetic gas can cause retinopathy in premature infants?
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Question 3 of 97
The surgical patient is a 35-year-old woman who has been administered general anesthesia. The nurse recognizes that the patient is in stage II (the excitement stage) of anesthesia. Which intervention would be most appropriate for the nurse to implement during this stage?
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Question 4 of 97
The nurse is planning the postoperative care of a patient who is admitted to the postsurgical unit following a parathyroidectomy. What should be included in this patient's plan of care?
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Question 5 of 97
Which of these glands has more exocrine than endocrine tissue?
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Question 6 of 97
While Fowler's position offers the best respiratory excursion for the patient, the patient is at higher risk for ___ because of dependent pooling in the hips and legs.
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Question 7 of 97
Patients at the risk of regurgitation and aspiration include all EXCEPT
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Question 8 of 97
The nurse is teaching incisional care to a patient who has been discharged after abdominal surgery. Which priority instruction must the nurse include?
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Question 9 of 97
The OR nurse is positioning a patient for a laparotomy. What should the nurse prioritize?
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Question 10 of 97
The end product of carbohydrate metabolism under anaerobic condition is
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Question 11 of 97
The postanesthesia care unit (PACU) nurse is providing care for a patient who is exhibiting hypothermia. Which nursing action is appropriate?
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Question 12 of 97
In which situations is regional anesthesia used instead of general anesthesia? (Select all that apply.)
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Question 13 of 97
The nurse is caring for a patient on the medical-surgical unit postoperative day 5. During each patient assessment, the nurse evaluates the patient for infection. Which of the following would be most indicative of infection?
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Question 14 of 97
The protrusion of meninges and spinal cord through an abnormal opening in the cervical vertebrae is called
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Question 15 of 97
The lobe of the cerebral cortex that interprets visual impulses is
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Question 16 of 97
The following are examples of re-emerging diseases EXCEPT
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Question 17 of 97
After thoracostomy, what is the indication that the lungs are fully expanded?
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Question 18 of 97
The three classical clinical signs of cardiac arrest include all EXCEPT
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Question 19 of 97
After your 56 year old female patient is induced under general anesthesia for her abdominal hysterectomy you assist anesthesia personnel in padding the elbows and placing a pillow under the lower extremities allowing the heels to float. Padding the elbows protects the nerve.
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Question 20 of 97
The public health nurse is administering Mantoux tests to children who are being registered for kindergarten in the community. How should the nurse administer this test?
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Question 21 of 97
A nurse is providing preoperative teaching to a patient who will soon undergo a cardiac bypass. The nurse's teaching plan includes exercises of the extremities. What is the purpose of teaching a patient leg exercises prior to surgery?
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Question 22 of 97
The nurse is creating a plan of care for a client scheduled for surgery. The nurse would include which activity in the nursing care plan for the client on the day of surgery?
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Question 23 of 97
All these are actions that should be taken by an individual in emergency EXCEPT
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Question 24 of 97
The following are types of joints EXCEPT
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Question 25 of 97
The surgeon needs a suture material that will not degrade over time but becomes encapsulated and supports a tissue structure that will continue to be exposed to pressure and stretching forces throughout the patient's life. These physical properties are best described by a suture that:
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Question 26 of 97
Which of these colours is NOT used in the operating theatre?
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Question 27 of 97
Which are the focus areas for the Surgical Care Improvement Project (SCIP)? (Select all that apply.)
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Question 28 of 97
The following are examples of lifestyle diseases EXCEPT
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Question 29 of 97
The following are parts of a microscope EXCEPT
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Question 30 of 97
The first line of management of retention of urine is
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Question 31 of 97
When unexpected events occur that have, or could have, compromised patient safety, a systematic investigatory process takes place. Significant information is gained through this meticulous exploration. The primary motive for carrying out a root cause analysis is to:
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Question 32 of 97
The nurse is providing teaching about tissue repair and wound healing to a patient who has a leg ulcer. Which of the following statements by the patient indicates that teaching has been effective?
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Question 33 of 97
A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for a left hand arthroplasty. Which patient statement to the nurse indicates a realistic expectation for the surgery?
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Question 34 of 97
Select the appropriate order for administering blood and blood products.
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Question 35 of 97
The left and right ventricules of the brain are separated by
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Question 36 of 97
The following are examples of antiseptics EXCEPT
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Question 37 of 97
The medical-surgical nurse is caring for a postoperative patient whose lab values reveal an increase in band cells (immature neutrophils). What is the nurse's best interpretation of this value?
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Question 38 of 97
The nurse knows that elderly patients are at higher risk for complications and adverse outcomes during the intraoperative period. What is the best rationale for this phenomenon?
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Question 39 of 97
A postoperative client has a blood pressure of 156/98 mm Hg, pulse 140 beats/min, and respirations 24 breaths/min. What action by the nurse is most appropriate?
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Question 40 of 97
A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation. Which action should the nurse include in the plan of care?
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Question 41 of 97
The software that actually gets the work done for the user is
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Question 42 of 97
A patient is scheduled for a bowel resection in the morning and the patient's orders include a cleansing enema tonight. The patient wants to know why this is necessary. The nurse should explain that the cleansing enema will have what therapeutic effect?
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Question 43 of 97
After change-of-shift report on a ventilator weaning unit, which patient should the nurse assess first?
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Question 44 of 97
The nurse is providing care for a patient on postoperative day 1 following a craniotomy. The patient's blood pressure is 160/90 mm Hg, and pulse is 50 beats per minute. What should the nurse suspect?
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Question 45 of 97
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is not expected to survive without the planned surgical procedure?
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Question 46 of 97
The nurse is caring for an 82-year-old patient with a diagnosis of tracheobronchitis. The patient begins complaining of right-sided chest pain that gets worse when he coughs or breathes deeply. Vital signs are within normal limits. What would you suspect this patient is experiencing?
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Question 47 of 97
Which action should the circulating nurse anticipate during the emergence phase of general anesthesia?
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Question 48 of 97
The term balanced anesthesia is described as:
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Question 49 of 97
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?
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Question 50 of 97
A patient received inhalation anesthesia during surgery. Postoperatively the nurse should monitor the patient for which complication?
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Question 51 of 97
The cessation of menstruation is referred to as
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Question 52 of 97
A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
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Question 53 of 97
A nurse has been asked to give a workshop on COPD for a local community group. The nurse emphasizes the importance of smoking cessation because smoking has what pathophysiologic effect?
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Question 54 of 97
During the administration of any regional anesthetic, it is most important that the nurse:
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Question 55 of 97
The nurse is caring for a patient suspected of having ARDS. What is the most likely diagnostic test ordered in the early stages of this disease to differentiate the patients symptoms from those of a cardiac etiology?
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Question 56 of 97
A patient with emphysema is experiencing shortness of breath. To relieve this patients symptoms, the nurse should assist her into what position?
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Question 57 of 97
The scale of measurement that quantifies the distances between objects is referred to as
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Question 58 of 97
The following are examples of lymphoid tissues EXCEPT
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Question 59 of 97
The nurse is caring for a patient on postoperative day 2 following a prostatectomy. The patient has a urinary catheter in place, and the nurse notes that the urine output has been less than 20 mL/h for the past 3 hours. What should the nurse do first?
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Question 60 of 97
When caring for the patient with a pulmonary artery (PA) pressure catheter, the nurse observes that the PA waveform indicates that the catheter is in the wedged position. Which action should the nurse take next?
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Question 61 of 97
The second day after admission with a fractured pelvis, a 64-year-old patient suddenly develops confusion. Which action should the nurse take first?
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Question 62 of 97
The lowest postoperative infection rates are associated with cases where the hair was:
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Question 63 of 97
Advantages of local anaesthesia include all except
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Question 64 of 97
The habitual ways that explain how an individual responds to situations that arise in one's life is referred to as
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Question 65 of 97
The only movable joint of the skull is
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Question 66 of 97
The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which would be the best explanation for diet progression after surgery?
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Question 67 of 97
An intraaortic balloon pump (IABP) is being used for a patient who is in cardiogenic shock. Which assessment data indicate to the nurse that the goals of treatment with the IABP are being met?
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Question 68 of 97
How do institutional standards of care, such as policies and procedures, differ from national standards, such as AORN's Standards of Perioperative Nursing Practice?
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Question 69 of 97
The nurse is preparing a patient for surgery. Aims of assessment before surgery include
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Question 70 of 97
A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which collaborative intervention ordered by the health care provider should the nurse question?
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Question 71 of 97
The nurse is assessing a patient who underwent a hysterectomy 48 hours ago. The patient reports calf pain and swelling. What should the nurse suspect?
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Question 72 of 97
The circulating nurse is assisting with a patient under moderate sedation. What must the nurse monitor closely?
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Question 73 of 97
The nurse is caring for a 78-year-old female patient who is scheduled for surgery to remove her brain tumor. The patient is very apprehensive and keeps asking when she will get her preoperative medicine. The medicine is ordered to be given on call to OR. When would be the best time to give this medication?
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Question 74 of 97
Which of the following nerve root joins in the formation of lumbar and sacral plexuses?
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Question 75 of 97
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client?
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Question 76 of 97
A nurse is caring for a patient who has been hospitalized with an acute asthma exacerbation. What drugs should the nurse expect to be ordered for this patient to gain underlying control of persistent asthma?
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Question 77 of 97
Perioperative nursing diagnoses and interventions are directed toward, and guided by, the tremendous risks for harm to the patient inherent in surgery and interventional procedures; therefore nursing actions can generally be categorized as:
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Question 78 of 97
One of the following is included in sterilization
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Question 79 of 97
The nurse is caring for a patient with a drain connected to a portable drainage suction device shaped like a grenade made of plastic. Which term will the nurse use when describing this system during end-of-shift report?
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Question 80 of 97
In report writing, all these activities should be done EXCEPT
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Question 81 of 97
Prior to a patient's scheduled surgery, the nurse has described the way that members of diverse health disciplines will collaborate in the patient's care. What is the main rationale for organizing perioperative care in this collaborative manner?
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Question 82 of 97
The following are examples of gastrointestinal diseases EXCEPT
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Question 83 of 97
Which information should the nurse collect during the health history that is conducted during the preoperative period?
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Question 84 of 97
Which of these factors will first determine the rate of drug absorption?
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Question 85 of 97
Which of the following is referred to when another person's idea is credited as one's own or not accurately attributed to its source.
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Question 86 of 97
The following are examples of vaccine-preventable diseases EXCEPT
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Question 87 of 97
The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?
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Question 88 of 97
The following are functions of the liver EXCEPT
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Question 89 of 97
Under mammoplasty procedure, breast reduction may not be performed on a patient with
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Question 90 of 97
The 79-year-old patient with type 2 diabetes is scheduled for surgery to remove his left great toe. Which risk factors for complications of surgery does the nurse assess for in this patient? (Select all that apply.)
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Question 91 of 97
To reduce the incidence of patients with a known history or risk of malignant hyperthermia (MH), what best practices are put in place in the operating room? (Select all that apply.)
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Question 92 of 97
The nurse is caring for a postoperative patient with a history of obstructive sleep apnea. The nurse monitors for which of the following?
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Question 93 of 97
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates that the patient can safely ambulate independently?
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Question 94 of 97
A patient develops respiratory distress after having a left total hip replacement. The patient develops labored breathing and a pulse oximetry reading is 83% on 2 L oxygen via nasal cannula. Which intervention is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
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Question 95 of 97
Microorganisms that can grow in the presence or absence of Oxygen are called
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Question 96 of 97
Which of the following statements regarding gastroschisis is true?
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Question 97 of 97
The lifting equation provides a mathematical equation to determine the recommended weight limit (RWL) and lifting index (LI) for selected two-handed manual lifting tasks. What is the recommended maximum weight limit for one person in a patient handling task, and what is the best option when the weight limit exceeds the recommendation?
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