The mineral found in the thyroid gland and affects the rate of metabolism is
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Question 2 of 98
The following are examples of non-communicable diseases EXCEPT
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Question 3 of 98
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which nursing assessment finding is important to report to the health care provider?
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Question 4 of 98
The following are methods of microbial identification EXCEPT
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Question 5 of 98
In management principles, the act of influencing individual or group of people to accomplish desired objectives at minimum cost and maximum efficiency is
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Question 6 of 98
An older surgeon explains his justification for his suture choice to the new perioperative nurse in the scrub role. He prefers to suture his intestinal anastomosis with a suture that has multiple filaments braided together because it ties well and holds the knot, which tightens when the thread absorbs the tissue fluids. He also needs a strand that is easy to see and only needs to retain its tensile strength for about 1 year, at which time the intestinal junction will be healed, even though this suture is considered nonabsorbable. He will ask the nurse for a 24-inch 4-0:
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Question 7 of 98
The circulating nurse in an outpatient surgery center is assessing a patient who is scheduled to receive moderate sedation. What principle should guide the care of a patient receiving this form of anesthesia?
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Question 8 of 98
Which of the following surgeries would be classified as emergent?
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Question 9 of 98
The OR nurse is caring for a patient under general anesthesia. What is the priority assessment?
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Question 10 of 98
The approximate length of the small intestine is
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Question 11 of 98
Upon receiving the patient from the postanesthesia care unit, which nursing action is the priority?
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Question 12 of 98
The nurse is caring for a postoperative patient who has had a carpel tunnel repair. The patient has a temperature of 97°F and is shivering. Which of the following is the best reason for this condition?
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Question 13 of 98
Ancillary rooms include all EXCEPT
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Question 14 of 98
A patient undergoes a left above-the-knee amputation with an immediate prosthetic fitting. When the patient arrives on the orthopedic unit after surgery, the nurse should
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Question 15 of 98
The nurse is caring for a patient who is postoperative day 2 following a colon resection. While turning him, wound dehiscence with evisceration occurs. What should be the nurse's first response?
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Question 16 of 98
The nurse is assessing a patient who underwent an appendectomy 24 hours ago. The patient reports pain at the incision site rated as 8 out of 10, despite receiving analgesics 2 hours ago. What should the nurse do first?
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Question 17 of 98
The part of the urethra that is surrounded by the prostate gland is
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Question 18 of 98
While tucking the arms at the sides of the patient in supine position offers comfort, safety, and easy access to the patient by the scrubbed team, improper positioning and securing of the arms can result in significant injury. Injury can be avoided by tucking the draw sheet ___ the arm and under the ___.
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Question 19 of 98
The following are examples of foodborne diseases EXCEPT
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Question 20 of 98
The nurse is making a preoperative education appointment with a patient. The patient asks if he should bring family with him to the appointment. What is the best response by the nurse?
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Question 21 of 98
The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?
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Question 22 of 98
The health care provider removed a patient's original surgical dressing 2 days after surgery and is discharging the patient home on daily dressing changes. Which actions does the nurse take for this patient's discharge teaching? (Select all that apply.)
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Question 23 of 98
Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of a dislocated shoulder. What action does the nurse anticipate?
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Question 24 of 98
The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?
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Question 25 of 98
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia provider and perioperative nurse. A hand-off report was given, using situation, background, assessment, recommendation (SBAR) format, to the accepting PACU nurse. The first element of information that should be presented in the hand-off report is:
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Question 26 of 98
The nurse is caring for a patient in the ICU admitted with ARDS after exposure to toxic fumes from a hazardous spill at work. The patient has become hypotensive. What is the cause of this complication to the ARDS treatment?
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Question 27 of 98
The nurse is caring for a patient who has had abdominal surgery. After a hard sneeze, the patient reports pain in the surgical area, and the nurse immediately sees that the patient has a wound evisceration. What priority action must the nurse do first?
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Question 28 of 98
Significance of the study in a research work briefly states all the following except
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Question 29 of 98
Large and pulsating vessel requires one of the following
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Question 30 of 98
A nurse is explaining to a patient with asthma what her new prescription for prednisone is used for. What would be the most accurate explanation that the nurse could give?
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Question 31 of 98
The nurse assess a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?
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Question 32 of 98
In law, the burden of proof of negligence is on the
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Question 33 of 98
A research report includes all these preliminary pages EXCEPT
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Question 34 of 98
A school nurse is caring for a 10-year-old girl who is having an asthma attack. What is the preferred intervention to alleviate this clients airflow obstruction?
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Question 35 of 98
Which of these routes of drug administration has a demerit of patient being tethered to 'lines and bottles'?
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Question 36 of 98
The following are examples of chronic diseases EXCEPT
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Question 37 of 98
The following are maternal indications for Caesarean section EXCEPT
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Question 38 of 98
The scrub nurse is counting instruments post-procedure. What is the purpose of this task?
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Question 39 of 98
Which patient finding would indicate the need for further monitoring rather than discharge home after an outpatient surgical procedure?
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Question 40 of 98
The nurse is caring for a potential surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking warfarin (Coumadin). Which of the following actions should the nurse take?
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Question 41 of 98
The nurse is assessing a patient on postoperative day 2 following a hysterectomy. The patient reports foul-smelling vaginal discharge. What should the nurse suspect?
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Question 42 of 98
Which duties are within the scope of practice of the circulating nurse in the operative setting?
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Question 43 of 98
The policies and procedures on a preoperative unit are being amended to bring them closer into alignment with the focus of the Surgical Care Improvement Project (SCIP). What intervention most directly addresses the priorities of the SCIP?
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Question 44 of 98
Which of the following factors is NOT related to determinants of personality development?
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Question 45 of 98
The structural and functional unit of the nervous system is
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Question 46 of 98
The preoperative patient tells the nurse that she is afraid that she may experience a reaction if she must receive blood during or after her surgery. What is the nurse's best response to the patient's concern?
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Question 47 of 98
The primary male sex organ is
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Question 48 of 98
According to the ASA physical status classification system, patients with severe systemic disease that is a constant threat to life are categorized as
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Question 49 of 98
While family members are visiting, a patient has a respiratory arrest and is being resuscitated. Which action by the nurse is best?
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Question 50 of 98
Which term should the nurse document for a patient who is having surgery for the removal of female reproductive organs?
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Question 51 of 98
A 325-pound male is undergoing a 6-hour abdominal surgery. While asleep and intubated, the surgeon requests the patient to be placed in lithotomy position for a sigmoidoscopy before the open procedure. The team of five nonscrubbed persons lifts the patient with the lift sheet, slides the patient down toward the foot of the OR bed, and places him into position. After the sigmoidoscopy, the perioperative nurse has the team roll the patient to his side for a skin assessment of his back before he is repositioned supine. What injury is the perioperative nurse concerned that she might see?
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Question 52 of 98
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 98
When the nurse educator is evaluating the skills of a new registered nurse (RN) caring for patients experiencing shock, which action by the new RN indicates a need for more education?
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Question 54 of 98
An older patient with cardiogenic shock is cool and clammy and hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate doing next?
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Question 55 of 98
Multiple studies have found that IQA occurs in a small percentage of patients undergoing general anesthesia. Which high risk populations have more incidence of IQA?
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Question 56 of 98
The principle of tube thoracostomy is allowing movement of air and water in one direction through
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Question 57 of 98
The cardiac reserve is
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Question 58 of 98
A patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output recorded for this patient was 10 mL. The tubing of the Foley is patent. What should the nurse do?
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Question 59 of 98
While planning a patients care, the nurse identifies nursing actions to minimize the patients pleuritic pain. Which intervention should the nurse include in the plan of care?
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Question 60 of 98
A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high risk for harm because of several factors related to her preexisting conditions and overall health status. As part of developing a plan to guide her care, the nurse uses standardized descriptive terms. This step of the nursing process is called:
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Question 61 of 98
A patient on the postsurgical unit who underwent a mastectomy 36 hours ago is going to be discharged home later in the day. The nurse assesses the patient's incision prior to discharge and notes the presence of a gaping wound with protruding tissue. What should the nurse do?
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Question 62 of 98
An 81-year-old patient who has been in the intensive care unit (ICU) for a week is now stable and transfer to the progressive care unit is planned. On rounds, the nurse notices that the patient has new onset confusion. The nurse will plan to
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Question 63 of 98
Which is the priority action by the nurse when a patient discloses a medication allergy during the health history prior to a surgical procedure?
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Question 64 of 98
If a patient experiences a wound dehiscence, which description illustrates what is happening with the wound?
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Question 65 of 98
The attributes of a Perioperative nurse include all the following EXCEPT
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Question 66 of 98
The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the primary rationale behind this nursing action?
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Question 67 of 98
The following are staining techniques EXCEPT
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Question 68 of 98
A preoperative client expresses anxiety to the nurse about the upcoming surgery. Which of the following responses by the nurse is most likely to stimulate further discussion between the client and the nurse?
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Question 69 of 98
The following are examples of involuntary muscles EXCEPT
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Question 70 of 98
Most common organism causing pneumonia in patients with cystic fibrosis is:
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Question 71 of 98
is the period from the beginning of administration of an anaesthetic agent until the patient losses consciousness and is stabilized in the desired plane of anaesthesia.
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Question 72 of 98
The nurse is preparing a patient for surgery. The patient states that she is very nervous and really does not understand what the surgical procedure is for or how it will be performed. What is the most appropriate nursing action for the nurse to take?
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Question 73 of 98
Craniotome is used as a/an instrument in Neurosurgery
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Question 74 of 98
The vitamin that prevents scurvy is
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Question 75 of 98
The fibrous structure that divides the testes into lobules is
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Question 76 of 98
When teaching seniors at a community recreation center, which information will the nurse include about ways to prevent fractures?
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Question 77 of 98
The following are examples of renal diseases EXCEPT
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Question 78 of 98
A client on the postoperative nursing unit 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 79 of 98
An OR Manager notices a circulating nurse removing her jacket to perform the surgical skin prep for the patient. The manager requests that the circulator put the jacket back on and snap it closed to prepare the patient's skin. This request is made because:
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Question 80 of 98
The susceptibility of an individual to infection DOES NOT depend on
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Question 81 of 98
A nurse is providing discharge teaching for a client with COPD. When teaching the client about breathing exercises, what should the nurse include in the teaching?
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Question 82 of 98
The following drugs are inhalational agents except
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Question 83 of 98
The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?
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Question 84 of 98
The nurse is completing the preoperative checklist on the night shift in preparation for the patient's surgery, scheduled for 0800. Which tasks could the nurse complete at this time?
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Question 85 of 98
To avoid electrical safety problems during surgery, what does the nurse do?
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Question 86 of 98
All the following are Weber's noted six major principles EXCEPT
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Question 87 of 98
The hormone that causes milk ejection from the breast is
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Question 88 of 98
A patient is on call to the OR for an aortobifemoral bypass and the nurse administers the ordered preoperative medication. After administering a preoperative medication to the patient, what should the nurse do?
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Question 89 of 98
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 90 of 98
An STF hazard is present when the scrub person stands on a lift, or foot stool, to reach an acceptable height for ergonomic comfort with the sterile field. Whether the scrub person uses one stool, stacked stools, or a 'runway' of stools, the danger exists that a fall could occur. What classification of cause and prevention factor does this situation represent?
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Question 91 of 98
Maintaining an aseptic environment in the OR is essential to patient safety and infection control. When moving around surgical areas, what distance must the nurse maintain from the sterile field?
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Question 92 of 98
While waiting for cardiac transplantation, a patient with severe cardiomyopathy has a ventricular assist device (VAD) implanted. When planning care for this patient, the nurse should anticipate
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Question 93 of 98
Proper handling of specimens is crucial for patient safety. What is the most serious negative outcome that could occur as a result of the loss, mislabeling or mishandling of a surgical specimen?
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Question 94 of 98
A patient who can barely ambulate with a walker at home is having a left total knee replacement. What is the most appropriate category for this surgery?
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Question 95 of 98
A patient who slipped and fell in the shower at home has a proximal humerus fracture immobilized with a left-sided long-arm cast and a sling. Which nursing intervention will be included in the plan of care?
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Question 96 of 98
Emerging perioperative nursing roles are defined by the tremendous growth in science and technology combined with the increasing complexity of surgery and the interventional disciplines. An example of an emerging nursing role is:
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Question 97 of 98
A patient will be undergoing a total hip arthroplasty later in the day and it is anticipated that the patient may require blood transfusion during surgery. How can the nurse best ensure the patient's safety if a blood transfusion is required?
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Question 98 of 98
Reliability of the study is determined through
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