NURS 140 EXAM QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED, Exams of Nursing

Download NURS 140 EXAM QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED and more Exams Nursing in PDF only on Docsity! NURS 140 EXAM QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED Question 1 Which actions will the nurse include in the surgical time-out procedure before surgery (select all that apply)? Select one or more: a. Have the patient state name and date of birth. b. Check for patency of IV lines. c. Have the surgeon identify the patient. d. Verify the patient identification band number. e. Ask the patient to state the surgical procedure. Question 2 A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is most appropriate? Select one: NURS 140 EXAM QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED a. Notify the health care provider. b. Ask the patient about any weakness or dizziness. c. Explain that dry mouth is an expected side effect. d. Check for skin tenting. Question 3 The post-anesthesia care unit (PACU) charge nurse notes vital signs on four postoperative patients. Which patient would the nurse assess first? Select one: a. Patient with a pulse of 118 beats/min b. Patient with a blood pressure of 100/50 mm Hg c. Patient with a temperature of 96° F (35.6° C) d. Patient with a respiratory rate of 6 breaths/min Question 4 Which statement, if made by a new circulating nurse, reflects understanding of the circulating nurse role? Select one: a. "I will don sterile gloves to obtain items from the unsterile field." b. "I will remain gloved while performing activities in the sterile field." c. "I will assist in preparing the operating room for the patient." d. "I will assist with suturing of incisions and maintaining hemostasis as needed." Question 5 The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit. Which action is most important at this time? Select one: a. Ask the health care provider to prescribe a nicotine patch. Med Surg. Exam 1 b. The patient's history of an infection following a cholecystectomy c. The patient's report that her last menstrual period was 8 weeks ago d. The patient's lack of knowledge about postoperative pain control Question 11 While assessing a patient's peripheral IV site, the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord. How will the nurse document this finding? Select one: a. "Thrombosed area at IV site" b. "Grade 3 phlebitis at IV site" c. "Infection at IV site" d. "Infiltration at IV site" Question 12 The nurse is preparing to witness the patient signing the operative consent form when the patient says, "I don't understand what the doctor said about the surgery." Which action should the nurse take next? Select one: a. Give the prescribed preoperative antibiotics and withhold sedative medications. b. Provide a thorough explanation of the planned surgical procedure. c. Notify the operating room nurse to give a more complete explanation of the procedure. d. Notify the surgeon that the informed consent process is not complete. Question 13 Ordered: D5W IV at 125 mL per hr. Available: D5W 1000 mL Drop Factor: 10 drops per mL What is the flow rate in drops per minute? 21 drops/min Med Surg. Exam 1 Question 14 A nurse is caring for a patient with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, what action will the nurse take to relieve pain? Select one: a. Administer prescribed oral pain medication. b. Administer topical lidocaine to the site. c. Massage the site with scented oils. d. Place warm compresses on the site. Question 15 A nurse teaches a patient who is prescribed a central vascular access device. Which statement will the nurse include in this patient's teaching? Select one: a. "Ask all providers to vigorously clean the connections prior to accessing the device." b. "There is no risk of infection because sterile technique will be used during insertion." c. "You will need to wear a sling on your arm while the device is in place." d. "You will not be able to take a bath with this vascular access device." Question 16 A postoperative patient vomited. After cleaning and comforting the patient, which action by the nurse is most important? Select one: a. Allow the patient to rest. b. Encourage the patient to eat dry toast. c. Document the episode. d. Auscultate lung sounds. Med Surg. Exam 1 Question 17 A medical-surgical nurse is concerned about the incidence of complications related to IV therapy, including bloodstream infection. Which intervention will the nurse suggest to the management team to make the biggest impact on decreasing complications? Select one: a. Require additional education for all nurses. b. Perform quality control testing on skin preparation products. c. Initiate a dedicated team to insert access devices. d. Limit the use of peripheral venous access devices. Question 18 Five minutes after receiving the ordered preoperative midazolam by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate? Select one: a. Assist the patient to the bathroom. b. Offer the patient a urinal or bedpan. c. Ask the patient to wait until the drug has been fully metabolized. d. Tell the patient that a bladder catheter will be placed in the operating room. Question 19 A nurse prepares to flush a peripherally inserted central catheter (PICC) line with 50 units of heparin. The pharmacy supplies a multidose vial of heparin with a concentration of 100 units/mL. Which of the syringes shown below will the nurse use to draw up and administer the heparin? Select one: Question 20 A nurse responds to an IV pump alarm related to increased pressure. What action will the nurse take first? Med Surg. Exam 1 c. Assess the patient's pain on a 0-to-10 scale. d. Tell the patient when pain medication is due. Question 27 An older adult has been transferred to the postoperative inpatient unit after surgery. The family is concerned that the patient is not waking up quickly and states "She needs to get back to her old self!" What response by the nurse is best? Select one: a. "She may have had a stroke during surgery." b. "Let's just give her some more time, okay?" c. "Everyone comes out of surgery differently." d. "Sometimes older people take longer to wake up." Question 28 A postoperative patient has just been admitted to the post-anesthesia care unit (PACU). What assessment by the PACU nurse takes priority? Select one: a. Cardiac rhythm b. Airway c. Breathing d. Bleeding Question 29 A nurse prepares to insert a short peripheral venous catheter. What actions will the nurse take to ensure patient safety? (Select all that apply.) Select one or more: a. Perform hand hygiene before inserting the catheter. b. Choose a distal site on the patient's nondominant arm. c. Place the venous catheter near an area of joint flexion. d. Verify that the prescription is appropriate for peripheral infusion. Med Surg. Exam 1 e. Wear a surgical mask during the catheter insertion procedure. Question 30 Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for an open cholecystectomy? Select one: a. Medications to be used during surgery b. Deep breathing and coughing c. Care for the surgical incision d. Oral antibiotic therapy after discharge Question 31 Order: 500 mL of Intralipid in 6 hours What is the rate in mL per hour? Answer 83 mL/hr Question 32 On admission of a patient to the postanesthesia care unit (PACU), the blood pressure (BP) is 122/72 mm Hg. Thirty minutes after admission, the BP is 114/62, with a pulse of 74 and warm, dry skin. Which action by the nurse is most appropriate? Select one: a. Administer oxygen therapy at 100% per mask. b. Notify the anesthesia care provider (ACP). c. Continue to take vital signs every 15 minutes. d. Increase the IV fluid rate. Question 33 A patient who has not had any prior surgeries tells the nurse doing the preoperative assessment about allergies to avocados and bananas. Which action is most important for the nurse to take? Med Surg. Exam 1 Select one: a. Alert the surgery center about a possible latex allergy. b. Ask whether the patient uses antihistamines to reduce allergic reactions. c. Notify the dietitian about the specific food allergies. d. Reassure the patient that all allergies are noted on the health record. Question 34 The nurse is preparing a patient on the morning of surgery. The patient refuses to remove a wedding ring, saying, "I've never taken it off since the day I was married." Which response by the nurse is best? Select one: a. Have the patient sign a release form and leave the ring on. b. Tell the patient that the hospital is not liable for loss of the ring. c. Inform the operating room personnel that the patient is wearing a ring. d. Suggest that the patient give the ring to a family member to keep. Question 35 A nurse prepares to insert a peripheral venous catheter in an older adult patient. What action will the nurse take to protect the patient's skin during this procedure? Select one: a. Apply warm compresses to the extremity. b. Place a washcloth between the skin and tourniquet. c. Lower the extremity below the level of the heart. d. Tap the skin lightly and avoid slapping. Question 36 Ordered: Infuse LRS 2 L IV over 24h. What is the rate in mL per hour? Answer Med Surg. Exam 1 Select one: a. Wearing street clothes into the nursing station b. Putting on a surgical mask, cap, and scrubs before entering the operating room c. Wearing a surgical mask into the holding room d. Walking into the hallway outside the operating room with hair uncovered Question 43 Which action in the perioperative patient plan of care can the charge nurse delegate to a surgical technologist? Select one: a. Teach the patient about what to expect in the operating room (OR). b. Pass sterile instruments and supplies to the surgeon and scrub technician. c. Monitor and interpret the patient's echocardiogram (ECG) during surgery. d. Give the postoperative report to the postanesthesia care unit (PACU) nurse. Question 44 A patient in the operating room has developed malignant hyperthermia. The patient's potassium is 6.5 mEq/L (6.5 mmol/L). What action by the nurse takes priority? Select one: a. Assess urine for myoglobin or blood. b. Administer nifedipine (Procardia). c. Monitor the patient for dysrhythmias. d. Administer 10 units of regular insulin. Question 45 The nurse plans to provide preoperative teaching to an alert older man who has hearing and vision deficits. His wife answers most questions that are directed to the patient. Which action should the nurse take when doing the teaching? Select one: a. Direct all the teaching toward the wife because she is the obvious support and caregiver for the patient. Med Surg. Exam 1 b. Ask the patient's wife to wait in the hall in order to focus preoperative teaching with the patient himself. c. Use printed materials for instruction so that the patient will have more time to review the material. d. Provide additional time for the patient to understand preoperative instructions and carry out procedures. Question 46 A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will die in surgery like my mother did!" Which initial response by the nurse is appropriate? Select one: a. "You will receive medication to reduce your anxiety." b. "You should talk to the doctor again about the surgery." c. "Surgical techniques have improved in recent years." d. "Tell me more about what happened to your mother." Question 47 A circulating nurse wishes to provide emotional support to a patient who was just transferred to the operating room. What action by the nurse would be best? Select one: a. Administer anxiolytics. b. Remain with the patient. c. Give the patient warm blankets. d. Introduce the surgical staff. Question 49 0.45% NS at 30 mL/hr Drop Factor: 20 gtt/mL What is the flow rate in drops per minute? 10 drops/min Question 49 Which data identified during the preoperative assessment alerts the nurse that special protection techniques should be implemented during surgery? Med Surg. Exam 1 Select one: a. Stated allergy to cats and dogs b. History of spinal and hip arthritis c. Having a sip of water 3 hours previously d. Verbalization of anxiety by the patient