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NUR 112 EXAM 1 LATEST SPRING-SUMMER
2025 EXAM COMLETE FULL LENGTH EXAM
WITH ANSWERS (VERIFIED EXAM) GRADED A
The nurse provides postop instructions for an adult patient after cataract surgery. Which written statement, if provided by the nurse, would be the most appropriate? a. "to avoid contamination of the eye use aseptic tech. when applying eye drops." b."conjunctivitis may result if the eye is contaminated with wet or dirty eye patches." c. "to prevent infection in the eye, wash your hands before changing the eye patch or using eye drops." d. "coughing and bending over can cause increased intraocular pressure, resulting in retinal damage or displacement of the incraocular lens." c When using the trans-theoretical model of health behavior change during the pt teaching, the nurse identifies that the pt who states, "I've walked regularly for about a year to help prevent osteoporosis, but recently I haven't been motivated to cont." Is in the stage of?
a. action b. preparation c. termination d. maintenance When a nurse is observing a pt draw up and mix insulin injections, which of the following best demonstrate that psychomotor learning has taken place? a. the pt is able to discuss the appropriate technique b. the pt is able to demonstrate the appropriate technique c. the pt states that he understands d. the pt is able to write the steps on a piece of paper b A nurse in a provider's office is collecting data from the mother of a 1 year old child. The pt states that her child is old enough for potty training. Following an education session by the nurse, the pt now states that her earlier ideas has changed. She is now willing to postpone potty training until the child is older. Learning has occurred in which of the following domains?
b. select instructional materials appropriate for the older adult c. identify goals the nurse and the pt agree are reasonable d. determine what the pt knows about stress incontinence d A nurse is evaluating how well a pt learned the information presented in an instructional session about following a heart- healthy diet. The pt states that she understands what to do now. Which of the following actions by the nurse should assist the nurse in evaluation the pts learning? a. encourage the pt to ask questions b. ask the pt to explain how to select or prepare meals c. encourage the pt to fill out an evaluation form d. ask the pt if she has resources for further instruction on this topic b An overweight pt is sched. for a laparoscopic cholecystectomy at an outpatient surgery setting. The nurse knows that... a. surgery will involve multiple small incisions
b. this setting is not appropriate for this procedure c. surgery will involve removing a portion of her liver d. the pt will need special prep because of obesity a The pt tells the nurse in the preoperative setting that she has notices she has a reaction when wearing rubber gloves. What is the most appropriate nursing intervention? a. notify the surgeon so the case can be cancelled b. ask additional questions to assess for possible latex allergy c. notify the OR staff immediately so that the latex-free supplies can be used d. no intervention is needed because the pts rubber sensitivity has not bearing on surgery b When a patient is admitted to the PACU, what are the priority interventions the nurse performs?
After admission of the postoperative pt to the clinical unit, which assessment data require the most immediate attention? a. O2 sat of 85% b. Resp rate of 13/min c. Temp of 100.4 F d. BP of 90/ a A 70 kg postoperative pt has an average urine output of 25 ml/hour during the first 8 hours. the priority nursing intervention given this assessment would be to a. preform a straight catheterization to measure the amount of urine in the bladder. b. notify the physician and anticipate obtaining blood work to evaluate renal function. c. continue to monitor the pt bc this is a normal finding during this time period. d. evaluate the pts fluid volume status since surgery and obtain a bladder ultrasound d
Discharge criteria for the phase II pt include (SATA) a. no nausea or vomiting b. ability to drive self home c. no respiratory depression d. written discharge instructions understood e. opioid pain medication given 45 min ago C,D,E When scrubbing at the scrub sink, the nurse should a. scrub from elbows to hand b. scrub without mechanical friction c. scrub for a minimum of 10 minutes d. hold the hands higher than the elbows d Intravenous induction for general anesthesia is the method of choice for most pt because
A pt who normally takes 40 units of insulin at bedtime ask the nurse what to do about her dose the night before surgery. The best response would be to have her... a. skip her insulin dose at bedtime and eat a light breakfast in the morning b. take her usual dose at bedtime and eat a light breakfast in the morning c. eat a moderate meal before bedtime and then take half of her insulin dose d. get instructions from her surgeon or health care provider on any insulin adjustments d Preop considerations for older adults include (select all that apply) a. only use large print education materials b. speaking louder for pts with hearing aids c. recognizing that sensory deficits may be present d. providing warm blankets to prevent hypothermia e. teaching important info early in the morning c,d
The nurse is caring for a pt undergoing surgery for a keen replacement. What is critical to the pts safety during the procedure? (select all that apply) a. universal protocol is followed b. the ACP is an anesthesiologist c. the pt has adequate health insurance d. the circulation nurse is a RN e. the pts allergies are conveyed to the surgical team a, e When positioning a pt in preparation for surgery, the nurse understands that injury to the pt is most likely to occur as a result of: a. incorrect musculoskeletal alignment b. loss of perception of pain or pressure c. pooling of blood in peripheral vessels d. disregarding the pts need for modesty a
Proper attire for the semi restricted area of surgery dept. is: a. street clothing b. surgical attire and head cover c. surgical attire, head cover, and mask d. street clothing with the addition of shoe covers b A priority nursing intervention to assist a preop pt in coping with fear of postop pain would be to? a. inform the pt that pain med will be available b. teach the pt to use guided imagery c. describe the type of pain expected with the pts particular surgery d. explain the pain management plan, including the use of a pain rating scale d
A pt is sched for surgery requiring general anesthesia at an ambulatory surgical center. The nurse ask him where he ate last. He replies that he had a light breakfast a couple of hours before coming to the surgery center. What should the nurse do first? a. tell the pt to come back tomorrow, since he ate a meal b. proceed with the preop checklist including site identification c. notify the anesthesia care provider of when and what the pt last ate d. have the pt void before administering any preop meds c A 17 year old pt with a leg fracture is sched. for surgery. She reports that she is living w/a friend and is an emancipated minor. She has a statement from the court for verification. Which intervention is most appropriate? a. witness the permit after consent is obtained by the surgeon b. call a parent or legal guardian to sign the permit, since the pt is under 18 c. obtain verbal consent, since written consent is not necessary for emancipated minors
a A nurse is providing info to a group of surgical nurses for the tx of malignant hyperthermia. Which of the following should the nurse include in the info? (select all that apply) a. infuse iced IV fluids b. provide 100% O c. place on a cooling blanket d. treat the condition while continuing surgery e. adminster IV dantrolene (Dantrium) a, b, c, e A nurse is caring for a pt who displays systemic toxic reaction following a regional block. Which of the following actions by the nurse is appropriate? a. monitor serum creatinine levels b.prepare to administer IV thiopental (Pentothal) c. turn the pt to the right side d. administration 0.9% sodium chloride 500mL IV bolus
b A nurse is caring for a pt who reports a headache following an epidural regional nerve block. Which of the following is an appropriate nursing action? a. decrease the pts fluid intake b. apply pressure to puncture site c. place the pts head of the bed flat d. instruct the pt to lie prone c A nurse in the preop unit is assessing a pts lab values before surgery. Which of the following should the nurse report to the provider? (select all that apply) a. potassium 3. b. sodium chloride 145 c. creatinine 2. d. blood glucose 235 e. WBC 17,
c, d, e A nurse is preop teaching a pt scheduled for abdominal surgery. Which of the following statements by the nurse are appropriate? (select all that apply) a. take you BP med with a sip of water before surgery b. splint the abdominal incision with a pillow when coughing and deep breathing c. bedrest is recommended for the first 48 hrs d. antiembolism stocking are applied before surgery e. you may eat solid foods up to 4 hr before surgery a, b, c A preop nurse is caring for a pt who is having a colon resection. WHich of the following is an appropriate nursing action? a. encourage the pt to void after med administration b. administer antibiotics 30 min prior to surgical incision c. remove half using a manual razor d. remove nail polish on fingers and toes
d A nurse is reviewing the health records of several pts in the postanesthesia care unit (PACU) to identify risk factors that can lead to postop complications. Which of the following pts are at risk for complications? (select all that apply) a. pt with WBC of 22, b. pt who uses an insulin pump c. a pt taking warfarin (coumadin) daily d. pt who had bowl prep e. pt who has BMI of 26 a, b, c, d A nurse is caring for a female pt who manifest indications of hypovolemia while in the PACU. Which of the following findings requires actions from the nurse? (select all that apply) a. urine output less than 25 b. hematocrit 48% c. BUN 24 d. tenting of skin over sternum
