Med Surg Exam 2 Practice Questions
And Answers With Verified Solutions
Already Passed!!!(GRADED A+)
Answer: B - ANSWER✔✔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?
A. Urgent
B. Restorative
C. Simple
D. Palliative
Answer: B - ANSWER✔✔A patient with an abdominal aortic aneurysm is having
surgical repair. What is the correct classification for this surgery?
A. Restorative
B. Emergent
C. Urgent
D. Minor
Answer: D - ANSWER✔✔A 47-year old patient is having surgery to remove
kidney stones. What is the correct classification for this surgery?
A. Restorative
B. Emergent
C. Palliative
D. Urgent
,Answer: B,C,E - ANSWER✔✔The nurse screens a preoperative patient for
conditions that may increase the risk for complications during the perioperative
period. Which conditions are possible risk factors? Select all that apply
A. Emotionally stable
B. 67 years old
C. obesity
D. marathon runner
E. pulmonary disease
Answer: A,B,D,E - ANSWER✔✔A 79-year old patient with type II 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
a. presence of chronic illnesses
b. problems with healing
c. absence of smoking history
d. dehydration
e. electrolyte imbalances
f. daily exercise routine.
Answer: C - ANSWER✔✔What Definition is appropriate for local anesthesia?
A. Injection of anesthetic agent into or around a nerve or group of nerves, resulting
in blocked sensation and motor impulse transmission
B. injection of the anesthetic agent into the epidural space; the spinal cord areas are
never entered.
C. injection of an anesthetic agent directly into the tissue around an incision,
wound, or lesion.
,D. injection of anesthetic agent into or around a nerve or group of nerves, resulting
in blocked sensation and motor impulse transmission.
Answer: B - ANSWER✔✔What is the primary purpose of a PACU?
a. Follow-through on the surgeon's postoperative orders
b. Ongoing critical evaluation and stabilization of the patient
c. Prevention of lengthened hospital stay
d. Arousal of patient following the use of conscious sedation
Answer: C - ANSWER✔✔If a patient experiences a wound dehiscence which
description illustrates what is happening to the wound?
a. Purulent drainage is present at incision site because of infection
b. Extreme pain is present at incision site
c. a partial or complete separation of outer layers is present at incision site.
d. The inner and outer layers of the incision are separated
Answer: b, c, e - ANSWER✔✔Which respiratory changes occur as a result of
aging (select all that apply)?
a. increased elastic recoil
b. dilation of alveolar ducts
c. decreased ability to cough
d. alveolar surface tension increases
e. diffusion capacity decreases
Answer: C - ANSWER✔✔The patient has been on oxygen therapy at 70% for over
2 days. Which complication must the nurse monitor?
, a. oxygen-induced hypoventilation
b. hypercarbia
c. oxygen toxicity
d. absorption atelectasis
Answer: A,B,C,D - ANSWER✔✔Increased risk for oxygen toxicity is related to
which factors? (select all that apply.)
a. continuous delivery of oxygen at greater than 50% concentration
b. delivery of a high concentration of oxygen over 24-48 hours
c. the severity and extent of lung disease
d. neglecting to monitor the patient's status and reducing oxygen concentration as
soon as possible
e. adding continuous positive airway pressure (CPAP) or positive end-expiratory
pressure (PEEP)
Answer: a, c, d, e - ANSWER✔✔Which factors are considered hazards associated
with oxygen therapy? (select all that apply.)
a. increased combustion
b. oxygen narcosis
c. oxygen toxicity
d. absorption atelectasis
e. oxygen-induced hypoventilation
Answer: D
Rationale: Maintaining the head in an elevated position will decrease the amount
of nasal swelling. NSAIDs, such as ibuprofen, increase the risk for postoperative
bleeding and should not be used postoperatively. The patient would not be taught
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