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NUR 206 Final Exam | NUR 206 Actual Exam Update 2024 Questions and Correct Answers Rated A+
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NUR 206 Final Exam 2024-2025 | NUR206 Actual Exam Update 2024 Questions
and Correct Answers Rated A+
The nurse in the PACU performs postsurgical assessments on the
newly admitted patient every _________ minutes. -ANSWER-every 15
minutes
A patient is on postoperative day 2 after a nephrectomy. What is the
most effective way to increase her peristalsis? -ANSWER-Ambulation
A patient is transferred from the operating room to the recovery room
after undergoing an open reduction and internal fixation (ORIF) of his
left ankle. Which is the first assessment to make? -ANSWER-Check
airway for patency.
A postoperative patient who had a left inguinal hernia repair is ready
for his discharge instructions. Which information should the nurse
provide? (Select all that apply.) -ANSWER-- Care of the wound site
and any dressings
- When he may operate a motor vehicle
- Signs and symptoms to report to the physician
- Actions and side effects of any medications
Anti-embolic stockings are in place on the obese post surgical patient.
Which statement accurately describes the standard of care in regards
to anti-embolic stockings? -ANSWER-should be removed
approximately 20 minutes every shift.
,Frequent assessment of a postoperative patient is essential. What is
one of the first signs and symptoms of hemorrhage? -ANSWER-
Restlessness
The nurse educates the postsurgical patient about which potential
effect of smoking on postsurgical recovery? -ANSWER-Delayed
healing
The nurse is caring for a 90-year-old postoperative patient whose
oxygen saturation is frequently dropping below 90%. Which age-
related change is most likely related to this finding? -ANSWER-
weakened respiratory muscles
The nurse is caring for a patient during the first postoperative day.
Which goal works to prevent atelectasis and is most appropriate for
the nursing care plan? -ANSWER-Patient will "huff-cough" every 2
hours
The nurse is caring for a patient following abdominal surgery. The
patient asks the nurse when he will be able to eat a normal diet.
Which response is best? -ANSWER-"Once you have bowel sounds
and are passing gas, you may have clear liquids, and your diet will be
advanced based upon your tolerance."
The nurse is caring for a patient who had spinal anesthesia. Which
drink is the best choice for the nurse to offer the patient? -ANSWER-
Tea
The nurse is caring for a surgical patient who complains of excessive
gas. Which action should the nurse take? -ANSWER-Ambulate the
patient in the hall.
,The nurse is educating the patient about vitamins and wound healing.
The nurse explains that which vitamin will enhance wound healing the
most? -ANSWER-Vitamin C
The nurse is performing a neurological assessment on a patient who
was just transferred from the PACU following abdominal surgery.
Which action(s) correctly demonstrate(s) knowledge of a neurological
assessment? (Select all that apply.) -ANSWER-- Asking the patient to
identify where he is.
- Noting if the patient can identify the sensation of touch.
- Asking the patient to move his arms and legs.
- Assessing the patient's pupils for response to light.
The nurse is performing the Aldrete scoring system. Which factor(s)
must be assessed? (Select all that apply.) -ANSWER-- Activity
- Circulation
- Level of consciousness
- O2 saturation
- Respiration
The PACU nurse is caring for a semiconscious patient immediately
following abdominal surgery. The nurse correctly places the patient in
which position? -ANSWER-Lateral
The PACU nurse is caring for an unconscious patient. Assessment
reveals diminished breath sounds bilaterally. Which action should the
nurse take? -ANSWER-Document "diminished breath sounds in both
lower lobes."
The patient is brought into PACU still unconscious. What should the
nurse do when the nurse assesses an oral temperature of 94° F? -
ANSWER-Cover with a warm blanket
, The postoperative nursing intervention that would be contraindicated
for a 45-year-old patient who has had a repair of a cerebral aneurysm
and is presenting signs of increased intracranial pressure (ICP) would
be: -ANSWER-coughing every 2 hours
When the postoperative patient complains of sudden chest pain
combined with dyspnea, cyanosis, and tachycardia, the nurse
recognizes the signs of: -ANSWER-pulmonary embolus
Which action is most important for the nurse to take prior to
ambulating the postsurgical patient for the first time? -ANSWER-Raise
the head of the bed
Which of the following early postoperative observations should be
reported immediately? -ANSWER-"Coffee ground" emesis
While turning a patient who had a bowel resection yesterday, the
wound eviscerated. What is the initial nursing intervention? -
ANSWER-Apply a warm, moist normal saline sterile dressing.
During the course of surgery, the patient exhibits tachycardia,
diaphoresis, and rising body temperature. The priority intervention by
the circulating nurse is to: -ANSWER-Alert the anesthesiologist and
surgeon immediately.
In which situation might surgery be delayed? -ANSWER-The patient is
still taking anticoagulants
The nurse clarifies the difference between regional anesthesia and
procedural sedation anesthesia. Which statement about procedural
sedation anesthesia is true? -ANSWER-Procedural sedation
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