Fundamentals of Nursing Questions and Answers Part – 3

1. 1. A client who is obese is at risk for poor wound healing post operatively because?

a) Risk for bleeding is increased
b) Ventilatory capacity is reduced
c) Fatty tissue has a poor blood supply
d) Resuming normal physical activity is delayed

1. 1. A client who smokes two packs of cigarettes per day is most risk at postoperatively for?

a) Atelectasis, fever, and pneumonia
b) Hypotension, cardiac dysrhythmias, and fever
c) Hypotension, confusion and elevated glucose level
d) Urinary infection, fever, and malignant hypothermia

1. 1. Maintaining normal glucose levels in the postoperative period reduces which complication?

a) Ileus
b) Bleeding
c) Wound infection
d) Deep vein thrombosis

1. 1. In the post anesthetic care unit the nurse notes that the client is having difficulty breathing because of an obstruction. The nurse would first?

a) Suction the pharynx and bronchial tree
b) Give oxygen through face mask at 10 L/min
c) Ask the client to use an incentive spirometer
d) Position the client so that the tongue falls forward

1. 1. A client with Prothrombin time(PT) or an activated partial Thromboplastin time (APTT) greater than normal is at risk postoperatively for?

a) Infection
b) Bleeding
c) Low urine output
d) Cardiac dysrhythmias

1. 1. When the client is deep breathing and coughing, it is important to have the client sit because this position?

a) Is more comfortable
b) Facilitates expansion of the thorax
c) Helps the client to splint with the pillow
d) Increases the client’s view of the room and is more relaxing

1. 1. The ambulatory surgery centers are also known as all the following terms, except?

a) Inpatient surgery centers
b) Outpatient surgery centers
c) Short-stay surgery centers
d) Same-day surgery centers

1. 1. Which type of surgical procedure is performed to improve personal appearance?

a) Major surgery
b) Minor surgery
c) Ablative surgery
d) cosmetic surgery

1. 1. Which type of surgery must be done immediately to save life or preserve body function?

a) Cosmetic surgery
b) Palliative surgery
c) Elective surgery
d) Emergency surgery

1. 1. Repair of cleft is considered under which classification of surgical procedure?

a) Minor
b) Constructive
c) Diagnostic
d) Palliative

1. 1. Which of the previous medical condition of the client may alter metabolism and elimination of drugs administered during surgery and impairs wound healing and clotting time?

a) Fever
b) Upper respiratory tract infection
c) Liver disease
d) Diabetes mellitus

1. 1. The prolonged use of which among the medicine may cause adrenal atrophy, that reduces the body’s ability to withstand stress during surgery?

a) Antibiotics
b) Anticonvulsants
c) Diuretics
d) Corticosteroids

1. 1. Which of the following condition potentially happen because of the history of using herbal therapy like ginger?

a) Bleeding
b) Hypoglycemia
c) Impaired circulation
d) Electrolyte imbalance

1. 1. Coughing exercise often contraindicated immediately after following surgeries, except?

a) Hysterectomy
b) Brain Surgery
c) Spinal surgery
d) Eye surgery

1. 1. Application of warm compress is indicated?

a) To relieve edema
b) For a client who is shivering
c) To improve blood flow to an injured part
d) To protect bony prominence from pressure ulcers

1. 1. A binder placed around a surgical client with a new abdominal wound is indicated for?

a) Collection of wound drainage
b) Reduction of abdominal swelling
c) Reduction of stress on the abdominal incision
d) Stimulation of peristalsis

1. 1. Serous drainage from a wound is defined as?

a) Fresh bleeding
b) Thick and yellow
c) Clear, watery plasma
d) Beige to brown and foul smelling

1. 1. The clients with following medical condition are contraindicated for warm, moist compression to an open wound except?

a) Asthma
b) Diabetes mellitus
c) Stroke
d) Peripheral neuropathy

1. 1. Which of the following statement is incorrect when applying an elastic bandage?

a) Apply bandages to lower extremities before client sits or stands
b) Cover toes or finger tip with bandage
c) Elevate the dependent extremity for 20 minutes before bandage application
d) While applying bandage, roll the distal part of the extremity first

1. 1. The benefits of applying bandages and binders includes the following except?

a) Reducing or preventing edema
b) Securing a splint
c) Creating a pressure over a body part
d) Replacing the wound dressings

1. 1. Which of the following laboratory values would you expect in a client experiencing prolonged immobility?

a) Calcium 11.5 mg/dl
b) Sodium 142 mmol/L
c) Hemoglobin 14.6 g/dl
d) Potassium 4.2 mmol/L

1. 1. The client at greatest risk for developing adverse effects of immobility is?

a) 3 year old child with fractured femur
b) 78 year old man in traction for a broken hip
c) 48 year old woman following a thyroidectomy
d) 38 year old woman undergoing a hysterectomy

1. 1. What is the use of applying elastic stockings on a client following major abdominal surgery?

a) Prevent varicose veins
b) Prevent muscular atrophy
c) Ensure joint mobility and prevent contractures
d) Facilitate the return of venous blood to the heart

1. 1. The nurse is caring for a client with right-sided weakness, What should the nurse do while walking with the patient?

a) Hold the client’s left hand while walking
b) Hold the client’s right hand while walking
c) Put a gait belt on the client and support on the left side
d) Put a gait belt on the client and support on the right side

1. 1. During the enema the client begins to complain of pain, the nurse notes blood in the return fluid and rectal bleeding. The nurse’s action is to?

a) Stop the instillation
b) Slow down the rate of instillation
c) Tell the client to breathe slowly and relax
d) Stop the instillation and obtain vital signs

1. 1. The client with pre op medical history regarding abuse of street drugs should be screened for?

a) Hypertension
b) Depression
c) HIV and Hepatitis
d) Upper respiratory infection

1. 1. The patient with moderate to severe pain usually shows the following symptoms except?

a) Diaphoresis
b) Fever
c) Tachycardia
d) Elevated blood pressure

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