Name : Monika S.

Kaunang
NIM : 711490121031
A Class Nursing Profession
Pre-Post Operative
1. The parents of a 9 year-old child who is scheduled to have surgery ask the nurse not to
tell him about the surgery until he’s taken to the operating room. which response best
demonstrates the nurse’s role in supporting the child’s rights?
The child should be aware of the impending surgery so he can develop coping
strategies and his questions can be answered
2. A patient is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal
(subarachnoid) blook during surgery. In the operating room, the nurse positions the
patient according to the anesthesiologist’s require special positioning for this type of
anesthesia?
To prevent cerebrospinal fluid (CSF) leakage
3. When preparing a patient for surgery to treat appendicitis, the nurse formulates a nursing
diagnosis of risk for infection related to inflammation, perforation, and surgery. What is
the rationale for choosing this nursing diagnosis?
Obstruction of the appendix reduces arterial flow, leading to ischemia,
inflammation, and rupture of the appendix
4. A nurse provides preoperative education to a patient scheduled to undergo elective
surgery. The nurse includes instruction about proper skin care. Which patient statement
indicates the need for further education?
‘On the morning of the surgery, I can shave my surgical area at home to save time’
5. A patient is recovering from sugery to place an anterial line in the femoral artery.
Preoperative vitals showed a normal heart rate and blood pressure. If the patient were to
suffer an inadvertent puncture of the artery, the nurse would most likely see:
Incrassed heart rate decreased blood pressure
6. A nurse is taking care of a male patient who is patient who is post-operatvi for a surgical
repair of a right tibia and fibula fracture. The patient has an external fixation device.
Which of these is true concerning the nursing care of this patient?
Frequent repositioning will be necessary to ensure his comfort and prevent skin
breakdown
7. While completing the preoperative checklist for a patient, the nurse sees that the surgical
consent form isn’t signed. It’s time to administer the preop analgesic. What should the
nurse do first?
Notify the surgeon that the patient hasn’t signed the consent form
8. A single, 30 year-old professional has postoperative complications from an emergency
appendectomy. Over the course of her treatment, the nurse notes that the patient begins to
seem confused and has trouble making decisions. The nurse knows that this is what kind
of reaction to the stress of her illness?
Cognitive
9. A nurse is caring for an elderly, postoperative patient with dementia who is in restraints
because she refuses to stay in bed or keep to use the restroom and provide range of
motion exercises?
Every 2 hours
10. A patient is hospitalized for open reduction of a fractured femur. During the
postoperative assessment, the nurse notes that the patient is restless and she observes
petechiae on the patient’s chest. Which nursing action is indicated first?
Administer oxygen
 Admission
1. A primigravid patient is admitted to the labor and delivery area, where the nurse
evaluates her. Which assessment finding may indicate the need for cesarean birth?
Umbilical cord prolapse
2. A patient with second-degree atrioventricular heart block is admitted to the coronary care
unit. The nurse closely monitors the patient’s heart rate and rhythm. When interpreting
the patient’s electrocardiogram (ECG) strip, the nurse knows that the QRS complex
represents:
Ventricular depolarization
3. A patient is admitted for treatment of glomerulonephritis. On initial assessment, the nurse
detects one of glomerulonephritis of sudden onset. Such signs include:
Periorbital edema
4. As a patient is being admitted to the facility, her husband asks the nurse why she must
sign a statement confirming that she has been told of her rights to communicate her
wishes about life support and resuscitation. How should the nurse respond?
‘We make sure our patients know they have the right to specify advance directives
and appoint someone to speak for them’
5. A nurse is caring for an elderly adult patient admitted to the hospital from a nursing home
because of a change in behaviour. The patient has a diagnosis of Alzheimer’s disease and
has started to experience episodes of incontinence. The hospital staff is having a
difficulty with toileting because the patient wanders around the unit all day. To assist
with elimination, a nurse should:

Incorporate the patient’s toileting schedule in to the pattern of his wandering

 Transfer
1. A patient diagnosed with acute pancreatitis is being transferred to another facility. The
nurse caring for the patient completes the transfer summary, which includes information
about the patient’s drinking history and other assessment findings. Which assessment
findings confirm his diagnosis?
Recent weight loss and temperature elevation
2. A patient is transferred to a rehabilition center after being treated in the hospital for a
stroke. Because the patient has a history of Cushing’s syndrome (hypercortisolism) and
chronic obstructive pulmonary disease, the nurse formulates a nursing diagnosis of:
Risk for impaired skin integrity related to tissue catabolism secondary to cortisol
hypersecretion
3. A nurse prepares to transfer a patient from a bed to a chair. Which principle demonstrates
safe body mechanics?
The nurse uses a rocking motion while helping the patient to stand
4. A patient is discharged to home following hospitalization for percutaneous endoscopic
gastrostomy tube placement to assist with nutrition. His primary diagnosis is amyotrophic
lateral sclerosis (ALS). He can transfer from the bed to a chair but can’t walk. The
patient and his family are concerned about his ability to maintain his mobility at the
highest possible level following a surgical procedure. The nursing diagnosis most
appropriate for this patient is :
Impaired physical mobility related to decreased motor agility secondary to ALS as
manifested by inability to ambulate
5. A 16 year-old adolescent is transferred to the medical-surgical floor from the intensive
care unit (ICU) after sustaining a closed head injury that left him comatose. The
adolescent’s mother is identified as his only guardian. During the evening shift, a man
identifying himself as the adolescent’s father asks the nurse for information about the
adolescent’s condition. How should the nurse respod?
‘I’m sorry. I can’t give you any information. Privacy laws dictate that information is
to be given to the legal guardian. You’ll need to contact the patient’s mother for
information.’
 Discharge
1. An elderly patient recovering from a broken hip is being discharged. After completing
her care plan after discharge, the nurse learns that her patient has a husband with
dementia that she cares for at home. He has been staying with other family. Which of
these is the correct course of action to take?
Re-evaluate and revise her discharge care plan to ensure that the patient and her
husband are both well taken care of at home
2. A nurse is giving discharge instructions to a patient who has been hospitalized for chronic
pancreatitis. Which of these statements should be a critical part of the dietary counseling
for this patient?
Avoid alcohol entirely
3. A nurse is preparing for the discharge of a neonate born 7 weeks premature. The neonate
has had several apneic episodes and will need a home apnea monitor but will require no
other specialized care. Which nursing diagnosis is most appropriate for neonate’s
parents?
Deficient knowledge related to apneic episodes
4. A nurse is caring for a patient with hyperemesis gravidarum who will need close
monitoring at home. When should the nurse begin discharge planning?
On admission to the facility
5. A patient is being discharge after cataract surgery. After providing medication
teaching, the nurse asks the patient to repeat the instructions. This approach is an
example of which professional role?
Educator