Question 1

The purpose of putting a person on NPO status before surgery is to:

Accepted Answer

A)  prevent constipation. 
B)  empty the bowel. 
C)  decrease vomiting. 
D)  prevent embolism. 
A)  prevent constipation. 
B)  empty the bowel. 
C)  decrease vomiting. 
D)  prevent embolism. C

Question 2

The nursing assistant is caring for a postoperative client supine in bed receiving 2 L per nasal cannula who suddenly develops dyspnea, RR 28, HR 110, BP 100/60, T 97°F, and pulse oximeter 88%. What action should the nursing assistant take immediately after notifying the nurse?

Accepted Answer

A)  Determine whether the oxygen is on and not kinked. 
B)  Chart the observations and vitals. 
C)  Ask the client to cough and breathe deeply. 
D)  Raise the head of the bed to high Fowlers. 
A)  Determine whether the oxygen is on and not kinked. 
B)  Chart the observations and vitals. 
C)  Ask the client to cough and breathe deeply. 
D)  Raise the head of the bed to high Fowlers. D

Question 3

The purpose of the opening at the toe of an anti-embolism (TED) stocking is to:

Accepted Answer

A)  make it easier to apply safely. 
B)  inspect the person's toes for good circulation. 
C)  provide ventilation so that the feet do not sweat. 
D)  allow foot care to be provided without taking off the stocking. 
A)  make it easier to apply safely. 
B)  inspect the person's toes for good circulation. 
C)  provide ventilation so that the feet do not sweat. 
D)  allow foot care to be provided without taking off the stocking. B

Question 4

When a client or resident is receiving oxygen therapy, it is a responsibility of the nursing assistant to:

Accepted Answer

A)  set up the oxygen therapy. 
B)  adjust the flow rate of the oxygen. 
C)  check the flow meter setting frequently. 
D)  determine whether the person needs more oxygen. 
A)  set up the oxygen therapy. 
B)  adjust the flow rate of the oxygen. 
C)  check the flow meter setting frequently. 
D)  determine whether the person needs more oxygen.

Question 5

The main reason a nursing assistant provides good skin care to the head and face of a client receiving supplemental oxygen therapy is that:

Accepted Answer

A)  the person will not use the oxygen if it is not comfortable. 
B)  the mask or cannula can cause skin breakdown. 
C)  oxygen therapy is very drying to the skin. 
D)  the head and face are very easily irritated. 
A)  the person will not use the oxygen if it is not comfortable. 
B)  the mask or cannula can cause skin breakdown. 
C)  oxygen therapy is very drying to the skin. 
D)  the head and face are very easily irritated.

Question 6

Postoperatively, a client is ordered to do coughing and deep-breathing exercises. What will the nursing assistant do when the client reports that it "hurts too much" and refuses to cooperate?

Accepted Answer

A)  Allow the client to do the exercises later when they are in less pain. 
B)  Support the incision site with a small pillow while doing the exercises. 
C)  Give the client an incentive spirometer to use instead. 
D)  Help the client to do the exercise from the supine position. 
A)  Allow the client to do the exercises later when they are in less pain. 
B)  Support the incision site with a small pillow while doing the exercises. 
C)  Give the client an incentive spirometer to use instead. 
D)  Help the client to do the exercise from the supine position.

Question 7

The purpose of a pulse oximeter is to:

Accepted Answer

A)  monitor the oxygen content of the blood. 
B)  measure a person's respiratory rate. 
C)  add moisture to supplemental oxygen. 
D)  adjust the flow rate of oxygen. 
A)  monitor the oxygen content of the blood. 
B)  measure a person's respiratory rate. 
C)  add moisture to supplemental oxygen. 
D)  adjust the flow rate of oxygen.

Question 8

Perioperative is a term used to describe the period of time:

Accepted Answer

A)  before the surgery. 
B)  during the surgery. 
C)  spent in the recovery room. 
D)  between learning of the surgery to full recovery. 
A)  before the surgery. 
B)  during the surgery. 
C)  spent in the recovery room. 
D)  between learning of the surgery to full recovery.

Question 9

What will the nursing assistant do to keep a client safe following the administration of the sedative?

Accepted Answer

A)  Apply anti-embolism (TE
D)  stockings. 
B)  Take the client's vital signs at least every 2 hours. 
C)  Keep the side rails up on the bed or stretcher. 
D)  Assist the client in performing deep-breathing exercises. 
A)  Apply anti-embolism (TE
D)  stockings. 
B)  Take the client's vital signs at least every 2 hours. 
C)  Keep the side rails up on the bed or stretcher. 
D)  Assist the client in performing deep-breathing exercises.

Question 10

Which factor(s) determines how the oxygen is delivered? Select all that apply.

Accepted Answer

A)  The amount of oxygen ordered 
B)  The disease or condition being treated 
C)  The quickest, easiest method available 
D)  The overall physical condition of the client or resident 
E)  The method the client or resident is most accepting of 
A)  The amount of oxygen ordered 
B)  The disease or condition being treated 
C)  The quickest, easiest method available 
D)  The overall physical condition of the client or resident 
E)  The method the client or resident is most accepting of

Question 11

Who determines the rate at which the oxygen should be delivered and how it should be given?

Accepted Answer

A)  The nurse 
B)  The doctor 
C)  The respiratory therapist 
D)  The client or the resident 
A)  The nurse 
B)  The doctor 
C)  The respiratory therapist 
D)  The client or the resident

Question 12

What will the nursing assistant do to make sure a postoperative client is given the best possible care?

Accepted Answer

A)  Stay in the client's room as much as possible. 
B)  Help the client cough and deep breathe effectively. 
C)  Get the client up and walking as soon as possible after surgery. 
D)  Ask the nurse for any specific instructions about this client's care. 
A)  Stay in the client's room as much as possible. 
B)  Help the client cough and deep breathe effectively. 
C)  Get the client up and walking as soon as possible after surgery. 
D)  Ask the nurse for any specific instructions about this client's care.

Question 13

To make postoperative oxygen therapy more comfortable for the client:

Accepted Answer

A)  humidity is added to the oxygen. 
B)  oxygen rates are usually set for less than 20%. 
C)  wall-mounted systems are used whenever possible. 
D)  the client is encouraged to use it only when necessary. 
A)  humidity is added to the oxygen. 
B)  oxygen rates are usually set for less than 20%. 
C)  wall-mounted systems are used whenever possible. 
D)  the client is encouraged to use it only when necessary.

Question 14

How does a sequential compression device (SCD) work?

Accepted Answer

A)  The elastic fabric applies pressure to the legs to assist the blood to return to the heart. 
B)  The sleeves around the legs fill with air and then deflate, massaging the leg and assisting with blood return to the heart. 
C)  Different areas of the mattress inflate and deflate, helping to prevent the formation of pressure injuries. 
D)  Suction is applied to keep the stomach empty. 
A)  The elastic fabric applies pressure to the legs to assist the blood to return to the heart. 
B)  The sleeves around the legs fill with air and then deflate, massaging the leg and assisting with blood return to the heart. 
C)  Different areas of the mattress inflate and deflate, helping to prevent the formation of pressure injuries. 
D)  Suction is applied to keep the stomach empty.

Question 15

Care given during a client's recovery from cardiac bypass surgery will include:

Accepted Answer

A)  staying in bed until the incision has completely healed. 
B)  encouraging short, frequent walks down the hall. 
C)  using a wheelchair for all transfers. 
D)  using a lift device for positioning. 
A)  staying in bed until the incision has completely healed. 
B)  encouraging short, frequent walks down the hall. 
C)  using a wheelchair for all transfers. 
D)  using a lift device for positioning.

Question 16

When asked a question about the surgical procedure a client is scheduled for, the nursing assistant:

Accepted Answer

A)  answers the question as well as possible. 
B)  reports the question to the nurse immediately. 
C)  tells the client not to worry and that everything will be just fine. 
D)  suggests that the client ask the doctor the question before the procedure. 
A)  answers the question as well as possible. 
B)  reports the question to the nurse immediately. 
C)  tells the client not to worry and that everything will be just fine. 
D)  suggests that the client ask the doctor the question before the procedure.

Question 17

The nursing assistant is caring for a resident who is in the courtyard sitting in a wheelchair receiving oxygen. The resident takes out a pack of cigarettes. What action should the nursing assistant take first?

Accepted Answer

A)  Tell the nurse immediately. 
B)  Remind the client not to smoke. 
C)  Remove the cigarettes and lighter. 
D)  Take off the oxygen tank and tubing. 
A)  Tell the nurse immediately. 
B)  Remind the client not to smoke. 
C)  Remove the cigarettes and lighter. 
D)  Take off the oxygen tank and tubing.

Question 18

The nursing assistant is caring for an older adult client with dementia who just returned after surgery and is dizzy. What action should the nursing assistant perform first?

Accepted Answer

A)  Keep low lighting in place. 
B)  Raise the top two side rails per order. 
C)  Remind the client to use the incentive spirometer. 
D)  Dangle the client before ambulating. 
A)  Keep low lighting in place. 
B)  Raise the top two side rails per order. 
C)  Remind the client to use the incentive spirometer. 
D)  Dangle the client before ambulating.

Question 19

The most important responsibility a nursing assistant has to a client who has just returned from having surgery is to:

Accepted Answer

A)  take and record the client's vital signs often. 
B)  have the client cough and deep breathe at least every hour. 
C)  report anything unusual about the client's condition immediately to the nurse. 
D)  be sure the client understands the importance of using the call bell. 
A)  take and record the client's vital signs often. 
B)  have the client cough and deep breathe at least every hour. 
C)  report anything unusual about the client's condition immediately to the nurse. 
D)  be sure the client understands the importance of using the call bell.

Question 20

When caring for a client receiving supplemental oxygen through a nasal cannula, the nursing assistant will: (Select all that apply)

Accepted Answer

A)  check for skin irritation around the nostrils, cheeks, and ears. 
B)  remove the nasal cannula at meal times and during ADLs. 
C)  report an incorrect flow rate to the nurse immediately. 
D)  check the oxygen flow rate on the flow meter often. 
E)  provide frequent oral care. 
A)  check for skin irritation around the nostrils, cheeks, and ears. 
B)  remove the nasal cannula at meal times and during ADLs. 
C)  report an incorrect flow rate to the nurse immediately. 
D)  check the oxygen flow rate on the flow meter often. 
E)  provide frequent oral care.

Exam 32: Caring for People Who Are Having Surgery

The purpose of putting a person on NPO status before surgery is to:

The nursing assistant is caring for a postoperative client supine in bed receiving 2 L per nasal cannula who suddenly develops dyspnea, RR 28, HR 110, BP 100/60, T 97°F, and pulse oximeter 88%. What action should the nursing assistant take immediately after notifying the nurse?

The purpose of the opening at the toe of an anti-embolism (TED) stocking is to:

When a client or resident is receiving oxygen therapy, it is a responsibility of the nursing assistant to:

The main reason a nursing assistant provides good skin care to the head and face of a client receiving supplemental oxygen therapy is that:

Postoperatively, a client is ordered to do coughing and deep-breathing exercises. What will the nursing assistant do when the client reports that it "hurts too much" and refuses to cooperate?

The purpose of a pulse oximeter is to:

Perioperative is a term used to describe the period of time:

What will the nursing assistant do to keep a client safe following the administration of the sedative?

Which factor(s) determines how the oxygen is delivered? Select all that apply.

Who determines the rate at which the oxygen should be delivered and how it should be given?

What will the nursing assistant do to make sure a postoperative client is given the best possible care?

To make postoperative oxygen therapy more comfortable for the client:

How does a sequential compression device (SCD) work?

Care given during a client's recovery from cardiac bypass surgery will include:

When asked a question about the surgical procedure a client is scheduled for, the nursing assistant:

The nursing assistant is caring for a resident who is in the courtyard sitting in a wheelchair receiving oxygen. The resident takes out a pack of cigarettes. What action should the nursing assistant take first?

The nursing assistant is caring for an older adult client with dementia who just returned after surgery and is dizzy. What action should the nursing assistant perform first?

The most important responsibility a nursing assistant has to a client who has just returned from having surgery is to:

When caring for a client receiving supplemental oxygen through a nasal cannula, the nursing assistant will: (Select all that apply)

The Health Care System

The Nursing Assistants Job

Professionalism and Job-Seeking Skills

Communication Skills

Those We Care for

The Patients or Residents Environment

The Human Body in Health and Disease

Common Disorders

Rehabilitation and Restorative Care

Overview of Long-Term Care

The Long-Term Care Resident

Caring for People With Dementia

Infection Control

Workplace Safety

Patient and Resident Safety

Basic First Aid and Emergency Care

Assisting With Repositioning and Transferring

Assisting With Exercise

Bedmaking

Measuring and Recording Vital Signs, Height, and Weight

Assisting With Hygiene

Preventing Pressure Ulcers and Assisting With Wound Care

Assisting With Grooming

Assisting With Nutrition

Assisting With Urinary Elimination

Assisting With Bowel Elimination

Assisting With Comfort

Caring for People Who Are Dying

Caring for People With Developmental Disabilities

Caring for People With Cancer

Caring for People With Hivaids

Caring for People in the Home Environment

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