Question 1

Which of the following outcomes may be most appropriate for a patient to achieve before leaving the post-anesthesia care unit?

Accepted Answer

A)  The patient will achieve and maintain normal heart rate, blood pressure, and oxygen saturation level.
B)  The patient will rate their pain at an '8' or less on a 0-10 pain scale.
C)  The patient will ambulate at least one time around the PACU.
D)  The patient will void at least 100 cc when using the bathroom. A

Question 2

Which of the following is an essential element of planning for the patient's postoperative care?

Accepted Answer

A)  Involving family members in the patient's care
B)  Eliminating the causes of pain before discharge
C)  Progressing the diet to return to normal
D)  Both A and C A

Question 3

To prepare the patient for transfer to the post-anesthesia care unit (PACU), the nurse must move the patient to a stretcher and secure their body. What other interventions should the perioperative nurse do to prepare the patient for transfer?

Accepted Answer

A)  Elevate the head of the bed 90 degrees.
B)  Gather the patient's belongings and place them at the foot of the bed.
C)  Raise the side rails on the stretcher.
D)  Swaddle the patient's body with a dry, heavy blanket. C

Question 4

Which of the following measures is appropriate for promoting adequate respiratory function after the patient has been transferred to the postoperative surgical unit?

Accepted Answer

A)  Keeping the patient in the Trendelenburg position.
B)  Turning, coughing and deep breathing each day.
C)  Getting the patient up to walk as soon as possible.
D)  Restricting fluids until day two after surgery.

Question 5

A nurse is transferring a patient to the post-surgical unit after surgery and recovery from a gastrointestinal procedure. During report, the nurse states that the patient had a large amount of thick, fibrous bands of tissue that were removed because they were obstructing part of the intestine. What is the clinical name for this type of tissue?

Accepted Answer

A)  Proud flesh
B)  Keloid tissue
C)  Adhesion
D)  Connective fascia

Question 6

When preparing a patient for transfer from the operating suite, the nurse notices that their temperature is 96.1 degrees and they are starting to shiver. Which of the following are potential adverse outcomes if the nurse does not correct this situation?

Accepted Answer

A)  The patient may develop increased bleeding.
B)  The patient may become combative and violent.
C)  The patient may develop peripheral edema.
D)  Both A and B

Question 7

Which of the following subjects are appropriate teaching topics for the patient's family?

Accepted Answer

A)  The physician's cell number in case of emergency
B)  The reasons, side effects, dosage, and timing for every medication the patient will be taking
C)  Instructions about what to do if the patient decides to ambulate to use the bathroom
D)  Both B and C

Question 8

The first day following surgery, the nurse checks the patient's surgical incision and notes a small amount of inflammation, serosanguineous drainage from the site, and skin that is warm to the touch. What should the nurse do in this situation?

Accepted Answer

A)  Cleanse the area with chlorhexidine soap.
B)  Administer antibiotics to treat the developing infection.
C)  Notify the physician for further orders.
D)  Keep the area clean and continue to monitor the site.

Question 9

Which of the following is the most common reason for agitation and confusion during the time period when the patient is transferred from the operating room?

Accepted Answer

A)  Pain
B)  Hypothermia
C)  Hypoxemia
D)  A history of depression

Question 10

Which of the following adverse outcomes may occur as a complication of changing a patient's position after surgery?

Accepted Answer

A)  Hypotension
B)  Diarrhea
C)  Somnolence
D)  Apnea

Question 11

Which of the following statements regarding pain control in the patient following the surgical procedure is true?

Accepted Answer

A)  The nurse should determine the cause of the pain before administering analgesics.
B)  The goal of pain treatment should be '0' on a 0-10 pain scale.
C)  The nurse should use the outward signs of pain in the patient to guide administration of analgesics.
D)  The amount of pain is determined by the patient and is the best indicator of its existence.

Question 12

A nurse in the post-surgical unit assumes care of a patient with a surgical wound that appears clean and dry, with intact sutures and approximated wound edges. Which type of healing process would the state of this wound be described as?

Accepted Answer

A)  Primary intention
B)  Secondary intention
C)  Closure intention
D)  Tertiary intention

Question 13

Which of the following means that the patient may not leave the post-anesthesia care unit to be transferred to a general care medical-surgical unit?

Accepted Answer

A)  Oxygen saturation of 95%
B)  Unconsciousness
C)  Adequate respiratory effort
D)  Stable blood pressure

Exam 9: Transfer