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Post-Op Nursing care CABG

Total questions: 38

Worksheet time: 22mins

Name
Class
Date
1.

Mr. Robert Jenkins was admitted to the hospital after experiencing severe chest pain and shortness of breath. Following diagnostic tests, he was scheduled for a major heart surgery to improve blood flow to his heart. Based on this information, what surgical procedure did Mr. Robert Jenkins undergo?

a)

Appendectomy

b)

Triple Coronary Artery Bypass Graft (CABG)

c)

Cholecystectomy

d)

Hip Replacement

2.

During a routine check-up, Mr. Jenkins shares his medical history with his doctor. Which of the following is NOT part of Mr. Jenkins' medical history?

a)

Hypertension

b)

Hyperlipidemia

c)

Asthma

d)

Type 2 diabetes mellitus

3.

During morning rounds at the hospital, the nurse checks Mr. Jenkins' vital signs. What is the current temperature of Mr. Jenkins as noted in the recent vitals?

a)

36.5°C (97.7°F)

b)

37.0°C (98.6°F)

c)

38.3°C (100.9°F)

d)

39.0°C (102.2°F)

4.

While caring for a post-operative patient, Aria, the nurse, notes erythema, swelling, and a small amount of ___ drainage from the lower end of the sternal incision.

a)

purulent

b)

serous

c)

bloody

d)

clear

5.

During a follow-up appointment, Mr. Jenkins tells his nurse about two symptoms he is experiencing as he prepares for discharge. What are these symptoms?

a)

Fever and cough

b)

Shortness of breath and chest pain

c)

Nausea and vomiting

d)

Headache and dizziness

6.

Anika, a nurse on a medical-surgical unit, is monitoring her patients for early signs of infection. Which of the following should she recognize as early indicators?

a)

Fever and tachycardia

b)

Hypotension and chills

c)

Local warmth and swelling

d)

Purulent discharge

7.

Charlotte is caring for a patient whose condition is changing, and she needs to monitor trends in the patient's vital signs closely. How often should the frequency of vitals be increased according to the nursing focus?

a)

Every 4 hours (q4h)

b)

Every 12 hours (q12h)

c)

Once a day

d)

Every 8 hours (q8h)

8.

Ava, a nurse, is monitoring a patient for signs of systemic involvement. Which of the following is NOT a sign she should observe for according to the nursing focus?

a)

Chills

b)

Hypotension

c)

Tachypnea

d)

Headache

9.

Abigail, a nurse in the emergency department, needs to quickly assess the pain level of an alert, verbal adult patient. Which pain scale is described as simple and effective for this situation?

a)

Numeric Rating Scale (NRS)

b)

Visual Analogue Scale (VAS)

c)

McGill Pain Questionnaire

d)

Faces Pain Scale

10.

Oliver is a nurse caring for a young child who cannot speak due to developmental delays. Which pain scale is reserved for patients with communication barriers?

a)

NRS

b)

Visual Analog Scale (VAS)

c)

Wong-Baker FACES

d)

FLACC Scale

11.

James is a verbal and cooperative patient. The nurse considers using the FLACC Scale to assess his pain. Is the FLACC Scale needed for James?

a)

True

b)

False

12.

Daniel is in the hospital with a high fever and pain. According to the pain management section, which medication should be administered to him intravenously (IV) for his symptoms?

a)

Acetaminophen IV

b)

Ibuprofen PO

c)

Aspirin PO

d)

Morphine IV

13.

Grace is recovering from heart surgery and her nurse is monitoring her for possible complications. During a routine check, the nurse observes certain changes around Grace's sternal incision. Which of the following are signs of sternal wound infection that the nurse should report?

a)

Redness >2 cm around incision, local warmth, swelling, purulent discharge

b)

Pallor around incision, dry scab formation, absence of pain

c)

Bluish discoloration, decreased temperature, absence of discharge

d)

Yellow bruising, minimal swelling, serous discharge

14.

Priya is scheduled for surgery. Which of the following is a risk factor for her developing postoperative complications?

a)

Young age

b)

Advanced age

c)

Low blood pressure

d)

High cholesterol

15.

Grace, a nurse on the medical-surgical unit, notices that her patient is experiencing sudden shortness of breath and a drop in oxygen saturation. Fill in the blank: One of the immediate nursing interventions is to notify the ______ immediately.

a)

provider

b)

patient

c)

pharmacist

d)

family

16.

Luna is a nurse caring for a patient with a suspected wound infection. To manage the infection, she anticipates starting empiric IV ______ (e.g., Vancomycin or Cefazolin).

a)

antibiotics

b)

analgesics

c)

antivirals

d)

antifungals

17.

Olivia recently underwent surgery and is now in the recovery ward. Which of the following is recommended for her pulmonary surveillance after surgery?

a)

Incentive spirometry

b)

Bed rest

c)

High-sugar diet

d)

No monitoring

18.

Charlotte is recovering in the hospital after surgery. Her doctor instructs the nursing staff: For DVT/PE prevention, continue SCDs and ______ prophylaxis.

a)

anticoagulant

b)

antibiotic

c)

analgesic

d)

antipyretic

19.

After undergoing surgery, Benjamin noticed that his wound was not healing as expected. His doctor explained that poor ______ control can impair wound healing after surgery.

a)

glycemic

b)

lipid

c)

protein

d)

calcium

20.

Aria accidentally scrapes her knee while playing outside. According to dressing care instructions, which solution should she use to clean the wound?

a)

Tap water

b)

Sterile saline

c)

Alcohol

d)

Hydrogen peroxide

21.

Zoe is caring for a patient with a wound. The physician has given specific instructions for wound management. Fill in the blank: Apply ______ dressing as ordered for wound management.

a)

antimicrobial

b)

adhesive

c)

hydrocolloid

d)

transparent

22.

Arjun is about to change a patient's wound dressing in the hospital. Which technique should he use to prevent infection?

a)

Standard technique

b)

Strict aseptic technique

c)

Quick technique

d)

No special technique

23.

Nora is caring for her younger brother who recently had a minor surgery. She notices some changes around his surgical site. What is one of the signs of infection that Nora should recognize?

a)

Redness, warmth, drainage, fever

b)

Pale, cool, dry skin

c)

Increased appetite and energy

d)

Low blood pressure and slow pulse

24.

Jackson recently had heart surgery and is learning about sternal precautions during his recovery. What is the maximum weight he should push, pull, or lift according to sternal precautions?

a)

2 lbs

b)

5 lbs

c)

10 lbs

d)

20 lbs

25.

Hannah recently had heart surgery and her doctor advised her to follow sternal precautions. Should Hannah avoid reaching both arms overhead simultaneously?

a)

True

b)

False

26.

Mr. Jenkins is being discharged from the hospital after treatment. Which of the following was NOT included in his discharge plan?

a)

Oral antibiotics

b)

Referral to home health

c)

Strict sternal precautions

d)

Physical therapy for leg strength

27.

Scarlett is a nurse caring for a patient who has just undergone CABG surgery. What is the main role of her vigilant nursing assessment in this situation?

a)

Preventing progression to mediastinitis

b)

Managing pain and infection

c)

Ensuring safe recovery and discharge

d)

All of the above

28.

After undergoing CABG surgery, Noah is experiencing discomfort. Nurses play a vital role in _______ pain and infection for patients like Noah.

a)

managing

b)

causing

c)

ignoring

d)

worsening

29.

Scenario Recap: Mr. Robert Jenkins, 70 years old, is recovering from a triple CABG performed five days ago via median sternotomy. He was progressing well and had been transferred to the step-down unit. On day 5, while being prepared for discharge, he reports increased pain and redness at the incision site. The nurse observes erythema, swelling, and purulent drainage at the sternal wound. His temperature is 38.3°C (100.9°F), and he reports chills and fatigue.

a)

Slight bruising at the incision site

b)

Redness with purulent drainage and fever

c)

Pain on deep breathing only

d)

Dry wound edges with no erythema

30.

Scenario Recap: Mr. Robert Jenkins, 70 years old, is recovering from a triple CABG performed five days ago via median sternotomy. He was progressing well and had been transferred to the step-down unit. On day 5, while being prepared for discharge, he reports increased pain and redness at the incision site. The nurse observes erythema, swelling, and purulent drainage at the sternal wound. His temperature is 38.3°C (100.9°F), and he reports chills and fatigue.

a)

Clean the wound and discharge the patient as planned

b)

Start oral antibiotics without notifying the provider

c)

Notify the provider, obtain a wound culture, and hold discharge

d)

Encourage ambulation and increase oral fluids

31.

Kai is recovering in the hospital after surgery. During a routine check, the nurse notes changes in his vital signs. Which vital sign pattern would be most consistent with early postoperative infection?

a)

Bradycardia and hypotension

b)

Hypothermia and tachypnea

c)

Fever and tachycardia

d)

Normal temperature and high blood pressure

32.

Mr. Jenkins is recovering in the hospital after surgery. He is experiencing increased redness, swelling, and pain at his surgical site, and his temperature is elevated. Which of the following nursing diagnoses is most appropriate for Mr. Jenkins at this time?

a)

Risk for aspiration

b)

Acute pain related to surgical wound infection

c)

Ineffective breathing pattern

d)

Disturbed sleep pattern

33.

Mr. Jenkins is recovering from surgery. Which patient factor increases his risk for poor wound healing?

a)

Advanced age and diabetes mellitus

b)

History of hypertension only

c)

Use of acetaminophen post-op

d)

Having surgery under general anesthesia

34.

Samuel recently underwent a CABG surgery. During his recovery in the hospital, his nurse encourages him to start walking as soon as possible after the operation. Why is early ambulation important in the post-op CABG patient?

4 lines
35.

Mr. Jenkins was admitted to the hospital with a suspected infection. What are two signs of systemic infection the nurse should monitor for in Mr. Jenkins?

a)

Fever and increased heart rate

b)

Cough and runny nose

c)

Localized redness and swelling

d)

Itching and rash

36.

Mr. Jenkins is recovering from surgery and is experiencing post-operative pain. Which of the following includes one pharmacologic and one non-pharmacologic technique for managing his pain?

a)

Administering opioids and encouraging deep breathing exercises

b)

Providing antibiotics and monitoring vital signs

c)

Giving insulin and applying a cold compress

d)

Prescribing antihypertensives and restricting fluids

37.

Mr. Jenkins arrives at the clinic complaining of persistent back pain. Which pain scale is most appropriate for Mr. Jenkins and why?

a)

Numeric Rating Scale (NRS) because it is suitable for adults who can communicate their pain level.

b)

Wong-Baker FACES Pain Scale because it is best for children or those with communication difficulties.

c)

FLACC Scale because it is used for infants and non-verbal patients.

d)

Visual Analogue Scale (VAS) because it is only for unconscious patients.

38.

Mr. Jenkins is preparing to go home after his recent heart surgery. The nurse is providing him with instructions about sternal precautions and home wound care. Which of the following should the nurse include when educating Mr. Jenkins?

a)

Avoid lifting objects heavier than 5-10 pounds, keep the incision clean and dry, and report any signs of infection.

b)

Resume all normal activities immediately after discharge.

c)

Apply lotion directly to the wound daily.

d)

Ignore mild redness or drainage from the incision site.