WorksheetsSurgical BSN3 QUIZ
Total questions: 30
Worksheet time: 15mins
Which item is NOT a nursing responsibility during the surgical time-out?
Identify the right patient using two identifiers
Verify correct surgical site marking
Confirm instrument and sponge counts
Verify the planned procedure wording
A client with suspected acute cholecystitis presents to the clinic. Which clinical manifestation is most expected?
Nausea, vomiting, and anorexia
Diarrhea with dark urine
Acute right lower quadrant pain and dehydration
Jaundice, dark urine, and steatorrhea
Which pathophysiologic change is commonly associated with significant burn injury?
Increased metabolic rate significantly
Decreased metabolic rate overall
Early bradycardia at rest
Increased urine output early
Arrange the first-day postoperative dietary progression in correct sequence for a surgical client: 1) Full liquid 2) Nothing per oral 3) Clear liquid 4) Soft.
2,3,1,4
3,4,1
1,2,3,4
3,1,4
During the preoperative phase, which nurse responsibility best addresses patient anxiety?
Provide details of the surgical intervention
Assess nutrition and fluid status
Review radiology and lab results
Check vital signs for organ function
Which physician order should the nurse question for a client admitted with acute pancreatitis?
Administer anticholinergic medication
Insert nasogastric tube
Provide morphine sulfate for pain
Maintain NPO status
Your patient is anxious about a planned colostomy. What should be your initial step?
Determine prior knowledge about colostomies
Show pictures of colostomies
Provide written colostomy care material
Arrange a visit from a colostomy patient
For a patient with chronic pancreatitis, which nursing intervention is most helpful?
Encourage daily exercise
Allow liberal fluid intake
Modify dietary protein amounts
Counsel to stop alcohol consumption
Which pathophysiologic change best explains why appendicitis can progress to perforation and infection in a middle-aged patient?
Infection increases venous drainage reducing necrosis risk
Obstruction decreases arterial flow causing ischemic inflammation
Appendix develops gangrene only in younger individuals
Obstruction increases arterial flow causing blood accumulation
Which laboratory finding most specifically supports a diagnosis of pancreatitis?
Elevated serum lipase concentration
Elevated aspartate aminotransferase level
Raised lactate dehydrogenase enzyme
Elevated blood urea nitrogen level
The patient who sustained motor traffic accident is brought unconscious to the hospital by bystanders. Following assessment, the medical team suspects internal bleeding and suggests surgery. In this situation the patient will undergo which type of surgery?
Emergency
Urgent
Elective
Required
A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
Yellow sclera
Circumoral pallor
Light amber urine
Black, tarry stools
To prevent complications of immobility which activities will help the nurse to plan for the first postoperative day after colon resection
Turn, cough and deep breathe every 30 minutes
Provide a passive range of motion exercises 3 times a day
Get the client out of bed and ambulate with support
No need to worry about these complications at this stage
The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right
Upper quadrant and radiates to the right scapula and shoulder.
Upper quadrant and radiates to the left scapula and shoulder.
Lower quadrant and radiates to the back.
Lower quadrant and radiates to the umbilicus.
The nurse is caring for a male client postoperatively following the creation of a colostomy. Which nursing diagnosis should the nurse include in the plan of care?
Infection
Risk of malnutrition
Body image, disturbed
Fear related to poor prognosis
During the first few days of recovery from ostomy surgery for ulcerative colitis, which aspect should be the first priority of client care?
Skin care
Ostomy care
Nutritional status
Body image
A male client 24 hours following a cholecystectomy has drained 750 mL of green-brown drainage from a T-tube since surgery. Which nursing intervention is appropriate?
Document the findings
Clamp the T-tube
Notify the physician
Change the T-tube
A patient who sustained a motor traffic accident is brought unconscious to the hospital. The medical team suspects internal bleeding and suggests surgery. The primary goal of the surgery is:
Reparative
Curative
Reconstructive or cosmetic
Diagnostic
Which statement makes the student correct about the preoperative phase?
End after induction of anaesthesia
Begins after the nurse has collected all documents
Begins when the patient leaves the ward
The nurse reminds the anaethetist of the visit
In the recovery room, a post-operative patient becomes cyanotic. What is the most appropriate nursing action?
Reposition the head and check for airway patency
Insert an oral airway and suction the nasopharynx
Call for assistance
Start administration of oxygen by nasal cannula
In management of heparin overdose for the client undergoing cardiac surgery the following is used as antidote.
Vitamin K
Naloxone
Protamine phosphate
Protamine sulfate
Protamine monophosphate
In management of heparin overdose for the client undergoing cardiac surgery the following is used as antidote.
Naloxone
Protamine phosphate
Protamine sulfate
Protamine monophosphate
After the surgical removal of the gall bladder the nurse was interested in providing nutrition education to the patient and advised to decrease the intake of;
Complex fibers
Proteins
Lipids
Only cholesterol
Carbohydrates
After the surgical removal of the gall bladder the nurse was interested in providing nutrition education to the patient and advised to decrease the intake of;
Complex fibers
Proteins
Lipids
Only cholesterol
Carbohydrates
For patients who sustained spinal cord injury, quadriplegia is commonly expected if which section is involved.
T8–T12
Lumbar and sacral
C1–C8
T1–T7
C8
The patient is planned for chest tube insertion to drain pus from the pleural space. Which of the following term is the correct diagnosis of the patient?
Empyema
Pleural sepsis
Pneumothorax
Hemothorax
Emphysema
The common post op arrhythmias complication of patient from cardiac surgery includes
Sinus bradycardia
Dysrhythmias
Sinus tachycardia
Bradycardia
The nursing student was instructed to make a balloon for the patient from the chest tube insertion procedure. The student knows the purpose of the balloon is
Reduce the risk of bed sores
Prevent lung trauma by the tube
Restore neurological functions
Exercise abdominal muscles
For lungs to regain their strength
The nurse caring for a patient who sustained head injury monitors the Inter-cranial pressure to be within which range
100-139 mmHg
7-15 mmHg
8-30 mmHg
60-100 mmHg
2-6 mmHg
Before resuming oral diet, the nurse confirms the return of bowel movements by
Give the client warm sips of sterile water
Auscultation of bowel sounds
Ask the client to go for toilet
Assess for patients ability to swallow
