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Surgical BSN3 QUIZ

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

Which item is NOT a nursing responsibility during the surgical time-out?

a)

Identify the right patient using two identifiers

b)

Verify correct surgical site marking

c)

Confirm instrument and sponge counts

d)

Verify the planned procedure wording

2.

A client with suspected acute cholecystitis presents to the clinic. Which clinical manifestation is most expected?

a)

Nausea, vomiting, and anorexia

b)

Diarrhea with dark urine

c)

Acute right lower quadrant pain and dehydration

d)

Jaundice, dark urine, and steatorrhea

3.

Which pathophysiologic change is commonly associated with significant burn injury?

a)

Increased metabolic rate significantly

b)

Decreased metabolic rate overall

c)

Early bradycardia at rest

d)

Increased urine output early

4.

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.

a)

2,3,1,4

b)

3,4,1

c)

1,2,3,4

d)

3,1,4

5.

During the preoperative phase, which nurse responsibility best addresses patient anxiety?

a)

Provide details of the surgical intervention

b)

Assess nutrition and fluid status

c)

Review radiology and lab results

d)

Check vital signs for organ function

6.

Which physician order should the nurse question for a client admitted with acute pancreatitis?

a)

Administer anticholinergic medication

b)

Insert nasogastric tube

c)

Provide morphine sulfate for pain

d)

Maintain NPO status

7.

Your patient is anxious about a planned colostomy. What should be your initial step?

a)

Determine prior knowledge about colostomies

b)

Show pictures of colostomies

c)

Provide written colostomy care material

d)

Arrange a visit from a colostomy patient

8.

For a patient with chronic pancreatitis, which nursing intervention is most helpful?

a)

Encourage daily exercise

b)

Allow liberal fluid intake

c)

Modify dietary protein amounts

d)

Counsel to stop alcohol consumption

9.

Which pathophysiologic change best explains why appendicitis can progress to perforation and infection in a middle-aged patient?

a)

Infection increases venous drainage reducing necrosis risk

b)

Obstruction decreases arterial flow causing ischemic inflammation

c)

Appendix develops gangrene only in younger individuals

d)

Obstruction increases arterial flow causing blood accumulation

10.

Which laboratory finding most specifically supports a diagnosis of pancreatitis?

a)

Elevated serum lipase concentration

b)

Elevated aspartate aminotransferase level

c)

Raised lactate dehydrogenase enzyme

d)

Elevated blood urea nitrogen level

11.

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?

a)

Emergency

b)

Urgent

c)

Elective

d)

Required

12.

A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:

a)

Yellow sclera

b)

Circumoral pallor

c)

Light amber urine

d)

Black, tarry stools

13.

To prevent complications of immobility which activities will help the nurse to plan for the first postoperative day after colon resection

a)

Turn, cough and deep breathe every 30 minutes

b)

Provide a passive range of motion exercises 3 times a day

c)

Get the client out of bed and ambulate with support

d)

No need to worry about these complications at this stage

14.

The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right

a)

Upper quadrant and radiates to the right scapula and shoulder.

b)

Upper quadrant and radiates to the left scapula and shoulder.

c)

Lower quadrant and radiates to the back.

d)

Lower quadrant and radiates to the umbilicus.

15.

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?

a)

Infection

b)

Risk of malnutrition

c)

Body image, disturbed

d)

Fear related to poor prognosis

16.

During the first few days of recovery from ostomy surgery for ulcerative colitis, which aspect should be the first priority of client care?

a)

Skin care

b)

Ostomy care

c)

Nutritional status

d)

Body image

17.

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?

a)

Document the findings

b)

Clamp the T-tube

c)

Notify the physician

d)

Change the T-tube

18.

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:

a)

Reparative

b)

Curative

c)

Reconstructive or cosmetic

d)

Diagnostic

19.

Which statement makes the student correct about the preoperative phase?

a)

End after induction of anaesthesia

b)

Begins after the nurse has collected all documents

c)

Begins when the patient leaves the ward

d)

The nurse reminds the anaethetist of the visit

20.

In the recovery room, a post-operative patient becomes cyanotic. What is the most appropriate nursing action?

a)

Reposition the head and check for airway patency

b)

Insert an oral airway and suction the nasopharynx

c)

Call for assistance

d)

Start administration of oxygen by nasal cannula

21.

In management of heparin overdose for the client undergoing cardiac surgery the following is used as antidote.

a)

Vitamin K

b)

Naloxone

c)

Protamine phosphate

d)

Protamine sulfate

e)

Protamine monophosphate

22.

In management of heparin overdose for the client undergoing cardiac surgery the following is used as antidote.

a)

Naloxone

b)

Protamine phosphate

c)

Protamine sulfate

d)

Protamine monophosphate

23.

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;

a)

Complex fibers

b)

Proteins

c)

Lipids

d)

Only cholesterol

e)

Carbohydrates

24.

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;

a)

Complex fibers

b)

Proteins

c)

Lipids

d)

Only cholesterol

e)

Carbohydrates

25.

For patients who sustained spinal cord injury, quadriplegia is commonly expected if which section is involved.

a)

T8–T12

b)

Lumbar and sacral

c)

C1–C8

d)

T1–T7

e)

C8

26.

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?

a)

Empyema

b)

Pleural sepsis

c)

Pneumothorax

d)

Hemothorax

e)

Emphysema

27.

The common post op arrhythmias complication of patient from cardiac surgery includes

a)

Sinus bradycardia

b)

Dysrhythmias

c)

Sinus tachycardia

d)

Bradycardia

28.

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

a)

Reduce the risk of bed sores

b)

Prevent lung trauma by the tube

c)

Restore neurological functions

d)

Exercise abdominal muscles

e)

For lungs to regain their strength

29.

The nurse caring for a patient who sustained head injury monitors the Inter-cranial pressure to be within which range

a)

100-139 mmHg

b)

7-15 mmHg

c)

8-30 mmHg

d)

60-100 mmHg

e)

2-6 mmHg

30.

Before resuming oral diet, the nurse confirms the return of bowel movements by

a)

Give the client warm sips of sterile water

b)

Auscultation of bowel sounds

c)

Ask the client to go for toilet

d)

Assess for patients ability to swallow