Mutiple Choice: Choose the letter of

the best answer.

1. An operating room nurse is positioning a client
on the OR table so as to prevent the client’s
extremities from dangling over the sides of the
table. A nursing student who is observing for the
day asks the nurse why this is so important. The
nurse responds that this is done primarily to
prevent
A. A drop in BP.
B. Muscle fatigue in the extremities.
C. An increase in pulse rate
D. Nerve and muscle damage
2. A nurse is monitoring a post operative client
after abdominal surgery for signs of
complications. The nurse assesses the client for
the presence of Homan’s sign and determines
that the sign is positive if which of the following
is noted.
A. Pain with dorsiflexion on the foot.
B. Incisional pain.
C. Absent bowel sounds.
D. Crackles on auscultation of the lungs
3. A client who underwent preadmission testing
had blood drawn for serum laboratory studies,
including a complete blood count, electrolytes,
coagulation studies, and a creatinine level. Which
of the following laboratory results would be
reported to the surgeon by the nurse knowing that
it could cause surgery to be postponed?
A. Platelets 210,000 cells/ uL
B. Serum creatinine 0.8mg per dL
C. Sodium 141 mEq per liter
D. Hgb 8.9 g per dL
4. When performing a surgical dressing change of a
client’s abdominal dressing, a nurse notes an
increase in the amount of drainage and separation
of the incision line. The underlying tissue is visible
to the nurse. The nurse would do which of the
following in the initial care of this wound?
A. Leave the incision open to the air to dry area
B. Apply a sterile dressing soaked in povidone
iodine.
C. Irrigate the wound and apply a sterile dry
dressing.
D. Apply a sterile dressing soaked with normal
saline
5. A nurse is monitoring the status of a post op
client. The nurse would become most
concerned with which of the following signs that
could indicate an evolving complication?
A. BP of 110/70 mmHg and a pulse of 86 bpm
B. Increasing restlessness
C. Hypoactive bowel sounds in all 4 quadrants
D. A negative Homan’s sign
6. A nurse has just reassessed the condition of a
post op client who was admitted 1 hour ago to
the surgical unit. The nurse plans to monitor
which of the following parameters most
carefully during the next hour.
A. Serous drainage on the surgical dressing
B. BP of 100/ 70 mmHg
C. Urinary output of 20 mL per hour
D. Temp of 37.6 degree Celsius
7. Which structure carries deoxygenated blood
from the fetus to the placenta?
A. Foramen ovale
B. Umbilical veins
C. Umbilical arteries
D. Ductus cavernosus
8. The nurse is caring for a status post
abdominal surgery client in complete bed rest.
Which action by the nurse is most important in
preventing the formation of deep vein
thrombosis?
A. Elevate the foot of the bed
B. Apply knee high support stockings
C. Encourage passive exercises
E. Prevent pressure at the back of knees
9. A client in the prenatal clinic asks the nurse about
the delivery date. The nurse notes that the client’s
record indicates that the client began her last
menses on March 7, 2005, and ended the menses
on March 14, 2005. Using Naegel’s rule, the nurse
would tell the client that the estimated date of birth
is which of the following?
A. January 14, 2006
B. December 21, 2005
C. December 14, 2005
D. January 21, 2006
10. The nurse is caring for a status post
abdominal surgery client in complete bed rest.
Which action by the nurse is most important in
preventing the formation of deep vein
thrombosis?
A. Elevate the foot of the bed
B. Apply knee high support stockings
C. Encourage passive exercises
D. Prevent pressure at the back of knees
IIA. Give the classification of the
following medications.
1. Hydralazine
2. Ranitidine
3. Tranexamic Acid
4. Diazepam
5. Hyosine and butyl bromide
IIB: Give the meaning of the following
suffixes and acronyms.
1. Ectomy
2. Otomy
3. Rhapy
4. OGT
5. ECG
III. Computation: Give the correct
answer needed in each question given.
1. Gentamicin sulfate (Garamycin), 80 mg in
100mL NS, is to be administered over 30
minutes. The drop factor is 10 drops per mL. a
nurse sets the flow rate at how many drops per
minute?
2. A 4 year old female weighs 19 kg. the empiric
dose of Paracetamol is 10 mg/kg/dose. If your
preparation reads 250 mg/mL, how much
should you administer per dose?
3. A physician orders 3000 mL of NS to infuse
over 24 hours. The drop factor is 15 drops per 1
mL. The nurse prepares to set the flow rate at
how many drops per minute?
4. A physician’s order reads phenytoin (Dilantin)
0.2g PO bid. The medication label states 100-
mg capsules. A nurse prepares how many
capsules to administer one dose?
5. A physician’s order reads potassium chloride
30 mEq, to be added to 1000 mL, NS and to be
administered over a 10 hour period. The label
on the medication bottle reads 40 mEq (KCl) per
20 mL. A nurse prepares how many mL of KCL to
administer the correct dose of medication?
6. The nurse is caring for a client who has had extensive abdominal
surgery and is critical condition. The nurse notes that the complete
blood count shows an 8g/dl hemoglobin and a 30% hematocrit.
Dextrose 5% in half normal saline solution is infusing through a triple
lumen catheter at 125 ml/hour. the physician orders include:
-Gentamicin (Garamycin) 80 mg IV piggyback in 50mL D5W
over 30 minutes
-Ranitidine 50 mg IV in 50 mL D5W piggyback over 30 minutes
-One unit of 250 mL of packed RBCs over 3 hours
-Flush the nasogastric tube with 30mL normal saline every 2
hours
-How many milliliters should the nurse document as the intake
for an 8 hour shift?