Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 37
Question 1
Type: MCSA
The nurse is caring for a client who is having surgery and is currently being transported to the operating room
suite. The nurse should document that the client is in which operative phase?
1. Preoperative phase
2. Intraoperative phase
3. Postoperative phase
4. Perioperative phase
Question 2
Type: MCSA
The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client is at increased
risk for which reason?
1. The physiological deficits of aging increase the surgical risk for older adults.
2. The older adult has increased kidney function.
3. The older adult has an increase in sensory function.
4. The older adult will turn, cough, and deep-breathe more effectively.
Question 3
Type: MCMA
The nurse is preparing to complete a physical assessment before surgery. Which assessments should the nurse
obtain?
Standard Text: Select all that apply.
1. Mini mental status
2. Assessment of hearing
3. Assessment of the respiratory system
4. Gastrointestinal assessment
5. Maintain NPO status
Question 4
Type: MCSA
The nurse is preparing to conduct preoperative teaching. What should be included in this teaching?
1. Information related to what will happen to the client
2. Referral of the client to the physician for any misconceptions the client may have
3. The role of the nurse during surgery
4. How to perform activities of daily living (ADLs) following surgery
Question 5
Type: MCSA
The nurse is preparing a care plan for a client about to undergo surgery. Which nursing diagnosis would take
priority during the intraoperative phase of surgery?
1. Ineffective Protection
2. Risk for Aspiration
3. Impaired Skin Integrity
4. Risk for Falls
Question 6
Type: MCSA
The nurse is preparing the skin of a client for surgery. The nurse knows the purpose of the surgical skin
preparation is to
1. sterilize the skin.
2. assess the surgical site before surgery.
3. reduce the risk of postoperative wound infection.
4. clean any moles the client may have.
Question 7
Type: MCSA
The nurse is preparing a client for an upper GI endoscopy. For which type of anesthesia should the nurse prepare
the client to receive?
1. Local anesthesia
2. Spinal anesthesia
3. Epidural anesthesia
4. Conscious sedation
Question 8
Type: MCSA
The nurse is caring for a client in the recovery area. In which position should the nurse place the unconscious
client during the immediate postanesthesia phase?
1. Supine
2. Prone
3. Side-lying
4. Supine with a pillow under the head
Question 9
Type: MCSA
The nurse is admitting a client to the medical-surgical unit following a cholecystectomy. Which assessment
should the nurse perform first?
1. Level of consciousness
2. Dressing
3. Drains
4. Skin color
Question 10
Type: MCSA
The nurse is caring for a client on the postoperative unit. Which nursing diagnosis is the priority for this client?
1. Self-Care Deficit
2. Disturbed Body Image
3. Ineffective Airway Clearance
4. Risk for Falls
Question 11
Type: MCSA
A client recovering from surgery asks the nurse why turning, deep breathing, and coughing exercises need to be
done. What should the nurse respond?
1. “These exercises help prevent pneumonia.”
2. “The doctor ordered the exercises.”
3. “All surgical clients must do these exercises.”
4. “These exercises prevent thrombophlebitis.”
Question 12
Type: MCSA
The nurse is assessing an abdominal wound in the postoperative period. Which sign should indicate to the nurse
that an infection is present?
1. Absence of bleeding
2. Edges warm to the touch
3. Edges well approximated
4. Sutures in place
Question 13
Type: MCSA
The nurse is preparing a 23-year-old female client for surgery. The nurse should anticipate which diagnostic test
to be prescribed for this client?
1. Pregnancy test
2. EEG
3. EKG
4. Pulmonary function tests
Question 14
Type: MCSA
The nurse wants to ensure that a client recovering from surgery does not develop thrombophlebitis. Which action
should the nurse take to reduce the client’s risk of this postoperative complication?
1. Administer an anticoagulant.
2. Assist the client to cough every 2 hours.
3. Monitor intake and output every 2 hours.
4. Provide for early ambulation.
Question 15
Type: MCSA
A client is scheduled for a cholecystectomy. The nurse realizes that the purpose for this surgery is
1. diagnostic.
2. palliative.
3. ablative.
4. constructive.
Question 16
Type: MCMA
The nurse is obtaining preoperative assessment data. What should be included in this assessment?
Standard Text: Select all that apply.
1. Current health status
2. Allergies
3. Current medications
4. Mental status
5. Mother’s maiden name
Question 17
Type: MCSA
The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention should the
nurse implement to reduce the risk of thrombophlebitis?
1. Leg exercises
2. Coughing every 2 hours
3. Ambulating every 2 hours
4. Oxygen by mask
Question 18
Type: MCSA
The nurse is preparing to apply antiembolic stockings to a postoperative client. What should be done first, before
applying the stockings?
1. Measure the calf.
2. Assess for circulatory problems.
3. Assess the client’s blood pressure.
4. Clean the stockings.
Question 19
Type: MCSA
The nurse has just inserted a nasogastric tube for gastric suction. What is the most reliable test for confirming tube
placement?
1. Place the stethoscope over the stomach and listen for a swishing sound while inserting water into the tube.
2. Place the stethoscope over the stomach and listen for a swishing sound while inserting air into the tube.
3. Aspirate stomach contents and check the acidity using a pH test strip.
4. Connect the tube to suction and observe the contents.