1 >>The phase of wound healing which begins about 2 days to 3 weeks after injury is termed ?
- (A) Maturation.
- (B) Inflammatory.
- (C) Regeneration.
- (D) Wound remodeling.
2 >>Tertiary intention in wound healing is described as ?
- (A) A wound that heals by granulation.
- (B) The simplest form of wound healing.
- (C) The skin is cleanly incised through a surgical incision.
- (D) A wound that heals by leaving it open.
3 >>Instructing clients in measures to increase wound healing should include increasing the client’s daily intake of calories to ?
- (A) 20-25 Cal/kg/day.
- (B) 30-35 Cal/kg/day.
- (C) 35-45 Cal/kg/day.
- (D) 45-50 Cal/kg/day.
4 >>Instructing student nurses in the use of alcohol-based hand rub to decontaminate hands includes instructions to ?
- (A) Apply 1.5-3 mL of alcohol in palm of hand and begin to rub hands together.
- (B) Vigorously rub hands for 10 seconds, covering all hand surfaces.
- (C) Scrub hands for 3 minutes.
- (D) Rinse hands and dry using a single-use towel.
5 >>To maintain a sterile field, the nurse needs to ?
- (A) Place the sterile package near the edge of the overbed table on the opposite side of the bed.
- (B) Open the package by placing it directly in front of youand grasping the wrapper.
- (C) Open the last flap of the wrapper toward you.
- (D) Move the sterile dressing tray toward you after opening the last flap of the wrapper.
6 >>The physician asks you to remove the sutures on a clientwith an abdominal incision. Which one of the followingsteps is appropriate to carry out? ?
- (A) Don sterile gloves before removing sutures.
- (B) Grasp suture at knot with forceps and lift away from skin.
- (C) Place straight tip of suture scissors over knot and cutknot.
- (D) Begin to remove sutures in the middle of the incisionto ensure it is healed.
7 >>Advantages to using transparent adhesive film dressingfor wound care includeSelect all that apply. ?
- (A) Allows visualization of wound.
- (B) Promotes autolysis of dry eschar.
- (C) Does not require secondary dressing.
- (D) all the above
8 >>A wound culture has been ordered for a client with a legwound. You remember that the appropriate method forobtaining the culture includes ?
- (A) Cleaning the wound area with hydrogen peroxide before swabbing the wound.
- (B) Swabbing the wound using a single straight motion with the swab down the middle of the wound.
- (C) Swabbing the edges of the wound starting at the topand crisscrossing the wound to the bottom.
- (D) Cleaning the edge of the wound with saline and thenswabbing inner aspects of wound.
9 >>The client requires a wet-to-moist dressing change daily.When placing the dressing in the wound, the mostappropriate method is to ?
- (A) Pack several flat sterile 4 * 4 dressings into the wound bed.
- (B) Fluff each sterile dressing and place over the wound.
- (C) Place a moist dressing on top of the sterile drydressings in the wound.
- (D) Unfold a dry dressing and place on top of moisteneddressings in the wound
10 >>The physician has ordered negative pressure wound therapy.The nurse needs to evaluate the wound before thistherapy can be initiated to ensure it can be effective.If the wound can accommodate the therapy, it will Select all that apply. ?
- (A) Be surrounded by at least 2 cm of intact periwound tissue.
- (B) Open enough to insert the foam dressing that must touch all edges.
- (C) Be debrided.
- (D) all the above
11 >>During the preoperative stage, the client activity not completed is ?
- (A) Obtaining a health history.
- (B) Identifying a client’s allergies.
- (C) Beginning the infusion of a moderate sedative drug.
- (D) Identifying the side and site of the surgical procedure.
12 >>The role of the circulating nurse in the operating room is to ?
- (A) Mark the operative site with a felt pen.
- (B) Insert the IV and begin infusing fluids.
- (C) Assist the physician during the operative procedure.
- (D) Position the client on the operative table and attachgrounding pad
13 >>The most common malpractice action against operatingroom nurses is ?
- (A) Sponges and instruments left in the surgical siteaccidentally.
- (B) Surgical procedure performed on wrong site or side.
- (C) Burns from electrical grounding pad not placed correctly on client.
- (D) Infection at surgical site after surgical procedure.
14 >>The student’s client assignment includes a preoperativeclient scheduled for surgery in 3 hours. The initial intervention is to reduce anxiety and stress for this client.This can best be accomplished by _______________.Select all that apply. ?
- (A) Discussing realistic outcomes with the client.
- (B) Avoiding promoting false reassurances.
- (C) Using touch to communicate caring.
- (D) all the above
15 >>As a student nurse working in the outpatient setting, you are asked to provide postoperative instructions to a clientafter a laparoscopy. The most appropriate instructionsshould be to ?
- (A) Instruct the client that he/she may experience a sharppain under the scapula up to 24-48 hr after surgery.
- (B) Inform the client he/she will be hospitalized for aminimum of 24 hr to monitor for pain.
- (C) Inform the client that this type of surgery usuallyrequires very little pain medication; Tylenol issufficient to control the pain.
- (D) Explain that the client can return to work the next day,as long as they do not lift anything over 50 pounds.
16 >>While you are working on a surgical unit, you arepreparing the client for a surgical procedure. Yourresponsibilities in this preparation include ?
- (A) Asking the client if he/she has made arrangements forhome care after discharge.
- (B) Instructing the client to sign the surgical consent format the time the OR transporter arrives in the room.
- (C) Administering the preoperative medication at least
- (D) Checking for allergies to latex, food, and medications.
17 >>The Joint Commission standards regarding UniversalProtocols for preventing wrong site, wrong procedure,and wrong person surgery includes _______________.Select all that apply. ?
- (A) Marking the surgical site by the preoperative nurse.
- (B) Writing the word”yes” on the surgical check list lineindicating the correct incision site.
- (C) Completing a final verification of the site in the location
- (D) B and C
18 >>You are caring for a client after a procedure wheremoderate (conscious) sedation was used. You understandthe client will not be discharged until the ?
- (A) Ramsay Sedation Scale is normal.
- (B) Riker Sedation-Agitation Scale is 1 to 1.
- (C) Aldrete score is ;1 point of preprocedure score.
- (D) Glasgow Coma scale is more than 9.
19 >>A client is returning to the nursing unit after anabdominal surgical procedure. The priority nursingintervention is to ?
- (A) Take and record vital signs.
- (B) Assess type of IV solution and amount of IV solutionremaining in bag.
- (C) Check pulse oximeter reading.
- (D) Assess for patent airway.
20 >>Pneumonia is a major postoperative complication relatedto inactivity and decreased pulmonary ventilation. Asyou are assessing the client postoperatively, you recall theusual onset of signs and symptoms is _____________ ?
- (A) Within 24 hr.
- (B) 24-36 hr.
- (C) 36-48 hr.
- (D) More than 72 hr
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