Why is it important that patients are effectively fasted prior to surgery?
0/1
To reduce the risk of vomiting
To reduce the risk of reflux and inhalation of gastric
contents
To prevent vomiting and chest infections
To prevent the patient gagging
Correct answer
To reduce the risk of reflux and inhalation of gastric contents
Who should mark the skin with an indelible pen ahead of surgery?
1/1
The nurse should mark the skin in consultation with the patient
A senior nurse should be asked to mark the patient's
skin
The surgeon
should mark the skin
It is best not to mark the patient's skin for fear of
distressing the patient
Which of the following medications should be continued in the perioperative
period and can be given up to 2 hours before surgery with a sip of water?
0/1
Beta-blockers
ACE inhibitors
Drugs for dementia
Potassium-sparing diuretics
Correct answer
Beta-blockers
Optimal pre-operative care is underpinned by thorough assessment
and planning. Social history encompasses social situations such as home life
and occupation of the patient. When exploring the smoking, drug and alcohol use
of the patient, what should the nurse tolerate as it is accepatable?
0/1
The recommended maximum intake for males is 7 units and
for females is 5 units per week
The recommended maximum intake for males is 14 units and
for females is 10 units per week
The recommended maximum intake for males is 21 units and
for females is 14 units per week
The recommended maximum intake for males is 20 units and
for females is 12 units per week
Correct answer
The recommended maximum intake for males is 21 units and for females is
14 units per week
It is vital to assess smoking behaviours as pre-operative
smoking cessation is important and help with this should be offered by the
nurse during assessment. What dangers can a history of smoking pose on a
patient scheduled for surgery?
1/1
Smokers have
hyperactive airways that can lead them to become more susceptible to incidents
of laryngospam or bronchospasm and nicotine has the potential to affect
post-operative healing
Smokers have hypoactive airways that can lead them to
become more susceptible to incidents of laryngospam or bronchospasm and
nicotine has the potential to affect post-operative healing
Smokers have hyper-reactive cough reflex that can
increase the chance of developing post-operative lung infections due to a
compromised ability to clear secretions and nicotine affects the liver which
require higher dosages of medications
Smokers have hyporeactive cough reflex that can increase
the chance of developing post-operative lung infections due to a compromised
ability to clear secretions and nicotine affects the liver which require higher
dosages of medications
A patient is being prepared for a surgery and was placed on NPO.
What is the purpose of NPO?
0/1
Prevention of aspiration pneumonia
To facilitate induction of pre-op meds
For abdominal procedures
To decrease production of fluids
Correct answer
Prevention of aspiration pneumonia
Recommended preoperative fasting times are:
0/1
2-4 hours
6-12 hours
12-14 hours
Correct answer
6-12 hours
It is important that patients are effectively fasted prior to
surgery in order to:
0/1
Reduce the risk of vomiting
Reduce the risk of reflux and inhalation of gastric
contents
Prevent vomiting and chest infections
Prevent the patient gagging
Correct answer
Reduce the risk of reflux and inhalation of gastric contents
Safe moving and handling of an anaesthetized patient is
imperative to reduce harm to both the patient and staff. What is the minimum
number of staff required to provide safe manual handling of a patient in
theatre?
0/1
3 (1 either side, 1 at head)
5 (2 each side, 1 at head)
4 (1 each side, 1 at head, 1 at feet)
6 (2 each side, 1 at head, 1 at feet)
Correct answer
4 (1 each side, 1 at head, 1 at feet)
You are looking after a postoperative patient and when carrying
out their observations, you discover that they are tachycardic and anxious,
with an increased respiratory rate. What could be happening? What would you do?
1/1
The patient is
showing symptoms of hypovolaemic shock Investigate source of fluid loss,
administer fluid replacement and get medical support
The patient is demonstrating symptoms of atelectasis
Administer a nebulizer, refer to physiotherapist for assessment
The patient is demonstrating symptoms of uncontrolled
pain Administer prescribed analgesia, seek assistance from medical team
The patient is demonstrating symptoms of
hyperventilation Offer reassurance, administer oxygen
When a patient is being monitored in the PACU, how frequently
should blood pressure, pulse and respiratory rate be recorded?
0/1
Every 5 minutes
Every 15 minutes
Once an hour
Continuously
Correct answer
Every 5 minutes
How soon after surgery is the patient expected to pass urine?
0/1
1-2 hours
2-4 hours
4-6 hours
6-8 hours
Correct answer
6-8 hours
Most post-operative patients would require patient-centred care.
Which of the following should the nurse prioritise?
0/1
Maintain a patent airway
Prevent bleeding
Relief of pain
Prevent pressure ulcers
Correct answer
Relief of pain
A patient is in the immediate recovery post-surgery. What should
you monitor?
0/1
Breathing
Temperature
Blood loss
Pain
Correct answer
Breathing
As a registered nurse in a unit what would consider as a
priority to a patient immediately post operatively?
0/1
Pain relief
Blood loss
Airway patency
Correct answer
Airway patency
What is the purpose of NPO after surgery?
0/1
To prevent a blood clot
To prevent aspiration
To facilitate respiration
To prevent embolism
Correct answer
To prevent aspiration
You are the named nurse of Mr Corbyn who has just undergone an
abdominal surgery 4 hours ago. You have administered his regular analgesia 2
hours ago and he is still complaining of pain. Your most immediate, most
appropriate nursing action?
0/1
Call the doctor
Assist patient in a comfortable position
Give another dose
Look for a heating pad
Correct answer
Assist patient in a comfortable position
Early ambulation prevents all complications except:
1/1
Chest infection and lung collapse
Muscle wasting
Thrombosis
Surgical site
infection
You are the nurse assigned in recovery room or post anaesthetic
care unit. The main priority of care in such area is:
0/1
Keeping airway intact
Keeping patient pain free
Keeping neurological condition stable
Keeping relatives informed of patient’s condition
Correct answer
Keeping airway intact
A patient is recovering from surgery has been advanced from a
clear diet to a full liquid diet. The patient is looking forward to the diet
change because he has been "bored" with the clear liquid diet. The
nurse should offer which full liquid item to the patient
1/1
Custard
Black Tea
Gelatin
Ice pop
You are nursing an adult patient with a long-bone fracture. You
encourage your patient to move fingers and toes hourly, to change positions
slightly every hour, and to eat high-iron foods as part of a balanced diet.
Which of the following foods or beverages should you advise the client to avoid
whilst on bed rest?
0/1
Fruit juices
Large amounts of milk or milk
products
Cranberry juice cocktail
No need to avoid any foods while on bed rest
Correct answer
Large amounts of milk or milk products
Now the medical team encourages early ambulation in the
post-operative period. which complication is least prevented by this?
0/1
Tissue wasting
Thrombophlebitis
Wound infection
Pneumonia
Correct answer
Wound infection
If a client is experiencing hypotension post operatively, the
head is not tilted in which of the following surgeries
0/1
Chest surgery
Abdominal surgery
Gynaecological surgery
Lower limb surgery
Correct answer
Gynaecological surgery
Gurgling sound from airway in a postoperative client indicates
what
0/1
Complete obstruction of lower airway
Partial obstruction of upper airway
Common sign of a post-operative patient
Indicates immediate insertion of laryngeal airway
Correct answer
Partial obstruction of upper airway
Day 4 postoperatively, a patient hears a popping sound on her
post abdominal surgery. You realize that “something” viscera is exposed from
the wound. What do you do?
0/1
Do nothing
Call the surgical team that operated on the patient
Apply a pressure bandage and call the doctor and monitor
vital observations
Apply a sterile saline dressing using sterile gloves,
stay with the patient and instruct the healthcare assistant to call the doctor
Correct answer
Apply a sterile saline dressing using sterile gloves, stay with the
patient and instruct the healthcare assistant to call the doctor
Inadequate post-operative pain management can lead to
physiological, behavioural and physiological effects. Thus, when a patient is
assessed the nurse must be alert for:
0/1
Respiratory, cardiovascular and endocrine complications
Respiratory, cardiovascular and genitourinary
complications
Respiratory, cardiovascular and gastric complications
Respiratory, cardiovascular and musculoskeletal
complications
Correct answer
Respiratory, cardiovascular and endocrine complications
The concentration of analgesics
needed to provide sufficient analgesia for patients with chronic cancer pain is
often higher than the concentrations used postoperatively. All but one
exemplifies drug-related side effects associated with epidural or intrathecal
analgesia:
1/1
Respiratory depression can occur due to the action of
opioids on the respiratory centre which can emerge 6-12 hours after
administration
Motor blockade
will depend on the type of local anaesthetic agent used and total dose which
occurs when the anaesthetic blocks the large diameter motor nerves
Nausea and vomiting is caused by the action of opioids
on the vomiting centre in the brainstem and stimulation of the chemoreceptor
trigger zone in the fourth ventricle of the brain
Urinary retention is the result of the blockade of
nerves supplying the bladder sphincter which can cause urinary retention
Which of the following is a complication specific to intrathecal
analgesia?
0/1
Haematoma
Dural puncture
Catheter migration
Meningitis
Correct answer
Meningitis
Regional analgesia can be used for acute postoperative pain,
trauma pain and chronic pain. Which is not part of the nurse's roles when
handling patients with Continuous Peripheral Nerve Block (CPNB)?
0/1
Observations for pain, side-effects and complications
Reinforcing dressings as necessary
Understanding the untoward reactions
Documentation of care
Correct answer
Understanding the untoward reactions
The duration and frequency of Entonox administration should
always be tailored to individual patient needs. Which of the following is not
an absolute contraindication to the use of Entonox?
0/1
First 16 weeks of pregnancy and those breastfeeding
Head injuries with impairment of consciousness
Drowsy and intoxicated patients
Any condition in which gas is entrapped within the body
Correct answer
First 16 weeks of pregnancy and those breastfeeding
Inappropriate inhalation of Entonox will ultimately result in:
0/1
Nausea and vomiting
Increased lightheadedness
Drowsiness and intoxication
Loss of consciousness
Correct answer
Loss of consciousness
If daily use of Entonox is required for more than 4 days, this
should be accompanied by:
1/1
Close supervision
and haematological monitoring
Close supervision and oxygen saturation monitoring
Close supervision and arterial blood gas monitoring
Close supervision and renal function monitoring
When would it be beneficial to use a wound care plan?
0/1
On all chronic wounds
On all infected wounds
On all complex wounds
On every wound
Correct answer
On every wound
Wound care management plan should be done with what type of
wound?
1/1
Complex wound
Infected wound
Any type of wound
When would it be beneficial to use a wound care plan?
0/1
On initial assessment of wound
During pre-assessment admission
After surgery
During wound infection, dehiscence or evisceration
Correct answer
On initial assessment of wound
Which solution use minimum tissue damage while providing wound
care?
0/1
Hydrogen peroxide
Povidine iodine
Saline
Gention violet
Correct answer
Saline
Mr Connor’s neck wound needed some cleaning to prevent
complications. Which of the following concept will you apply when doing a
surgical wound cleaning?
0/1
Surgical asepsis
Aseptic non-touch technique
Medical asepsis
Dip-tip technique
Correct answer
Aseptic non-touch technique
What are the four stages of wound healing in the order they take
place?
1/1
Proliferative phase, inflammation phase, remodelling
phase, maturation phase
Haemostasis,
inflammation phase, proliferation phase, maturation phase
Inflammatory phase, dynamic stage, neutrophil phase,
maturation phase
Haemostasis, proliferation phase, inflammation phase,
remodelling phase
A new postsurgical wound is assessed by the nurse and is found
to be hot, tender and swollen. How could this wound be best described?
0/1
In the inflammation phase of healing
In the haemostasis phase of healing
In the reconstructive phase of wound healing
As an infected wound
Correct answer
In the inflammation phase of healing
How long does the ‘inflammatory phase’ of wound healing
typically last?
1/1
24 hours
Just minutes
1-5 days
3-24 days
Wound proliferation starts after?
0/1
1-5 days
3-24 days
24 days
Correct answer
1-5 days
How long does the proliferation phase of a wound occur?
0/1
3-24 days
5-21 days
3-30 days
4-18 days
Correct answer
3-24 days
You would refer to the early phase of scar tissue formation as
which of the following kinds of tissue?
0/1
Granulation
Fibrous
Keloid
Cicatrix
Correct answer
Granulation
Which stage of pressure ulcer involves loss of dermis, deep
ulcer without slough?
0/1
Stage 1
Stage 2
Stage 3
Stage 4
Correct answer
Stage 2
What stage of pressure ulcer includes tissue involvement and
crater formation?
0/1
Stage 1
Stage 2
Stage 3
Stage 4
Correct answer
Stage 3
A patient has been confined in bed for months now and has
developed pressure ulcers in the buttocks area. When you checked the Waterlow it
is at level 20. Which type of bed is best suited for this patient?
0/1
Water mattress
Egg crater mattress
Air mattresses
Dynamic mattress
Correct answer
Dynamic mattress
Waterlow score of 20 indicates what type of mattress to use?
0/1
Standard-specification foam mattresses
High-specification foam mattresses
Dynamic support surface
Correct answer
Dynamic support surface
What do you expect to assess in a grade 3 pressure ulcer?
0/1
Blistered wound on the skin
Open wound showing tissue
Open wound exposing muscles
Open wound exposing bones
Correct answer
Open wound showing tissue
When doing your shift assessment, one of your patient has
waterlow score of 20. Which of the following mattress is appropriate for this
score?
0/1
Water bed
Fluidized airbed
Low air loss
Alternating pressure
Correct answer
Low air loss
Breid, 76 years old, developed a pressure ulcer whilst under
your care. On assessment, you saw some loss of dermis, with visible redness,
but not sloughing off. Her pressure ulcer can be categorised as:
0/1
Moisture lesion
2nd stage
3rd stage
4th stage
Correct answer
2nd stage
Joshua, son of Breid went to the station to see the nurse as she
was complaining of severe pain on her pressure ulcer. What will be your initial
action?
0/1
Check analgesia on the chart
Tell you will come as soon as you can
Find the nurse in charge
Go immediately to see the patient
Correct answer
Go immediately to see the patient
If an elderly immobile patient had a "grade 3 pressure
sore", what would be your management?
0/1
Film dressing, mobilization, positioning, nutritional
support
Foam dressing, pressure relieving mattress, nutritional
support
Dry dressing, pressure relieving mattress, mobilization
Hydrocolloid dressing, pressure relieving mattress,
nutritional support
Correct answer
Foam dressing, pressure relieving mattress, nutritional support
External factors which increase the risk of pressure damage are:
0/1
Equipment, age and pressure
Moisture, pressure and diabetes
Pressure, shear and friction
Pressure, moisture and age
Correct answer
Pressure, shear and friction
You were assigned to change the dressing of a patient with
diabetic foot ulcer. You were not sure if the wound has sloughy tissues or pus.
How will you carry out your assessment?
0/1
Sloughy tissue is a mass of dead tissues in your wound
bed, while pus is a thick yellowish/greenish opaque liquid produced in an
infected wound
Sloughy tissues are exactly the same as pus, and they
both have a yellowish tinge
Sloughy tissues and pus are similar to each other; both
are found on the wound bed tissue and indicative of a dying tissue
The presence of sloughy tissues and pus are an
indication of non-surgical debridement
Correct answer
Sloughy tissue is a mass of dead tissues in your wound bed, while pus
is a thick yellowish/greenish opaque liquid produced in an infected wound
Which of the following actions would place a client at the
greatest risk for a shearing force injury to the skin?
0/1
Walking without shoes
Sitting in Fowler's position
Lying supine in bed
Using a heating pad
Correct answer
Sitting in Fowler's position
Black wounds are treated with debridement. Which type of
debridement is most selective and least damaging?
0/1
Debridement with scissors
Debridement with wet to dry dressings
Mechanical debridement
Chemical debridement
Correct answer
Chemical debridement
All are appropriate wound dressing criteria except:
0/1
High humidity
Adherent
Non-absorbent
Provide thermal insulation
Correct answer
Non-absorbent
What functions should a dressing fulfil for effective wound
healing?
0/1
High humidity,
insulation, gaseous exchange, absorben
Anaerobic, impermeable, conformable, low humidity
Insulation, low humidity, sterile, high adherence
Absorbent, low adherence, anaerobic, high humidity
All but one, are characteristics of an ideal wound dressing:
0/1
Cost-effective
Allows gaseous exchange
Low humidity
Absorbent
Correct answer
Low humidity
Appropriate wound dressing criteria includes all but one:
0/1
Allows gaseous exchange
Maintains optimum temperature and pH in the wound
Forms an effective barrier to
Allows removal of the dressing without pain or skin
stripping
Is non-absorbent
Correct answer
Is non-absorbent
Proper Dressing for wound care should be all except?
0/1
High humidity
Low humidity
Adherent
Absorbent / Provide thermal insulation
Correct answer
Low humidity
Which of the following conditions can be observed in a proper
wound dressing:
0/1
Absorbent, humid, aerated
Non-absorbent, humid, aerated
Non-humid, absorbent, aerated
Non-humid, non absorbent, aerated
Correct answer
Absorbent, humid, aerated
How do you remove a negative pressure dressing?
0/1
Remove pressure then detach dressing gently
Get TVN nurse to remove dressing
Remove in a quick fashion
Correct answer
Remove pressure then detach dressing gently
How would you care for a patient with a necrotic wound?
0/1
Systemic antibiotic therapy and apply a dry dressing
Debride and apply a hydrogel dressing
Debride and apply an antimicrobial dressing
Apply a negative pressure dressing
Correct answer
Debride and apply a hydrogel dressing
Which one of the following types of wound is not suitable for
negative pressure wound therapy?
0/1
Partial thickness burns
Contaminated wounds
Diabetic and neuropathic ulcers
Traumatic wounds
Correct answer
Contaminated wounds
Mr Smith has been diagnosed with Multiple Sclerosis 20 years
ago. Due to impaired mobility, he has developed a Grade 4 pressure sore on his
sacrum. Which health professional can provide you prescriptions for his
dressing?
0/1
Dietician
Tissue Viability Nurse
Social Worker
Physiotherapist
Correct answer
Tissue Viability Nurse
The nurse cares for a patient with a wound in the late
regeneration phase of tissue repair. The wound may be protected by applying a:
0/1
Transparent film
Hydrogel dressing
Collagenases dressing
Wet dry dressing
Correct answer
Transparent film
A client has a diabetic stasis ulcer on the lower leg. The nurse
uses a hydrocolloid dressing to cover it. The procedure for application
includes:
0/1
Cleaning the skin and wound with betadine
Removing all traces of residues for the old dressing
Choosing a dressing no more than quarter-inch larger
than the wound size
Holding in place for one minute to allow it to adhere
Correct answer
Holding in place for one minute to allow it to adhere
Which are not the benefits of using negative pressure wound
therapy?
0/1
Can reduce wound odour
Increases local blood flow in peri-wound area
Can be used on untreated osteomyelitis
Can reduce use of dressings
Correct answer
Can be used on untreated osteomyelitis
Which of the following methods of wound closure is most suitable
for a good cosmetic result following surgery?
0/1
Skin clips
Tissue adhesive
Adhesive skin closure strips
Interrupted sutures
Correct answer
Tissue adhesive
A client's wound is draining thick yellow material. The nurse
correctly describes the drainage as:
0/1
Sanguineous
Serous-sanguineous
Serous
Purulent
Correct answer
Purulent
A client is admitted to the Emergency Department after a
motorcycle accident that resulted in the client's skidding across a cement
parking lot. Since the client was wearing shorts, there are large areas on the
legs where the skin is ripped off. This wound is best described as:
0/1
Abrasion
Unapproximated
Laceration
Eschar
Correct answer
Abrasion
A nurse is assessing several patients with a variety of wounds.
Which type of wound should the nurse anticipate will heal by secondary
intention?
1/1
Paper cut
Pressure ulcer
Abdominal incision from surgery
Superficial slash caused by a knife
A nurse is assessing a patient who had numerous stitches several
days ago for a traumatic injury to the base of the right index finger. Which
assessment of the site indicates that the inflammatory response has progressed
to an infectious process?
0/1
Yellow discharge
Swelling around the site
Inability to flex the finger
Feeling of heat when touched
Correct answer
Yellow discharge
A nurse is changing a patient's sterile dressing and performing
wound irrigation. Which action by the nurse maintained sterile technique?
0/1
Used the piston syringe from the previous time the wound
was irrigated
Dried the skin on either side of the wound by using one
gauze pad for each swipe
Held sterile gloved hands below the waist as much as
possible during the procedure
Poured fluid from an opened bottle of normal saline
sitting on the patient's bedside table
Correct answer
Dried the skin on either side of the wound by using one gauze pad for
each swipe
You are caring for an older adult who sustained a skin tear on
the forearm. What type of dressing should the nurse anticipate the doctor might
order for this injury?
0/1
Hydrogel dressing
Dry sterile dressing
Wet-to-moist dressing
Transparent film dressing
Correct answer
Transparent film dressing
You are caring for a patient with an abdominal wound with a
vacuum-assisted closure device. What should the tissue viability nurse do when
applying this device?
0/1
Place the suction apparatus over a hole at the edge of the
transparent film
Cut the foam dressing so that it extends 1 inch beyond
the wound cavity
Connect the tubing to the positive pressure machine as
ordered
Apply the transparent film 2 inches beyond the wound
margins
Correct answer
Apply the transparent film
2 inches beyond the wound margins
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