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NS 660 EXAM 3 (2025-2026) LATEST QUESTIONS
AND ANSWERS WITH EXPLANATIONS
GRADED A+
A 68-year-old male scheduled for hernia repair at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. The best response by the nurse is:
A. "Who is available to help you at home after the surgery?"
B. "I'm sure you will be able to manage at home after surgery. It is a simple procedure."
C. "We will teach you everything you need to know to be able to care for yourself after surgery."
D. "Your health insurance will pay for inpatient care only if complications develop during surgery."
A. "Who is available to help you at home after the surgery?"
You are preparing a patient for surgery and have asked her to verify her information on her patient identification band. She tells you that the birth date is incorrect on her identification band. The most appropriate action by the nurse at this time is which of the following?
A. Cross out the birth date and put the correct one in its place with the nurse's initials.
B. Ask the family members to validate the patient's birth date.
C. Call the surgeon's office to validate the birth date.
D. Ask the admissions office to please send a corrected identification band.
D. Ask the admissions office to please send a corrected identification band.
The nurse should report the following findings from a patient's history as an increased risk for DVTs postoperatively. Select all that apply.
A. History of smoking
B. Age
C. History of DVTs with previous pregnancy
D. Borderline hypertension
E. Allergies
A. Hx smoking
C. Hx DVTs with previous pregnancy
D. Borderline HTN
During admission of the patient to the holding area or operating room before surgery, the perioperative nurse must:
A. Turn the patient to a lateral position.
B. Orient the patient and tell him surgery is over.
C. Give the ordered postoperative pain medication.
D. Check the patient's oxygen saturation with pulse oximetry.
D. Check the patient's oxygen saturation with pulse oximetry.
When caring for a postoperative client, which of the following signs and symptoms cause the post anesthesia care unit (PACU) nurse to suspect internal bleeding? Select all that apply.
A. Fever and hypoxia
B. Abdominal distension
C. Restlessness and increased pain
D. Tachycardia and hypotension
E. JP drain with 35mL of sanguineous output
B. Abdominal distension
C. Restlessness and increased pain
D. Tachycardia and hypotension
Unless contraindicated by the surgical procedure, which position is preferred for an unresponsive client in the post anesthesia care unit (PACU)?
A. Semi-Fowler's
B. Lateral
C. Supine
D. Trendelenburg
B. Lateral
The nurse received a patient into the PACU following surgery with general anesthesia. The patient is difficult to arouse with the following vital signs:
T: 98.6 (37)
BP: 118/
HR: 76
RR: 6
O2 sat: 90%
Which nursing action is the priority?
A. Monitor breath sounds
B. Lower the head of the bed
C. Administer naloxone (Narcan)
D. Notify MD to request a chest x-ray
C. Administer naloxone (Narcan)
D. Board-like abdomen with shoulder pain
D. Board-like abdomen with shoulder pain
Rationale:
Perforation and peristalsis. Coffee ground emesis is concerning, but perforated bowel most serious complication, requires immediate intervention. --> can cause sepsis/septic shock.
Which client has chronic stable angina?
A. Patient with CAD who takes 1 nitro tab and angina goes away
B. Patient with CAD who takes 3 nitro tabs and gets no relief
C.
D.
A. Patient with CAD who takes 1 nitro tab and angina goes away
What is common side effect for statins that are utilized for hyperlipidemia?
A. Myalgias
B. Constipation
C. Dry mouth
D. Increased urination
A. Myalgias
Myalgias = muscle pains
CK blood levels - assesses muscle damage
Which assessment would be sign of left-sided heart failure?
A. JVD
B. Hepatomegaly
C. Dyspnea
D. Peripheral edema
C. Dyspnea
Which of following symptoms NOT be seen in peripheral artery disease?
B. Eat low protein diet
C. Sodium restriction
D. Maintain supine position after eating
A. Avoid eating 2-3 hours before bed
What color would stool be with upper GI bleed?
A.
B.
C.
D.
What is most important to assess after endoscopy procedure?
A. Bleeding at puncture site
B. Pedal pulses
C. Gag reflex
D. Bowel sounds
C. C. Gag reflex
Which outcome indicates effective patient teaching to prevent constipation?
A. Verbalizing consumption of low-fiber diet
B. Maintaining sedentary lifestyle
C. Limiting water-intake
D. Exercise
D.
What instruction should the RN provide -...
A.
B.
D. Inflammatory bowel disease
A. Decreased mobility
Patient enters PACU post procedure. What is the priority action by PACU RN?
A. Monitor VS
B. Assess incisional dressing
C.
D.
In which instance may a surgeon operate without informed consent?
A. Emergency situations
B. Invasive procedures
C. Procedures requiring sedation
D. Radiologic procedures
A. Emergency situations
What is major purpose of withholding food and fluid before surgery?
A. Prevent overhydration
B. Decrease UO
C. Decrease risk of constipation
D. Prevent aspiration
D.
When should RN encourage
When is ideal time to discuss preoperative teaching?
A. Preadmission visit
B. Day of surgery
C. Prior to entering pre op area
