(Free Answers) SURGICAL PROCTORED EXAM 2023

A nurse is caring for a client who has cancer and is experiencing pain. The nurse should implement which of the following interventions to assist the client with pain relief?

A) Encourage the client to listen to soft music

Explanation: Listening to soft music can promote relaxation and provide distraction, helping to reduce the perception of pain.

A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following manifestations should the nurse expect?

D) Lower back discomfort

Explanation: An abdominal aortic aneurysm may cause pain or discomfort in the lower back due to pressure on surrounding structures.

A nurse is preparing a plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following devices should the nurse expect the client to have?

D) Jackson-Pratt drain

Explanation: A Jackson-Pratt drain is commonly used after mastectomy surgery to remove fluid buildup and promote healing.

A nurse is planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following interventions should the nurse include?

D) Limit drinking liquids with food

Explanation: Limiting liquids during meals helps prevent feeling too full, allowing the client to eat more solid food and reducing nausea.

A newly licensed nurse is preparing to administer medications to a client. The nurse notes that the provider has prescribed a medication that is unfamiliar to him. Which of the following actions should the nurse take?

A) Consult the medication reference book available on the unit

Explanation: The nurse should use a reliable source, such as a medication reference book, to look up unfamiliar medications before administering them.

A nurse in a provider’s office is assessing a client who has heart failure. The client has gained weight since her last visit, and her ankles are edematous. Which of the following findings is another clinical manifestation of fluid volume excess?

D) Bounding pulse

Explanation: A bounding pulse is a sign of fluid volume excess, often seen in clients with heart failure.

A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress?

C) “I keep having nightmares about my upcoming surgery”

Explanation: This statement suggests the client is experiencing anxiety and fear related to her upcoming surgery, a sign of psychological distress.

A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussion with the client?

C) “What do you think caused the onset of your pain?”

Explanation: This open-ended question encourages the client to provide more details about the pain and its onset.

A nurse is caring for a client who has acute renal failure. Which of the following assessments provides the most accurate measure of the client’s fluid status?

A) Daily weight

Explanation: Daily weight measurements are the most accurate way to assess fluid status in clients with renal failure.

A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals, and the readings are inconsistent. Which of the following actions should the nurse take?

D) Disconnect the machine and measure the blood pressure manually every 15 minutes

Explanation: When the electronic machine gives inconsistent readings, the nurse should switch to manual blood pressure measurements.

A nurse is caring for a client who has a temperature of 38.7°C (101.7°F). Which of the following actions should the nurse take?

B) Keep the client’s bed linens dry

Explanation: Keeping the bed linens dry prevents excessive heat retention and promotes comfort for clients with a fever.

A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

B) Asking another nurse to observe the disposal of an unused portion of the medication

Explanation: A witness is required to verify the proper disposal of any unused portion of a controlled substance to ensure accountability.

A nurse is teaching a client with lower extremity weakness how to use a 4-point crutch gait. Which of the following instructions should the nurse include in the teaching?

C) “Bear weight on both of your legs”

Explanation: In a 4-point gait, the client must bear weight on both legs while using the crutches to alternate movements.

A nurse is obtaining a capillary blood sample to determine a client’s blood glucose level. The nurse prepares and punctures the client’s finger for the procedure but does not obtain an adequate amount of blood. Which of the following actions should the nurse take next?

D) Wrap the client’s finger in a warm washcloth

Explanation: Wrapping the finger in a warm washcloth helps promote blood flow and can make it easier to obtain a sufficient sample.

A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. The client’s surgical wound is healing by secondary intention. Which of the following observations should the nurse report to the provider?

D) Halo of erythema on the surrounding skin

Explanation: A halo of erythema may indicate an infection, which needs to be reported to the provider.

A nurse is caring for an adult client who has an NG tube in place and a prescription for continuous enteral feedings. Which of the following actions should the nurse perform to reduce the client’s risk of aspiration?

B) Elevate the head of the bed to 30 degrees or 45 degrees

Explanation: Elevating the head of the bed helps reduce the risk of aspiration by keeping the airway clear during feedings.

A nurse is auscultating a client’s lungs and identifies rhonchi over the trachea and bronchi. Which of the following actions should the nurse take?

D) Encourage the client to cough

Explanation: Rhonchi are caused by mucus in the airways, and coughing can help clear the secretions.