Surgical Nursing
D&D Nursing Educators

Read each question carefully and choose the best answer. Click the "SUBMIT" button at the end of this quiz. Then click the "VIEW YOUR SCORE" option to read the answers and rationales. If you need clarifications or find any typo error, please email us at info@ddnclexreview.com. For more NCLEX Practice Questions, visit: http://www.ddnclexreview.com/nclex-practice-questions

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1) The nurse has received the morning shift report on a surgical unit in a community hospital. Which client should the nurse assess first? *
1 point
2) The client is diagnosed with laryngeal cancer and is scheduled for a laryngectomy next week. Which intervention would be priority for the clinic nurse? *
1 point
3) The client who is 2 days postoperative for a left pneumonectomy has an apical pulse(AP) of 128 and a blood pressure (BP) of 80/50. Which intervention should the nurse implement first? *
1 point
4) The charge nurse is reviewing the morning laboratory results. Which data should the charge nurse report to the health care provider via telephone? *
1 point
5) The nurse is preparing clients for surgery. Which client has the greatest potential for experiencing complications? *
1 point
6) The nurse is administering medications to clients on a surgical unit. Which medication should the nurse administer first? *
1 point
7) The night shift nurse is caring for clients on the surgical unit. Which client situation would warrant immediate notification of the surgeon? *
1 point
8) The nurse is transcribing the health care provider's orders for a client who is scheduled for an emergency appendectomy and who is being transferred from the emergency department (ED) to the surgical unit. Which order should the nurse implement first? *
1 point
9) The nurse and unlicensed assistive personnel (UAP) are caring for clients on a surgical unit. Which action by the UAP warrants immediate intervention? *
1 point
10) The charge nurse is making shift assignments to the surgical staff, which consists of two registered nurses (RNs), two licensed practical nurses (LPNs), and two UAPs. Which assignment would be most appropriate by the charge nurse? *
1 point
11) The nurse on the surgical unit is working with a UAP. Which task would be most appropriate for the nurse to delegate to the UAP? *
1 point
12) The charge nurse is making assignments for the surgical unit. Which client should be assigned to the new graduate nurse? *
1 point
13) The client is being prepared for a colonoscopy in the day surgery center. The charge nurse observes the primary nurse instructing the UAP to assist the client to the bathroom. Which action should the charge nurse implement? *
1 point
14) The HCP writes an order for the client with a fractured right hip to ambulate with a walker four times per day. Which action should the nurse implement? *
1 point
15) Which task would be most appropriate for the nurse to delegate to the UAP working on a surgical unit? *
1 point
16) The charge nurse is making assignments in the day surgery center. Which client should be assigned to the most experienced nurse? *
1 point
17) The LPN is working in a surgical rehabilitation unit. Which nursing task would be most appropriate for the LPN to implement? *
1 point
18) The nurse is completing the admission assessment on the client scheduled for cystectomy with creation of an ileal conduit. The client tells the nurse, “I am taking saw palmetto for my enlarged prostate.” Which action should the nurse implement first? *
1 point
19) The ED nurse is requesting a bed in the intensive care unit (ICU). The ICU charge nurse must request a transfer of one client from the ICU to the surgical unit to make room for the client coming into the ICU from the ED. Which client should the ICU charge nurse request to transfer to the surgical unit? *
1 point
20) A terrible storm causes the electricity to go out in the hospital and the emergency generator lights come on. Which action should the charge nurse implement? *
1 point
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