178

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

Circle the letter that corresponds to the best

choice for each question.

1.Which of the following types of anesthesia is

administered by injecting a local anesthetic

around a nerve trunk supplying the area of

surgery?

a.Nerve block

b.Subdural block

c.Surface anesthesia

d.Local infiltration with lidocaine

2.When obtaining a consent form from a

patient scheduled to undergo surgery, the

nurse should consider which of the following

facts?

a.A consent form is legal, even if the patient

is confused or sedated.

b.The form that is signed is not a legal docu-

ment and would not hold up in court.

c.In emergency situations, the doctor may

obtain consent over the telephone.

d.The responsibility for securing informed

consent from the patient lies with the

nurse.

3.A 9-month-old baby is scheduled for heart

surgery. When preparing this patient for

surgery, the nurse should consider which of

the following surgical risks associated with

infants?

a.Prolonged wound healing

b.Potential for hypothermia or hyperthermia

c.Congestive heart failure

d.Gastrointestinal upset

4.Mr. Lemke, age 42, is scheduled for elective

hernia surgery. While taking a medical history

for Mr. Lemke, you find out he is taking

antibiotics for an infection. To which of the

following surgical risks would Mr. Lemke be

predisposed because of his use of antibiotics?

a.Hemorrhage

b.Electrolyte imbalances

c.Cardiovascular collapse

d.Respiratory paralysis

5.When preparing a patient who has diabetes

mellitus for surgery, the nurse should be

aware of which of the following potential

surgical risks associated with this disease?

a.Fluid and electrolyte imbalance

b.Slow wound healing

c.Respiratory depression from anesthesia

d.Altered metabolism and excretion of

drugs

6.Mr. Pete is an obese 62-year-old man scheduled

for heart surgery. Which of the following surgi-

cal risks related to obesity should be considered

when performing an assessment for this

patient?

a.Delayed wound healing and wound

infection

b.Alterations in fluid and electrolyte balance

c.Respiratory distress

d.Hemorrhage

Perioperative Nursing

CHAPTER^30

LWBK696-C30_p178-185.qxd 9/3/10 12:44 PM Page 178 Aptara Inc