Advanced Medical‑Surgical CJE Practice Exam

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• Which medication is typically given to reduce the risk of postoperative nausea and vomiting?
• What is the most common cause of post-operative fever?
• What is the purpose of a discharge plan in post-operative care?
• Based on the condition of a client with severe abdominal pain after drinking alcohol, what is the priority nursing action?
• In patients with renal insufficiency, which medication should be used with caution?
• What does informed consent require from the healthcare provider?
• What is the significance of monitoring serum calcium levels post-thyroidectomy?
• What should the nurse do if a tracheostomy cuff pressure is noted to be 12 cm H₂O?
• What cognitive effect is commonly associated with chemotherapy that the nurse should inform clients about?
• What is the primary goal of patient education regarding discharge after surgery?
• How many milliliters of tobramycin should the nurse administer for a client weighing 143 lbs, with a prescribed dose of 12 mg/kg/day?
• What is the most appropriate assessment finding that would support the removal of an indwelling catheter in a client?
• Why is maintaining hydration important for post-operative patients?
• For a client with a Stage IV pressure injury, what is the nurse's priority action after assessing foul-smelling purulent drainage?
• What assessment finding should a nurse be alert for in a client with a history of respiratory issues in a hospital setting?
• Which bacteria is most commonly associated with surgical site infections?
• Which lab result would prompt a nurse to hold spironolactone for a client with left-sided heart failure?
• Which interventions should the nurse prepare for a client's plan of care who is diagnosed with appendicitis?
• Which symptom is least likely to be observed in a patient with phenytoin toxicity?
• In caring for a client with lung cancer, what is the priority assessment for the nurse to address?
• Which of the following is an effective strategy to enhance staff safety in the workplace?
• What nursing intervention is crucial for a client experiencing deep vein thrombosis who also shows signs of potential pulmonary embolism?
• What is the pain level reported by the patient at 1905?
• What is a classic sign of pulmonary embolism?
• How often should a post-operative patient's vitals be monitored in the first hour?
• Which statement made by a client who tested positive for H. pylori indicates that education about treatment was effective?
• Which lab result might indicate complications in a client with colon cancer undergoing treatment?
• What is the priority nursing action when attempting to draw blood from a PICC line if there is no blood return?
• What should the nurse assess first when a client with an opioid overdose presents with a respiratory rate of 8 breaths/minute?
• What is an important nursing consideration for patients with impaired wound healing?
• Which symptom relates most directly to the diagnosis of rheumatoid arthritis in a client experiencing joint pain?
• Which assessment finding could indicate a complication from an abdominal surgery?
• In addition to medication education regarding antibiotic ear drops, which of the following questions would be important for the nurse to ask?
• In managing post-operative pain, which type of medication is typically the first line?
• What is the maximum amount of 0.9% NaCl IV bolus that can be given to the patient?
• In planning care for a client recovering from a cerebrovascular accident, which action indicates effective collaboration with a multi-disciplinary team?
• Which statement by a client about breast cancer screenings indicates a need for further education?
• After a client experiences cramping and absent bowel sounds post-cholecystectomy, what is the nurse's priority action?
• In the context of surgical care, what does "NPO" stand for?
• What should the nurse monitor closely for a client on methotrexate therapy for rheumatoid arthritis?
• What are the hallmark signs of an anaphylactic reaction?
• What is a common indication of a surgical drain malfunction?
• For a client with COPD presenting with an oxygen saturation of 86%, what should the nurse's first action be?
• Which type of surgical approach is least invasive and has a shorter recovery time?
• When assessing a client for rheumatoid arthritis, which symptom is of most concern and may indicate disease progression?
• What is the main focus of post-operative care?
• What symptom indicates that the client's urinary infection is improving based on their report of less burning with urination?
• Why is assessment of pain crucial in the post-operative setting?
• What is the primary mechanism of action for anticoagulants?
• What does the acronym "COPD" stand for?
• What is a key indicator for effective treatment in patients receiving peritoneal dialysis, particularly for clients with end-stage renal disease?
• What is the primary reason for assessing a postoperative client’s vital signs?
• Which client should be assessed first in the burn unit?
• What contraindicates fibrinolytic therapy for a client with chest pain and a history of angina?
• What step should the nurse take at 2002 after administering pain medication?
• What should a nurse do first when a client experiences flushing, itching, wheezing, and difficulty breathing after an elastic bandage application?
• What is the primary purpose of surgical asepsis?
• What is the primary nursing intervention for a patient experiencing nausea post-operatively?
• Which dietary consideration is crucial for a post-surgical patient?
• What are the signs of hypovolemic shock?
• Which nursing intervention is priority during the immediate post-anesthesia phase?
• Which pain level was recorded at 2005?
• What is the primary concern with a patient who has a surgical wound that is red, warm, and has purulent drainage?
• For a client with Addison's disease, which medication is a priority for the nurse to administer?
• What vital sign change in a client with appendicitis would be a cause for concern?
• In a suspected stroke case, which cardiac rhythm is most concerning?
• Which vital signs should be monitored closely during the postoperative period?
• What should the nurse document after administering analgesics to a client?
• In assessing blood test results for a client, which value would most likely concern the nurse for adherence to treatment protocols?
• What is the best position for a client recovering from thyroid surgery?
• When is it appropriate to initiate oxygen therapy after thyroid surgery?
• In a skin assessment, which lesion should be referred to a dermatologist for further evaluation?
• Which of the following actions can the nurse take to assist a spouse of a dying client through their grief reactions?
• What should the nurse instruct a patient regarding the care of their surgical incision?
• What should the nurse include in the plan of care for a client on antibiotics?
• What sign may indicate a potential complication in a post-operative patient?
• After inserting a ventriculostomy catheter in a client with a traumatic brain injury, which ICP finding should the nurse report?
• Which fluid is preferred for resuscitation in a patient with hypovolemic shock?
• What is the risk associated with long-term use of corticosteroids in surgical patients?
• What is the purpose of sequential compression devices (SCDs)?
• What should the nurse prioritize in caring for a client with stable vital signs post-operatively?
• Which healthcare professional should the nurse consider involving when planning care for a client post-CVA with swallowing issues?
• What statement from a primary caregiver indicates a need for further education regarding pressure injury management?
• How many milliliters of reconstituted solution should a nurse withdraw from a vial containing ceftazidime?
• What symptom would indicate a need for urgent assessment in a post-operative patient?
• Which actions should the nurse take to address the risk for hepatitis C?
• Which laboratory finding for a client with Crohn's disease hospitalized for diarrhea is most concerning?
• What is a common symptom of cognitive impairment due to chemotherapy that nurses should monitor?
• What approach should the nurse take when planning discharge for a client with serious illness?
• A client presents with respiratory depression, low blood pressure, and unresponsive to voice. What is the nurse's immediate priority action?
• What is the importance of assessing a client's weight status in the context of heart failure treatment?
• What should a nurse instruct a client regarding antibiotic use during H. pylori treatment?
• Which type of anesthesia is administered directly into the spinal canal?
• Which vital sign change is anticipated in a patient with significant blood loss?
• What is the effect of anxiety on post-operative recovery?
• Which statement made by a client indicates further teaching is required regarding the use of nitrofurantoin for pyelonephritis?
• What is a common expectation during the first 24 hours post-surgery regarding patient mobility?
• What does the acronym "ADLs" stand for?
• Which electrolyte imbalance is most common after surgery?
• What IV medication was ordered every 24 hours for the patient?
• What was the patient's initial pain rating when presenting to the emergency department?
• What is the risk of using opioids in post-operative pain management?
• How can a nurse best educate a patient on pain management post-surgery?
• What assessment finding supports delaying hemodialysis for a client with an arteriovenous graft?
• Which nursing assessment is crucial before administering new medications postoperatively?
• What intervention is essential for preventing skin integrity issues for a client with a new ileostomy?
• When preparing to administer an enteral bolus feeding, what information should lead the nurse to withhold the feeding?
• What is the primary goal of post-operative pain management?
• What should the nurse instruct a client to do to manage gastroesophageal reflux?
• In preparing a client for surgery, what action by the surgical technician would raise concerns?
• In evaluating a dressing, what characteristics should the nurse assess?
• What complication should a nurse anticipate in a client with advanced directives stating a preference for comfort measures only?
• What assessment finding at 2000 indicates severe pain for the patient?
• What is the main function of the inflammatory response?
• How can a nurse accurately assess for a post-operative ileus?
• Which technique is essential for maintaining sterile conditions during surgery?
• What initial action should a nurse take for a client diagnosed with deep vein thrombosis who reports severe chest pain and shortness of breath?
• When delegating care tasks for a client on peritoneal dialysis, which task should be assigned to the LPN/LVN?
• What should a client aged 50 with no risk factors for prostate cancer consider regarding screening?
• After a client sustains burns, which assessment should the nurse prioritize based on the client's condition?
• What is the expected outcome of a CT scan for a client presenting with right lower quadrant pain?
• What symptom may indicate a complication after an open cholecystectomy?
• When receiving a new medication order for a client, what should the nurse do to ensure confidentiality?
• What was the patient's blood pressure at 1905?
• When should the nurse begin to elevate the head of the bed for a client post-thyroidectomy?
• What should a nurse monitor for in a patient who underwent a total hip replacement?
• During an assessment of a client with abdominal pain, which of the following is considered an essential assessment?
• What is an essential assessment for patients undergoing abdominal surgery?
• At what time was the patient administered morphine?
• What vital sign immediately indicates a potential issue that the nurse should report after cardiac catheterization?
• What is the most therapeutic response for a client expressing feelings of dissatisfaction after bariatric surgery?
• What is the priority intervention for a patient experiencing chest pain in the post-operative setting?
• What is the nurse's priority action for a client undergoing radiation therapy with concerning laboratory results?
• Which vital sign is crucial to monitor in the immediate post-operative period?
• For a client receiving metronidazole, if the client weighs 146.6 pounds, what rate should the nurse program the IV pump?
• What additional finding from cerebrospinal fluid is critical to report after a lumbar puncture for suspected meningitis?
• What laboratory result should a nurse highlight before administering metformin to a client with diabetes mellitus type 2?
• What is the purpose of informed consent?
• A client with diabetes presents with severe thirst, urinating copiously, and extreme fatigue. What is the nurse's priority action?
• Which lab values are critical when assessing kidney function?
• What does the term "venous thromboembolism" refer to?
• What vital sign change would most concern a nurse monitoring a patient who recently underwent surgery?
• What should be monitored in patients who have received general anesthesia?
• What are the key components of a preoperative assessment?
• For a client who has had surgery and is experiencing severe gas pain, what is the best initial nursing intervention?
• Where should the nurse perform the insertion for a chest tube in a client with a left-sided pneumothorax?
• What is the recommended position for a patient recovering from a craniotomy?
• If a client reports bile-stained emesis and diarrhea after being NPO, what should the nurse monitor closely?
• What laboratory test is critical to assess prior to major surgery?
• What is the role of a surgical scrub nurse?
• What is the preferred method to assess abdominal pain in a post-operative patient?
• When a client presents for a chlamydia check, what is the nurse's first priority action?
• What should be included in discharge instructions for a surgical patient?
• What laboratory finding would correlate with an opioid overdose?
• What statement indicates that a client understands preventive measures for recurrent urinary tract infections?
• What is the significance of the Glasgow Coma Scale?
• After a CT scan, the patient reports feeling thirsty. What is the best response by the nurse?
• In a patient undergoing treatment with phenytoin, what laboratory finding indicates toxicity?
• What vital sign changes should a nurse monitor for signs of infection?
• What is the first step in the nursing process?
• What type of medication is commonly administered to manage post-operative pain?
• In the context of chronic conditions, which symptom is commonly associated with left-sided heart failure?
• What immediate intervention should a nurse implement for a client with hand edema and itching after using a new cleaning product?
• What complications are associated with general anesthesia?
• What is the most likely condition for a client who had a total hip arthroplasty and presents with tachypnea, productive green sputum, and low oxygen saturation?
• Which of the following conditions is a contraindication for laparoscopic surgery?
• What should the nurse do if a client on insulin reports they need to change their dose?
• What complication can arise from improper positioning during surgery?
• What is the usual measure taken to prevent venous thromboembolism in surgical patients?
• What action should a nurse take to support a family member of a dying client who is exhibiting negative feelings and poor sleep?
• What statement indicates the need for further education regarding insulin use?
• What is the expected output for a normal adult patient in a 24-hour period?
• What is an early indicator of shock?
• Which complication is most concerning in the early post-operative period?
• What nursing measure might be relevant for a client on antibiotics showing 45% dietary intake?
• Which statement indicates a client understands wound care instructions post total knee arthroplasty?
• After reviewing a client's chart, what is the best rationale for a nurse to monitor oxygen saturation in a post-operative hip arthroplasty patient?
• What is the primary goal in managing post-operative pain?
• A client presenting with signs of an eye infection should prompt the nurse to take which initial action?
• During a lumbar puncture, which cerebrospinal fluid result is a priority concern for the nurse?
• What parameter should a nurse monitor in a client being treated for sickle cell anemia?
• What condition is the adult client most likely at risk for based on recent symptoms, including generalized aches and unexplained weight loss?
• Which vital sign is most indicative of fluid volume deficit post-operatively?
• Which documented assessment indicates that furosemide treatment for left-sided heart failure is effective?
• In the case of a client found unresponsive and without vital signs, what is the nurse's immediate priority action?
• What precautions should be taken when mobilizing a post-operative patient?
• What is a significant risk factor that a nurse should assess for in post-surgical patients?
• What is the term for the abnormal reduction of blood flow to tissues?
• What indicates an improvement in the patient's condition following medication administration?
• For a client who had a kidney transplant 4 days ago, which assessment findings are of greatest concern?
• What parameters should the nurse monitor to assess a client's progress in relation to potential liver issues?
• A client diagnosed with otitis externa reports no relief from prescribed antibiotic ear drops. Which response by the nurse is most appropriate?
• What condition is the 21-year-old client most likely experiencing with reports of fatigue and shortness of breath?
• Which parameter is most critical to monitor in a client after an ileostomy creation?
• Which statement demonstrates the nurse's understanding of a client leaving against medical advice?
• What statement by the client undergoing cholecystectomy indicates a need for further education?