MSNCB Medical-Surgical Nursing Exam Prep - Question List

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71.

You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant inspect skin integrity for this patient?

  1. Every 30 minutes
  2. Every 2 hours
  3. Every 3 hours
  4. Every 4 hours
72. You are encouraging your postoperative patient to cough and take deep breaths. The patient questions why it is so important to do this. Your response would include the understanding that retaining pulmonary secretions can lead to:
  1. Fluid imbalance
  2. Carbon dioxide retention
  3. Pulmonary edema
  4. Pneumonia
73. You are caring for a patient who needs to go to surgery. The patient is unable to sign consent due to narcotic analgesic administration. Who should sign the consent for surgery?
  1. The family members should provide consent, and two witnesses will be necessary.
  2. A court order will be needed.
  3. The patient should go to surgery without consent.
  4. The hospital chaplain should sign consent.
74. Which of the following consent process will need to be followed for an 86-year-old patient going to surgery?
  1. Give the patient time to process information.
  2. Family members should make decision.
  3. Ask patient to respond immediately so he does not forget.
  4. Give the patient reading material about surgery and postoperative instructions.
75. Your patient complains that they have been feeling faint when they attempt to get out of bed in the morning. They have been taking thioridazine hydrochloride (Mellaril). What side effect is this patient experiencing?
  1. Psychosomatic disorder
  2. Cardiac dysrhythmia
  3. Respiratory insufficiency
  4. Postural hypotension

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