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Foundations and Adult Health Nursing 8th Edition Test Bank

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    Chapter 01: Introduction to Anatomy and Physiology Cooper: Adult Health Nursing, 8th Edition MULTIPLE CHOICE 1. The anatomic term ____ means toward the midline. a. anterior b. posterior c. medial d. cranial ANS: C The term medial indicates an anatomic direction toward the midline. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 2 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. What are the smallest living components in our body? a. Cells b. Organs c. Electrons d. Osmosis ANS: A Cells are considered to be the smallest living units of structure and function in our body. DIF: TOP: Structural levels of organization KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 3. What i s the largest organelle, responsible for cell reproduction and control of other organelles? a. Nucleus b. Ribosome c. Mitochondrion d. Golgi apparatus ANS: A The nucleus is the largest organelle within the cell. DIF: Cognitive Level: Knowledge REF: 5 OBJ: 8 TOP: Parts of the cell KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. When the patient complains of pain in the bladder, the patient will indicate discomfort in which body cavity? a. Pelvic b. Mediastinum c. Dorsal d. Abdominal Foundations and Adult Health Nursing 8th Edition Cooper Test Bank Cognitive Level: Knowledge REF: 4 OBJ: 6

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    ANS: A A subdivision called the pelvic cavity contains the lower portion of the large intestine (lower sigmoid colon, rectum), urinary bladder, and internal structures of the reproductive system. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Body cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. The four phases of cell division all occur in: a. diffusion. b. mitosis. c. osmosis. d. filtration. ANS: B During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and telophase. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 9 TOP: Cell division KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 6. Telophase is which p hase of cell reproduction during mitosis? a. First phase b. Latent phase c. Final phase d. Spindle phase ANS: C During this final phase of cell division, the two nuclei appear and the chromosomes disperse. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 9 TOP: Cell division KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 7. The nurse is aware that which muscle group is both striated and involuntary? a. Skeletal b. Glial c. Cardiac d. Visceral ANS: C The cardiac muscle is both striated and involuntary. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 8. What is a group of several different kinds of tissues arranged so that together they can perform a more complex function than any tissue alone? a. Organ b. System Foundations and Adult Health Nursing 8th Edition Cooper Test Bank

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    c. Cell d. Endoplasmic reticulum ANS: A When several kinds of tissues are united to perform a more complex function than any tissue alone, they are called organs. DIF: Cognitive Level: Knowledge REF: 11 OBJ: 7 TOP: Organs KEY: Nursing Process Step: N/A MSC: NCLE X: Physiological Integrity 9. What traits describe visceral muscles? a. Smooth and voluntary b. Smooth and involuntary c. Striated and voluntary d. Striated and involuntary ANS: B Visceral (smooth) muscles will not function at will; thus, they act involuntarily. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 10. How are the thoracic and abdomin al cavities separated? a. By the pleura b. By the diaphragm c. By the sagittal plane d. By the peritoneum ANS: B The diaphragm (a muscle directly beneath the lungs) separates the ventral cavity into the thoracic (chest) and abdominal cavities. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 3 TOP: Ventral cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 11. What is the broad section of biology dealing with the description of human structure? a. Hematology b. Anatomy c. Kinesiology d. Physiology ANS: B Anatomy is the study, classification, and description of the structure and organs of the body. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 1 TOP: Terminology KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 12. ____ explains the processes and functions of many structures of the body and how they interact with one another. Foundations and Adult Health Nursing 8th Edition Cooper Test Bank

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    a. Anatomy b. Mitosis c. Filtration d. Physiology ANS: D Physiology explains the processes and functions of the various structures and how they interrelate with one another. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 1 TOP: Terminology KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 13. The anatomic structure that is not in the thoracic cavity is/are the _____. a. heart b. lungs c. blood vessels d. transverse colon ANS: D The transverse colon is located in the abdominal cavity. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Thoracic cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 14. When several organs and parts are grouped together for certain functions, they form: a. tissues. b. syst ems. c. cells. d. membranes. ANS: B A system is an organization of varying numbers and kinds of organs arranged so that together they can perform complex functions for the body. DIF: Cognitive Level: Knowledge REF: 4 OBJ: 7 TOP: Systems KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 15. What are the distinct surface proteins of the plasma membrane essential in determining? a. Tissue typing b. Blood count c. Effectiveness of a drug d. Sexual maturity ANS: A The plasma membrane has distinct surface proteins as coming from one individual. This is the basis for the procedure of tissue typing to determine compatibility before an organ transplant. DIF: Cognitive Level: Comprehension REF: 5 OBJ: 12 TOP: Cells KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundations and Adult Health Nursing 8th Edition Cooper Test Bank

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    16. In anatomic terminology, posterior means toward the: a. tail. b. head. c. back. d. trunk. ANS: C The posterior is toward the back. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 2 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 17. What does the transverse body plane divide? a. The front and back (coronal) of the body b. The body lengthwise (two equal halves) c. The superior and inferior portions of the body d. The body into axial and appendicular ANS: C The transverse plane cuts the body horizontally into the sagittal and the frontal planes, dividing the body into caudal and cranial portions. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 3 TOP: Body planes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 18. a. head b. feet c. tail d. chest ANS: C Caudal is a directional word that indicates toward the “tail,” the distal portion of the spine. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 3 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 19. What is the term for movement of water from an area of lower solute concentration to an area of higher solute concentration? a. Absorption b. Filtration c. Diffusion d. Osmosis ANS: D Osmosis is the passage of water from less concentrated solution to more concentrated solution. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 10 Foundations and Adult Health Nursing 8th Edition Cooper Test Bank Caudal is defined as toward the ____.

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    TOP: Transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 20. What is the type of tissue composed of cells that contract in response to a message from the brain or spinal cord? a. Epithelial b. Connective c. Membrane d. Muscle ANS: D Muscle tissue is composed of cells that contract in response to a message from the brain or spinal cord. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 21. What is th e type of tissue associated with the storage of fat? a. Areolar tissue b. Adipose tissue c. Osseous tissue d. Muscle tissue ANS: B Adipose tissue is associated with the important function of storing fat. 22. What are the thin sheets of tissue that lubricate and line the body surfaces that open to the outside environment? a. Mucous membranes b. Serous membranes c. Cytoplasm d. Involuntary visceral muscles ANS: A Mucous membranes secrete mucus. They line the body surfaces that open to the outside environment. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 23. What is the process by which a cell digests a foreign material by surrounding it? a. Pinocytosis b. Phagocytosis c. Absorption d. Diffusion ANS: B Foundations and Adult Health Nursing 8th Edition Cooper Test Bank DIF: Cognitive Level: Knowledge REF: 10 OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

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    Phagocytosis is the process that permits a cell to engulf or surround any foreign material and digest it. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 10 TOP: Active transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integr ity 24. Active transport in the movement of ions and other water - soluble particles across cell membranes requires that the body uses its: a. rapid filtration. b. charged diffusion. c. a chemical pump. d. osmosis. ANS: C Active transport of ions and other water - soluble particles of the cell membrane require a chemical pump, such as insulin, to move glucose into the cell. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 10 TOP: Active transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity ANS: C Filtration is the movement of water and particles through a membrane by a force from either pressure or gravity. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 10 TOP: Passive transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 26. The nurse is aware that when a patient complains of pain in the epigastric region, the source of the pain is most likely to be a disorder involving the: a. gallbladder. b. transverse colon. c. stomach. d. appendix. ANS: C The epigastric region of the abdomen is comprised of parts of the right and left lobes of the liver and a large portion of the stomach. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Epigastric region KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundations and Adult Health Nursing 8th Edition Cooper Test Bank 25. What is the term for the passage of water containing dissolved materials through a membrane as the result of a greater mechanical force on one side? a. Metabolism b. Mitosis c. Filtration d. Osmosis

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    27. What are tissues that cover the outside of th e body and some internal structures? a. Connective b. Epithelial c. Nerve d. Muscle ANS: B Epithelial tissue covers the outside of the body and some of the internal structures. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 28. When the nurse assesses an ar m in proximal to distal order, the assessment is performed from: a. the shoulder to the fingers. b. front to back. c. fingers to the center of the body. d. center of the body to the fingers. ANS: A Proximal is nearest the origin of the structure. Distal is farthest from the origin of the structure. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity ANS: C The epithelial membrane secretes mucus, lines the lungs, peritoneum , and pericardium, and covers the wall of the lower digestive tract. The synovial membrane secretes synovial fluid to prevent friction between joints and the ends of bones, and lines the bursae found between moving body parts. DIF: Cognitive Level: Knowle dge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 30. The nurse explains that pinocytosis is a process by which cells: a. divide. b. take in extracellular fluid. c. use a chemical pump. d. convert mitochondria. ANS: B Foundations and Adult Health Nursing 8th Edition Cooper Test Bank 29. What is the function of epithelial membranes? a. Secretes mucus, lines ends of bones, and lines bursae. b. Lines ends of bones, secretes synovial fluid, and lines internal surfaces of organs. c. Covers the wall of lower digestive tract, secretes mucus, and lines lungs, peritoneum, and pericardium. d. Lines lungs, peritoneum, and pericardium, and secretes synovial fluid.

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    Pinocytosis is a process by which the cell wall makes an indentation allowing ex tracellular fluid to fill in, then encloses it into the cell. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 10 TOP: Pinocytosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 31. What is the most complex structural leve l of organization of the body? a. Body as a whole b. Cellular c. Organs d. Chemical ANS: A The structural levels of organization progress from the least complex (chemical) through cells, tissues, organs, systems to the most complex (the body as a whole). DIF: Cognitive Level: Comprehension REF: 3 OBJ: 6 TOP: Structural levels of organization KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 32. Using a poster, the nurse demonstrates the protection of the nucleus. Which layer is the most superficial? a. Endoplasmic reticulum b. Nuclear membrane c. Plasma membrane d. Cytoplasm DIF: Cognitive Level: Application REF: 5 OBJ: 8 TOP: Protective covering of nucleus KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity MULTIPLE RESPONSE 1. Which are among the 11 body systems? (Select all that apply.) a. Lymphatic b. Cellular c. Digestive d. Reproductive e. Accessory f. Spinal cord ANS: A, C, D There are 11 body systems: integumentary, respiratory, skeletal, digestive, musc ular, nervous, endocrine, urinary, reproductive, cardiovascular, and lymphatic. DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7 TOP: Body systems KEY: Nursing Process Step: Assessment Foundations and Adult Health Nursing 8th Edition Cooper Test Bank ANS: C The most superficial covering of the nucleus is the plasma membrane, under which is the cytoplasm containing the endoplasmic reticulum, nuclear membrane, and nucleus.

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    MSC: NCLEX: Physiological Integrity 2. Which of the following are ch aracteristics of visceral muscles? (Select all that apply.) a. Involuntary b. Smooth c. Striated d. Independent from the spinal cord e. Voluntary f. Present in the blood vessels ANS: A, B, F Smooth muscles are smooth, involuntary, and respond to messages from the spinal cord. DIF: Cognitive Level: Application REF: 9 OBJ: 7 TOP: Voluntary muscle KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 3. Which of the follow ing are passive transport mechanisms that move material across the cell membranes? (Select all that apply.) a. Diffusion b. Evaporation c. Filtration d. Osmosis e. Mitosis f. Anaphase DIF: Cognitive Level: Comprehension REF: 8 OBJ: 10 TOP: Passive transport system KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. The nurse clarifies that the dorsal cavity is composed of the: (Select all that apply.) a. Descending colon b. Kidneys c. Gallbladder d. Brain e. Pancreas f. Spinal cavities ANS: D, F The dorsal cavity is composed of the brain and the spinal cavities. The spinal cavities hold the cord and the meninges. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Dorsal cavity KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiologi cal Integrity COMPLETION Foundations and Adult Health Nursing 8th Edition Cooper Test Bank ANS: A, C, D The passive transport systems are diffusion, filtration, and osmosis.

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    1. The nurse clarifies that the three functions of epithelial tissue are protection,___________, and secretion. ANS: absorption The function of epithelial tissue is protection by covering the body and preventing invasion; abs orption by absorbing material; and secretion by secreting mucus to line and moisten the body surfaces. DIF: Cognitive Level: Comprehension REF: 11 OBJ: 7 TOP: Epithelial tissue function KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. The nurse explains that ___________are small saclike structures inside the cell that digest compounds that have invaded the cell. ANS: lysosomes Lysosomes are small saclike st ructures inside the cell that digest compounds that have invaded the cell. DIF: Cognitive Level: Knowledge REF: 6 OBJ: 8 TOP: Lysosomes KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity ANS: coronal The coronal plane divides the body into ventral and dorsal (front and back) sections. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Coronal plane KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundations and Adult Health Nursing 8th Edition Cooper Test Bank 3. The body plane that divides the bod y into the ventral and dorsal section is the_________ plane.

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    Chapter 02: Care of the Surgical Patient Cooper: Adult Health Nursing, 8th Edition MULTIPLE CHOICE 1. The patient who had a nephrectomy yesterday has not used the patient - controlled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse’s best response? a. “Modern analgesic drugs do not cause addiction.” b. “Pain relief is worth a short period of addiction.” c. “Addiction rarely occurs in the brief time postsurgical analgesia is required.” d. “Addiction could be a real concern.” ANS: C Addiction rarely occurs in the short time that it is required after surgery. Postsurgical analgesia, because of its brief application, does not usually produce a physical or a psychological dependence. DIF: Cognitive Level: Application REF: 34 OBJ: 13 TOP : Fear of addiction KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity ANS: D Ablative is a type of surgery where an amputation, excision of any part of the body, or removal of a growth and harmful substance is performed. DIF: Cognitive Level: Comprehension REF: 16 OBJ: 2 TOP: Types of surgeries KEY: Nursing Process Step: Assessme nt MSC: NCLEX: Physiological Integrity 3. In which situation might surgery be delayed? a. The patient has taken Dilantin today. b. An illegible signature is on the consent form. c. The patient is still taking anticoagulants. d. The admission office is unable to confirm insurance coverage. ANS: C All medications should be cancelled before surgery, except for drugs such as phenytoin (Dilantin). Anticoagulant therapy increases the t hreat of hemorrhage and may be a cause for delay. DIF: Cognitive Level: Knowledge REF: 34 OBJ: 7 TOP: Anticoagulant therapy KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundations and Adult Health Nursing 8th Edition Cooper Test Bank 2. A 73 - year - old patient with diabetes was admitted for below the knee amputation of his right leg. Removal of his right leg is an example of which type of surgery? a. Palliative b. Diagnostic c. Reconstructive d. Ablative

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    4. Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy? a. The patient complains of pain radiating to the scapula. b. The patient received an injection of Demerol, 75 mg IM, 1 hour ago. c. The patient is 85 years of age. d. The patient is concerned over his lack of insurance coverage. ANS: B Informed consent should not be obtained if the patient is disoriented and under the influence of sedatives. Age, illegibility, and lack of insurance coverage do not prevent signing the consent. Pain into the scapula is a symptom of colitis. DIF: Cognitive Level: Application REF: 23 OBJ: 7 TOP: Informed consent KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy. a. general b. regional c. specific d. preoperative ANS: A An anesthesiologist gives general anesthetics by IV and inhalation routes through four stages of anesthesia when the procedure requires extensive tissue manipulation. 6. The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for: a. a flushing of the face and torso. b. numbness of the perineum. c. complaint of thirst. d. a sudden drop in blood pressure. ANS: D Epidural anesthesia may cause a sudden drop in blood pressure or respiratory dif ficulty as the anesthetic agent moves up in the spinal cord. Elevating the patient’s torso may prevent respiratory paralysis. DIF: Cognitive Level: Comprehension REF: 37 OBJ: 9 TOP: Epidural block KEY: Nursing Process Step: Assessment MSC: NCLEX: Physio logical Integrity 7. Why might the older adult patient not respond to surgical treatment as well as a younger adult patient? a. Poor skin turgor b. Fear of the unknown Foundations and Adult Health Nursing 8th Edition Cooper Test Bank DIF: Cognitive Level: Knowledge REF: 34 OBJ: 9 TOP: Anesthesia KEY: Nursing Process Step : Assessment MSC: NCLEX: Physiological Integrity

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    c. Response to physiologic changes d. Decreased peristalsis related to anesthesia ANS: C Of specific concern in older adults is the body’s response to temperature changes, cardiovascular shifts, respiratory needs, and renal function. Fear of the unknown and decreased peristalsis are common to all ages. DIF: Cognitive Level: Application REF: 18 OBJ: 5 TOP: Older adult patients KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 8. The postoperative nursing intervention that would be contraindicated for a 45 - year - old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP) would be: a. coughing every 2 hours. b. turning eve ry 2 hours. c. monitoring intravenous therapy at 50 mL/hr. d. assessing vital signs every 2 hours. ANS: A Coughing increases ICP. DIF: Cognitive Level: Analysis REF: 28 OBJ: 12 TOP: Postoperative complications KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity ANS: A The circulating nurse is responsible for observing breaks in sterile technique. The scrub nurse handles the surgical specimens, drapes the patient, and maintains needle and sponge count during surgery, then does a final sponge and needle check with the cir culating nurse before closing. DIF: Cognitive Level: Analysis REF: 43 OBJ: 11 TOP: Duties of circulating nurse KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment 10. Which statement made by a patient during a preoperativ e assessment would be significant to report to the charge nurse and surgeon? a. “I have been taking an herbal product of feverfew for my migraines.” b. “I exercise for 3 hours a day.” c. “I drink 2 glasses of wine a day.” d. “ I use atropine eye drops every day.” ANS: A Foundations and Adult Health Nursing 8th Edition Cooper Test Bank 9. The nurse acting as a circulating nurse has a responsibility for: a. observing breaks in sterile technique. b. identifying and handling surgical specimens correctly. c. assisting with surgical draping of the patient. d. maintaining count of sponges, needles, and instruments during surgery.

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    The herbal remedy of feverfew acts as an anticoagulant and increases the possibility of hemorrhage. The drug should be stopped before surgery, and bleeding and clotting times should be evaluated. DIF: Cognitive Level: Application REF: 20 | 36 OBJ: 14 TOP: Preoperative assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 11. A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increa se her peristalsis? a. Ambulation b. An enema c. Encouraging hot liquids d. Administering a laxative ANS: A Encouraging activity (turning every 2 hours, early ambulation) assists GI activity. DIF: Cognitive Level: Comprehension REF: 50 OBJ: 13 TOP: Postoperative complications KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity ANS: B Evaluation of the patient follows the ABCs of immediate postoperative observation: airway, breathing, consciousness, and circulation. DIF: Cognitive Level: Application REF: 44 OBJ: 12 TOP: Nursing assessment KEY: Nursing Process Step: Assessment MSC: NCL EX: Health Promotion and Maintenance 13. Frequent assessment of a postoperative patient is essential. What is one of the first signs and symptoms of hemorrhage? a. Increasing blood pressure b. Decreasing pulse c. Restlessness d. Weakness, apathy ANS: C A pulse that increases and becomes thready combined with a declining blood press ure, cool and clammy skin, reduced urine output, and restlessness may signal hypovolemic shock. DIF: Cognitive Level: Comprehension REF: 45 OBJ: 12 TOP: Postoperative complications KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundations and Adult Health Nursing 8th Edition Cooper Test Bank 12. A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? a. Check ankle dressings fo r hemorrhage. b. Check airway for patency. c. Check intravenous site. d. Check pedal pulse.

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