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 is 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

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 phase 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

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: NCLEX: 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 abdominal 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

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. systems.
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

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 the 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 Integrity
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 the 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 arm 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: Knowledge 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 extracellular
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 level 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, muscular, 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 characteristics 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 following 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: Physiological 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;
absorption 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 structures 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 body 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: Assessment
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 threat 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 difficulty 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: Physiological 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 every 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 circulating 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 preoperative 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
increase 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: NCLEX: 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 pressure, 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 for hemorrhage.
b. Check airway for patency.
c. Check intravenous site.
d. Check pedal pulse.

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