Exam 1: NUR209/ NUR 209 (2026/ 2027
Update) Medical Surgical Nursing II| Review
with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
The nurse administers the preoperative medication to the patient one hour before
elective surgery, and then discovers the preoperative consent is not signed. Which
action by the nurse is the most appropriate?
1) Have the patient sign the consent quickly, before the medication begins taking
effect.
2) Have a family member or medical power of attorney sign the consent.
3) Send the patient to the holding area without a signed consent.
4) Notify the health-care provider that surgery will need to be canceled. -
ANSWER 4. Notify the health-care provider that surgery will need to be
canceled.
The nurse is completing the preoperative checklist on the night shift in preparation
for the patient's surgery scheduled for 0800. Which tasks could the nurse complete
at this time?
1) Documenting the time of last voiding
2) Checking the medical record for the history, physical, and signed informed
consent
3) Administering preoperative medication
4) Removing the prosthesis - ANSWER 2. Checking the medical
record for the history, physical, and signed informed consent
,The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed amiodarone?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 1.
Obtaining a baseline ECG
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed warfarin?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 4.
Tapering the drug two days prior to surgery
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed metoprolol?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 2.
Monitoring blood pressure
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed dexamethasone?
1) Obtaining a baseline ECG
,2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 3.
Assessing for hyperglycemia
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed phenobarbital?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Maintaining the drug during the perioperative period
4) Assessing blood glucose levels closely during the perioperative period -
ANSWER 3. Maintaining the drug during the perioperative period
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed insulin?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Holding the drug during the perioperative period
4) Assessing blood glucose levels closely during the perioperative period -
ANSWER 4. Assessing blood glucose levels closely during the
perioperative period
Which should the nurse teach the patient regarding NPO status prior to a surgical
procedure?
1) Nothing by mouth for 12 hours prior to surgery
2) Nothing solid by mouth for six hours prior to surgery
3) No clear liquids by mouth for four hours prior to the surgery
, 4) No clear liquids by mouth for two hours prior to the surgery - ANSWER
4. No clear liquids by mouth for two hours prior to the surgery
Which is the priority nursing action when providing patient care during the
preoperative phase of care?
Which is the priority nursing action when providing patient care during the
preoperative phase of care?
1) Ensuring NPO status
2) Monitoring vital signs
3) Obtaining informed consent
4) Completing a preoperative checklist - ANSWER 4. Completing a
preoperative checklist
The nurse is reviewing the medical records for patients who are scheduled for
surgery the next day. Which patient may not provide consent to receive blood
products?
1) A Hispanic Catholic patient.
2) An African-American Baptist patient.
3) A Caucasian Jehovah's Witness patient.
4) A Native American patient with no religious affiliation - ANSWER
3. A Caucasian Jehovah's Witness patient.
Which identifier should the nurse use during the initial time-out to determine the
right patient?
1) Date of birth
2) Maiden name
3) Medical record number
4) Photo placed in the medical record - ANSWER 1. Date of birth
Update) Medical Surgical Nursing II| Review
with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
The nurse administers the preoperative medication to the patient one hour before
elective surgery, and then discovers the preoperative consent is not signed. Which
action by the nurse is the most appropriate?
1) Have the patient sign the consent quickly, before the medication begins taking
effect.
2) Have a family member or medical power of attorney sign the consent.
3) Send the patient to the holding area without a signed consent.
4) Notify the health-care provider that surgery will need to be canceled. -
ANSWER 4. Notify the health-care provider that surgery will need to be
canceled.
The nurse is completing the preoperative checklist on the night shift in preparation
for the patient's surgery scheduled for 0800. Which tasks could the nurse complete
at this time?
1) Documenting the time of last voiding
2) Checking the medical record for the history, physical, and signed informed
consent
3) Administering preoperative medication
4) Removing the prosthesis - ANSWER 2. Checking the medical
record for the history, physical, and signed informed consent
,The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed amiodarone?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 1.
Obtaining a baseline ECG
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed warfarin?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 4.
Tapering the drug two days prior to surgery
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed metoprolol?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 2.
Monitoring blood pressure
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed dexamethasone?
1) Obtaining a baseline ECG
,2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery - ANSWER 3.
Assessing for hyperglycemia
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed phenobarbital?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Maintaining the drug during the perioperative period
4) Assessing blood glucose levels closely during the perioperative period -
ANSWER 3. Maintaining the drug during the perioperative period
The nurse is conducting a medication assessment for a preoperative patient. Which
action by the nurse is appropriate for the patient who is prescribed insulin?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Holding the drug during the perioperative period
4) Assessing blood glucose levels closely during the perioperative period -
ANSWER 4. Assessing blood glucose levels closely during the
perioperative period
Which should the nurse teach the patient regarding NPO status prior to a surgical
procedure?
1) Nothing by mouth for 12 hours prior to surgery
2) Nothing solid by mouth for six hours prior to surgery
3) No clear liquids by mouth for four hours prior to the surgery
, 4) No clear liquids by mouth for two hours prior to the surgery - ANSWER
4. No clear liquids by mouth for two hours prior to the surgery
Which is the priority nursing action when providing patient care during the
preoperative phase of care?
Which is the priority nursing action when providing patient care during the
preoperative phase of care?
1) Ensuring NPO status
2) Monitoring vital signs
3) Obtaining informed consent
4) Completing a preoperative checklist - ANSWER 4. Completing a
preoperative checklist
The nurse is reviewing the medical records for patients who are scheduled for
surgery the next day. Which patient may not provide consent to receive blood
products?
1) A Hispanic Catholic patient.
2) An African-American Baptist patient.
3) A Caucasian Jehovah's Witness patient.
4) A Native American patient with no religious affiliation - ANSWER
3. A Caucasian Jehovah's Witness patient.
Which identifier should the nurse use during the initial time-out to determine the
right patient?
1) Date of birth
2) Maiden name
3) Medical record number
4) Photo placed in the medical record - ANSWER 1. Date of birth