ADVANCED CONCEPTS OF MEDICAL–
SURGICAL NURSING EXAM 1 EXAMPREP STUDY
GUIDE 2026 TESTED ACCURATE CONTENT
◉ A fractured skull would be classified under which category of
surgery based on urgency? Answer: Emergent
Emergent surgery occurs when the client requires immediate
attention. An elective surgery is classified as a surgery that the client
should have. A required surgery means that the client needs to have
surgery. An urgent surgery occurs when the client requires prompt
attention.
◉ For the client who is taking aspirin, it is important to stop taking
this medication at least how many day(s) before surgery? Answer: 7
◉ Which health care profession has the ultimate responsibility to
provide appropriate information regarding a nonemergent surgery?
Answer: Physician
◉ The nurse discovers that the client did not sign the operative
consent before receiving the preoperative medication. The
appropriate nursing action is: Answer: To notify the surgeon
,◉ The nurse expects informed consent to be obtained for insertion
of: Answer: A gastrostomy tube
◉ You are the nurse working in an ambulatory surgery center. A
teenage son of your clients ask you why so many people have
surgery. What would be your best reply? Answer: "Many people have
diagnostic or short therapeutic surgical procedures."
◉ A client is scheduled for a surgical procedure. When planning the
client's care, the nurse should consider that which of the following
conditions will increase the client's risk of complications after
surgery? Answer: A history of diabetes
◉ At what point does the preoperative period end? Answer: When
the client is transferred onto the operating table
The preoperative phase begins when the decision to proceed with
surgical intervention is made and ends with the transfer of the client
onto the OR table. The intraoperative phase begins when the client is
transferred onto the operating table and ends with admission to the
PACU.
◉ A client is being prepared for a same-day surgical procedure and
is discussing with the nurse what potential ramifications this type of
surgery has. Which of the following would the nurse correctly
,identify? Select all that apply. Answer: Need for teaching is
increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she
may have done in the past.
◉ When is the ideal time to discuss preoperative teaching Answer:
Preadmission visit
◉ A client is undergoing preoperative assessment. During admission
paperwork, the client reports having enjoyed a hearty breakfast this
morning to be ready for the procedure. What is the nurse's next
action? Answer: Notify the surgeon.
◉ A 17-year-old client is having same-day surgery. Solely during the
intraoperative phase of perioperative care, the nurse: Answer:
continuously monitors the sedated client.
◉ A physically fit 86-year-old is scheduled for right knee
replacement. Which factor the client at increased risk for
complications during or after surgery? Answer: Age
◉ A nurse is witnessing a client sign the consent form for surgery.
After signing the consent form, the client starts asking questions
regarding the risks and benefits of a surgical procedure. What action
, by the nurse is most appropriate? Answer: Request that the surgeon
come and answer the questions.
◉ A client is undergoing thoracic surgery. What priority education
should the nurse provide to assist in preventing respiratory
complications? Answer: Splint the incision site using a pillow during
deep breathing and coughing exercises.
◉ A client refuses to remove her wedding band when preparing for
surgery. What is the best action for the nurse to take? Answer: Allow
the client to wear the ring and cover it with tape.
◉ A patient with uncontrolled diabetes is scheduled for a surgical
procedure. What chief life-threatening hazard should the nurse
monitor for? Answer: Hypoglycemia
◉ The nurse is monitoring a presurgical patient for electrolyte
imbalance. Which classification of medication may cause electrolyte
imbalance? Answer: Diuretics
◉ A nurse knows that she must obtain a signed informed consent for
which of the following procedures? Select all that apply. Answer:
Arteriography
Open reduction of a fracture
Cystoscopy
SURGICAL NURSING EXAM 1 EXAMPREP STUDY
GUIDE 2026 TESTED ACCURATE CONTENT
◉ A fractured skull would be classified under which category of
surgery based on urgency? Answer: Emergent
Emergent surgery occurs when the client requires immediate
attention. An elective surgery is classified as a surgery that the client
should have. A required surgery means that the client needs to have
surgery. An urgent surgery occurs when the client requires prompt
attention.
◉ For the client who is taking aspirin, it is important to stop taking
this medication at least how many day(s) before surgery? Answer: 7
◉ Which health care profession has the ultimate responsibility to
provide appropriate information regarding a nonemergent surgery?
Answer: Physician
◉ The nurse discovers that the client did not sign the operative
consent before receiving the preoperative medication. The
appropriate nursing action is: Answer: To notify the surgeon
,◉ The nurse expects informed consent to be obtained for insertion
of: Answer: A gastrostomy tube
◉ You are the nurse working in an ambulatory surgery center. A
teenage son of your clients ask you why so many people have
surgery. What would be your best reply? Answer: "Many people have
diagnostic or short therapeutic surgical procedures."
◉ A client is scheduled for a surgical procedure. When planning the
client's care, the nurse should consider that which of the following
conditions will increase the client's risk of complications after
surgery? Answer: A history of diabetes
◉ At what point does the preoperative period end? Answer: When
the client is transferred onto the operating table
The preoperative phase begins when the decision to proceed with
surgical intervention is made and ends with the transfer of the client
onto the OR table. The intraoperative phase begins when the client is
transferred onto the operating table and ends with admission to the
PACU.
◉ A client is being prepared for a same-day surgical procedure and
is discussing with the nurse what potential ramifications this type of
surgery has. Which of the following would the nurse correctly
,identify? Select all that apply. Answer: Need for teaching is
increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she
may have done in the past.
◉ When is the ideal time to discuss preoperative teaching Answer:
Preadmission visit
◉ A client is undergoing preoperative assessment. During admission
paperwork, the client reports having enjoyed a hearty breakfast this
morning to be ready for the procedure. What is the nurse's next
action? Answer: Notify the surgeon.
◉ A 17-year-old client is having same-day surgery. Solely during the
intraoperative phase of perioperative care, the nurse: Answer:
continuously monitors the sedated client.
◉ A physically fit 86-year-old is scheduled for right knee
replacement. Which factor the client at increased risk for
complications during or after surgery? Answer: Age
◉ A nurse is witnessing a client sign the consent form for surgery.
After signing the consent form, the client starts asking questions
regarding the risks and benefits of a surgical procedure. What action
, by the nurse is most appropriate? Answer: Request that the surgeon
come and answer the questions.
◉ A client is undergoing thoracic surgery. What priority education
should the nurse provide to assist in preventing respiratory
complications? Answer: Splint the incision site using a pillow during
deep breathing and coughing exercises.
◉ A client refuses to remove her wedding band when preparing for
surgery. What is the best action for the nurse to take? Answer: Allow
the client to wear the ring and cover it with tape.
◉ A patient with uncontrolled diabetes is scheduled for a surgical
procedure. What chief life-threatening hazard should the nurse
monitor for? Answer: Hypoglycemia
◉ The nurse is monitoring a presurgical patient for electrolyte
imbalance. Which classification of medication may cause electrolyte
imbalance? Answer: Diuretics
◉ A nurse knows that she must obtain a signed informed consent for
which of the following procedures? Select all that apply. Answer:
Arteriography
Open reduction of a fracture
Cystoscopy
