NSG 6435 FINAL EXAM 2 2026 EXAM SCRIPT
TEST PAPER QUESTIONS AND ANSWERS
VERIFIED PASS
◉ PMH for surgery. Answer: CV/pulmonary/diabetes
Personal history of bleeding
HIV/Hepatitis
Organ transplant
Pregnancy
◉ Social history for surgery. Answer: Smoking, ETOH, recreational
drugs, caffeine
◉ Medication reconciliation for surgery. Answer: Opioids
Vasoactive drugs: In combination with MAOI's or TCA's can lead to
HTN/Hypotension crisis and lethal hyperthermia
◉ Family history for surgical clearance. Answer: •Malignant
hyperthermia
•G6PD deficiency
•Neurological disorders
,•PONV
•Sickle cell disease
•Difficult intubation in past
•Dentition
•Neck or jaw immobility
•Hoarseness
◉ What are the most common adverse events following surgery?.
Answer: Cardiopulmonary
◉ Cardiac evaluation for elective procedures?. Answer: High Risk:
Need cardiac issues resolved before undergoing surgery
- Revascularization within the past 6 weeks
- CHF worsening or new onset
- EF of <35% at rest increases perioperative risk
◉ High Risk Cardiopulmonary Evaluations: MI within the last 3
months. Answer: Risk of reinfarction after an elective procedure
performed within 3 months of the MI
CABG < 6 weeks prior to elective procedure
Grade AV blocks
> 70
Severe valvular disease AS
,<1 cm square or symptomatic mitral diseas
◉ Intermediate cardiac risk:. Answer: •
•Generally can proceed to surgery if their functional
•
status is adequate
•Functional capacity ≥ to 4 METS
•
•History of ischemic heart disease
•Controlled CAD
•History of compensated CHF or prior heart failure
•Cerebral vascular disease (history of stroke or TIA)
•DM
•Renal insufficiency
•*Low ejection fraction at rest<35%
◉ Low risk cardiac evaluation. Answer: •Patients can proceed to
surgery without additional cardiac workup, unless scheduled for
high-risk procedures or have poor functional capacity.
•Prior CABG/PCI>6 yrs without ischemic Symptoms
, •Recent revascularization>3 months, negative stress
•
test in past 2 years
•HTN- Controlled
•LVH- Stable
◉ METS formula. Answer: One MET equals the oxygen consumption
of a 70 kg, 40 year old man in a resting state
◉ METS Functional Status Assessment. Answer: •Excellent (>7
METs)
•Moderate (4 to 7 METs)
•Poor (<4 METs)
•Squash, Jogging (10-minute mile), scrubbing floors, singles tennis
•Cycling, climbing a flight of stairs, golf (without cart) walking 4
mph, yard work (e.g., raking leaves, weeding, pushing a power
mower)
•Vacuuming activities of daily living (e.g., eating, dressing, bathing),
walking 2 mph, writing
•METs = metabolic equivalents.
◉ Revised Cardiac Risk Index (RCRI). Answer: 0 RCRI: <1%
mortality
TEST PAPER QUESTIONS AND ANSWERS
VERIFIED PASS
◉ PMH for surgery. Answer: CV/pulmonary/diabetes
Personal history of bleeding
HIV/Hepatitis
Organ transplant
Pregnancy
◉ Social history for surgery. Answer: Smoking, ETOH, recreational
drugs, caffeine
◉ Medication reconciliation for surgery. Answer: Opioids
Vasoactive drugs: In combination with MAOI's or TCA's can lead to
HTN/Hypotension crisis and lethal hyperthermia
◉ Family history for surgical clearance. Answer: •Malignant
hyperthermia
•G6PD deficiency
•Neurological disorders
,•PONV
•Sickle cell disease
•Difficult intubation in past
•Dentition
•Neck or jaw immobility
•Hoarseness
◉ What are the most common adverse events following surgery?.
Answer: Cardiopulmonary
◉ Cardiac evaluation for elective procedures?. Answer: High Risk:
Need cardiac issues resolved before undergoing surgery
- Revascularization within the past 6 weeks
- CHF worsening or new onset
- EF of <35% at rest increases perioperative risk
◉ High Risk Cardiopulmonary Evaluations: MI within the last 3
months. Answer: Risk of reinfarction after an elective procedure
performed within 3 months of the MI
CABG < 6 weeks prior to elective procedure
Grade AV blocks
> 70
Severe valvular disease AS
,<1 cm square or symptomatic mitral diseas
◉ Intermediate cardiac risk:. Answer: •
•Generally can proceed to surgery if their functional
•
status is adequate
•Functional capacity ≥ to 4 METS
•
•History of ischemic heart disease
•Controlled CAD
•History of compensated CHF or prior heart failure
•Cerebral vascular disease (history of stroke or TIA)
•DM
•Renal insufficiency
•*Low ejection fraction at rest<35%
◉ Low risk cardiac evaluation. Answer: •Patients can proceed to
surgery without additional cardiac workup, unless scheduled for
high-risk procedures or have poor functional capacity.
•Prior CABG/PCI>6 yrs without ischemic Symptoms
, •Recent revascularization>3 months, negative stress
•
test in past 2 years
•HTN- Controlled
•LVH- Stable
◉ METS formula. Answer: One MET equals the oxygen consumption
of a 70 kg, 40 year old man in a resting state
◉ METS Functional Status Assessment. Answer: •Excellent (>7
METs)
•Moderate (4 to 7 METs)
•Poor (<4 METs)
•Squash, Jogging (10-minute mile), scrubbing floors, singles tennis
•Cycling, climbing a flight of stairs, golf (without cart) walking 4
mph, yard work (e.g., raking leaves, weeding, pushing a power
mower)
•Vacuuming activities of daily living (e.g., eating, dressing, bathing),
walking 2 mph, writing
•METs = metabolic equivalents.
◉ Revised Cardiac Risk Index (RCRI). Answer: 0 RCRI: <1%
mortality
