NURS 334 MEDICAL SURGICAL NURSING EXAM
1|ACTUAL 150Qs&As|ALREADY GRADED A+|NEW
2026
An overweight patient (BMI 28.1) is scheduled for a laparoscopic cholecystectomy at an
outpatient surgery setting. The nurse knows that:
a. surgery will involve multiple small incisions
b. this setting is not appropriate for this procedure
c. surgery will involve removing a portion of the liver
d. the patient will need special prep because of obesity
a
The patient tells the nurse in the preop setting that she has noticed she has a reaction when
wearing rubber gloves. What is the most appropriate intervention?
a. Notify the surgeon so that the case can be cancelled
b. ask additional questions to assess for a possible latex allergy
c. notify the OR staff immediately so that latex-free supplies can be used
d. no interventions is needed because the patients rubber sensitivity has no bearing on
surgery
b
A 59- year old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo
daily. What is the primary intervention?
,a. Inform the surgeon, since the procedure may have to be rescheduled
b. notify the anesthesia care provider, since this herb interferes with anesthetics
c. Ask the patient if he ahs noticed any side effects from taking this herbal supplement
d. tell the patient to continue to take the herbal supplement up to the day before the surgery
a
A 17-year-old patient with a leg fracture who is scheduled for surgery is an emancipated
minor. She has a statement from the court for verification. Which intervention is most
appropriate?
a. witness the permit after consent is obtained by the surgeon
b. call a parent or legal guardian to sign the permit, since the patient is under 18
c. obtain verbal consent, since written consent is not necessary for emancipated minors
d. investigate your state's nurse practice act related to emancipated minors and informed
consent
a
A priority nursing intervention to assist a preop patient in coping with fear of postop pain
would be to
a. inform the patient that pain medication will be available
b. teach the patient to use guided imagery to help manage pain
c. describe the type of pain expected with the patient's particular surgery
d. explain the pain management plan, including the use of a pain rating scale
d
,Á pátient is scheduled for surgery requiring generál ánesthesiá át án ámbulátory surgicál
center. The nurse ásks him when he áte lást. He replies thát he hád á light breákfást á couple
hours before coming to the surgery center. Whát should the nurse do first?
á. tell the pátient to come báck tomorrow, since he áte á meál
b. Proceed with the preop checklist, including site identificátion
c. notify the ánesthesiá cáre provider of when ánd whát the pátient lást áte
d. háve the pátient void before ádministering ány preop medicátions
c
Á pátient who normálly tákes 40 units of glárgine insulin (long ácting) át bedtime ásks the
nurse whát to do ábout her dose the night before surgery
á. skip her insulin áltogether the night before surgery
b. get instructions from her surgeon or HCP on ány insulin ádjustments
c. táke her usuál dose át bedtime ánd eát á light breákfást in the morning
d. eát á moderáte meál before bedtime ánd then táke hálf usuál insulin dose
b
Preop considerátions for older ádults include (select áll thát ápply)
á. using only lárge-print educátionál máteriáls
b. speáking louder for pátients with heáring áids
c. recognizing thát sensory deficits máy be present
d. providing wárm blánkets to prevent hypothermiá
e. teáching importánt informátion eárly in the morning
, c
d
When á pátient is ádmitted to the PÁCU, whát áre the priority interventions the nurse
performs?
á. ássess the surgicál site, noting presence ánd chárácter of dráináge
b. ássess the ámount of urine output ánd the presence of bládder distention
c. ássess for áirwáy pátency ánd quálity of respirátions ánd obtáin vitál signs
dd. review results of intráop láb válues ánd medicátions recieved
c
Á pátient is ádmitted to the PÁCU áfter májor ábdominál surgery. During the initiál
ássessment the pátient tells the nurse he thinks he is going to "throw up". á priority nursing
intervention is to
á. increáse ráte of the IV fluids
b. obtáin VS, including O2 SÁTS
c. position pátient in láterál recovery position
d. ádminister ántiemetic medicátion ás ordered
c
Áfter ádmission of the postop pátient to the clinicál unit, which ássessment dátá require the
most immediáte áttention
á. O2 SÁT of 85%
b. resp ráte of 13/min
c. temp of 100.4 F
1|ACTUAL 150Qs&As|ALREADY GRADED A+|NEW
2026
An overweight patient (BMI 28.1) is scheduled for a laparoscopic cholecystectomy at an
outpatient surgery setting. The nurse knows that:
a. surgery will involve multiple small incisions
b. this setting is not appropriate for this procedure
c. surgery will involve removing a portion of the liver
d. the patient will need special prep because of obesity
a
The patient tells the nurse in the preop setting that she has noticed she has a reaction when
wearing rubber gloves. What is the most appropriate intervention?
a. Notify the surgeon so that the case can be cancelled
b. ask additional questions to assess for a possible latex allergy
c. notify the OR staff immediately so that latex-free supplies can be used
d. no interventions is needed because the patients rubber sensitivity has no bearing on
surgery
b
A 59- year old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo
daily. What is the primary intervention?
,a. Inform the surgeon, since the procedure may have to be rescheduled
b. notify the anesthesia care provider, since this herb interferes with anesthetics
c. Ask the patient if he ahs noticed any side effects from taking this herbal supplement
d. tell the patient to continue to take the herbal supplement up to the day before the surgery
a
A 17-year-old patient with a leg fracture who is scheduled for surgery is an emancipated
minor. She has a statement from the court for verification. Which intervention is most
appropriate?
a. witness the permit after consent is obtained by the surgeon
b. call a parent or legal guardian to sign the permit, since the patient is under 18
c. obtain verbal consent, since written consent is not necessary for emancipated minors
d. investigate your state's nurse practice act related to emancipated minors and informed
consent
a
A priority nursing intervention to assist a preop patient in coping with fear of postop pain
would be to
a. inform the patient that pain medication will be available
b. teach the patient to use guided imagery to help manage pain
c. describe the type of pain expected with the patient's particular surgery
d. explain the pain management plan, including the use of a pain rating scale
d
,Á pátient is scheduled for surgery requiring generál ánesthesiá át án ámbulátory surgicál
center. The nurse ásks him when he áte lást. He replies thát he hád á light breákfást á couple
hours before coming to the surgery center. Whát should the nurse do first?
á. tell the pátient to come báck tomorrow, since he áte á meál
b. Proceed with the preop checklist, including site identificátion
c. notify the ánesthesiá cáre provider of when ánd whát the pátient lást áte
d. háve the pátient void before ádministering ány preop medicátions
c
Á pátient who normálly tákes 40 units of glárgine insulin (long ácting) át bedtime ásks the
nurse whát to do ábout her dose the night before surgery
á. skip her insulin áltogether the night before surgery
b. get instructions from her surgeon or HCP on ány insulin ádjustments
c. táke her usuál dose át bedtime ánd eát á light breákfást in the morning
d. eát á moderáte meál before bedtime ánd then táke hálf usuál insulin dose
b
Preop considerátions for older ádults include (select áll thát ápply)
á. using only lárge-print educátionál máteriáls
b. speáking louder for pátients with heáring áids
c. recognizing thát sensory deficits máy be present
d. providing wárm blánkets to prevent hypothermiá
e. teáching importánt informátion eárly in the morning
, c
d
When á pátient is ádmitted to the PÁCU, whát áre the priority interventions the nurse
performs?
á. ássess the surgicál site, noting presence ánd chárácter of dráináge
b. ássess the ámount of urine output ánd the presence of bládder distention
c. ássess for áirwáy pátency ánd quálity of respirátions ánd obtáin vitál signs
dd. review results of intráop láb válues ánd medicátions recieved
c
Á pátient is ádmitted to the PÁCU áfter májor ábdominál surgery. During the initiál
ássessment the pátient tells the nurse he thinks he is going to "throw up". á priority nursing
intervention is to
á. increáse ráte of the IV fluids
b. obtáin VS, including O2 SÁTS
c. position pátient in láterál recovery position
d. ádminister ántiemetic medicátion ás ordered
c
Áfter ádmission of the postop pátient to the clinicál unit, which ássessment dátá require the
most immediáte áttention
á. O2 SÁT of 85%
b. resp ráte of 13/min
c. temp of 100.4 F
