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Med Surg Exam 1 Study Guide | Nursing Notes, Practice Questions & Complete Exam Prep

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Ace your Med Surg Exam 1 with this all-in-one study guide designed for nursing students, combining clear and concise notes, essential concept breakdowns, and practice questions to support effective learning and exam success. This resource covers high-yield topics commonly tested on Exam 1, making it perfect for both structured study and last-minute revision while helping you improve understanding, retain key information, and approach your exam with confidence.

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,1. When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the
nurse anticipates that the client may show signs of alcohol withdrawal delirium during which
time period?

**Correct Answer:** Up to 72 hours after alcohol withdrawal

**Rationale:** Up to 72 hours after alcohol withdrawal



2. A fractured skull would be classified under which category of surgery based on urgency?

**Correct Answer:** Emergent

**Rationale:** 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.


3. For the client who is taking aspirin, it is important to stop taking this medication at least how
many day(s) before surgery?

**Correct Answer:** 7

**Rationale:** 7



4. Which health care profession has the ultimate responsibility to provide appropriate
information regarding a nonemergent surgery?

**Correct Answer:** Physician
**Rationale:** Physician



5. The nurse discovers that the client did not sign the operative consent before receiving the
preoperative medication. The appropriate nursing action is:

**Correct Answer:** To notify the surgeon

**Rationale:** To notify the surgeon

, 6. The nurse expects informed consent to be obtained for insertion of:

**Correct Answer:** A gastrostomy tube

**Rationale:** A gastrostomy tube



7. 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?

**Correct Answer:** "Many people have diagnostic or short therapeutic surgical
procedures."

**Rationale:** "Many people have diagnostic or short therapeutic surgical procedures."



8. 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?

**Correct Answer:** A history of diabetes

**Rationale:** A history of diabetes



9. At what point does the preoperative period end?

**Correct Answer:** When the client is transferred onto the operating table
**Rationale:** 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.



10. 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.

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.

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