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NURS 108: Final Exam Competencies
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HIGH YIELD S QUES TIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
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QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 22
NURS 108: Final Exam Competencies
Describe the nursing responsibilities witnessing informed consent
The surgeon's responsibility is to provide a clear explanation of the surgery as well
as benefits, alternatives, possible risks, complications, and removal of body parts
prior to the patient giving consent.
The nurse needs to...
1. Clarify the information provided
2. Notify physician if the patient requests additional information
3. Make sure the consent form has been signed before administering any
premedication
4. Assess if the patient was in sound mind before signing forms (consent is not valid
if obtained while the patient is under the influence of medications that can affect
judgment and decision)
Differentiate the different categories of surgical procedures
1. Emergent
~Immediate attention/without delay
~Potentially life threatening
2. Urgent
~Requires prompt attention
~Within 24-30hrs
3. Required
~Surgery is needed within a few weeks or month
4. Elective
~Surgery should be performed
5. Optional
~Patient decides
, Page 3 of 22
******
Ambulatory surgery: outpatient, same-day, short-stay
~Nurse quickly assesses patient and prepares for discharge/follow up care
Identify the teaching need for the use of postoperative pain medications
1. Opioid analgesic agents:
~Commonly prescribed for pain and immediate postoperative restlessness
~Taken on a schedule (ex: Q6hrs)
2. PCA pumps:
~Pt can push a button every hour to administer pain meds
~Maintains therapeutic drug levels
3. Epidural infusions:
~Used with caution in chest procedures (may affect respiration)
**For all postop pain meds, advise the patient to stand up slowly and walk with
someone to prevent falls (pt may experience dizziness)
Identify the client safety precautions in the preoperative area
1. Have all pts in a hospital gown
2. Remove jewelry/any metal
3. Tie all long hair back
4. Remove dentures/plates, glasses, any prosthetic devices
5. Have all pts void before going to the OR
6. If preanesthetic medication is given, raise all side rails and prevent patient from
standing/walking alone
7. Assess for medication reactions
8. Assist in verifying patient ID, surgical procedure, and surgical site
**#1: prevent patient from injury!!
Identify the gerontologic considerations related to surgery
~Decreased perspiration leads to dry itchy skin that can become fragile. Health care
providers need to take precautions when moving an older adult. ~Decreased
subcutaneous fat makes older adults more susceptible to temperature changes. Pt
may c/o feeling cold
NURS 108: Final Exam Competencies
Download now
HIGH YIELD S QUES TIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
QUESTIONS
CHOOSE ONE ANSWER
TIME : 2 HOUR
, Page 2 of 22
NURS 108: Final Exam Competencies
Describe the nursing responsibilities witnessing informed consent
The surgeon's responsibility is to provide a clear explanation of the surgery as well
as benefits, alternatives, possible risks, complications, and removal of body parts
prior to the patient giving consent.
The nurse needs to...
1. Clarify the information provided
2. Notify physician if the patient requests additional information
3. Make sure the consent form has been signed before administering any
premedication
4. Assess if the patient was in sound mind before signing forms (consent is not valid
if obtained while the patient is under the influence of medications that can affect
judgment and decision)
Differentiate the different categories of surgical procedures
1. Emergent
~Immediate attention/without delay
~Potentially life threatening
2. Urgent
~Requires prompt attention
~Within 24-30hrs
3. Required
~Surgery is needed within a few weeks or month
4. Elective
~Surgery should be performed
5. Optional
~Patient decides
, Page 3 of 22
******
Ambulatory surgery: outpatient, same-day, short-stay
~Nurse quickly assesses patient and prepares for discharge/follow up care
Identify the teaching need for the use of postoperative pain medications
1. Opioid analgesic agents:
~Commonly prescribed for pain and immediate postoperative restlessness
~Taken on a schedule (ex: Q6hrs)
2. PCA pumps:
~Pt can push a button every hour to administer pain meds
~Maintains therapeutic drug levels
3. Epidural infusions:
~Used with caution in chest procedures (may affect respiration)
**For all postop pain meds, advise the patient to stand up slowly and walk with
someone to prevent falls (pt may experience dizziness)
Identify the client safety precautions in the preoperative area
1. Have all pts in a hospital gown
2. Remove jewelry/any metal
3. Tie all long hair back
4. Remove dentures/plates, glasses, any prosthetic devices
5. Have all pts void before going to the OR
6. If preanesthetic medication is given, raise all side rails and prevent patient from
standing/walking alone
7. Assess for medication reactions
8. Assist in verifying patient ID, surgical procedure, and surgical site
**#1: prevent patient from injury!!
Identify the gerontologic considerations related to surgery
~Decreased perspiration leads to dry itchy skin that can become fragile. Health care
providers need to take precautions when moving an older adult. ~Decreased
subcutaneous fat makes older adults more susceptible to temperature changes. Pt
may c/o feeling cold
