Med Surg 1 Exam Questions and Answers
with Verified Solutions | Latest Updated 2026
1. A patient is being admitted to c) "What type of surgery are you having
the and why
hospital on the day before a are you having it done?"
scheduled surgery. What is the
most
appropriate initial question for the
nurse to ask this preoperative
patient?
a) "What did your surgeon say to
you
about the type of surgery you are
having?"
b) "What questions do you have
about your surgery?"
c) "What type of surgery are you
having and why are you having it
done?"
d) "What do you know about what
will be done to you?"
,2. A benzodiazepine has been a) Anxiety
administered to a patient d) Level of Consciousness
preoperatively. After the drug has e) Sedation
been administered, the nurse
plans
to monitor the patient for which
side
effects? Select all that apply.
a) Anxiety
b) Hypotension
c) Hypocalcemia
d) Level of Consciousness
e) Sedation
3. A preoperative patient has an d) Dehydration
elevated hemoglobin and
hematocrit. What would the nurse
suspect regarding the significance
of
this increased value?
a) Immune deficiency
b) Kidney dysfunction
c) Malignancy
d) Dehydration
,4. Which activities should the a) Identify potential or actual health
nurse problems.
carry out in the preoperative b) Verify the presence of a signed consent
period form.
for a client scheduled for surgery? e) Assess effectiveness of teaching related
Select all that apply. to
a) Identify potential or actual postoperative recovery.
health
problems.
b) Verify the presence of a signed
consent form.
c) Assess patient's response to
interventions.
d) Intervene to prevent
complications.
e) Assess effectiveness of
teaching
related to postoperative recovery.
5. A patient having surgery has a b) Involvement of vital organs
degree of risk associated with the e) A history of respiratory disease and
surgery. The nurse would evaluate diabetes
which patient-related factors as
contributing to a high degree of
risk
associated with surgery? Select all
that apply.
a) Type of institution where
surgery is
performed
b) Involvement of vital organs
c) Average nutritional status
d) Low likelihood of procedure
complications
e) A history of respiratory disease
and diabetes
, 6. A patient has just entered the a) Vital signs, level of consciousness,
postanesthesia care unit (PACU) presence of
from surgery. For which priority pain
needs should the nurse
immediately
assess the postoperative patient?
a) Vital signs, level of
consciousness,
presence of pain
b) Skin coloring, surgical incision,
limb movements
c) Skin temperature, blood
pressure,
mental status
d) Temperature, emotional status,
wound drainage
7. The nurse in the postanesthesia a) Pallor or cyanosis
care unit (PACU) is assessing a d) Fluid loss
postoperative patient. Which e) Decreased urinary output
indicators suggest to the nurse an
alteration in tissue perfusion?
Select
all that apply.
a) Pallor or cyanosis
b) Difficulty with mobility
c) Pain in the incision area
d) Fluid loss
e) Decreased urinary output
with Verified Solutions | Latest Updated 2026
1. A patient is being admitted to c) "What type of surgery are you having
the and why
hospital on the day before a are you having it done?"
scheduled surgery. What is the
most
appropriate initial question for the
nurse to ask this preoperative
patient?
a) "What did your surgeon say to
you
about the type of surgery you are
having?"
b) "What questions do you have
about your surgery?"
c) "What type of surgery are you
having and why are you having it
done?"
d) "What do you know about what
will be done to you?"
,2. A benzodiazepine has been a) Anxiety
administered to a patient d) Level of Consciousness
preoperatively. After the drug has e) Sedation
been administered, the nurse
plans
to monitor the patient for which
side
effects? Select all that apply.
a) Anxiety
b) Hypotension
c) Hypocalcemia
d) Level of Consciousness
e) Sedation
3. A preoperative patient has an d) Dehydration
elevated hemoglobin and
hematocrit. What would the nurse
suspect regarding the significance
of
this increased value?
a) Immune deficiency
b) Kidney dysfunction
c) Malignancy
d) Dehydration
,4. Which activities should the a) Identify potential or actual health
nurse problems.
carry out in the preoperative b) Verify the presence of a signed consent
period form.
for a client scheduled for surgery? e) Assess effectiveness of teaching related
Select all that apply. to
a) Identify potential or actual postoperative recovery.
health
problems.
b) Verify the presence of a signed
consent form.
c) Assess patient's response to
interventions.
d) Intervene to prevent
complications.
e) Assess effectiveness of
teaching
related to postoperative recovery.
5. A patient having surgery has a b) Involvement of vital organs
degree of risk associated with the e) A history of respiratory disease and
surgery. The nurse would evaluate diabetes
which patient-related factors as
contributing to a high degree of
risk
associated with surgery? Select all
that apply.
a) Type of institution where
surgery is
performed
b) Involvement of vital organs
c) Average nutritional status
d) Low likelihood of procedure
complications
e) A history of respiratory disease
and diabetes
, 6. A patient has just entered the a) Vital signs, level of consciousness,
postanesthesia care unit (PACU) presence of
from surgery. For which priority pain
needs should the nurse
immediately
assess the postoperative patient?
a) Vital signs, level of
consciousness,
presence of pain
b) Skin coloring, surgical incision,
limb movements
c) Skin temperature, blood
pressure,
mental status
d) Temperature, emotional status,
wound drainage
7. The nurse in the postanesthesia a) Pallor or cyanosis
care unit (PACU) is assessing a d) Fluid loss
postoperative patient. Which e) Decreased urinary output
indicators suggest to the nurse an
alteration in tissue perfusion?
Select
all that apply.
a) Pallor or cyanosis
b) Difficulty with mobility
c) Pain in the incision area
d) Fluid loss
e) Decreased urinary output
