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NU 300 PERIOP EXAM | COMPREHENSIVE PERIOPERATIVE & MEDICAL-SURGICAL NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027

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NU 300 PERIOP EXAM | COMPREHENSIVE PERIOPERATIVE & MEDICAL-SURGICAL NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027

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NU 300 PERIOP EXAM | COMPREHENSIVE PERIOPERATIVE & MEDICAL-SURGICAL
NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027

preop phase - ANS ✔✔begins when PT is scheduled for surgery, focused on reducing anxiety,
complications & gaining PT cooperation.

-ectomy - ANS ✔✔removal of

-ostomy - ANS ✔✔create a permanent opening

-otomy - ANS ✔✔cutting into

-plasty - ANS ✔✔reconstruction/repair

-scopy - ANS ✔✔use a scope to look at/view

surgeon/MD assessment - ANS ✔✔within 30 days of surgery, updated 24 hours prior to surgery, focus on
medical clearance for surgery

anesthesiologist assessment - ANS ✔✔focus on potential anesthesia related risks & prior complications,
classify PT

nursing assessment - ANS ✔✔evaluate readiness for surgery (physically, emotionally, mentally)

chronic illness hx - ANS ✔✔may need extra meds

cardiac hx - ANS ✔✔anesthesia risk

infection hx - ANS ✔✔may need to fix first

lung dz hx - ANS ✔✔smoking, reduced lung elasticity, increased atelectasis risk, sleep apnea

previous surgeries - ANS ✔✔malignant hyperthermia, PONV, anxiety, implants (increase end tidal CO2 &
tachycardia, dantrolene sodium)

allergies - ANS ✔✔fruits = latex. egg, peanut, soy = propofol. shellfish = follow policy!

blood donation hx - ANS ✔✔autologous donation, directed donation, bloodless surgery, supplements

discharge planning - ANS ✔✔home environment, support system, needs after surgery (case manager)

social hx - ANS ✔✔drinking, drugs, smoking

physical hx - ANS ✔✔baseline VS

cardiac assessment - ANS ✔✔perfusion- neurovascular assessment, pacemakers/ICDs

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