NUR 1172 RASMUSSEN UNIVERSITY - EXAM 3 LATEST
2026/2027 | PATIENT CARE | 40 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: PREOPERATIVE CARE - Questions 1-8
Q1: Preoperative - Informed Consent
The nurse is preparing a patient for surgery. Which of the following is the most important
preoperative nursing action?
A. Ensuring informed consent is signed
B. Shaving the surgical site
C. Administering preoperative sedation
D. Giving the patient breakfast
Correct Answer: A
Rationale: Ensuring informed consent is signed is a critical preoperative nursing action. The patient
should be NPO. Shaving should be done with clippers. Sedation is given after consent. [100%
CORRECT]
Q2: Preoperative - Informed Consent Responsibility
The nurse is verifying informed consent for surgery. Which of the following is true about informed
consent?
A. The nurse can obtain the informed consent
B. The surgeon is responsible for obtaining informed consent
C. Informed consent is not needed for emergency surgery
D. Informed consent can be obtained after sedation
Correct Answer: B
Rationale: The surgeon (or provider performing the procedure) is responsible for obtaining informed
consent. The nurse acts as a witness. Consent should be obtained before sedation. [100% CORRECT]
Q3: Preoperative - NPO Status
The nurse is preparing a patient for surgery. Which of the following is the standard NPO instruction?
A. NPO for 2 hours before surgery
B. NPO for 4 hours before surgery
C. NPO for 6-8 hours before surgery
D. NPO for 12 hours before surgery
Correct Answer: C
Rationale: Standard NPO for surgery is 6-8 hours for solid food and 2 hours for clear liquids. [100%
CORRECT]
, 2
Q4: Preoperative - Medication Review - Aspirin
The nurse is reviewing a patient's medications before surgery. Which of the following medications
may increase bleeding risk and should be held?
A. Aspirin
B. Metformin
C. Lisinopril
D. Levothyroxine
Correct Answer: A
Rationale: Aspirin and other anticoagulants/antiplatelets increase bleeding risk and are often held
before surgery. Metformin may be held due to risk of lactic acidosis. Lisinopril may be held to
prevent hypotension. Levothyroxine is usually continued. [100% CORRECT]
Q5: Preoperative - Medication Review - Metformin
The nurse is reviewing a patient's medications before surgery. Which of the following is true about
metformin before surgery?
A. It should be continued as ordered
B. It should be held 24-48 hours before surgery
C. It has no effect on surgery
D. It should be doubled before surgery
Correct Answer: B
Rationale: Metformin should be held 24-48 hours before surgery due to risk of lactic acidosis,
especially if contrast dye will be used. [100% CORRECT]
Q6: Preoperative - Patient Teaching
The nurse is providing preoperative teaching to a patient. Which of the following should be
included?
A. Deep breathing and coughing exercises
B. Incentive spirometry
C. Postoperative pain management
D. All of the above
Correct Answer: D
Rationale: Preoperative teaching includes deep breathing exercises, incentive spirometry, pain
management, mobility, and what to expect. [100% CORRECT]
Q7: Preoperative - Fasting Guidelines
The nurse is providing preoperative instructions to a patient. Which of the following is the correct
instruction for clear liquids?
A. Clear liquids can be taken up to 2 hours before surgery
B. Clear liquids can be taken up to 4 hours before surgery
C. Clear liquids can be taken up to 6 hours before surgery
D. Clear liquids can be taken up to 8 hours before surgery