Nursing Actual Questions & Verified
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Description: This comprehensive revision resource contains 200 multiple-choice
questions (MCQs) with verified answers covering key concepts for NUR 185 Exam 2.
Topics include perioperative nursing, fluid and electrolyte balance, acid-base
imbalances, intravenous therapy, blood administration, wound care, and
postoperative complications. Each question is designed to mirror the Hondros
Nursing exam style, with correct answers marked with a ✅ and distributed randomly to
avoid answer patterns.
Keywords: NUR 185, Exam 2, Hondros Nursing, perioperative nursing, fluid and
electrolyte balance, acid-base imbalances, IV therapy, blood transfusion, wound care,
postoperative complications, nursing MCQs, verified answers, 2026, 2027.
1. Which phase of the perioperative period begins when the patient is admitted
for surgery and ends when the patient is transferred to the operating room?
A. Postoperative phase
B. Intraoperative phase
,C. Preoperative phase ✅
D. Rehabilitation phase
2. A nurse is assessing a patient scheduled for surgery. Which finding places the
patient at highest risk for surgical complications?
A. Blood pressure 118/76 mm Hg
B. Hemoglobin 13.2 g/dL
C. Body mass index (BMI) 32 kg/m²
D. Serum potassium 3.1 mEq/L ✅
3. Which preoperative instruction is most important for the nurse to reinforce for
a patient undergoing general anesthesia?
A. "You may eat a light breakfast on the morning of surgery."
B. "Do not eat or drink anything after midnight." ✅
C. "You may drink clear liquids up to 2 hours before surgery."
D. "Take all your oral medications with a small sip of water."
4. A patient is scheduled for surgery and asks the nurse why an informed consent
is necessary. Which response by the nurse is best?
A. "It protects the hospital from legal liability."
B. "It allows the surgeon to perform any procedure needed."
C. "It ensures you understand the procedure and give permission." ✅
D. "It is required before you can receive anesthesia."
5. Which laboratory value should the nurse report immediately before surgery?
A. WBC 7,500/mm³
B. Platelet count 150,000/mm³
C. INR 3.5 ✅
D. Serum sodium 140 mEq/L
,6. During the intraoperative phase, which role is responsible for maintaining the
sterile field?
A. Anesthesiologist
B. Circulating nurse
C. Scrub nurse ✅
D. Surgeon
7. A patient in the PACU has a respiratory rate of 8 breaths/min and oxygen
saturation of 88%. What is the nurse's priority action?
A. Administer oxygen and stimulate the patient ✅
B. Document the findings and reassess in 15 minutes
C. Position the patient supine
D. Increase the IV fluid rate
8. Which finding indicates that a patient is ready for discharge from the PACU?
A. Patient is drowsy but arousable
B. Patient has stable vital signs and protective reflexes ✅
C. Patient has a dry dressing
D. Patient reports mild pain
9. A postoperative patient reports sudden shortness of breath and chest pain. The
nurse suspects a pulmonary embolism. Which action should the nurse take first?
A. Administer a prescribed analgesic
B. Apply oxygen and notify the provider ✅
C. Ambulate the patient
D. Encourage deep breathing
10. Which intervention is most effective in preventing postoperative atelectasis?
, A. Administering antibiotics
B. Encouraging incentive spirometry ✅
C. Maintaining bed rest
D. Restricting fluids
11. A patient is at risk for malignant hyperthermia during surgery. Which
medication should the nurse anticipate administering?
A. Dantrolene ✅
B. Epinephrine
C. Atropine
D. Furosemide
12. Which electrolyte imbalance is most commonly associated with prolonged
vomiting?
A. Hyperkalemia
B. Hypokalemia ✅
C. Hypernatremia
D. Hypercalcemia
13. A patient has a serum potassium level of 6.8 mEq/L. Which action should the
nurse take first?
A. Administer potassium chloride
B. Place the patient on a cardiac monitor ✅
C. Encourage a high-potassium diet
D. Administer a diuretic
14. Which intravenous solution is isotonic?
A. 0.45% sodium chloride
B. 3% sodium chloride