NUR 317 EXAM 1 2026/2027 – QUESTIONS, STUDY GUIDE & PRACTICE REVIEW

NUR 317 EXAM 1 2026/2027 – QUESTIONS, STUDY GUIDE &
PRACTICE REVIEW

What is the nurses role in informed consent? - Correct answer ✔✔ to witness the client's
signature on the informed consent form and to ensure that informed consent has been
appropriately obtained



What is the nurses role in Pre-Op assessment? - Correct answer ✔✔ • Vitals

• NPO

• Allergies

• Current medications

• Systems Assessment

Focus on respiratory, CV, & renal fn

• History & physical examination

* Personal & Family Hx

• Dental Prosthetics

• Hcg - Pregnancy

Why? anesthesia and other medications given pre, intra, or post surgery could be harmful to
the fetus



Review of Systems: provide baseline data on patient status - Correct answer ✔✔ • Respiratory -
Infections, COPD, Asthma, Sleep apnea, Smoking

• Cardiovascular - CAD, HTN, Angina, HF, Dysrhythmias

• Neurologic - Ability to respond to questions, commands. Have organized thought patterns, etc.
for post-op comparison

• GU - Urinary Issues, Elimination

• Hepatic - Hepatic dysfunction, Drug metabolism

,• Integumentary - Risk for pressure injury



Patient Teaching - Correct answer ✔✔ •Teaching should begin on Admission!

patient is most alert, repetitiveness helps to get points across more clearly



• Incentive Spirometry, Deep-Breathe & Cough (DB&C)

• Pain expectations & management

• Ambulation

• Lines, Drains, etc

• Discharge planning

• Lifestyle changes

• Follow-up



What three consents are needed pre-operatively? - Correct answer ✔✔ • Surgical

• Anesthesia

• Blood



if any refusal, do *not* continue on



Informed consent for surgery: Nurse verifies - Correct answer ✔✔ • All questions answered

clarify any Qs or direct pt Qs back to the surgeon

• Drug Free

• Signed and Witnessed

• All consents in Chart



*Nurses cannot educate*

,Informed Consent exception - Correct answer ✔✔ If no one knows patient wishes and/or there
is *no* POA, next of kin signs, OR, 2 physicians document necessity



Pre-Op Safety: nurses role - Correct answer ✔✔ • Patient Identification

• Site prep and identification (mark correctly)

• Verify NPO status

• Apply SCDs, Cap and Gown

• Documentation of Vitals, labs, etc.

• Remove undergarments, make-up, nail polish, jewelry, dentures, hearing aids, lenses. (Prep
the patient)

• Safe Hand-off to OR nurse (SBAR)



Intra-Operative Safety: nurse needs to check off on - Correct answer ✔✔ • Right Pateint

• Right Surgery

• Right Location

• Who is on hand?

• Allergies

• Consents

• Equipment

• Prep



local anesthesia - Correct answer ✔✔ • Lidocaine, Benzocaine, etc

• Sutures, dermatologic surgeries, etc.



Regional (Nerve blocks) anesthesia - Correct answer ✔✔ • Lidocaine, tetracaine, etc.

• Injection near nerves

, • Spinal, Epidural, etc.

• Now used a lot outside of L&D



Conscious Sedation anesthesia - Correct answer ✔✔ • Conscious but sedated

• No artificial airway needed

• Dislocations, cardioversion, etc.

• Opioids and sedatives



General Anesthesia - Correct answer ✔✔ • Inhalents - Nitrous Oxide, Halothane

• Muscle Relaxants - Succinacoline

• IV - Propofol, Pentathol

• Loss of Conscousness

• Amnesia

• Analgesia

• Muscle relaxation

• Rapidly excreted

• Respiratory or CV depression

• Needs artificial airway and oxygen supplementation



Malignant Hyperthermia - Correct answer ✔✔ • Rare, Life Threatening

•Trigger: Inhalant anesthesia = Muscle relaxant/Paralytic

• Genetic predisposition

• *Stop Surgery ASAP*

• Supplement *O2*

• *Cooling* Blanket

• **Dantrolene** - ONLY RX