COMPREHENSIVE NURSING STUDY GUIDE & ACTUAL
EXAM 2026 || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT
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Which nursing intervention helps prevent positioning-related injury
during surgery?
A. Placing the patient in any position that provides surgeon
convenience
B. Ignoring pressure points during lengthy procedures
C. Properly positioning and protecting pressure points
D. Avoiding reassessment after positioning
Answer: C
Rationale: Prolonged surgery and anesthesia can increase the risk of
pressure injuries, nerve damage, musculoskeletal injury, and impaired
circulation. Proper positioning and protection of vulnerable areas are
essential.
Which level of sedation generally allows the patient to respond
normally to verbal commands?
A. Deep sedation
B. Minimal sedation
,C. General anesthesia
D. Complete unconsciousness
Answer: B
Rationale: During minimal sedation, the patient's response to verbal
stimulation is generally preserved, although cognitive function and
coordination may be affected.
Which statement best describes moderate sedation?
A. The patient is completely unconscious and cannot respond.
B. The patient requires mechanical ventilation in every case.
C. The patient is deeply unconscious with no protective reflexes.
D. The patient has a depressed level of consciousness but can generally
maintain the airway independently.
Answer: D
Rationale: Moderate sedation produces a deeper level of sedation than
minimal sedation, but the patient generally maintains purposeful
responses and adequate spontaneous ventilation and airway function.
Which finding is most consistent with deep sedation?
A. The patient cannot be easily awakened and may require airway
support.
B. The patient is fully alert and oriented.
,C. The patient has normal cognitive function.
D. The patient responds normally to all verbal commands.
Answer: A
Rationale: Deep sedation produces substantial depression of
consciousness. The patient may not respond easily to verbal stimulation
and may require assistance with airway or ventilation.
What is a primary airway concern during general anesthesia?
A. Increased ability to protect the airway
B. Reduced risk of aspiration
C. Loss of protective airway reflexes requiring appropriate airway
management
D. Increased spontaneous coughing
Answer: C
Rationale: General anesthesia can suppress protective airway reflexes
and spontaneous ventilation. Appropriate airway management is
therefore a major priority during anesthesia.
Which goal is most appropriate for intraoperative nursing care?
A. Eliminate the need for postoperative assessment
B. Prevent perioperative injury and maintain patient safety
C. Keep the patient completely immobile after discharge
D. Avoid communicating with the patient before surgery
, Answer: B
Rationale: Major intraoperative nursing goals include maintaining
safety, preventing positioning injuries, preserving dignity, reducing
anxiety, maintaining asepsis, and preventing complications.
Which complication should the perioperative nurse recognize as a
potentially life-threatening emergency?
A. Mild postoperative thirst
B. Temporary hoarseness
C. Malignant hyperthermia
D. Mild postoperative fatigue
Answer: C
Rationale: Malignant hyperthermia is a potentially fatal
hypermetabolic reaction associated with certain anesthetic agents in
susceptible individuals. Early recognition and immediate treatment are
essential.
Which finding is most characteristic of malignant hyperthermia?
A. Rapid temperature increase accompanied by muscle rigidity and
tachycardia
B. Gradual decrease in temperature and bradycardia
C. Mild nausea without physiological changes
D. Isolated hypertension without muscle changes