Exam 1: NSG123 (Latest 2024/ 2025 Update) Med Surg 1
(Medical Surgical Nursing) | Questions and Verified
Answers
Question 1. T/F
Surgery classification based on the degree of urgency is considered emergent if it is
scheduled within 24 to 30 hours (e.g., acute gallbladder infection).
ANSWER.False, emergent is without delay, urgent is 24-30 hours
Question 2. T/F
It is the doctor's responsibility to provide appropriate information concerning surgery and
obtain the written surgical consent.
ANSWER.True, nurse whitnesses conformed consent. If patient does not
understand, call doctor back to re educate them. Emergency and they are not
awake is an exception
Question 3. T/F
Any nutritional deficiency prior to surgery should be corrected before surgery to provide
adequate protein for tissue repair and collagen deposition.
ANSWER.True, check especially in patients who are on corticosteroids, diabetes,
dehydration, and malnourishment
Question 4. T/F
Patients who smoke are urged to stop 1 to 3 weeks before surgery to significantly
reduce pulmonary and wound healing complications.
ANSWER.False, stop smoking 30 days prior
Question 5. T/F
Aspirin, a common over-the-counter (OTC) medication that inhibits platelet aggregation,
should be prudently discontinued 7 to 10 days before surgery or the patient may be at
increased risk for bleeding.
ANSWER.True, anything that will cause clotting issues
Question 6. Scrub nurses and circulating Nurse’s care for patients during which
perioperativephase?
, ANSWER.Scrub nurses and circulating nurses care for patients during the
intraoperative phase of perioperative Nursing.
Question 7. Why is food and fluid withheld before surgery?
ANSWER.The purpose of withholding food and fluid before surgery is to
preventaspiration.
Question 8. Obese patients are at higher risk for what kind of postoperative
complications?& Why?
ANSWER.Pulmonary Complications
An obese patient tends to have shallow respirations when supine, increasing the
risk of hypoventilation and postoperative pulmonary complications.
Question 9. T/F
Dehydration, hypovolemia, and electrolyte imbalances can lead to significant problems
in patients with comorbid medical conditions or in older adults.
ANSWER.True
Question 10. What are patients with diabetes at a higher risk for with surgery? &
Why?ANSWER.The patient with diabetes is at risk for hypoglycemia either
during anesthesia or postoperatively
WHY?
Inadequate carbohydrates or excessive administration of insulin.
Question 11. T/F
Age alone confers enough surgical risk that it is a clinical predictor of cardiovascular
complications related to anesthesia and surgery.
ANSWER.True
Question 12. T/F
Throughout surgery, Nursing responsibilities include providing for the safety and
well-being of the patient, coordinating the OR personnel, and performing scrub and
circulating activities.
ANSWER.True
Question 13.T/F
Nursing assessment of the intraoperative patient involves obtaining data from the
patient and the patient's medical record to identify factors that can affect care.
ANSWER.True, only monitor during sleeping patient which is during the
intraoperative phase
(Medical Surgical Nursing) | Questions and Verified
Answers
Question 1. T/F
Surgery classification based on the degree of urgency is considered emergent if it is
scheduled within 24 to 30 hours (e.g., acute gallbladder infection).
ANSWER.False, emergent is without delay, urgent is 24-30 hours
Question 2. T/F
It is the doctor's responsibility to provide appropriate information concerning surgery and
obtain the written surgical consent.
ANSWER.True, nurse whitnesses conformed consent. If patient does not
understand, call doctor back to re educate them. Emergency and they are not
awake is an exception
Question 3. T/F
Any nutritional deficiency prior to surgery should be corrected before surgery to provide
adequate protein for tissue repair and collagen deposition.
ANSWER.True, check especially in patients who are on corticosteroids, diabetes,
dehydration, and malnourishment
Question 4. T/F
Patients who smoke are urged to stop 1 to 3 weeks before surgery to significantly
reduce pulmonary and wound healing complications.
ANSWER.False, stop smoking 30 days prior
Question 5. T/F
Aspirin, a common over-the-counter (OTC) medication that inhibits platelet aggregation,
should be prudently discontinued 7 to 10 days before surgery or the patient may be at
increased risk for bleeding.
ANSWER.True, anything that will cause clotting issues
Question 6. Scrub nurses and circulating Nurse’s care for patients during which
perioperativephase?
, ANSWER.Scrub nurses and circulating nurses care for patients during the
intraoperative phase of perioperative Nursing.
Question 7. Why is food and fluid withheld before surgery?
ANSWER.The purpose of withholding food and fluid before surgery is to
preventaspiration.
Question 8. Obese patients are at higher risk for what kind of postoperative
complications?& Why?
ANSWER.Pulmonary Complications
An obese patient tends to have shallow respirations when supine, increasing the
risk of hypoventilation and postoperative pulmonary complications.
Question 9. T/F
Dehydration, hypovolemia, and electrolyte imbalances can lead to significant problems
in patients with comorbid medical conditions or in older adults.
ANSWER.True
Question 10. What are patients with diabetes at a higher risk for with surgery? &
Why?ANSWER.The patient with diabetes is at risk for hypoglycemia either
during anesthesia or postoperatively
WHY?
Inadequate carbohydrates or excessive administration of insulin.
Question 11. T/F
Age alone confers enough surgical risk that it is a clinical predictor of cardiovascular
complications related to anesthesia and surgery.
ANSWER.True
Question 12. T/F
Throughout surgery, Nursing responsibilities include providing for the safety and
well-being of the patient, coordinating the OR personnel, and performing scrub and
circulating activities.
ANSWER.True
Question 13.T/F
Nursing assessment of the intraoperative patient involves obtaining data from the
patient and the patient's medical record to identify factors that can affect care.
ANSWER.True, only monitor during sleeping patient which is during the
intraoperative phase
