NURS 315 Exam 1: Questions With Accurate Answers
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic
cholecystectomy at an outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a part of the liver.
d. the patient will need special preparation because of obesity. Right Ans -
A
The patient tells the nurse in the preoperative setting that she has noticed she
has a reaction when wearing rubber gloves. What is the mostappropriate
action?
a. Notify the surgeon so that the surgery can be cancelled.
b. Ask additional questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient's rubber sensitivity has no bearing
on surgery. Right Ans - B
A 59-yr-old man scheduled for a herniorrhaphy in 2 days reports that he takes
ginkgo daily. What is the priority intervention?
a. Inform the surgeon, since the procedure may have to be rescheduled.
b. Notify the anesthesia care provider, since this herb interferes with
anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal
supplement.
d. Tell the patient to continue to take the herbal supplement up to the day
before surgery. Right Ans - A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an
emancipated minor. She has a statement from the court for verification. Which
intervention is mostappropriate?
a. Witness the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under
18.
c. Notify the hospital attorney that an emancipated minor is consenting for
surgery.
d. Obtain verbal consent since written consent is not necessary for
emancipated minors. Right Ans - A
, A priority nursing intervention to aid a preoperative patient in coping with
fear of postoperative pain would be to
a. inform the patient that pain medication will be available.
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale.
Right Ans - D
A patient is scheduled for surgery requiring general anesthesia at an
ambulatory surgical center. The nurse asks him when he ate last. He replies
that he had a light breakfast a couple of hours before coming to the surgery
center. What should the nurse do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate.
Right Ans - D
A patient who normally takes 40 units of glargine insulin (long acting) at
bedtime asks the nurse what to do about her dose the night before surgery.
The best response would be to have her
a. skip her insulin altogether the night before surgery.
b. get instructions from her surgeon or HCP on any insulin adjustments.
c. take her usual dose at bedtime and eat a light breakfast in the morning.
d. eat a moderate meal before bedtime and then take half her usual insulin
dose. Right Ans - B
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational materials.
b. speaking louder for patients with hearing aids.
c. recognizing that sensory deficits may be present.
d. providing warm blankets to prevent hypothermia.
e. teaching important information early in the morning. Right Ans - C, D
Proper attire for the semirestricted area of the surgery department is
a. street clothing.
b. surgical attire and head cover.
c. scrub attire, head cover, shoe covers.
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic
cholecystectomy at an outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a part of the liver.
d. the patient will need special preparation because of obesity. Right Ans -
A
The patient tells the nurse in the preoperative setting that she has noticed she
has a reaction when wearing rubber gloves. What is the mostappropriate
action?
a. Notify the surgeon so that the surgery can be cancelled.
b. Ask additional questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient's rubber sensitivity has no bearing
on surgery. Right Ans - B
A 59-yr-old man scheduled for a herniorrhaphy in 2 days reports that he takes
ginkgo daily. What is the priority intervention?
a. Inform the surgeon, since the procedure may have to be rescheduled.
b. Notify the anesthesia care provider, since this herb interferes with
anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal
supplement.
d. Tell the patient to continue to take the herbal supplement up to the day
before surgery. Right Ans - A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an
emancipated minor. She has a statement from the court for verification. Which
intervention is mostappropriate?
a. Witness the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under
18.
c. Notify the hospital attorney that an emancipated minor is consenting for
surgery.
d. Obtain verbal consent since written consent is not necessary for
emancipated minors. Right Ans - A
, A priority nursing intervention to aid a preoperative patient in coping with
fear of postoperative pain would be to
a. inform the patient that pain medication will be available.
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale.
Right Ans - D
A patient is scheduled for surgery requiring general anesthesia at an
ambulatory surgical center. The nurse asks him when he ate last. He replies
that he had a light breakfast a couple of hours before coming to the surgery
center. What should the nurse do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate.
Right Ans - D
A patient who normally takes 40 units of glargine insulin (long acting) at
bedtime asks the nurse what to do about her dose the night before surgery.
The best response would be to have her
a. skip her insulin altogether the night before surgery.
b. get instructions from her surgeon or HCP on any insulin adjustments.
c. take her usual dose at bedtime and eat a light breakfast in the morning.
d. eat a moderate meal before bedtime and then take half her usual insulin
dose. Right Ans - B
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational materials.
b. speaking louder for patients with hearing aids.
c. recognizing that sensory deficits may be present.
d. providing warm blankets to prevent hypothermia.
e. teaching important information early in the morning. Right Ans - C, D
Proper attire for the semirestricted area of the surgery department is
a. street clothing.
b. surgical attire and head cover.
c. scrub attire, head cover, shoe covers.
