Examl 1:l NSG123/l NSGl 123l (NEWl 2025/l
2026l Update)l Medicall Surgicall Nursingl Il
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-Herzing
QUESTION
Malignantl hyperthermia
Answer:
-Rarel inheritedl musclel disorderl thatl isl chemicallyl inducedl byl anestheticl agents
•Symptoms:
•Extremel musclel rigidity
•Templ >l 104l F
•Increasedl lacticl acid
•Metabolicl Acidosisl onl ABG's
•Cardiacl dysrhythmias
•Cyanosis
QUESTION
Howl tol maintainl asepsisl andl rational
Answer:
-Alll materialsl inl contactl withl thel surgicall woundl orl usedl withinl thel sterilel fieldl mustl
bel sterile.
-Gownsl ofl thel surgicall teaml arel consideredl sterilel inl frontl froml thel chestl tol thel levell
ofl thel sterilel field.l Thel sleevesl arel alsol consideredl sterilel froml 2l inl abovel thel elbowl
tol thel stockinettel cuff.
-Sterilel drapesl arel usedl tol createl al sterilel field
-Afterl al sterilel packagel isl opened,l thel edgesl arel consideredl unsterile.
-Sterilel peoplel tol Sterilel people.l circulatingl nursesl andl unsterilel itemsl contactl onlyl
unsterilel areas.
-Atl leastl al 1-ftl distancel froml thel sterilel fieldl mustl bel maintainedl tol preventl
inadvertentl contamination.
-Wheneverl al sterilel barrierl isl breached,l thel areal mustl bel consideredl contaminated.
,-Thel routinel administrationl ofl hyperoxial (highl levelsl ofl oxygen)l isl notl recommendedl tol
reducel surgicall sitel infections.
QUESTION
Surgicall Areal Zones
Answer:
Tol helpl decreasel microbes,l thel surgicall areal isl dividedl intol threel zones:
Unrestrictedl Zone-wherel streetl clothesl arel allowed
Semi-Restrictedl Zone-wherel attirel consistsl ofl scrubl clothesl andl caps
Restrictedl Zone-wherel scrubl clothes,l shoel covers,l caps,l andl masksl arel worn.l Thel
surgeonsl andl otherl surgicall teaml membersl wearl additionall sterilel clothingl andl protectivel
devicesl duringl surgery.
QUESTION
Majorl outcomel goalsl forl thel planl ofl care
Answer:
-Reducedl anxiety
-Absencel ofl latexl exposure
-Absencel ofl positioningl injuries
-Freedoml froml injury
-Maintenancel ofl thel patient'sl dignityl -Absencel ofl complications
QUESTION
Stagel I:
Answer:
Duringl thisl stage,l noisesl arel exaggerated;l evenl lowl voicesl orl minorl soundsl seeml loudl
andl unreal.l Forl thesel reasons,l unnecessaryl noisesl andl motionsl arel avoidedl whenl
anesthesial begins.
,QUESTION
Stagel II:
Answer:
Possibilityl ofl uncontrolledl movementsl ofl thel patientl duringl thisl stage,l thel
anesthesiologistl orl CRNAl mustl alwaysl bel assistedl byl someonel readyl tol helpl restrainl
thel patientl orl tol applyl cricoidl pressurel inl thel casel ofl vomitingl tol preventl aspiration.
QUESTION
Stagel III:
Answer:
Monitorl Vitals
QUESTION
Stagel IV:l Notl planned
Answer:
Anestheticl agentl isl discontinuedl immediatelyl andl respiratoryl andl circulatoryl supportl isl
initiatedl tol preventl death.l Stimulants,l althoughl rarelyl used,l mayl bel given;l narcoticl
antagonistsl canl bel usedl ifl thel overdosel isl duel tol opioids.
QUESTION
Post-operativel prioritiesl usingl ABCs
Answer:
-Skilledl assessmentsl ofl thel patient'sl airway,l respiratoryl function,l cardiovascularl function,l
skinl color,l levell ofl consciousness,l andl abilityl tol respondl tol commands
-Thel primaryl cardiovascularl complicationsl seenl inl thel PACUl includel hypotensionl andl
shock,l hemorrhage,l hypertension,l andl dysrhythmias.
, QUESTION
Religiousl orl regardingl surgeryl andl complications
Answer:
Certainl patientsl mayl declinel bloodl transfusionsl forl religiousl orl culturall reasonsl andl
mayl identifyl thisl requestl onl theirl advancel directivesl orl livingl will.l Alsol animall swinel
orl bovinel suchl asl Heparin.l Speciall meall request.
QUESTION
Focusedl assessmentl post-operatively
Answer:
-Respiratoryl status
-Pain
-Appearance/cardiovascular
-Dressings
-Orientationl
-Baseline
QUESTION
Preventingl respiratoryl complicationsl post-opl patientl teaching
Answer:
-Deepl Breathing
-Coughing
-Incentivel Spirometry
-Splinting
-Ambulation
2026l Update)l Medicall Surgicall Nursingl Il
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-Herzing
QUESTION
Malignantl hyperthermia
Answer:
-Rarel inheritedl musclel disorderl thatl isl chemicallyl inducedl byl anestheticl agents
•Symptoms:
•Extremel musclel rigidity
•Templ >l 104l F
•Increasedl lacticl acid
•Metabolicl Acidosisl onl ABG's
•Cardiacl dysrhythmias
•Cyanosis
QUESTION
Howl tol maintainl asepsisl andl rational
Answer:
-Alll materialsl inl contactl withl thel surgicall woundl orl usedl withinl thel sterilel fieldl mustl
bel sterile.
-Gownsl ofl thel surgicall teaml arel consideredl sterilel inl frontl froml thel chestl tol thel levell
ofl thel sterilel field.l Thel sleevesl arel alsol consideredl sterilel froml 2l inl abovel thel elbowl
tol thel stockinettel cuff.
-Sterilel drapesl arel usedl tol createl al sterilel field
-Afterl al sterilel packagel isl opened,l thel edgesl arel consideredl unsterile.
-Sterilel peoplel tol Sterilel people.l circulatingl nursesl andl unsterilel itemsl contactl onlyl
unsterilel areas.
-Atl leastl al 1-ftl distancel froml thel sterilel fieldl mustl bel maintainedl tol preventl
inadvertentl contamination.
-Wheneverl al sterilel barrierl isl breached,l thel areal mustl bel consideredl contaminated.
,-Thel routinel administrationl ofl hyperoxial (highl levelsl ofl oxygen)l isl notl recommendedl tol
reducel surgicall sitel infections.
QUESTION
Surgicall Areal Zones
Answer:
Tol helpl decreasel microbes,l thel surgicall areal isl dividedl intol threel zones:
Unrestrictedl Zone-wherel streetl clothesl arel allowed
Semi-Restrictedl Zone-wherel attirel consistsl ofl scrubl clothesl andl caps
Restrictedl Zone-wherel scrubl clothes,l shoel covers,l caps,l andl masksl arel worn.l Thel
surgeonsl andl otherl surgicall teaml membersl wearl additionall sterilel clothingl andl protectivel
devicesl duringl surgery.
QUESTION
Majorl outcomel goalsl forl thel planl ofl care
Answer:
-Reducedl anxiety
-Absencel ofl latexl exposure
-Absencel ofl positioningl injuries
-Freedoml froml injury
-Maintenancel ofl thel patient'sl dignityl -Absencel ofl complications
QUESTION
Stagel I:
Answer:
Duringl thisl stage,l noisesl arel exaggerated;l evenl lowl voicesl orl minorl soundsl seeml loudl
andl unreal.l Forl thesel reasons,l unnecessaryl noisesl andl motionsl arel avoidedl whenl
anesthesial begins.
,QUESTION
Stagel II:
Answer:
Possibilityl ofl uncontrolledl movementsl ofl thel patientl duringl thisl stage,l thel
anesthesiologistl orl CRNAl mustl alwaysl bel assistedl byl someonel readyl tol helpl restrainl
thel patientl orl tol applyl cricoidl pressurel inl thel casel ofl vomitingl tol preventl aspiration.
QUESTION
Stagel III:
Answer:
Monitorl Vitals
QUESTION
Stagel IV:l Notl planned
Answer:
Anestheticl agentl isl discontinuedl immediatelyl andl respiratoryl andl circulatoryl supportl isl
initiatedl tol preventl death.l Stimulants,l althoughl rarelyl used,l mayl bel given;l narcoticl
antagonistsl canl bel usedl ifl thel overdosel isl duel tol opioids.
QUESTION
Post-operativel prioritiesl usingl ABCs
Answer:
-Skilledl assessmentsl ofl thel patient'sl airway,l respiratoryl function,l cardiovascularl function,l
skinl color,l levell ofl consciousness,l andl abilityl tol respondl tol commands
-Thel primaryl cardiovascularl complicationsl seenl inl thel PACUl includel hypotensionl andl
shock,l hemorrhage,l hypertension,l andl dysrhythmias.
, QUESTION
Religiousl orl regardingl surgeryl andl complications
Answer:
Certainl patientsl mayl declinel bloodl transfusionsl forl religiousl orl culturall reasonsl andl
mayl identifyl thisl requestl onl theirl advancel directivesl orl livingl will.l Alsol animall swinel
orl bovinel suchl asl Heparin.l Speciall meall request.
QUESTION
Focusedl assessmentl post-operatively
Answer:
-Respiratoryl status
-Pain
-Appearance/cardiovascular
-Dressings
-Orientationl
-Baseline
QUESTION
Preventingl respiratoryl complicationsl post-opl patientl teaching
Answer:
-Deepl Breathing
-Coughing
-Incentivel Spirometry
-Splinting
-Ambulation
