NRNP 6560 Midterm exam / Actual Exam
Questions Bank with Definitive Explanations
of Answers / Newest 2025/2026.
Terms in this set (196)
Quiz____?
Surgery risk classes -
Answer✓✓
Class 1: benefits outweigh risk, should be done
Class 2a: reasonable to perform
Class 2b: should be considered
Class 3: rarely appropriate
Quiz____?
General rules for surgery: testing -
Answer✓✓
ECG before surgery only if coronary disease, except when low risk surgery
Stress test not indicated before surgery
Do not do prophylactic coronary revascularization
Quiz____?
Page 1 of 124
,Meds before surgery -
Answer✓✓
- Diabetic agents: Use insulin therapy to maintain glycemic goals(iii)
Discontinue biguanides, alpha glucosidase inhibitors, thiazolidinediones,
sulfonylureas, and GLP-1 agonists
- Do not start aspirin before surgery
- Stop Warfarin 5 days before surgery. May be bridged with Lovenox.
- Do not stop statin before surgery
- Do not start beta-blocker on day of surgery, but may continue
Quiz____?
Assessment of surgical risk -
Answer✓✓
- Unstable cardiac condition (recent MI, active angina, active HF,
uncontrolled HTN, severe valvular disease), concern with CAD, CHF.
arrhythmia, CVD
- patient stable or unstable?
- urgency of the procedure (oncology will be time sensitive)
- risk of procedure
- nutritional status
- immune competence
Page 2 of 124
,- determine functional capacity (need to be more than 4 METS, more than 10
METs makes low risk)
Quiz____?
Low risk surgeries -
Answer✓✓
catarcts
breast biopsy
cystoscopy, vasectomy
laporascopic procedures
Plastic surgery
Quiz____?
intermediate risk surgeries -
Answer✓✓
Head/ neck surgery
thyroidectomy
Intraperitoneal
Prostate
Laminectomy
Hip/ knee
Page 3 of 124
, Hysterectomy
cholecystectomy
nephrectomy
non majot intrathoracic
Quiz____?
High risk surgeries -
Answer✓✓
aortic/ cabg
transplants
spinal reconstruction
peripheral vascular surgery
Quiz____?
Lee's revised cardiac risk index -
Answer✓✓
6 points:
High risk surgery = 1
CAD = 1
CHF = 1
Cerebrovascular disease = 1
Page 4 of 124
Questions Bank with Definitive Explanations
of Answers / Newest 2025/2026.
Terms in this set (196)
Quiz____?
Surgery risk classes -
Answer✓✓
Class 1: benefits outweigh risk, should be done
Class 2a: reasonable to perform
Class 2b: should be considered
Class 3: rarely appropriate
Quiz____?
General rules for surgery: testing -
Answer✓✓
ECG before surgery only if coronary disease, except when low risk surgery
Stress test not indicated before surgery
Do not do prophylactic coronary revascularization
Quiz____?
Page 1 of 124
,Meds before surgery -
Answer✓✓
- Diabetic agents: Use insulin therapy to maintain glycemic goals(iii)
Discontinue biguanides, alpha glucosidase inhibitors, thiazolidinediones,
sulfonylureas, and GLP-1 agonists
- Do not start aspirin before surgery
- Stop Warfarin 5 days before surgery. May be bridged with Lovenox.
- Do not stop statin before surgery
- Do not start beta-blocker on day of surgery, but may continue
Quiz____?
Assessment of surgical risk -
Answer✓✓
- Unstable cardiac condition (recent MI, active angina, active HF,
uncontrolled HTN, severe valvular disease), concern with CAD, CHF.
arrhythmia, CVD
- patient stable or unstable?
- urgency of the procedure (oncology will be time sensitive)
- risk of procedure
- nutritional status
- immune competence
Page 2 of 124
,- determine functional capacity (need to be more than 4 METS, more than 10
METs makes low risk)
Quiz____?
Low risk surgeries -
Answer✓✓
catarcts
breast biopsy
cystoscopy, vasectomy
laporascopic procedures
Plastic surgery
Quiz____?
intermediate risk surgeries -
Answer✓✓
Head/ neck surgery
thyroidectomy
Intraperitoneal
Prostate
Laminectomy
Hip/ knee
Page 3 of 124
, Hysterectomy
cholecystectomy
nephrectomy
non majot intrathoracic
Quiz____?
High risk surgeries -
Answer✓✓
aortic/ cabg
transplants
spinal reconstruction
peripheral vascular surgery
Quiz____?
Lee's revised cardiac risk index -
Answer✓✓
6 points:
High risk surgery = 1
CAD = 1
CHF = 1
Cerebrovascular disease = 1
Page 4 of 124
