NUR113 Final Exam Guide 2026:
Perioperative & Med-Surg Practice
Questions
Description:
Ace your NUR113 final with this targeted study guide for 2025-2026. This comprehensive
resource is packed with 50+ NCLEX-style practice questions covering critical topics
like perioperative nursing, hypertension management, PAD/VTE, COPD, and asthma
care. Each question includes detailed Answer & Explanation sections to solidify your
understanding of nursing pharmacology, patient safety, and post-op complications. Whether
you're studying for your NUR113 final at or any other nursing program, this guide provides the
focused review you need to build confidence and master the material.
Ready to conquer your exam? Download your free study guide now and walk into your final with
confidence!
, NUR113 Final Exam Review & Practice Questions
1. A patient scheduled for surgery reports daily use of an herbal supplement. Which supplement, if
reported, should prompt the nurse to notify the surgeon due to an increased risk for surgical
complications?
a) Echinacea
b) St. John's Wort
c) Garlic
d) Valerian Root
Answer: c) Garlic
Explanation: Garlic, along with supplements like ginkgo biloba, ginseng, and fish oil, is known
to inhibit platelet aggregation and can potentiate the risk of intraoperative and postoperative
bleeding.
2. During the preoperative assessment, a patient states they have a severe allergy to bananas and
avocados. What is the most appropriate nursing action?
a) Document the allergy and proceed as normal.
b) Place the patient on a latex-free precaution protocol and schedule them as the first surgical
case of the day.
c) Administer a prophylactic antihistamine.
d) Inform the patient that these food allergies are not relevant to surgery.
Answer: b) Place the patient on a latex-free precaution protocol and schedule them as the first
surgical case of the day.
Explanation: Allergies to foods like bananas, avocados, and kiwis are associated with latex-fruit
syndrome, indicating a high risk for a cross-reactive allergic reaction to natural rubber latex used
in surgical gloves and equipment. Scheduling the patient first minimizes exposure to airborne
latex particles from previous procedures.
, 3. What is the specific responsibility of the registered nurse in the process of obtaining a patient's
informed consent for a surgical procedure?
a) To explain the surgical procedure and its risks in detail.
b) To obtain the patient's signature on the consent form.
c) To witness the patient's signature and verify that the consent is informed.
d) To decide if the patient is mentally competent to provide consent.
Answer: c) To witness the patient's signature and verify that the consent is informed.
Explanation: The physician performing the procedure is responsible for explaining the
procedure, risks, benefits, and alternatives. The nurse's role is to witness the patient signing the
consent form, confirming that the patient appears competent and that the signature is voluntary,
not to explain the procedure itself.
4. A patient is receiving the prophylactic antibiotic Ancef before a total knee replacement. When is
the ideal time for this medication to be administered?
a) The night before surgery.
b) 30 to 60 minutes before the initial surgical incision.
c) Immediately upon the patient's arrival in the post-anesthesia care unit (PACU).
d) At the time of anesthesia induction.
Answer: b) 30 to 60 minutes before the initial surgical incision.
Explanation: Prophylactic antibiotics, such as cefazolin (Ancef), are most effective at reducing
surgical site infections when administered within 30 to 60 minutes before incision, allowing for
adequate tissue concentration at the time of potential contamination.
5. A patient is experiencing emergence delirium in the PACU. Which intervention is a priority for
the nurse?
a) Administer a dose of benzodiazepines.
b) Restrain the patient for safety.
c) Assess for and address potential causes such as hypoxia, pain, or a distended bladder.
d) Dim the lights and allow the patient to sleep.
Perioperative & Med-Surg Practice
Questions
Description:
Ace your NUR113 final with this targeted study guide for 2025-2026. This comprehensive
resource is packed with 50+ NCLEX-style practice questions covering critical topics
like perioperative nursing, hypertension management, PAD/VTE, COPD, and asthma
care. Each question includes detailed Answer & Explanation sections to solidify your
understanding of nursing pharmacology, patient safety, and post-op complications. Whether
you're studying for your NUR113 final at or any other nursing program, this guide provides the
focused review you need to build confidence and master the material.
Ready to conquer your exam? Download your free study guide now and walk into your final with
confidence!
, NUR113 Final Exam Review & Practice Questions
1. A patient scheduled for surgery reports daily use of an herbal supplement. Which supplement, if
reported, should prompt the nurse to notify the surgeon due to an increased risk for surgical
complications?
a) Echinacea
b) St. John's Wort
c) Garlic
d) Valerian Root
Answer: c) Garlic
Explanation: Garlic, along with supplements like ginkgo biloba, ginseng, and fish oil, is known
to inhibit platelet aggregation and can potentiate the risk of intraoperative and postoperative
bleeding.
2. During the preoperative assessment, a patient states they have a severe allergy to bananas and
avocados. What is the most appropriate nursing action?
a) Document the allergy and proceed as normal.
b) Place the patient on a latex-free precaution protocol and schedule them as the first surgical
case of the day.
c) Administer a prophylactic antihistamine.
d) Inform the patient that these food allergies are not relevant to surgery.
Answer: b) Place the patient on a latex-free precaution protocol and schedule them as the first
surgical case of the day.
Explanation: Allergies to foods like bananas, avocados, and kiwis are associated with latex-fruit
syndrome, indicating a high risk for a cross-reactive allergic reaction to natural rubber latex used
in surgical gloves and equipment. Scheduling the patient first minimizes exposure to airborne
latex particles from previous procedures.
, 3. What is the specific responsibility of the registered nurse in the process of obtaining a patient's
informed consent for a surgical procedure?
a) To explain the surgical procedure and its risks in detail.
b) To obtain the patient's signature on the consent form.
c) To witness the patient's signature and verify that the consent is informed.
d) To decide if the patient is mentally competent to provide consent.
Answer: c) To witness the patient's signature and verify that the consent is informed.
Explanation: The physician performing the procedure is responsible for explaining the
procedure, risks, benefits, and alternatives. The nurse's role is to witness the patient signing the
consent form, confirming that the patient appears competent and that the signature is voluntary,
not to explain the procedure itself.
4. A patient is receiving the prophylactic antibiotic Ancef before a total knee replacement. When is
the ideal time for this medication to be administered?
a) The night before surgery.
b) 30 to 60 minutes before the initial surgical incision.
c) Immediately upon the patient's arrival in the post-anesthesia care unit (PACU).
d) At the time of anesthesia induction.
Answer: b) 30 to 60 minutes before the initial surgical incision.
Explanation: Prophylactic antibiotics, such as cefazolin (Ancef), are most effective at reducing
surgical site infections when administered within 30 to 60 minutes before incision, allowing for
adequate tissue concentration at the time of potential contamination.
5. A patient is experiencing emergence delirium in the PACU. Which intervention is a priority for
the nurse?
a) Administer a dose of benzodiazepines.
b) Restrain the patient for safety.
c) Assess for and address potential causes such as hypoxia, pain, or a distended bladder.
d) Dim the lights and allow the patient to sleep.
