ADVANCED CONCEPTS OF MEDICAL–
SURGICAL NURSING EXAM 1 CERTIFICATION
EVALUATION TEST 2026 QUESTIONS AND
ANSWERS GUARANTEED TO PASS
◉ deep breathing exercises. Answer: serves to fully expand the
alveoli and mobilize the removal of secretions
-sitting position
-splint incision
-deep breaths x3
-quick deep breath
-strong cough
-repeat x3
◉ incentive spirometer. Answer: a device used to force the client to
concentrate on inspiration and promote full inflation of the lungs,
while providing immediate feedback; used particularly after surgery
and in lung disorders.
-sit on edge of bed or raise HOB
-place mouthpiece in mouth and seal lips aroujnd
-breath in as slowly and deeply as possible
-raise piston to yellow indicator
,-hold breath 5 seconds
-allow piston to fall
-repeat 10x/hr then cough while splinting incision
◉ goal for incentive spirometer. Answer: 2000 inspiratory volume
◉ foot, leg, and ankle exercises. Answer: promotes circulation,
prevents formation of DVT, and yas muscles
-dorsiflexion and plantarflexion
-bend knees and straighten
-ankle circles
◉ SCDs and TED hose. Answer: rationale is to prevent blood clots by
mimicking calf muscle movement
-bladder of the device must be located at the calf muscle
◉ mobility, turning, and positioning. Answer: must explain benefits!
rationale: helps w circulation, aids in digestion, prevents muscle
atrophy, breathing better (helps respiratory status)!
-OOB day of surgery or first postop day unless contraindicated
◉ abductor pillow. Answer: Medical pillow used to immobilize a
person's legs just after hip surgery
,-uncomfy but important!!!!!! promotes alignment of extremity,
prevents internal rotation, and popping of hip replacement
◉ nasogastric tube. Answer: tube inserted through the nose into the
stomach
◉ purpose of NG tube. Answer: drains gastric contents (also may be
used for enteral feeding)
-gives GI system a rest
◉ chest tube to underwater seal drain. Answer: Catheter inserted
through the thorax into the chest cavity for removing air or fluid;
used after chest or heart surgery or pneumothorax
◉ postoperative drains. Answer: -explain anticipated drains to
patient: JP drain, Hemovac, penrose drain
-explain purpose of drains
-provide literature with illustrations
◉ pain management. Answer: teaching pain communication skills
preoperatively results in greater pain relief
-explain use of pain scale preoperatively
-instruct pt to ask for pain medication as frequently as needed for
pain relief!
, ◉ PCA pump. Answer: PATIENT-CONTROLLED analgesic
administered intravenously with a machine
-lock out dose over 4 hours
-nursing assessment: monitor for respiratory depression
◉ addiction anxiety education. Answer: short-term opioid use has
low risk for addiction
◉ PO restrictions prior to surgery. Answer: -traditionally NPO after
midnight if AM surgery
—may be ordered meds... if so, sip water!
-no gum or hard candy!!!!!!!!!
◉ why are there PO restrictions prior to surgery?. Answer: done to
promote gastric emptying and decrease risk of aspiration!!!!!!!
◉ American society of anesthesiologists practice guidelines for
preoperative fasting. Answer: they got nicer... but NOTICE guidelines
does not guarantee complete gastric emptying
◉ day of surgery pt management. Answer: -confirm preop checklist
-record baseline vital signs
SURGICAL NURSING EXAM 1 CERTIFICATION
EVALUATION TEST 2026 QUESTIONS AND
ANSWERS GUARANTEED TO PASS
◉ deep breathing exercises. Answer: serves to fully expand the
alveoli and mobilize the removal of secretions
-sitting position
-splint incision
-deep breaths x3
-quick deep breath
-strong cough
-repeat x3
◉ incentive spirometer. Answer: a device used to force the client to
concentrate on inspiration and promote full inflation of the lungs,
while providing immediate feedback; used particularly after surgery
and in lung disorders.
-sit on edge of bed or raise HOB
-place mouthpiece in mouth and seal lips aroujnd
-breath in as slowly and deeply as possible
-raise piston to yellow indicator
,-hold breath 5 seconds
-allow piston to fall
-repeat 10x/hr then cough while splinting incision
◉ goal for incentive spirometer. Answer: 2000 inspiratory volume
◉ foot, leg, and ankle exercises. Answer: promotes circulation,
prevents formation of DVT, and yas muscles
-dorsiflexion and plantarflexion
-bend knees and straighten
-ankle circles
◉ SCDs and TED hose. Answer: rationale is to prevent blood clots by
mimicking calf muscle movement
-bladder of the device must be located at the calf muscle
◉ mobility, turning, and positioning. Answer: must explain benefits!
rationale: helps w circulation, aids in digestion, prevents muscle
atrophy, breathing better (helps respiratory status)!
-OOB day of surgery or first postop day unless contraindicated
◉ abductor pillow. Answer: Medical pillow used to immobilize a
person's legs just after hip surgery
,-uncomfy but important!!!!!! promotes alignment of extremity,
prevents internal rotation, and popping of hip replacement
◉ nasogastric tube. Answer: tube inserted through the nose into the
stomach
◉ purpose of NG tube. Answer: drains gastric contents (also may be
used for enteral feeding)
-gives GI system a rest
◉ chest tube to underwater seal drain. Answer: Catheter inserted
through the thorax into the chest cavity for removing air or fluid;
used after chest or heart surgery or pneumothorax
◉ postoperative drains. Answer: -explain anticipated drains to
patient: JP drain, Hemovac, penrose drain
-explain purpose of drains
-provide literature with illustrations
◉ pain management. Answer: teaching pain communication skills
preoperatively results in greater pain relief
-explain use of pain scale preoperatively
-instruct pt to ask for pain medication as frequently as needed for
pain relief!
, ◉ PCA pump. Answer: PATIENT-CONTROLLED analgesic
administered intravenously with a machine
-lock out dose over 4 hours
-nursing assessment: monitor for respiratory depression
◉ addiction anxiety education. Answer: short-term opioid use has
low risk for addiction
◉ PO restrictions prior to surgery. Answer: -traditionally NPO after
midnight if AM surgery
—may be ordered meds... if so, sip water!
-no gum or hard candy!!!!!!!!!
◉ why are there PO restrictions prior to surgery?. Answer: done to
promote gastric emptying and decrease risk of aspiration!!!!!!!
◉ American society of anesthesiologists practice guidelines for
preoperative fasting. Answer: they got nicer... but NOTICE guidelines
does not guarantee complete gastric emptying
◉ day of surgery pt management. Answer: -confirm preop checklist
-record baseline vital signs
