MED-SURG EXAM 1 2026 QUESTIONS
AND VERIFIED ANSWERS GRADED A+
100 % PASS [BRAND NEW VERSION]
what are two other stages of surgery
1. PACU - post anesthesia care unit
2. ACP- anesthesia care provider
what is the goal during pre-operative care
identify risk factors and plan to ensure patient safety
subjective data to collect during pre-op phase
1. psychosocial (recognize anxiety is common, active listening, offer spiritual care, assess for
stressors)
2. past health history
3. medications (ALL meds including herbal supplements and recreational drugs)
4. allergies
5. review of systems (do they have any organ problems such as diabetes)
does a patient with diabetes take their meds on the day of surgery?
NO! make sure to check sugar risk of hypoglycemia
1 multiple choice option
medications to watch for prior to surgery
,antihypertensives- can take beta blocker like metoprolol (this effects the pulse and not as much
bp) other antihypertensives cause a risk for shock and severe hypotension when mixed with
anesthetics
insulin- risk of hypoglycemia- if low give D5 or D10- this keeps the gut empty with increases
their sugar
asprin or warfarin- high risk for bleeding each patient might have a different time period on how
long before surgery they should stop taking them
what changes in American society influence nursing practice
1. shorter hospital stays
2. increased patient acuity/chronic conditions
3. rapidly changing technology
4. decreased staffing
5. budget constraints
6. decreasing numbers of nurse educators
7. quality care measures - reimbursement
evidence-based practice
conscientious use of the best evidence in combination with clinician expertise and patient
preferences and values to achieve desired patient outcomes
delegation of tasks
"do not delegate what you can EAT"
Evaluation
Assessment
Teaching
, phases of the nursing process
assessment, planning, implementation, evaluation
what is the priority setting
1. physiologic needs are ALWAYS first (airway, breathing, circulation)
2. safety -physical first, then psychological (bed at lowest point due to fall risk)
maslow's hierarchy of needs
1. physiological needs first
2. safety and security
3. love and belonging
4. self-esteem and self worth
5. self-actualization
health equity
achieved when every person has the opportunity to attain his or her health potential, and no one
is disadvantaged
health disparities
differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among
specific population groups (age, disability status, gender, health literacy, income status, language
barriers, occupation, education)
AND VERIFIED ANSWERS GRADED A+
100 % PASS [BRAND NEW VERSION]
what are two other stages of surgery
1. PACU - post anesthesia care unit
2. ACP- anesthesia care provider
what is the goal during pre-operative care
identify risk factors and plan to ensure patient safety
subjective data to collect during pre-op phase
1. psychosocial (recognize anxiety is common, active listening, offer spiritual care, assess for
stressors)
2. past health history
3. medications (ALL meds including herbal supplements and recreational drugs)
4. allergies
5. review of systems (do they have any organ problems such as diabetes)
does a patient with diabetes take their meds on the day of surgery?
NO! make sure to check sugar risk of hypoglycemia
1 multiple choice option
medications to watch for prior to surgery
,antihypertensives- can take beta blocker like metoprolol (this effects the pulse and not as much
bp) other antihypertensives cause a risk for shock and severe hypotension when mixed with
anesthetics
insulin- risk of hypoglycemia- if low give D5 or D10- this keeps the gut empty with increases
their sugar
asprin or warfarin- high risk for bleeding each patient might have a different time period on how
long before surgery they should stop taking them
what changes in American society influence nursing practice
1. shorter hospital stays
2. increased patient acuity/chronic conditions
3. rapidly changing technology
4. decreased staffing
5. budget constraints
6. decreasing numbers of nurse educators
7. quality care measures - reimbursement
evidence-based practice
conscientious use of the best evidence in combination with clinician expertise and patient
preferences and values to achieve desired patient outcomes
delegation of tasks
"do not delegate what you can EAT"
Evaluation
Assessment
Teaching
, phases of the nursing process
assessment, planning, implementation, evaluation
what is the priority setting
1. physiologic needs are ALWAYS first (airway, breathing, circulation)
2. safety -physical first, then psychological (bed at lowest point due to fall risk)
maslow's hierarchy of needs
1. physiological needs first
2. safety and security
3. love and belonging
4. self-esteem and self worth
5. self-actualization
health equity
achieved when every person has the opportunity to attain his or her health potential, and no one
is disadvantaged
health disparities
differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among
specific population groups (age, disability status, gender, health literacy, income status, language
barriers, occupation, education)
