med surg-1 exam 1
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
100+
Key Solutions
VERIFIED ANSWERS
Question 1
the preoperative patient asks why the dose of warfarin is being withheld. Which response by the nurse is most accurate?
a." the medication is contraindicated with he type of anesthesia you are receiving"
b.this medication could cause excessive bleeding during surgery if it is not stopped beforehand.
c. All unnecessary medications are stopped before surgery to prevent you from vomiting under anesthesia?
D. this medication may increase respiratory depression associated with anesthetic agents and must be avoided
Correct Answer
b.this medication could cause excessive bleeding during surgery if it is not stopped beforehand.
Question 2
A patient taking warfarin and digoxin for treatment of atrial fibrillation is instructed to discontinue the use prior to surgery.
The nurse would closely monitor this patient for which complication?
A. Pulmonary embolism
B. increased BP
C.Excessive bleeding from incision sites
D. increased peripheral vascular resistance
Correct Answer
A. Pulmonary embolism
rationale: warfarin is an anticoagulant that is used to prevent mural thrombi from forming on the walls of the atria during
atrial fibrillation.
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,Question 3
which nursing interventions would be included in preoperative assessment and teaching plan for an older adult?select all
that apply.
A. administer a sedative to relieve fear and anxiety
B. help patient walk safely to the operating room
c. coordinate assessment with the team of health care providers
D. speak slowly when giving preoperative instructions to the patient
E. understand that the patient may have sensory and cognitive deficits
Correct Answer
C,D,E
Question 4
An unconscious patient needs to undergo emergency surgery and has no family members or friends available. Which action
would the nurse take regarding obtaining consent for the surgery?
a. call the local magistrate to get consent for the surgery.
b. obtain consent form a legally appointment representative
c. avoid giving any treatment because it is illegal to treat without consent
d. proceed with plans for surgery; consent is not required for a true medical emergency.
Correct Answer
d. proceed with plans for surgery; consent is not required for a true medical emergency.
Rationale: a true medical emergency may override the need to obtain consent.
Question 5
which patients would require administration of preoperative antibiotics? select all that apply?
a. patients undergoing cataract surgery
b. patients with known coronary artery disease
c. patients undergoing gastrointestinal surgery
d. patients undergoing joint replacement surgery
e. patients with a history of valvular heart diseases
Correct Answer
c,d,e
rationale:
in patients with a history of valvular heart disease, antibiotics may be administered to prevent infective endocarditis.
gastrointestinal surgery carried a risk of wound contamination and calls for antibiotic treatment. joint replacement
surgeries, wound infections can have serious consequences; therefore it is prudent to give antibiotics.
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, Question 6
the nurse is caring for a patient with renal dysfunction who is scheduled for surgery. Which nursing interventions are a
priority in this situation? select all that apply.
a. obtain renal function test preoperatively
b. evaluate coagulation studies preoperatively
c. check for the serum potassium levels preoperatively
D. report to the preoperative team if the patient has a problem voiding
E. ready the sequential compression device in the pre operative holding area
Correct Answer
A,D
Question 7
which activities would be included in a surgical time-out prior to surgery? select all that apply.
a. verify patient identification
b. complete fire risk assessment
c. verify surgical sit end procedure
d. ensure that consent for the specific procedure was obtained
e. ensure that a significant other is available if needed for consultation
Correct Answer
a,c,d
Question 8
in which surgical area will the patient's skin be prepped for surgery, and which clothing will the person doing the prepping
wear?
a. surgical suite, wearing a lab coat
b. preoperative holding area, wearing street clothes
c. post anesthesia care unit (PACU), wearing scrubs
d. operating room, wearing surgical attire and masks
Correct Answer
d. operating room, wearing surgical attire and masks
Question 9
which type of anesthesia is a nurse able to administer without the presence of an anesthesia care provider (ACP)
a. moderate sedation
b. general anesthesia
c. regional anestesia
d. monitored anesthesia care
Correct Answer
a. moderate sedation
rationale: moderate sedation involves administering sedatives, anxiolytics, or analgesics
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(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
100+
Key Solutions
VERIFIED ANSWERS
Question 1
the preoperative patient asks why the dose of warfarin is being withheld. Which response by the nurse is most accurate?
a." the medication is contraindicated with he type of anesthesia you are receiving"
b.this medication could cause excessive bleeding during surgery if it is not stopped beforehand.
c. All unnecessary medications are stopped before surgery to prevent you from vomiting under anesthesia?
D. this medication may increase respiratory depression associated with anesthetic agents and must be avoided
Correct Answer
b.this medication could cause excessive bleeding during surgery if it is not stopped beforehand.
Question 2
A patient taking warfarin and digoxin for treatment of atrial fibrillation is instructed to discontinue the use prior to surgery.
The nurse would closely monitor this patient for which complication?
A. Pulmonary embolism
B. increased BP
C.Excessive bleeding from incision sites
D. increased peripheral vascular resistance
Correct Answer
A. Pulmonary embolism
rationale: warfarin is an anticoagulant that is used to prevent mural thrombi from forming on the walls of the atria during
atrial fibrillation.
Trusted by thousands of students and professionals worldwide Page 1 of 30
,Question 3
which nursing interventions would be included in preoperative assessment and teaching plan for an older adult?select all
that apply.
A. administer a sedative to relieve fear and anxiety
B. help patient walk safely to the operating room
c. coordinate assessment with the team of health care providers
D. speak slowly when giving preoperative instructions to the patient
E. understand that the patient may have sensory and cognitive deficits
Correct Answer
C,D,E
Question 4
An unconscious patient needs to undergo emergency surgery and has no family members or friends available. Which action
would the nurse take regarding obtaining consent for the surgery?
a. call the local magistrate to get consent for the surgery.
b. obtain consent form a legally appointment representative
c. avoid giving any treatment because it is illegal to treat without consent
d. proceed with plans for surgery; consent is not required for a true medical emergency.
Correct Answer
d. proceed with plans for surgery; consent is not required for a true medical emergency.
Rationale: a true medical emergency may override the need to obtain consent.
Question 5
which patients would require administration of preoperative antibiotics? select all that apply?
a. patients undergoing cataract surgery
b. patients with known coronary artery disease
c. patients undergoing gastrointestinal surgery
d. patients undergoing joint replacement surgery
e. patients with a history of valvular heart diseases
Correct Answer
c,d,e
rationale:
in patients with a history of valvular heart disease, antibiotics may be administered to prevent infective endocarditis.
gastrointestinal surgery carried a risk of wound contamination and calls for antibiotic treatment. joint replacement
surgeries, wound infections can have serious consequences; therefore it is prudent to give antibiotics.
Trusted by thousands of students and professionals worldwide Page 2 of 30
, Question 6
the nurse is caring for a patient with renal dysfunction who is scheduled for surgery. Which nursing interventions are a
priority in this situation? select all that apply.
a. obtain renal function test preoperatively
b. evaluate coagulation studies preoperatively
c. check for the serum potassium levels preoperatively
D. report to the preoperative team if the patient has a problem voiding
E. ready the sequential compression device in the pre operative holding area
Correct Answer
A,D
Question 7
which activities would be included in a surgical time-out prior to surgery? select all that apply.
a. verify patient identification
b. complete fire risk assessment
c. verify surgical sit end procedure
d. ensure that consent for the specific procedure was obtained
e. ensure that a significant other is available if needed for consultation
Correct Answer
a,c,d
Question 8
in which surgical area will the patient's skin be prepped for surgery, and which clothing will the person doing the prepping
wear?
a. surgical suite, wearing a lab coat
b. preoperative holding area, wearing street clothes
c. post anesthesia care unit (PACU), wearing scrubs
d. operating room, wearing surgical attire and masks
Correct Answer
d. operating room, wearing surgical attire and masks
Question 9
which type of anesthesia is a nurse able to administer without the presence of an anesthesia care provider (ACP)
a. moderate sedation
b. general anesthesia
c. regional anestesia
d. monitored anesthesia care
Correct Answer
a. moderate sedation
rationale: moderate sedation involves administering sedatives, anxiolytics, or analgesics
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