,NU 155 Exam 3 – Medical-Surgical Nursing I
(2026) | Galen College of Nursing | Actual
Exam Questions & Verified Answers with
Detailed Rationales | Latest Study Guide | A+
Graded
Q1. The nurse is caring for a client who is scheduled to
have surgery the following day. It requires notification to
the primary health care provider (PHCP) if the client:
A) Has a history of smoking.
B) Reports a family history of high fever during a surgical
procedure.
C) Is allergic to latex.
D) Has a recent upper respiratory infection.
Correct Answer: B) Reports a family history of high fever
during a surgical procedure.
Rationale: A family history of malignant hyperthermia (a
life-threatening hypermetabolic reaction to certain
anesthetics) requires urgent notification to the PHCP to
ensure anesthesia precautions are in place. This is a
,medical emergency that can be triggered by anesthetic
agents .
Q2. The nurse is reinforcing teaching with a client who is
scheduled for surgery. Which statement by the client
indicates a need for further teaching?
A) "I will stop smoking at least 24 hours before surgery."
B) "I can eat a heavy meal the night before surgery."
C) "I will report any signs of infection before surgery."
D) "I should stop taking blood thinners as directed by my
provider."
Correct Answer: B) "I can eat a heavy meal the night
before surgery."
Rationale: Patients are typically NPO (nothing by mouth)
for 6-8 hours before surgery to prevent aspiration. Eating
a heavy meal the night before is not appropriate. Patients
should follow NPO instructions exactly. Clear liquids may
be allowed up to 2 hours before surgery in some cases .
, Q3. The nurse is preparing a patient for surgery. Which
action is most important regarding informed consent?
A) Ensure the consent form is signed by the patient
B) Explain the procedure to the patient
C) Witness the patient's signature
D) Determine if the patient understands the procedure
Correct Answer: C) Witness the patient's signature
Rationale: The nurse's role in informed consent is to
witness the patient's signature, confirm voluntary
consent, and clarify information if the patient has
questions. The provider is responsible for explaining the
procedure, risks, benefits, and alternatives, and obtaining
consent .
Q4. A patient scheduled for surgery has an allergy to
latex. Which of the following actions should the nurse
take? (Select all that apply)
A) Place a latex allergy alert bracelet on the patient
B) Notify the surgical team of the latex allergy
C) Remove all latex products from the patient's
(2026) | Galen College of Nursing | Actual
Exam Questions & Verified Answers with
Detailed Rationales | Latest Study Guide | A+
Graded
Q1. The nurse is caring for a client who is scheduled to
have surgery the following day. It requires notification to
the primary health care provider (PHCP) if the client:
A) Has a history of smoking.
B) Reports a family history of high fever during a surgical
procedure.
C) Is allergic to latex.
D) Has a recent upper respiratory infection.
Correct Answer: B) Reports a family history of high fever
during a surgical procedure.
Rationale: A family history of malignant hyperthermia (a
life-threatening hypermetabolic reaction to certain
anesthetics) requires urgent notification to the PHCP to
ensure anesthesia precautions are in place. This is a
,medical emergency that can be triggered by anesthetic
agents .
Q2. The nurse is reinforcing teaching with a client who is
scheduled for surgery. Which statement by the client
indicates a need for further teaching?
A) "I will stop smoking at least 24 hours before surgery."
B) "I can eat a heavy meal the night before surgery."
C) "I will report any signs of infection before surgery."
D) "I should stop taking blood thinners as directed by my
provider."
Correct Answer: B) "I can eat a heavy meal the night
before surgery."
Rationale: Patients are typically NPO (nothing by mouth)
for 6-8 hours before surgery to prevent aspiration. Eating
a heavy meal the night before is not appropriate. Patients
should follow NPO instructions exactly. Clear liquids may
be allowed up to 2 hours before surgery in some cases .
, Q3. The nurse is preparing a patient for surgery. Which
action is most important regarding informed consent?
A) Ensure the consent form is signed by the patient
B) Explain the procedure to the patient
C) Witness the patient's signature
D) Determine if the patient understands the procedure
Correct Answer: C) Witness the patient's signature
Rationale: The nurse's role in informed consent is to
witness the patient's signature, confirm voluntary
consent, and clarify information if the patient has
questions. The provider is responsible for explaining the
procedure, risks, benefits, and alternatives, and obtaining
consent .
Q4. A patient scheduled for surgery has an allergy to
latex. Which of the following actions should the nurse
take? (Select all that apply)
A) Place a latex allergy alert bracelet on the patient
B) Notify the surgical team of the latex allergy
C) Remove all latex products from the patient's
