VERSIONS (ACTUAL EXAM AND PRACTICE EXAM)
WITH 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
1. A patient is scheduled for an elective surgical procedure.
Which finding requires the nurse to notify the provider for
possible postponement of surgery?
A) Blood pressure 138/88 mmHg
B) Hemoglobin 11.2 g/dL
C) Temperature 101.2°F (38.4°C)
D) Heart rate 88 beats per minute
Answer: C
*Rationale: An elevated temperature (101.2°F) suggests possible
infection, which may require postponement of elective surgery to
prevent complications. Mild hypertension (138/88) is acceptable
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,for surgery. Hemoglobin 11.2 g/dL is slightly low but not an
absolute contraindication. Heart rate 88 is within normal range .*
2. The perioperative nurse is performing a preoperative
assessment. Which finding is most concerning regarding risk
for malignant hyperthermia?
A) History of asthma
B) Family history of unexplained surgical deaths
C) Current use of antihypertensive medication
D) Allergy to penicillin
Answer: B
Rationale: A family history of unexplained surgical deaths is a
strong indicator of susceptibility to malignant hyperthermia (MH),
an autosomal dominant genetic disorder. MH can be triggered by
volatile anesthetics and succinylcholine. This finding requires
immediate notification of the anesthesia provider .
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,3. A patient is positioned in the lithotomy position for a
surgical procedure. The nurse should monitor for which
potential complication specific to this position?
A) Compartment syndrome
B) Brachial plexus injury
C) Pressure injury to the occiput
D) Atelectasis
Answer: A
Rationale: Lithotomy position places the patient's legs in stirrups,
which can lead to compartment syndrome due to reduced perfusion
to the lower extremities. Positioning should ensure legs are raised
and lowered slowly and simultaneously to prevent hemodynamic
changes. The sciatic and common peroneal nerves are also at risk .
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, 4. The "Universal Protocol" for preventing wrong-site surgery
includes which key components?
A) Preoperative verification, site marking, and time-out
B) Informed consent, history and physical, and nursing assessment
C) Surgical count, specimen labeling, and wound classification
D) Anesthesia assessment, medication reconciliation, and fall risk
assessment
Answer: A
*Rationale: The Universal Protocol consists of three key
components: (1) preoperative verification of the correct patient,
procedure, and site; (2) marking the surgical site with the
patient's involvement; and (3) a time-out immediately before the
procedure begins with active team communication .*
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