NURS 317 MED
NURS 317 MED/SURG FINAL REVIEW EXAM
QUESTIONS AND ANSWERS GRADED A+
A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I
will die in surgery like my mother did!" Which response by the nurse is most
appropriate?
A. "Tell me more about what happened to your mother."
B. "You will receive medications to reduce your anxiety."
C. "You should talk to the doctor again about the surgery."
D. "Surgical techniques have improved a lot in recent years." - correct answer "Tell
me more about what happened to your mother."
A patient arrives at the ambulatory surgery center for a scheduled laparoscopy
procedure in outpatient surgery. Which information is of most concern to the
nurse?
A. The patient is planning to drive home after surgery.
B. The patient had a sip of water 4 hours before arriving.
,NURS 317 MED
C. The patient's insurance does not cover outpatient surgery.
D. The patient has not had surgery using general anesthesia before. - correct answer
The patient is planning to drive home after surgery.
A 38-year-old female is admitted for an elective surgical procedure. Which
information obtained by the nurse during the preoperative assessment is most
important to report to the anesthesiologist before surgery?
A. The patient's lack of knowledge about postoperative pain control measures
B. The patient's statement that her last menstrual period was 8 weeks previously
C. The patient's history of a postoperative infection following a prior
cholecystectomy
D. The patient's concern that she will be unable to care for her children
postoperatively - correct answer The patient's statement that her last menstrual
period was 8 weeks previously
A patient who has never had any prior surgeries tells the nurse doing the
preoperative assessment about an allergy to bananas and avocados. Which action
is most important for the nurse to take?
A. Notify the dietitian about the food allergies.
B. Alert the surgery center about a possible latex allergy.
C. Reassure the patient that all allergies are noted on the medical record.
D. Ask whether the patient uses antihistamines to reduce allergic reactions. -
correct answer Alert the surgery center about a possible latex allergy.
A patient who is scheduled for a therapeutic abortion tells the nurse, "Having an
abortion is not right." Which functional health pattern should the nurse further
assess?
A. Value-belief
,NURS 317 MED
B. Cognitive-perceptual
C. Sexuality-reproductive
D. Coping-stress tolerance - correct answer Value-belief
A patient undergoing an emergency appendectomy has been using St. John's wort
to prevent depression. Which complication would the nurse expect in the PACU?
A. Increased pain
B. Hypertensive episodes
C. Longer time to recover from anesthesia
D. Increased risk for postoperative bleeding - correct answer Longer time to recover
from anesthesia
The surgical unit nurse has just received a patient with a history of smoking from
the postanesthesia care unit. Which action is most important at this time?
A. Auscultate for adventitious breath sounds.
B. Obtain the patient's blood pressure and temperature.
C. Remind the patient about harmful effects of smoking.
D. Ask the health care provider about prescribing a nicotine patch. - correct answer
Auscultate for adventitious breath sounds.
The nurse obtains a health history from a patient who is scheduled for elective hip
surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which
action by the nurse is most appropriate?
A. Ascertain that there will be no interactions with anesthetic agents.
B. Teach the patient that these products may be continued preoperatively.
C. Advise the patient to stop the use of all herbs and supplements at this time.
, NURS 317 MED
D. Discuss the herb and supplement use with the patient's health care provider. -
correct answer Discuss the herb and supplement use with the patient's health care
provider.
The nurse is preparing to witness the patient signing the operative consent form
when the patient says, "I do not really understand what the doctor said." Which
action is best for the nurse to take?
A. Provide an explanation of the planned surgical procedure.
B. Notify the surgeon that the informed consent process is not complete.
C. Administer the prescribed preoperative antibiotics and withhold any ordered
sedative medications.
D. Notify the operating room staff that the surgeon needs to give a more complete
explanation of the procedure. - correct answer Notify the surgeon that the informed
consent process is not complete.
Which topic is most important for the nurse to discuss preoperatively with a
patient who is scheduled for abdominal surgery for an open cholecystectomy?
A. Care for the surgical incision
B. Medications used during surgery
C. Deep breathing and coughing techniques
D. Oral antibiotic therapy after discharge home - correct answer Deep breathing and
coughing techniques
Five minutes after receiving the ordered preoperative midazolam (Versed) by IV
injection, the patient asks to get up to go to the bathroom to urinate. Which
action by the nurse is most appropriate?
A. Assist the patient to the bathroom and stay with the patient to prevent falls.
B. Offer a urinal or bedpan and position the patient in bed to promote voiding.
NURS 317 MED/SURG FINAL REVIEW EXAM
QUESTIONS AND ANSWERS GRADED A+
A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I
will die in surgery like my mother did!" Which response by the nurse is most
appropriate?
A. "Tell me more about what happened to your mother."
B. "You will receive medications to reduce your anxiety."
C. "You should talk to the doctor again about the surgery."
D. "Surgical techniques have improved a lot in recent years." - correct answer "Tell
me more about what happened to your mother."
A patient arrives at the ambulatory surgery center for a scheduled laparoscopy
procedure in outpatient surgery. Which information is of most concern to the
nurse?
A. The patient is planning to drive home after surgery.
B. The patient had a sip of water 4 hours before arriving.
,NURS 317 MED
C. The patient's insurance does not cover outpatient surgery.
D. The patient has not had surgery using general anesthesia before. - correct answer
The patient is planning to drive home after surgery.
A 38-year-old female is admitted for an elective surgical procedure. Which
information obtained by the nurse during the preoperative assessment is most
important to report to the anesthesiologist before surgery?
A. The patient's lack of knowledge about postoperative pain control measures
B. The patient's statement that her last menstrual period was 8 weeks previously
C. The patient's history of a postoperative infection following a prior
cholecystectomy
D. The patient's concern that she will be unable to care for her children
postoperatively - correct answer The patient's statement that her last menstrual
period was 8 weeks previously
A patient who has never had any prior surgeries tells the nurse doing the
preoperative assessment about an allergy to bananas and avocados. Which action
is most important for the nurse to take?
A. Notify the dietitian about the food allergies.
B. Alert the surgery center about a possible latex allergy.
C. Reassure the patient that all allergies are noted on the medical record.
D. Ask whether the patient uses antihistamines to reduce allergic reactions. -
correct answer Alert the surgery center about a possible latex allergy.
A patient who is scheduled for a therapeutic abortion tells the nurse, "Having an
abortion is not right." Which functional health pattern should the nurse further
assess?
A. Value-belief
,NURS 317 MED
B. Cognitive-perceptual
C. Sexuality-reproductive
D. Coping-stress tolerance - correct answer Value-belief
A patient undergoing an emergency appendectomy has been using St. John's wort
to prevent depression. Which complication would the nurse expect in the PACU?
A. Increased pain
B. Hypertensive episodes
C. Longer time to recover from anesthesia
D. Increased risk for postoperative bleeding - correct answer Longer time to recover
from anesthesia
The surgical unit nurse has just received a patient with a history of smoking from
the postanesthesia care unit. Which action is most important at this time?
A. Auscultate for adventitious breath sounds.
B. Obtain the patient's blood pressure and temperature.
C. Remind the patient about harmful effects of smoking.
D. Ask the health care provider about prescribing a nicotine patch. - correct answer
Auscultate for adventitious breath sounds.
The nurse obtains a health history from a patient who is scheduled for elective hip
surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which
action by the nurse is most appropriate?
A. Ascertain that there will be no interactions with anesthetic agents.
B. Teach the patient that these products may be continued preoperatively.
C. Advise the patient to stop the use of all herbs and supplements at this time.
, NURS 317 MED
D. Discuss the herb and supplement use with the patient's health care provider. -
correct answer Discuss the herb and supplement use with the patient's health care
provider.
The nurse is preparing to witness the patient signing the operative consent form
when the patient says, "I do not really understand what the doctor said." Which
action is best for the nurse to take?
A. Provide an explanation of the planned surgical procedure.
B. Notify the surgeon that the informed consent process is not complete.
C. Administer the prescribed preoperative antibiotics and withhold any ordered
sedative medications.
D. Notify the operating room staff that the surgeon needs to give a more complete
explanation of the procedure. - correct answer Notify the surgeon that the informed
consent process is not complete.
Which topic is most important for the nurse to discuss preoperatively with a
patient who is scheduled for abdominal surgery for an open cholecystectomy?
A. Care for the surgical incision
B. Medications used during surgery
C. Deep breathing and coughing techniques
D. Oral antibiotic therapy after discharge home - correct answer Deep breathing and
coughing techniques
Five minutes after receiving the ordered preoperative midazolam (Versed) by IV
injection, the patient asks to get up to go to the bathroom to urinate. Which
action by the nurse is most appropriate?
A. Assist the patient to the bathroom and stay with the patient to prevent falls.
B. Offer a urinal or bedpan and position the patient in bed to promote voiding.
