,NURS 120 Assessment 1 Introduction to Medical Surgical Nursing
Questions And Answers 2026/2027 West Coast University
Q1. A patient is scheduled for elective surgery under general anesthesia.
Which preoperative finding requires the nurse's immediate intervention?
A. The patient reports mild anxiety about the procedure.
B. The patient asks when the surgery will begin.
C. The patient states, "I had a glass of water this morning even though I was
told not to eat or drink."
D. The patient has previously undergone general anesthesia.
Correct Answer: C
Rationale: Preoperative fasting instructions reduce the risk of aspiration
during anesthesia. A recent intake of fluids may require evaluation before
surgery proceeds.
Q2. A nurse is preparing a patient for surgery. Which information is most
important to verify before the patient enters the operating room?
A. Favorite foods
B. Insurance preferences
C. Preferred visiting hours
D. Allergies, medications, identification, procedure, and surgical site
Correct Answer: D
Rationale: Verification of patient identity, allergies, medications, procedure,
and surgical site is essential to reduce preventable perioperative errors.
Q3. A patient scheduled for elective surgery tells the nurse, "I don't
understand what the surgeon said about the risks." What should the nurse
do?
A. Explain the surgical risks in detail and obtain the signature.
B. Notify the surgeon that the patient needs additional explanation before
signing.
C. Ask a family member to explain the procedure.
D. Tell the patient to sign and ask questions afterward.
Correct Answer: B
Rationale: The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The nurse should
identify inadequate understanding and ensure the provider addresses it.
, Q4. Which statement about informed consent is correct?
A. The nurse is responsible for explaining all surgical risks and benefits.
B. The patient may sign without understanding the procedure.
C. The provider performing the procedure is responsible for obtaining
informed consent.
D. A family member must always sign for an adult patient.
Correct Answer: C
Rationale: The provider performing the procedure is responsible for
obtaining informed consent. The nurse may witness the signature and verify
that the process is appropriately completed.
Q5. A patient is prescribed an herbal supplement and is scheduled for
surgery in one week. Which action should the nurse take?
A. Tell the patient that herbal products are always safe because they are
natural.
B. Ask the patient to continue taking the supplement without reporting it.
C. Document the supplement and discuss its use with the healthcare
provider.
D. Tell the patient to double the dose before surgery.
Correct Answer: C
Rationale: Some herbal products can affect bleeding, blood pressure,
glucose, or interactions with anesthesia and medications. The healthcare
team should evaluate their perioperative safety.
Q6. A patient reports using garlic and Ginkgo biloba regularly before an
elective procedure. Why is this information important?
A. These products may increase the risk of bleeding or interact with
medications.
B. Herbal products cannot affect surgery.
C. They eliminate the need for prescribed medications.
D. They guarantee better recovery after anesthesia.
Correct Answer: A
Rationale: Certain herbal supplements, including garlic and Ginkgo biloba,
may affect platelet function or interact with medications, making disclosure
important before surgery.
Q7. Which patient is at greatest risk for latex sensitivity?
Questions And Answers 2026/2027 West Coast University
Q1. A patient is scheduled for elective surgery under general anesthesia.
Which preoperative finding requires the nurse's immediate intervention?
A. The patient reports mild anxiety about the procedure.
B. The patient asks when the surgery will begin.
C. The patient states, "I had a glass of water this morning even though I was
told not to eat or drink."
D. The patient has previously undergone general anesthesia.
Correct Answer: C
Rationale: Preoperative fasting instructions reduce the risk of aspiration
during anesthesia. A recent intake of fluids may require evaluation before
surgery proceeds.
Q2. A nurse is preparing a patient for surgery. Which information is most
important to verify before the patient enters the operating room?
A. Favorite foods
B. Insurance preferences
C. Preferred visiting hours
D. Allergies, medications, identification, procedure, and surgical site
Correct Answer: D
Rationale: Verification of patient identity, allergies, medications, procedure,
and surgical site is essential to reduce preventable perioperative errors.
Q3. A patient scheduled for elective surgery tells the nurse, "I don't
understand what the surgeon said about the risks." What should the nurse
do?
A. Explain the surgical risks in detail and obtain the signature.
B. Notify the surgeon that the patient needs additional explanation before
signing.
C. Ask a family member to explain the procedure.
D. Tell the patient to sign and ask questions afterward.
Correct Answer: B
Rationale: The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The nurse should
identify inadequate understanding and ensure the provider addresses it.
, Q4. Which statement about informed consent is correct?
A. The nurse is responsible for explaining all surgical risks and benefits.
B. The patient may sign without understanding the procedure.
C. The provider performing the procedure is responsible for obtaining
informed consent.
D. A family member must always sign for an adult patient.
Correct Answer: C
Rationale: The provider performing the procedure is responsible for
obtaining informed consent. The nurse may witness the signature and verify
that the process is appropriately completed.
Q5. A patient is prescribed an herbal supplement and is scheduled for
surgery in one week. Which action should the nurse take?
A. Tell the patient that herbal products are always safe because they are
natural.
B. Ask the patient to continue taking the supplement without reporting it.
C. Document the supplement and discuss its use with the healthcare
provider.
D. Tell the patient to double the dose before surgery.
Correct Answer: C
Rationale: Some herbal products can affect bleeding, blood pressure,
glucose, or interactions with anesthesia and medications. The healthcare
team should evaluate their perioperative safety.
Q6. A patient reports using garlic and Ginkgo biloba regularly before an
elective procedure. Why is this information important?
A. These products may increase the risk of bleeding or interact with
medications.
B. Herbal products cannot affect surgery.
C. They eliminate the need for prescribed medications.
D. They guarantee better recovery after anesthesia.
Correct Answer: A
Rationale: Certain herbal supplements, including garlic and Ginkgo biloba,
may affect platelet function or interact with medications, making disclosure
important before surgery.
Q7. Which patient is at greatest risk for latex sensitivity?
