Medications & Nursing Care Exam with Complete Solutions.
Q: Which of the following medications might be given before surgery (Choose all that apply):
A.) Acetaminophen
B.) Metformin
C.) Cefazolin
D.) Lorazepam - ANSWER>>>Answer(s): a, c, d.
Rationale: Per Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Chapter 12:
Nursing Care of Patients Having Surgery, page 173: Common Medication classes to give preoperatively
include analgesic (acetaminophen), antianxiety and sedative hypnotics (lorazepam), antiemetics, and
antibiotics (cefazolin). Metformin is an antidiabetic medication and should be stopped 48 hours before
surgery to decrease the risk of lactic acidosis.
Q: All are examples of leadership styles except for:
A.) Transformational
B.) Democratic
C.) Servant
D.) Passive-Aggressive
E.) Laissez-Faire - ANSWER>>>Answer: d.
Rationale: Per CourseArc Competency 12: Leadership, 5 Nursing Leadership styles are transformational,
democratic, laissez-faire, autocratic/authoritarian, and servant. Passive-aggressive is a conflict style.
Q: Nurses use different tools for prioritizing patient care including (select all that apply):
A.) Acuity
B.) ABC's
C.) CURE
D.) Duvall's - ANSWER>>>Answer: a, b, c.
Rationale: Per CourseArc Competency 13: Manage Care for a group of clients according to the Nurse
Practice Act, Prioritization tools include acuity, Maslow's, ABC's, CURE, and Data Clues. Duvall is a family
development theorist and isn't a tool.
, Source: Health alteration, comp 1: perioperative
Q: A patient is scheduled for surgery later in the day. The nurse performs a preoperative assessment and
finds that the patient drank a cup of coffee on the way to the hospital. What is the nurse's most
appropriate action?
A.) Cancel the surgery immediately.
B.) Notify the surgeon and anesthesiologist.
C.) Administer antacid medications to neutralize stomach acid.
D.) Proceed with surgery as scheduled. - ANSWER>>>Answer: b.
Rational: Fasting guidelines are in place to prevent aspiration during anesthesia. If a patient has not
followed the fasting guidelines, notifying the surgeon and anesthesiologist is crucial. They will determine
whether the surgery can proceed safely or needs to be rescheduled.
Q: A patient is in the post-anesthesia care unit (PACU) following surgery. The nurse assesses the patient's
airway, breathing, and circulation using the ABCs approach. Which action should the nurse prioritize
during this assessment?
A.) Monitoring the patient's pain level.
B.) Checking the surgical incision site.
C.) Administering postoperative medications.
D.) Ensuring the patient has a patent airway. - ANSWER>>>Answer: d
Rationale: In the PACU, ensuring the patient's airway is patent is the top priority. Airway, breathing, and
circulation (ABCs) are essential for a patient's immediate postoperative.
Q: A patient is receiving general anesthesia for surgery. The nurse knows that general anesthesia affects
which body system the most?
A.) Cardiovascular system.
B.) Respiratory system.
C.) Gastrointestinal system.
D.) Central nervous system. - ANSWER>>>Answer: b