Med Surg Final HESI UPDATED Actual
Exam Questions and CORRECT Answers
5 rights of delegation - CORRECT ANSWER✔✔- - right task
- right circumstances
- right person
- right directions and communication
- right supervision and evaluation
issue of delegation - CORRECT ANSWER✔✔- stability of pt
astragalus and ginseng - CORRECT ANSWER✔✔- can increase BP before and during
surgery
garlic, vitamin E, ginkgo, and fish oils - CORRECT ANSWER✔✔- can increase bleeding
kava and valerian - CORRECT ANSWER✔✔- can cause excessive sedation
certain antidepressants - CORRECT ANSWER✔✔- can potentiate effect of opioid agents
used for anesthesia / pain control
antiplatelets, anticoagulants, and NSAIDs - CORRECT ANSWER✔✔- can increase bleeding
allergies to these foods are associated w/ latex allergy - CORRECT ANSWER✔✔- avocado,
banana, kiwi, chestnuts
3 conditions of informed consent - CORRECT ANSWER✔✔- - adequate disclosure
- clear understanding
- given voluntarily
, who is ultimately responsible for obtaining consent for surgery? - CORRECT ANSWER✔✔-
surgeon (nurse can witness signature and verify pt understanding)
cefazolin - CORRECT ANSWER✔✔- antibiotic (given prophylactically to prevent post-op
infection)
atropine glycopyrrolate - CORRECT ANSWER✔✔- anticholinergic (decreases oral and
respiratory secretions)
scopolamine - CORRECT ANSWER✔✔- anticholinergic (prevents N/V and provides
sedation)
metoclopramide - CORRECT ANSWER✔✔- Reglan
ondansetron - CORRECT ANSWER✔✔- Zofran
diazepam - CORRECT ANSWER✔✔- Valium
lorazepam - CORRECT ANSWER✔✔- Ativan
famotidine, ranitidine - CORRECT ANSWER✔✔- H2 receptor antagonists
malignant hyperthermia - CORRECT ANSWER✔✔- hypermetabolism of skeletal muscle ->
altered control of intracellular Ca
prevention of MH - CORRECT ANSWER✔✔- ask pts in pre-op period if anyone in their
family has ever had problems w/ anesthesia
primary trigger of malignant hyperthermia - CORRECT ANSWER✔✔- succinylcholine
S/S of malignant hyperthermia - CORRECT ANSWER✔✔- early sign: pt becomes unstable
(tachycardia, tachypnea, cardiac arrhythmias); THEN rise in temp
Exam Questions and CORRECT Answers
5 rights of delegation - CORRECT ANSWER✔✔- - right task
- right circumstances
- right person
- right directions and communication
- right supervision and evaluation
issue of delegation - CORRECT ANSWER✔✔- stability of pt
astragalus and ginseng - CORRECT ANSWER✔✔- can increase BP before and during
surgery
garlic, vitamin E, ginkgo, and fish oils - CORRECT ANSWER✔✔- can increase bleeding
kava and valerian - CORRECT ANSWER✔✔- can cause excessive sedation
certain antidepressants - CORRECT ANSWER✔✔- can potentiate effect of opioid agents
used for anesthesia / pain control
antiplatelets, anticoagulants, and NSAIDs - CORRECT ANSWER✔✔- can increase bleeding
allergies to these foods are associated w/ latex allergy - CORRECT ANSWER✔✔- avocado,
banana, kiwi, chestnuts
3 conditions of informed consent - CORRECT ANSWER✔✔- - adequate disclosure
- clear understanding
- given voluntarily
, who is ultimately responsible for obtaining consent for surgery? - CORRECT ANSWER✔✔-
surgeon (nurse can witness signature and verify pt understanding)
cefazolin - CORRECT ANSWER✔✔- antibiotic (given prophylactically to prevent post-op
infection)
atropine glycopyrrolate - CORRECT ANSWER✔✔- anticholinergic (decreases oral and
respiratory secretions)
scopolamine - CORRECT ANSWER✔✔- anticholinergic (prevents N/V and provides
sedation)
metoclopramide - CORRECT ANSWER✔✔- Reglan
ondansetron - CORRECT ANSWER✔✔- Zofran
diazepam - CORRECT ANSWER✔✔- Valium
lorazepam - CORRECT ANSWER✔✔- Ativan
famotidine, ranitidine - CORRECT ANSWER✔✔- H2 receptor antagonists
malignant hyperthermia - CORRECT ANSWER✔✔- hypermetabolism of skeletal muscle ->
altered control of intracellular Ca
prevention of MH - CORRECT ANSWER✔✔- ask pts in pre-op period if anyone in their
family has ever had problems w/ anesthesia
primary trigger of malignant hyperthermia - CORRECT ANSWER✔✔- succinylcholine
S/S of malignant hyperthermia - CORRECT ANSWER✔✔- early sign: pt becomes unstable
(tachycardia, tachypnea, cardiac arrhythmias); THEN rise in temp
