MEDSURG MIDTERM – QUESTIONS WITH CORRECT ANSWERS 2025

MED/SURG MIDTERM – QUESTIONS WITH CORRECT
ANSWERS 2025
AWpatientWwhoWisWbeingWadmittedWtoWtheWsurgicalWunitWforWaWhysterectomyWpacesWtheWfloor,Wrepeatedly
Wsaying,W"IWjustWwantWthisWover."WWhatWshouldWtheWnurseWdoWtoWpromoteWaWpositiveWsurgicalWoutcomeW

forWtheWpatient?



a.WAskWtheWpatientWwhatWherWspecificWconcernsWareWaboutWtheWsurgery.

b.WReassureWtheWpatientWthatWtheWsurgeryWwillWbeWoverWsoonWandWsheWwillWbeWfine.

c.WRedirectWtheWpatient'sWattentionWtoWtheWnecessaryWpreoperativeWpreparations.

d.WTellWtheWpatientWsheWshouldWnotWbeWsoWanxiousWbecauseWsheWisWhavingWaWcommon,WsafeWsurgery.W-
WcorrectWanswer-

a.WExcessiveWanxietyWandWstressWcanWaffectWsurgicalWrecoveryWandWtheWnurse'sWroleWinWpsychologicallyWp
reparingWtheWpatientWforWsurgeryWisWtoWassessWforWpotentialWstressorsWthatWcouldWnegativelyWaffectWsurg
ery.WSpecificWfearsWshouldWbeWidentifiedWandWaddressedWbyWtheWnurseWbyWlisteningWandWbyWexplainingWp
lannedWpostoperativeWcare.WFalselyWreassuringWtheWpatient,WignoringWherWbehavior,WandWtellingWherWnot
WtoWbeWanxiousWareWnotWtherapeutic.




ManyWherbalWproductsWthatWareWcommonlyWtakenWcauseWsurgicalWproblems.WWhichWherbsWlistedWbelow
WshouldWtheWnurseWteachWtheWpatientWtoWavoidWbeforeWsurgeryWtoWpreventWanWincreaseWinWbleedingWfor

WtheWsurgicalWpatientW(selectWallWthatWapply)?




a.WGarlic

b.WFishWoil

c.WValerian

d.WVitaminWE

e.WAstragalus

f.WGinkgoWbilobaW-WcorrectWanswer-
a,Wb,Wd,Wf.WValerianWmayWcauseWexcessWsedation.WAstragalusWmayWincreaseWbloodWpressureWbeforeWandW
duringWsurgery.



PriorityWDecision:WWhenWtheWnurseWasksWaWpreoperativeWpatientWaboutWallergies,WtheWpatientWreportsWa
WhistoryWofWseasonalWenvironmentalWallergiesWandWallergiesWtoWaWvarietyWofWfruits.WWhatWshouldWtheWnu

rseWdoWnext?

, a.WNoteWthisWinformationWinWtheWpatient'sWrecordWasWhayWfeverWandWfoodWallergies.

b.WPlaceWanWallergyWalertWwristbandWthatWidentifiesWtheWspecificWallergiesWonWtheWpatient.

c.WAskWtheWpatientWtoWdescribeWtheWnatureWandWseverityWofWanyWallergicWresponsesWexperiencedWfromWt
heseWagents.

d.WNotifyWtheWanesthesiaWcareWproviderW(ACP)WbecauseWtheWpatientWmayWhaveWanWincreasedWriskWforWall
ergiesWto

anesthetics.W-WcorrectWanswer-c.WRiskWfactorsWforWlatexWallergiesWincludeWaWhistoryWof

hayWfeverWandWallergiesWtoWfoodsWsuchWasWavocados,Wkiwi,Wbananas,Wpotatoes,Wpeaches,WandWapricots.W
WhenWaWpatientWidentifiesWsuchWallergies,WtheWpatientWshouldWbeWfurtherWquestionedWaboutWexposureW
toWlatexWandWspecificWreactionsWtoWallergens.WAWhistoryWofWanyWallergicWresponsivenessWincreasesWtheWri
skWforWhypersensitivityWreactionsWtoWdrugsWusedWduringWanesthesiaWbutWtheWhayWfeverWandWfruitWallergi
esWareWspecificallyWrelatedWtoWlatexWallergy.WAfterWidentifyingWtheWallergicWreaction,WtheWanesthesiaWcare
WproviderW(ACP)WshouldWbeWnotified,WtheWallergyWalertWwristbandWshouldWbeWapplied,WandWtheWnoteWinW

theWrecordWwillWincludeWtheWallergiesWandWreactionsWasWwellWasWtheWnursingWactionsWrelatedWtoWtheWalle
rgies.



DuringWaWpreoperativeWreviewWofWsystems,WtheWpatientWrevealsWaWhistoryWofWrenalWdisease.WThisWfinding
WsuggestsWtheWneedWforWwhichWpreoperativeWdiagnosticWtests?




a.WECGWandWchestWx-ray

b.WSerumWglucoseWandWCBC

c.WABGsWandWcoagulationWtests

d.WBUN,WserumWcreatinine,WandWelectrolytesW-WcorrectWanswer-
d.WBUN,WserumWcreatinine,WandWelectrolytesWareWusedWtoWassessWrenalWfunctionWandWshouldWbeWevaluat
edWbeforeWsurgery.WOtherWtestsWareWoftenWevaluatedWinWtheWpresenceWofWdiabetes,WbleedingWtendencie
s,WandWrespiratoryWorWheartWdisease.



DuringWaWpreoperativeWphysicalWexamination,WtheWnurseWisWalertedWtoWtheWpossibilityWofWcompromisedW
respiratoryWfunctionWduringWorWafterWsurgeryWinWaWpatientWwithWwhichWproblem?



a.WObesity

b.WDehydration

c.WEnlargedWliver