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NUR 265 / NUR265 F INAL EXAM: (LATEST
2025/ 2026 UPDATE) ADVANCED CONCEPTS
OF MEDICAL-SURGICAL NURSING GUIDE|
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
Describe a comprehensive preoperative assessment to identify pertinent health and surgical
risk factors - ANS ✓Initiates the nursing process
Admission data: demographics, health hx, other information pertinent to the surgical
procedure
Verifies completion of preoperative diagnostic testing
Begins discharge planning by assessing pt's need for postop care
Health hx and physical exam, medications and allergies, nutrition, fluid status, dentition, drug
or alcohol use, respiratory and cardiovascular status, hepatic and renal function, endocrine
function, immune function, previous medication use, psychosocial factors, spiritual, cultural
beliefs
Medications that potentially affect surgical experience: corticosteroids, diuretics,
phenothiazines, tranquilizers, insulin, antibiotics, anticoagulants, anticonvulsant meds,
thyroid hormone, opioids, OTC and herbal
Identify legal and ethical considerations related to obtaining informed consent for surgery -
ANS ✓should be written before non emergent surgery, legal mandate, surgeon must explain
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the procedure/benefits/risks/complications/etc, nurse calcifies information and witnesses
signature, consent is valid ONLY when signed before administering psychoactive
premedication, consent accompanied patient to OR
Describe preoperative nursing measures that decrease the risk for infection and other
postoperative complications - ANS ✓providing pt education, deep breathing, coughing, and
incentive spirometry, mobility and active body movement, pain management, cognitive
coping strategies, education for pts undergoing ambulatory surgery, providing psychosocial
interventions, reducing anxiety and decreasing fear, respecting cultural/spiritual/religious
beliefs, maintaining pt safety, managing nutrition, fluids, preparing the bowels, preparing the
skin, pt changes into gown, mouth inspection, jewelry removed, valuable stored in a secure
place, administering preanesthetic medication, maintaining preoperative record, transporting
pt to presurgical area, attending to family needs
Describe the responsibilities of the post-anesthesia care nurse in the prevention of immediate
post-operative complications. - ANS ✓Provide care for patient until patient has revered from
effects of anesthesia. (Resumption of motor and sensory function, Oriented, Stable VS, shows
no evidence of hemorrhage or other complications or surgery), vital to perform frequent
skilled assessment of patient, review pertinent information, baseline assessment upon
admission to unit, assess airy, respiratory function, cardiovascular function, skin color, level
of consciousness, and ability to respond to commands, reassess VS, patient status every 15
minutes or more frequently as needed, administration of postoperative analgesia, transfer
report, to another unit or discharge patient to home. Discharge planning, discharge
assessment, provide written, kernel instructions regarding medications, diet, give
prescriptions, phone numbers, discuss actions to take if complications occur. Give
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instructions to patient, responsible adult who will accompany patient, patients are not to drive
home or be discharged to home alone, sedation, anesthesia may affect memory, judgement,
affect ability.
Identify assessment parameters appropriate for the early detection of postoperative
complications. - ANS ✓Assessment: Respiratory, pain, mental status/LOC, general
discomfort, primary consideration: necessary to maintain ventilation, oxygenation, provide
supplemental O2 as indicated, assess breathing by placing hand near face to feel movement
of air. Keep head of bed elevated 15 to 30 degrees unless contraindicated-may require
suctioning. If vomiting occurs, turn patient, monitor all indicators of cardiovascular status
assess all IV lines, potential for hypotension, shock, potential for hemorrhage, potential for
hypertension, dysrhythmias, Pallor. Cool, moist skin, rapid respirations, cyanosis, rapid,
weak, thready pulse, decreasing pulse pressure, low blood pressure, concentrated urine,
assess patient comfort, control of environment: quiet, low lights, noise level, administer
analgesics as indicated; usually short-acting Opioids IV. Family visit, dealing with family
anxiety. Intervene at first indication of nausea, medications, assessment of postoperative
nausea, vomiting risk, prophylactic treatment.
Plan effective care of patients with the following imbalances: fluid volume deficit and fluid
volume excess, sodium deficit (hyponatremia) and sodium excess (hypernatremia), and
potassium deficit (hypokalemia) and potassium excess (hyperkalemia). - ANS ✓Fluid
Volume Deficit (hypovolemia) Abnormal fluid losses, decreased intake, third-space fluid
shifts, additional causes: I&O at least every 8 hours, sometimes hourly, daily weight, vital
signs closely monitored, skin and tongue turgor, mucosa, urine output, mental status,
measures to minimize fluid loss. Administration of oral fluids, administration of parenteral
NUR 265
NUR
NUR 265 / NUR265 F INAL EXAM: (LATEST
2025/ 2026 UPDATE) ADVANCED CONCEPTS
OF MEDICAL-SURGICAL NURSING GUIDE|
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
Describe a comprehensive preoperative assessment to identify pertinent health and surgical
risk factors - ANS ✓Initiates the nursing process
Admission data: demographics, health hx, other information pertinent to the surgical
procedure
Verifies completion of preoperative diagnostic testing
Begins discharge planning by assessing pt's need for postop care
Health hx and physical exam, medications and allergies, nutrition, fluid status, dentition, drug
or alcohol use, respiratory and cardiovascular status, hepatic and renal function, endocrine
function, immune function, previous medication use, psychosocial factors, spiritual, cultural
beliefs
Medications that potentially affect surgical experience: corticosteroids, diuretics,
phenothiazines, tranquilizers, insulin, antibiotics, anticoagulants, anticonvulsant meds,
thyroid hormone, opioids, OTC and herbal
Identify legal and ethical considerations related to obtaining informed consent for surgery -
ANS ✓should be written before non emergent surgery, legal mandate, surgeon must explain
NUR 265
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NUR
the procedure/benefits/risks/complications/etc, nurse calcifies information and witnesses
signature, consent is valid ONLY when signed before administering psychoactive
premedication, consent accompanied patient to OR
Describe preoperative nursing measures that decrease the risk for infection and other
postoperative complications - ANS ✓providing pt education, deep breathing, coughing, and
incentive spirometry, mobility and active body movement, pain management, cognitive
coping strategies, education for pts undergoing ambulatory surgery, providing psychosocial
interventions, reducing anxiety and decreasing fear, respecting cultural/spiritual/religious
beliefs, maintaining pt safety, managing nutrition, fluids, preparing the bowels, preparing the
skin, pt changes into gown, mouth inspection, jewelry removed, valuable stored in a secure
place, administering preanesthetic medication, maintaining preoperative record, transporting
pt to presurgical area, attending to family needs
Describe the responsibilities of the post-anesthesia care nurse in the prevention of immediate
post-operative complications. - ANS ✓Provide care for patient until patient has revered from
effects of anesthesia. (Resumption of motor and sensory function, Oriented, Stable VS, shows
no evidence of hemorrhage or other complications or surgery), vital to perform frequent
skilled assessment of patient, review pertinent information, baseline assessment upon
admission to unit, assess airy, respiratory function, cardiovascular function, skin color, level
of consciousness, and ability to respond to commands, reassess VS, patient status every 15
minutes or more frequently as needed, administration of postoperative analgesia, transfer
report, to another unit or discharge patient to home. Discharge planning, discharge
assessment, provide written, kernel instructions regarding medications, diet, give
prescriptions, phone numbers, discuss actions to take if complications occur. Give
NUR 265
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instructions to patient, responsible adult who will accompany patient, patients are not to drive
home or be discharged to home alone, sedation, anesthesia may affect memory, judgement,
affect ability.
Identify assessment parameters appropriate for the early detection of postoperative
complications. - ANS ✓Assessment: Respiratory, pain, mental status/LOC, general
discomfort, primary consideration: necessary to maintain ventilation, oxygenation, provide
supplemental O2 as indicated, assess breathing by placing hand near face to feel movement
of air. Keep head of bed elevated 15 to 30 degrees unless contraindicated-may require
suctioning. If vomiting occurs, turn patient, monitor all indicators of cardiovascular status
assess all IV lines, potential for hypotension, shock, potential for hemorrhage, potential for
hypertension, dysrhythmias, Pallor. Cool, moist skin, rapid respirations, cyanosis, rapid,
weak, thready pulse, decreasing pulse pressure, low blood pressure, concentrated urine,
assess patient comfort, control of environment: quiet, low lights, noise level, administer
analgesics as indicated; usually short-acting Opioids IV. Family visit, dealing with family
anxiety. Intervene at first indication of nausea, medications, assessment of postoperative
nausea, vomiting risk, prophylactic treatment.
Plan effective care of patients with the following imbalances: fluid volume deficit and fluid
volume excess, sodium deficit (hyponatremia) and sodium excess (hypernatremia), and
potassium deficit (hypokalemia) and potassium excess (hyperkalemia). - ANS ✓Fluid
Volume Deficit (hypovolemia) Abnormal fluid losses, decreased intake, third-space fluid
shifts, additional causes: I&O at least every 8 hours, sometimes hourly, daily weight, vital
signs closely monitored, skin and tongue turgor, mucosa, urine output, mental status,
measures to minimize fluid loss. Administration of oral fluids, administration of parenteral
NUR 265
