Exam 1: NUR170/ NUR 170 (NEW 2025/ 2026 Update) Concepts of Medical- Surgical Nursing Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

Examl 1:l NUR170l /l NURl 170l (NEWl
2025/l 2026l Update)l Conceptsl ofl Medical-
Surgicall Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen

QUESTION
implementl interventionsl neededl beforel surgeryl tol dol what?


Answer:
reducel anxietyl &l complications,l promotel ptl adherencel tol treatmentl planl postop




QUESTION
thel ptl readinessl forl surgeryl isl criticall tol thel outcome.l prel opl carel focusesl onl what?


Answer:
preparingl ptl forl surgeryl &l ensuringl safety,l
assessingl ptl knowledgel &l educationall needs.




QUESTION
Periopl care:
whenl al ptl isl goingl underl generall anesthesia/epiduralsl whatl dol wel monitor?


Answer:
BPl (hypotn,l tachycardia),l O2l sat,

,QUESTION
whatl kindl ofl ptsl mayl requirel al littlel morel anesthesial thanl normal


Answer:
obese,l redl heads




QUESTION
locall conductionl blocks


Answer:
shouldl onlyl bel numbl inl onel area,l shouldl notl movel froml toel tol calf




QUESTION
differencel betweenl spinall andl epidurall anesthesia?


Answer:
spinal:l al needle,l muscularl andl sensoryl anesthesial startsl atl thel toesl andl movesl upwards,l
intol subarachnoidl space
epidural:l muscular,l sensory,l andl autonomicl anesthesial requiresl smallerl dose.l lessl chancel
ofl hypotnl &l HAl becausel itl doesn'tl puncturel subarachnoidl space,l dol notl wantl needlel tol
move




QUESTION
howl willl Il knowl ifl anl epidurall needlel hasl moved?


Answer:
hypotn,l respl depression,l ifl numbnessl movesl froml onel areal tol another




QUESTION

,Pre-opl assessmentl includes:
1.l healthl hxl suchl asl whatl diseases?
2.l allergies,l why?
3.l whol isl atl riskl forl clots?
4.l medsl ptl isl on?
5.l askl aboutl al faml hxl ofl whatl disease?
6.l physicall assessment?


Answer:
1.l diabetes-l delaysl woundl healing,l heartl concerns,l BP/respl diseases
2.l canl causel anaphylaxis
3.l hxl ofl PVD,l DM,l immobilel ptsl (anklel flexionl exercises,l SCDs,l tedl hose)l
4.l bloodl thinners-l aspirin,l ASA,l heparin,l warfarin,l betal blockers,l ACEi,l ARBs:l lowersl
BP,l SSRIs,l steroids
5.l MH
6.l baselinel data:l lung,l heart,l bowell sounds




QUESTION
inheritedl musclel disorder,l inadequatel thermoregulation,l causedl byl increasedl Cal inl
skeletall musclel inl responsel tol anesthetics


Answer:
malignantl hyperthermia




QUESTION
Assessl anyonel whol hasl orl isl atl riskl forl hyperkalemial tol recognize


Answer:
cardiacl changes,l ifl ptsl HRl fallsl belowl 60l orl ifl Tl wavesl becomel spiked,l respondl byl
notifyingl thel RRT




QUESTION
malignantl hyperthermial mayl startl when?

, Answer:
immediatelyl afterl anesthesial induction,l severall hoursl intol procedure,l orl afterl anesthesial
isl complete




QUESTION
whatl isl thel musclel relaxantl thatl isl thel onlyl drugl specificallyl approvedl forl malignantl
hyperthermia?


Answer:
dantrolenel sodium




QUESTION
assessl thel CVl systeml firstl inl al ptl whol isl atl riskl forl acidosis,l why?


Answer:
acidosisl canl leadl tol cardiacl arrestl froml accompanyingl hyperkalemia,l ifl cardiacl changesl
occurl notifyl thel HCPl immediately




QUESTION
symptomsl ofl malignantl hyperthermia


Answer:
tachycardia,l dysrhythmias,l hypotn,l tachypnea
musclel rigidityl ofl jaw/upperl chest,l skinl mottling,l
cyanosis,l myoglobinuria,l musclel spasm,l highl temp




QUESTION
extremelyl elevatedl templ asl highl asl degreel isl al latel signl ofl malignantl hyperthermia?