NUR 320 Final Exam Assessable Questions
With Appropriate Answers Graded A+ Year
2025/2026
1. A patient is recovering from surgery. The patient is very restless, heart rate is
120 bpm and blood pressure is 70/53, skin is cool/clammy. As the nurse you
would?*
A. Continue to monitor the patient
B. Notify the MD
C. Obtain an EKG
D. Check the patient's blood glucose - ANSWER B
2. A patient is taking Aspirin 325 mg PO by mouth daily. The patient is scheduled
for surgery in a week. What education do you provide the patient with before
surgery?*
A. Educate the patient to take the scheduled dose of Aspirin the day of surgery to
help prevent blood clots
B. To hold his morning dose of Aspirin because the nurse will give it to him before
surgery
C. None of the above are correct
D. The medication should be discontinued for 48 hours prior to the scheduled
surgery date - ANSWER D
3. You are observing your patient use the incentive spirometry. What
demonstration by the patient lets you know the patient understands how to use the
device properly?*
,A. The patient inhales slowly on the device and maintains the flow indicator
between 600 to 900 level
B. The patient blows on the mouthpiece rapidly.
C. The patient uses the incentive spirometry once a day
D. The patient rapidly inhales on the devices and exhales - ANSWER A
4. As the nurse you are getting the patient ready for surgery. You are completing
the preoperative checklist. Which of the following is not part of the preoperative
checklist?*
A. Assess for allergies
B. Conducting the Time Out
C. Informed consent is signed
D. Ensuring that the history and physical examination has been completed -
ANSWER B
5. You are completing the history on a patient who is scheduled to have surgery.
What health history increases the risk for surgery for the patient?*
A. Urinary Tract infections
B. History of Premature Ventricle Beats
C. Abuse of street drugs
D. Hyperthyroidism - ANSWER C
6. As a nurse, which statement is incorrect regarding an informed consent signed
by a patient?*
A. The nurse is responsible for obtaining the consent for surgery
B. Patients under 18 years of age may need a parent or legal guardian to sign a
consent form
C. The nurse can witness the client signing the consent form
,D. It is the nurse's responsibility to ensure the patient has been educated by the
physician about the procedure before informed consent is obtained - ANSWER A
7. The nurse is preparing a client for surgery. What is the most effective method
for obtaining an accurate blood pressure reading from the client?
A.
Obtain a cuff that covers the upper one third of the client's arm
B.
Position the cuff approximately 4 inches above the antecubital arm
C.
Use a cuff that is wide enough to cover the upper two thirds of the client's arm
D.
Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the
first sound - ANSWER C
Which of the following items on a client's presurgery laboratory results would
indicate a need to contact the surgeon?
A.
Platelet count of 250,000/cu.mm
B.
Total cholesterol of 325 mg/dl
C.
Blood urea nitrogen (BUN)) 17 mg/dl
D.
Hemoglobin 9.5 mg/dl - ANSWER D
, 8. To prevent complications of immobility, which activities would the nurse plan
for the first postoperative day after a colon resection?
Discuss
A.
Turn, cough, and deep breathe every 30 minutes around the clock
B.
Get the client out of bed and ambulate to a bedside chair
C.
Provide passive range of motion three times a day
D.
It is not necessary to worry about complications of immobility on the first
postoperative day - ANSWER B
9. In the recovery room, the postoperative client suddenly becomes cyanotic. What
is the most appropriate nursing action?
Discuss
A.
Start administration of oxygen through a nasal cannula
B.
Call for assistance
C.
Reposition the head and determine patency of airway
D.
Insert an oral airway and suction the nasopharynx - ANSWER C
10. A client is scheduled for surgery in the morning. Preoperative orders have been
written. What is the most important to do before surgery?
With Appropriate Answers Graded A+ Year
2025/2026
1. A patient is recovering from surgery. The patient is very restless, heart rate is
120 bpm and blood pressure is 70/53, skin is cool/clammy. As the nurse you
would?*
A. Continue to monitor the patient
B. Notify the MD
C. Obtain an EKG
D. Check the patient's blood glucose - ANSWER B
2. A patient is taking Aspirin 325 mg PO by mouth daily. The patient is scheduled
for surgery in a week. What education do you provide the patient with before
surgery?*
A. Educate the patient to take the scheduled dose of Aspirin the day of surgery to
help prevent blood clots
B. To hold his morning dose of Aspirin because the nurse will give it to him before
surgery
C. None of the above are correct
D. The medication should be discontinued for 48 hours prior to the scheduled
surgery date - ANSWER D
3. You are observing your patient use the incentive spirometry. What
demonstration by the patient lets you know the patient understands how to use the
device properly?*
,A. The patient inhales slowly on the device and maintains the flow indicator
between 600 to 900 level
B. The patient blows on the mouthpiece rapidly.
C. The patient uses the incentive spirometry once a day
D. The patient rapidly inhales on the devices and exhales - ANSWER A
4. As the nurse you are getting the patient ready for surgery. You are completing
the preoperative checklist. Which of the following is not part of the preoperative
checklist?*
A. Assess for allergies
B. Conducting the Time Out
C. Informed consent is signed
D. Ensuring that the history and physical examination has been completed -
ANSWER B
5. You are completing the history on a patient who is scheduled to have surgery.
What health history increases the risk for surgery for the patient?*
A. Urinary Tract infections
B. History of Premature Ventricle Beats
C. Abuse of street drugs
D. Hyperthyroidism - ANSWER C
6. As a nurse, which statement is incorrect regarding an informed consent signed
by a patient?*
A. The nurse is responsible for obtaining the consent for surgery
B. Patients under 18 years of age may need a parent or legal guardian to sign a
consent form
C. The nurse can witness the client signing the consent form
,D. It is the nurse's responsibility to ensure the patient has been educated by the
physician about the procedure before informed consent is obtained - ANSWER A
7. The nurse is preparing a client for surgery. What is the most effective method
for obtaining an accurate blood pressure reading from the client?
A.
Obtain a cuff that covers the upper one third of the client's arm
B.
Position the cuff approximately 4 inches above the antecubital arm
C.
Use a cuff that is wide enough to cover the upper two thirds of the client's arm
D.
Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the
first sound - ANSWER C
Which of the following items on a client's presurgery laboratory results would
indicate a need to contact the surgeon?
A.
Platelet count of 250,000/cu.mm
B.
Total cholesterol of 325 mg/dl
C.
Blood urea nitrogen (BUN)) 17 mg/dl
D.
Hemoglobin 9.5 mg/dl - ANSWER D
, 8. To prevent complications of immobility, which activities would the nurse plan
for the first postoperative day after a colon resection?
Discuss
A.
Turn, cough, and deep breathe every 30 minutes around the clock
B.
Get the client out of bed and ambulate to a bedside chair
C.
Provide passive range of motion three times a day
D.
It is not necessary to worry about complications of immobility on the first
postoperative day - ANSWER B
9. In the recovery room, the postoperative client suddenly becomes cyanotic. What
is the most appropriate nursing action?
Discuss
A.
Start administration of oxygen through a nasal cannula
B.
Call for assistance
C.
Reposition the head and determine patency of airway
D.
Insert an oral airway and suction the nasopharynx - ANSWER C
10. A client is scheduled for surgery in the morning. Preoperative orders have been
written. What is the most important to do before surgery?
