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MS EXAM 1 QUESTIONS AND ANSWERS
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MS EXAM
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The nurse administers the preoperative medication to the patient one hour before elective surgery, and then
discovers the preoperative consent is not signed. Which action by the nurse is the most appropriate?
1) Have the patient sign the consent quickly, before the medication begins taking effect.
2) Have a family member or medical power of attorney sign the consent.
3) Send the patient to the holding area without a signed consent.
4) Notify the health-care provider that surgery will need to be canceled.
Answer: Notify the health-care provider that surgery will need to be canceled.
The nurse is completing the preoperative checklist on the night shift in preparation for the patient’s surgery,
scheduled for 0800. Which tasks could the nurse complete at this time?
1) Documenting the time of last voiding
2) Checking the medical record for the history, physical, and signed informed consent
3) Administering preoperative medication
4) Removing the prosthesis
2) Checking the medical record for the history, physical, and signed informed consent
Answer: Checking the medical record for the history, physical, and signed informed consent
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is
appropriate for the patient who is prescribed amiodarone?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery
Answer: Tapering the drug two days prior to surgery
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is
appropriate for the patient who is prescribed warfarin?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery
Answer: monitoring blood pressure
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The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is
appropriate for the patient who is prescribed metoprolol?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery
Answer: Monitoring blood pressure
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is
appropriate for the patient who is prescribed dexamethoasone?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Assessing for hyperglycemia
4) Tapering the drug two days prior to surgery
Answer: Assessing for hyperglycemia
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is
appropriate for the patient who is prescribed phenobarbital?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Maintaining the drug during the perioperative period
4) Assessing blood glucose levels closely during the perioperative period
Answer: Maintaining the drug during the perioperative period
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is
appropriate for the patient who is prescribed insulin?
1) Obtaining a baseline ECG
2) Monitoring blood pressure
3) Holding the drug during the perioperative period
4) Assessing blood glucose levels closely during the perioperative period
Answer: Assessing blood glucose levels closely during the perioperative period
Which should the nurse teach the patient regarding NPO status prior to a surgical procedure?
1) Nothing by mouth for 12 hours prior to surgery
2) Nothing solid by mouth for six hours prior to surgery
3) No clear liquids by mouth for four hours prior to the surgery
4) No clear liquids by mouth for two hours prior to the surgery
Answer: No clear liquids by mouth for two hours prior to the surgery
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Which is the priority nursing action when providing patient care during the preoperative phase of care?
1) Ensuring NPO status
2) Monitoring vital signs
3) Obtaining informed consent
4) Completing a preoperative checklist
Answer: Completing a preoperative checklist
The nurse is reviewing the medical records for patients who are scheduled for surgery the next day. Which
patient may not provide consent to receive blood products?
1) A Hispanic Catholic patient.
2) An African American Baptist patient.
3) A Caucasian Jehovah’s Witness patient.
4) A Native American patient with no religious affiliation
Answer: A Caucasian Jehovah’s Witness patient
Which identifier should the nurse use during the initial time-out to determine the right patient?
1) Date of birth
2) Maiden name
3) Medical record number
4) Photo placed in the medical
record Answer: Date of birth
Which information should the nurse collect during the health history that is conducted during the preoperative
period?
1) Caretaker after discharge
2) Oral intake over the last day
3) Date of last sexual encounter
4) Previous response to anesthesia
Answer: Previous response to
anesthesia
The nurse is preparing a patient, diagnosed with asthma, for surgery. Which should the nurse include in the plan
of care for this patient?
1) Monitoring blood pressure every hour
2) Assessing bowel sounds twice per shift
3) Monitoring pulse oximetry continuously
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4) Assessing deep tendon reflexes every hour
Answer: Monitoring pulse oximetry continuously