Med Surg Exam 1 2025 Questions and
Answers 100% Pass
When a client with a history of chronic alcoholism is admitted to the hospital for
surgery, the nurse anticipates that the client may show signs of alcohol withdrawal
delirium during which time period? - ✔✔Up to 72 hours after alcohol withdrawal
A fractured skull would be classified under which category of surgery based on
urgency? - ✔✔Emergent
Emergent surgery occurs when the client requires immediate attention. An elective
surgery is classified as a surgery that the client should have. A required surgery
means that the client needs to have surgery. An urgent surgery occurs when the
client requires prompt attention.
For the client who is taking aspirin, it is important to stop taking this medication at
least how many day(s) before surgery? - ✔✔7
Which health care profession has the ultimate responsibility to provide appropriate
information regarding a nonemergent surgery? - ✔✔Physician
The nurse discovers that the client did not sign the operative consent before
receiving the preoperative medication. The appropriate nursing action is: - ✔✔To
notify the surgeon
The nurse expects informed consent to be obtained for insertion of: - ✔✔A
gastrostomy tube
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,You are the nurse working in an ambulatory surgery center. A teenage son of your
clients ask you why so many people have surgery. What would be your best reply? -
✔✔"Many people have diagnostic or short therapeutic surgical procedures."
A client is scheduled for a surgical procedure. When planning the client's care, the
nurse should consider that which of the following conditions will increase the
client's risk of complications after surgery? - ✔✔A history of diabetes
At what point does the preoperative period end? - ✔✔When the client is transferred
onto the operating table
The preoperative phase begins when the decision to proceed with surgical
intervention is made and ends with the transfer of the client onto the OR table. The
intraoperative phase begins when the client is transferred onto the operating table
and ends with admission to the PACU.
A client is being prepared for a same-day surgical procedure and is discussing with
the nurse what potential ramifications this type of surgery has. Which of the
following would the nurse correctly identify? Select all that apply. - ✔✔Need for
teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have done
in the past.
When is the ideal time to discuss preoperative teaching - ✔✔Preadmission visit
A client is undergoing preoperative assessment. During admission paperwork, the
client reports having enjoyed a hearty breakfast this morning to be ready for the
procedure. What is the nurse's next action? - ✔✔Notify the surgeon.
A 17-year-old client is having same-day surgery. Solely during the intraoperative
phase of perioperative care, the nurse: - ✔✔continuously monitors the sedated client.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
,A physically fit 86-year-old is scheduled for right knee replacement. Which factor the
client at increased risk for complications during or after surgery? - ✔✔Age
A nurse is witnessing a client sign the consent form for surgery. After signing the
consent form, the client starts asking questions regarding the risks and benefits of a
surgical procedure. What action by the nurse is most appropriate? - ✔✔Request that
the surgeon come and answer the questions.
A client is undergoing thoracic surgery. What priority education should the nurse
provide to assist in preventing respiratory complications? - ✔✔Splint the incision
site using a pillow during deep breathing and coughing exercises.
A client refuses to remove her wedding band when preparing for surgery. What is
the best action for the nurse to take? - ✔✔Allow the client to wear the ring and cover
it with tape.
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What
chief life-threatening hazard should the nurse monitor for? - ✔✔Hypoglycemia
The nurse is monitoring a presurgical patient for electrolyte imbalance. Which
classification of medication may cause electrolyte imbalance? - ✔✔Diuretics
A nurse knows that she must obtain a signed informed consent for which of the
following procedures? Select all that apply. - ✔✔Arteriography
Open reduction of a fracture
Cystoscopy
Paracentesis
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which
instruction should the nurse include in the teaching? - ✔✔Use diaphragmatic
breathing.
When the indication for surgery is without delay, the nurse recognizes that the
surgery will be classified as - ✔✔emergency.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
, Emergency surgery means that the client requires immediate attention and the
disorder may be life threatening. Urgent surgery means that the client requires
prompt attention within 24 to 30 hours. Required surgery means that the client
needs to have surgery, and it should be planned within a few weeks or months.
Elective surgery means that there is an indication for surgery, but failure to have
surgery will not be catastrophic.
Clients who have received corticosteroids preoperatively are at risk for which type
of insufficiency? - ✔✔Adrenal
An inappropriate nursing action implemented to keep the client safe includes: -
✔✔Moving the client swiftly
Nursing assessment findings reveal that the client is afraid of dying during the
surgical procedure. Which surgical team member would be most helpful in
addressing the client's concern? - ✔✔Surgeon
The nurse is evaluating the client's understanding of diet teaching aimed at
promoting wound healing following surgery. The nurse would conclude teaching
was ineffective if the client selects which of the following? - ✔✔Cheeseburger, french
fries, coleslaw, and ice cream
Which nursing statement would best decrease a client's anxiety before an emergency
operative procedure? - ✔✔"Let me explain to you what will happen next."
An obese client is scheduled for open abdominal surgery. What priority education
should the nurse provide to this client? - ✔✔Prevention of respiratory complications
What action by the nurse best encompasses the preoperative phase? - ✔✔Educating
clients on signs and symptoms of infection
What is the blood glucose level goal for a diabetic client who will be having a
surgical procedure? - ✔✔80 to 110 mg/dL
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 4
Answers 100% Pass
When a client with a history of chronic alcoholism is admitted to the hospital for
surgery, the nurse anticipates that the client may show signs of alcohol withdrawal
delirium during which time period? - ✔✔Up to 72 hours after alcohol withdrawal
A fractured skull would be classified under which category of surgery based on
urgency? - ✔✔Emergent
Emergent surgery occurs when the client requires immediate attention. An elective
surgery is classified as a surgery that the client should have. A required surgery
means that the client needs to have surgery. An urgent surgery occurs when the
client requires prompt attention.
For the client who is taking aspirin, it is important to stop taking this medication at
least how many day(s) before surgery? - ✔✔7
Which health care profession has the ultimate responsibility to provide appropriate
information regarding a nonemergent surgery? - ✔✔Physician
The nurse discovers that the client did not sign the operative consent before
receiving the preoperative medication. The appropriate nursing action is: - ✔✔To
notify the surgeon
The nurse expects informed consent to be obtained for insertion of: - ✔✔A
gastrostomy tube
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,You are the nurse working in an ambulatory surgery center. A teenage son of your
clients ask you why so many people have surgery. What would be your best reply? -
✔✔"Many people have diagnostic or short therapeutic surgical procedures."
A client is scheduled for a surgical procedure. When planning the client's care, the
nurse should consider that which of the following conditions will increase the
client's risk of complications after surgery? - ✔✔A history of diabetes
At what point does the preoperative period end? - ✔✔When the client is transferred
onto the operating table
The preoperative phase begins when the decision to proceed with surgical
intervention is made and ends with the transfer of the client onto the OR table. The
intraoperative phase begins when the client is transferred onto the operating table
and ends with admission to the PACU.
A client is being prepared for a same-day surgical procedure and is discussing with
the nurse what potential ramifications this type of surgery has. Which of the
following would the nurse correctly identify? Select all that apply. - ✔✔Need for
teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have done
in the past.
When is the ideal time to discuss preoperative teaching - ✔✔Preadmission visit
A client is undergoing preoperative assessment. During admission paperwork, the
client reports having enjoyed a hearty breakfast this morning to be ready for the
procedure. What is the nurse's next action? - ✔✔Notify the surgeon.
A 17-year-old client is having same-day surgery. Solely during the intraoperative
phase of perioperative care, the nurse: - ✔✔continuously monitors the sedated client.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
,A physically fit 86-year-old is scheduled for right knee replacement. Which factor the
client at increased risk for complications during or after surgery? - ✔✔Age
A nurse is witnessing a client sign the consent form for surgery. After signing the
consent form, the client starts asking questions regarding the risks and benefits of a
surgical procedure. What action by the nurse is most appropriate? - ✔✔Request that
the surgeon come and answer the questions.
A client is undergoing thoracic surgery. What priority education should the nurse
provide to assist in preventing respiratory complications? - ✔✔Splint the incision
site using a pillow during deep breathing and coughing exercises.
A client refuses to remove her wedding band when preparing for surgery. What is
the best action for the nurse to take? - ✔✔Allow the client to wear the ring and cover
it with tape.
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What
chief life-threatening hazard should the nurse monitor for? - ✔✔Hypoglycemia
The nurse is monitoring a presurgical patient for electrolyte imbalance. Which
classification of medication may cause electrolyte imbalance? - ✔✔Diuretics
A nurse knows that she must obtain a signed informed consent for which of the
following procedures? Select all that apply. - ✔✔Arteriography
Open reduction of a fracture
Cystoscopy
Paracentesis
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which
instruction should the nurse include in the teaching? - ✔✔Use diaphragmatic
breathing.
When the indication for surgery is without delay, the nurse recognizes that the
surgery will be classified as - ✔✔emergency.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
, Emergency surgery means that the client requires immediate attention and the
disorder may be life threatening. Urgent surgery means that the client requires
prompt attention within 24 to 30 hours. Required surgery means that the client
needs to have surgery, and it should be planned within a few weeks or months.
Elective surgery means that there is an indication for surgery, but failure to have
surgery will not be catastrophic.
Clients who have received corticosteroids preoperatively are at risk for which type
of insufficiency? - ✔✔Adrenal
An inappropriate nursing action implemented to keep the client safe includes: -
✔✔Moving the client swiftly
Nursing assessment findings reveal that the client is afraid of dying during the
surgical procedure. Which surgical team member would be most helpful in
addressing the client's concern? - ✔✔Surgeon
The nurse is evaluating the client's understanding of diet teaching aimed at
promoting wound healing following surgery. The nurse would conclude teaching
was ineffective if the client selects which of the following? - ✔✔Cheeseburger, french
fries, coleslaw, and ice cream
Which nursing statement would best decrease a client's anxiety before an emergency
operative procedure? - ✔✔"Let me explain to you what will happen next."
An obese client is scheduled for open abdominal surgery. What priority education
should the nurse provide to this client? - ✔✔Prevention of respiratory complications
What action by the nurse best encompasses the preoperative phase? - ✔✔Educating
clients on signs and symptoms of infection
What is the blood glucose level goal for a diabetic client who will be having a
surgical procedure? - ✔✔80 to 110 mg/dL
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 4
