1n|nPnangnen|n©ncopyrightn 2024/2025n|nGradenA+
Nurs 340 Review Questions & 100% Cor
n n n n n n
rect Answers n
Fivenminutes nafternreceivingnanpreoperative nsedativenmedicationnbynIVninjection,nanpa
tientnasks ntongetnupntongontonthenbathroomntonurinate.nWhatnisnthenmostnappropriatenac
tionnfornthennursento ntake?
A. Offernthenpatientnto nusenthenurinal/bedpan nafternexplainingnthenneednto n
maintainnsafety
B. Assistnthenpatientntonthenbathroom nandnstaynnextntonthendoorntonassistnpatientnb
acknto nbednwhenndone.
C. Allownthenpatientntongontonthenbathroom nsincenthenonsetnofnthenmedication nwillnb
enmorenthann5nminutes.
D. Asknthenpatientntonholdnthenurinenfornanshortnperiodnsincena nurinaryncatheternwillnb
enplacedninnthenoperatingnroom
✓ :~~ A
Rationale:nThenprimenissuenafternadministrationnofneithernsedativenornopioidnanalgesi
cnmedicationsnis nsafety.nBecausenthenmedications naffectnthencentralnnervous nsystem,
n thenpatientnis natnrisknfornfalls nandnshouldnnotnbenallowednoutnofnbed,nevennwithnassist
ance.nThenothernoptions nwouldnnotnbensafenfornthenpatient.
Master01 | n n September,n2024/2025 |nLatestnupdate
, 2n|nPnangnen|n©ncopyrightn 2024/2025n|nGradenA+
Whatnis nthenprimarynreasonnfornaccuratelynrecordingnthenpatient'sncurrentnmedication
s nduringna npreoperative nassessment?
A. Somenmedications nmaynalternthenpatient's nperceptions naboutnsurgery.
B. Manynanestheticsnalternrenalnandnhepaticnfunction,ncausingntoxicitynofnothernd
rugs.
C. Somenmedicationsnmayninteractnwithnanesthetics,nalteringnthenpotencynandne
ffectnofnthendrugs.
D. Routinenmedicationsnarenwithheldnthendaynofnsurgery,nrequiringndosagenandns
chedulenadjustments nafternsurgery.
✓ :~~ C
Rationale:nDrugninteractionsnmaynoccurnbetweennprescribednmedicationsnandnanesth
eticnagents nusednduringnsurgery.nFornthis nreason,nitnis nimportantntontakena ncarefulnme
dicationnhistorynandnchecknthatntheynhavenbeenncommunicatedntonthenanesthesia ncar
enprovider.nRoutinenmedicationsnmaynornmaynnotnbenprescribednfornusenthendaynofnsur
gery.
Whilenperformingnpreoperativenteaching,nthenpatientnasks nwhennshenneedsntonstopndri
nkingnwaternbeforenthensurgery.nBasednonnthenmostnrecentnpracticenguidelinesnestabl
ishednbynthenAmericannSocietynofnAnesthesiologists,nthennursentells nthenpatientnthat?
Master01 | n n September,n2024/2025 |nLatestnupdate
, 3n|nPnangnen|n©ncopyrightn 2024/2025n|nGradenA+
A. shenmustnbenNPOnafternbreakfast.
B. shenneeds nto nbenNPOnafternmidnight.
C. shencanndrinknclearnliquids nupnto n2nhours nbeforensurgery.
D. shencanndrinknclearnliquids nupnuntilnshenis nmovednto nthenOR.
✓ :~~ C
Rationale:nPracticenguidelines nfornpreoperativenfastingnstatenthenminimum nfastingnp
eriodnfornclearnliquidsnis n2nhours.nEvidence-
basednpracticennonlongernsupportsnthenlong-
standingnpracticenofnrequiringnpatients nto nbenNPOnafternmidnight.
Thennursenis nadmittingna npatientnto nthensame-
daynsurgerynunit.nThenpatientntells nthennursenthatnhenwas nsonnervousnhenhadntontakenkava
n lastneveningnto nhelpnhim nsleep.
Whichnnursingnactionnwouldnbenmostnappropriate?
A. Tellnthenpatientnthatnusingnkava nto nhelpnsleepnis noftennhelpful.
B. Inform nthenanesthesiologistnofnthenpatient's nrecentnusenofnkava.
C. Tellnthenpatientnthatnthenkava nshouldncontinuento nhelpnhim nrelaxnbeforensurgery.
D. Inform nthenpatientnaboutnthendangersnofntakingnherbalnmedicinesnwithoutnc
onsultingnhis nhealthncarenprovider.
, Master01 |
n n September,n2024/2025 |nLatestnupdate
Nurs 340 Review Questions & 100% Cor
n n n n n n
rect Answers n
Fivenminutes nafternreceivingnanpreoperative nsedativenmedicationnbynIVninjection,nanpa
tientnasks ntongetnupntongontonthenbathroomntonurinate.nWhatnisnthenmostnappropriatenac
tionnfornthennursento ntake?
A. Offernthenpatientnto nusenthenurinal/bedpan nafternexplainingnthenneednto n
maintainnsafety
B. Assistnthenpatientntonthenbathroom nandnstaynnextntonthendoorntonassistnpatientnb
acknto nbednwhenndone.
C. Allownthenpatientntongontonthenbathroom nsincenthenonsetnofnthenmedication nwillnb
enmorenthann5nminutes.
D. Asknthenpatientntonholdnthenurinenfornanshortnperiodnsincena nurinaryncatheternwillnb
enplacedninnthenoperatingnroom
✓ :~~ A
Rationale:nThenprimenissuenafternadministrationnofneithernsedativenornopioidnanalgesi
cnmedicationsnis nsafety.nBecausenthenmedications naffectnthencentralnnervous nsystem,
n thenpatientnis natnrisknfornfalls nandnshouldnnotnbenallowednoutnofnbed,nevennwithnassist
ance.nThenothernoptions nwouldnnotnbensafenfornthenpatient.
Master01 | n n September,n2024/2025 |nLatestnupdate
, 2n|nPnangnen|n©ncopyrightn 2024/2025n|nGradenA+
Whatnis nthenprimarynreasonnfornaccuratelynrecordingnthenpatient'sncurrentnmedication
s nduringna npreoperative nassessment?
A. Somenmedications nmaynalternthenpatient's nperceptions naboutnsurgery.
B. Manynanestheticsnalternrenalnandnhepaticnfunction,ncausingntoxicitynofnothernd
rugs.
C. Somenmedicationsnmayninteractnwithnanesthetics,nalteringnthenpotencynandne
ffectnofnthendrugs.
D. Routinenmedicationsnarenwithheldnthendaynofnsurgery,nrequiringndosagenandns
chedulenadjustments nafternsurgery.
✓ :~~ C
Rationale:nDrugninteractionsnmaynoccurnbetweennprescribednmedicationsnandnanesth
eticnagents nusednduringnsurgery.nFornthis nreason,nitnis nimportantntontakena ncarefulnme
dicationnhistorynandnchecknthatntheynhavenbeenncommunicatedntonthenanesthesia ncar
enprovider.nRoutinenmedicationsnmaynornmaynnotnbenprescribednfornusenthendaynofnsur
gery.
Whilenperformingnpreoperativenteaching,nthenpatientnasks nwhennshenneedsntonstopndri
nkingnwaternbeforenthensurgery.nBasednonnthenmostnrecentnpracticenguidelinesnestabl
ishednbynthenAmericannSocietynofnAnesthesiologists,nthennursentells nthenpatientnthat?
Master01 | n n September,n2024/2025 |nLatestnupdate
, 3n|nPnangnen|n©ncopyrightn 2024/2025n|nGradenA+
A. shenmustnbenNPOnafternbreakfast.
B. shenneeds nto nbenNPOnafternmidnight.
C. shencanndrinknclearnliquids nupnto n2nhours nbeforensurgery.
D. shencanndrinknclearnliquids nupnuntilnshenis nmovednto nthenOR.
✓ :~~ C
Rationale:nPracticenguidelines nfornpreoperativenfastingnstatenthenminimum nfastingnp
eriodnfornclearnliquidsnis n2nhours.nEvidence-
basednpracticennonlongernsupportsnthenlong-
standingnpracticenofnrequiringnpatients nto nbenNPOnafternmidnight.
Thennursenis nadmittingna npatientnto nthensame-
daynsurgerynunit.nThenpatientntells nthennursenthatnhenwas nsonnervousnhenhadntontakenkava
n lastneveningnto nhelpnhim nsleep.
Whichnnursingnactionnwouldnbenmostnappropriate?
A. Tellnthenpatientnthatnusingnkava nto nhelpnsleepnis noftennhelpful.
B. Inform nthenanesthesiologistnofnthenpatient's nrecentnusenofnkava.
C. Tellnthenpatientnthatnthenkava nshouldncontinuento nhelpnhim nrelaxnbeforensurgery.
D. Inform nthenpatientnaboutnthendangersnofntakingnherbalnmedicinesnwithoutnc
onsultingnhis nhealthncarenprovider.
, Master01 |
n n September,n2024/2025 |nLatestnupdate