NU 180 EXAM DETAILED QUESTIONS AND
100% CORRECT ANSWERS!!
A patient with a mechanical heart valve is scheduled for surgery. What should the nurse be
most concerned about during the preoperative assessment?
A. Whether the patient smokes
B. Long-term anticoagulant use
C. The patient's height and weight
D. Any food allergies
b
During the preoperative assessment, a patient tells the nurse they’re “very scared” about
the surgery. What is the best nursing response?
A. “There’s nothing to worry about.”
B. “This procedure is very routine.”
C. “Can you tell me what you're most worried about?”
D. “You’ll feel better once it’s done.”
c
A patient receives IV midazolam and then asks to go to the restroom. What is the best
nursing action?
A. Walk them to the restroom
B. Allow them to go alone
C. Ask a family member to help
D. Offer a urinal or bedpan
d
,A nurse is teaching a patient about incentive spirometry before surgery. Which statement
indicates understanding?
A. “I should use this once a day after surgery.”
B. “This helps me stay asleep longer.”
C. “This helps keep my lungs clear after surgery.”
D. “I’ll use this right before eating.”
c
Which patient teaching reduces the risk of postoperative complications such as pneumonia
and DVT?
A. Deep breathing, coughing, and early ambulation
B. Taking pain medications only as needed
C. Bedrest for 48 hours after surgery
D. Limiting fluid intake
a
A patient asks, “Will I be in pain after surgery?” What’s the best nursing response?
A. “You won’t feel anything after surgery.”
B. “You might feel a little discomfort, but it’s part of the process.”
C. “We will provide medication to manage your pain and keep you comfortable.
”D. “That depends on the surgeon.”
c
A patient says they are taking St. John’s Wort daily. Why is this a concern for surgery?
A. It causes sedation
B. It may interact with anesthetics and reduce effectiveness of other drugs
, C. It raises blood pressure
D. It enhances wound healing
b
Which statement indicates the patient needs more teaching about pre-op care?
A. “I will use the breathing tool 10 times every hour.”
B. “I can eat a light breakfast before surgery.”
C. “I will tell the nurse all of my medications and supplements.”
D. “I’ll get pain medication after surgery.”
b
What is the role of the circulating nurse during surgery?
Manages non-sterile duties, documents, obtains supplies, and advocates for the patient.
What is the role of the scrub nurse?
Works in the sterile field, passes instruments, and maintains aseptic technique.
Who manages the patient's airway and anesthesia during surgery?
Anesthesiologist or Nurse Anesthetist.
Is the circulating nurse part of the sterile field?
No, they remain in the non-sterile environment.
What type of anesthesia causes total loss of consciousness?
general
What type of anesthesia numbs a specific region while the patient remains awake?
regional
What type of anesthesia is used to numb a small area for minor procedures?
local
100% CORRECT ANSWERS!!
A patient with a mechanical heart valve is scheduled for surgery. What should the nurse be
most concerned about during the preoperative assessment?
A. Whether the patient smokes
B. Long-term anticoagulant use
C. The patient's height and weight
D. Any food allergies
b
During the preoperative assessment, a patient tells the nurse they’re “very scared” about
the surgery. What is the best nursing response?
A. “There’s nothing to worry about.”
B. “This procedure is very routine.”
C. “Can you tell me what you're most worried about?”
D. “You’ll feel better once it’s done.”
c
A patient receives IV midazolam and then asks to go to the restroom. What is the best
nursing action?
A. Walk them to the restroom
B. Allow them to go alone
C. Ask a family member to help
D. Offer a urinal or bedpan
d
,A nurse is teaching a patient about incentive spirometry before surgery. Which statement
indicates understanding?
A. “I should use this once a day after surgery.”
B. “This helps me stay asleep longer.”
C. “This helps keep my lungs clear after surgery.”
D. “I’ll use this right before eating.”
c
Which patient teaching reduces the risk of postoperative complications such as pneumonia
and DVT?
A. Deep breathing, coughing, and early ambulation
B. Taking pain medications only as needed
C. Bedrest for 48 hours after surgery
D. Limiting fluid intake
a
A patient asks, “Will I be in pain after surgery?” What’s the best nursing response?
A. “You won’t feel anything after surgery.”
B. “You might feel a little discomfort, but it’s part of the process.”
C. “We will provide medication to manage your pain and keep you comfortable.
”D. “That depends on the surgeon.”
c
A patient says they are taking St. John’s Wort daily. Why is this a concern for surgery?
A. It causes sedation
B. It may interact with anesthetics and reduce effectiveness of other drugs
, C. It raises blood pressure
D. It enhances wound healing
b
Which statement indicates the patient needs more teaching about pre-op care?
A. “I will use the breathing tool 10 times every hour.”
B. “I can eat a light breakfast before surgery.”
C. “I will tell the nurse all of my medications and supplements.”
D. “I’ll get pain medication after surgery.”
b
What is the role of the circulating nurse during surgery?
Manages non-sterile duties, documents, obtains supplies, and advocates for the patient.
What is the role of the scrub nurse?
Works in the sterile field, passes instruments, and maintains aseptic technique.
Who manages the patient's airway and anesthesia during surgery?
Anesthesiologist or Nurse Anesthetist.
Is the circulating nurse part of the sterile field?
No, they remain in the non-sterile environment.
What type of anesthesia causes total loss of consciousness?
general
What type of anesthesia numbs a specific region while the patient remains awake?
regional
What type of anesthesia is used to numb a small area for minor procedures?
local
