NUR 315 - Exam 1 UPDATED Exam
Questions and CORRECT Answers
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic cholecystectomy at an
outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a part of the liver.
d. the patient will need special preparation because of obesity. - CORRECT ANSWER -A
The patient tells the nurse in the preoperative setting that she has noticed she has a reaction when
wearing rubber gloves. What is the mostappropriate action?
a. Notify the surgeon so that the surgery can be cancelled.
b. Ask additional questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient's rubber sensitivity has no bearing on surgery. -
CORRECT ANSWER -B
A 59-yr-old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo daily.
What is the priority intervention?
a. Inform the surgeon, since the procedure may have to be rescheduled.
b. Notify the anesthesia care provider, since this herb interferes with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal supplement.
d. Tell the patient to continue to take the herbal supplement up to the day before surgery. -
CORRECT ANSWER -A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an emancipated minor.
She has a statement from the court for verification. Which intervention is mostappropriate?
a. Witness the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under 18.
, c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated minors. -
CORRECT ANSWER -A
A priority nursing intervention to aid a preoperative patient in coping with fear of postoperative
pain would be to
a. inform the patient that pain medication will be available.
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale. - CORRECT
ANSWER -D
A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center.
The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours
before coming to the surgery center. What should the nurse do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate. - CORRECT
ANSWER -D
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks the nurse
what to do about her dose the night before surgery. The best response would be to have her
a. skip her insulin altogether the night before surgery.
b. get instructions from her surgeon or HCP on any insulin adjustments.
c. take her usual dose at bedtime and eat a light breakfast in the morning.
d. eat a moderate meal before bedtime and then take half her usual insulin dose. - CORRECT
ANSWER -B
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational materials.
Questions and CORRECT Answers
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic cholecystectomy at an
outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a part of the liver.
d. the patient will need special preparation because of obesity. - CORRECT ANSWER -A
The patient tells the nurse in the preoperative setting that she has noticed she has a reaction when
wearing rubber gloves. What is the mostappropriate action?
a. Notify the surgeon so that the surgery can be cancelled.
b. Ask additional questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient's rubber sensitivity has no bearing on surgery. -
CORRECT ANSWER -B
A 59-yr-old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo daily.
What is the priority intervention?
a. Inform the surgeon, since the procedure may have to be rescheduled.
b. Notify the anesthesia care provider, since this herb interferes with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal supplement.
d. Tell the patient to continue to take the herbal supplement up to the day before surgery. -
CORRECT ANSWER -A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an emancipated minor.
She has a statement from the court for verification. Which intervention is mostappropriate?
a. Witness the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under 18.
, c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated minors. -
CORRECT ANSWER -A
A priority nursing intervention to aid a preoperative patient in coping with fear of postoperative
pain would be to
a. inform the patient that pain medication will be available.
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale. - CORRECT
ANSWER -D
A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center.
The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours
before coming to the surgery center. What should the nurse do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate. - CORRECT
ANSWER -D
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks the nurse
what to do about her dose the night before surgery. The best response would be to have her
a. skip her insulin altogether the night before surgery.
b. get instructions from her surgeon or HCP on any insulin adjustments.
c. take her usual dose at bedtime and eat a light breakfast in the morning.
d. eat a moderate meal before bedtime and then take half her usual insulin dose. - CORRECT
ANSWER -B
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational materials.
