NUR2755 MDC IV: Exam 2 Blueprint
Overview 2026 Questions and Answers
What is a sign of malignant hyperthermia that nurses must identify
intraoperatively? - Correct answer-Early signs include increased CO₂, muscle
rigidity, and increased temperature.
What medication is administered to treat malignant hyperthermia? - Correct
answer-Dantrolene.
How can nurses maintain the optimal temperature of a client during surgery? -
Correct answer-By using warming blankets, warmed IV fluids, and monitoring
core temperature.
What should nurses do if a client's temperature exceeds 104°F in the PACU? -
Correct answer-Intervene immediately and assess for signs of hypermetabolism.
What preoperative care should be provided regarding malignant hyperthermia? -
Correct answer-Screen for family history of MH, assess risk factors, and educate
on post-op temperature monitoring.
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,What postoperative care should be provided in the PACU? - Correct answer-
Continue to assess temperature every 15 minutes.
What are the early signs of malignant hyperthermia that patients should be
educated about? - Correct answer-Muscle cramps, dark urine, or fever.
What should be monitored to prevent complications related to hypothermia in the
OR? - Correct answer-Monitor temperature continuously and use warming devices
correctly.
What is the risk associated with cold temperatures in the OR? - Correct answer-
Hypothermia (temperature < 36°C) can lead to delayed healing and cardiac events.
How should a nurse manage a client with impaired ventilation/oxygenation who is
hypothermic? - Correct answer-Warm them up, provide oxygen, and closely
monitor their breathing.
What preoperative care should be provided to patients at risk for hypothermia? -
Correct answer-Pre-warm patients, especially older adults or those undergoing long
surgeries.
What should be done if a patient shows cold, clammy skin and decreased
temperature? - Correct answer-Intervene early and consider lab tests if
hypothermia persists.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, What is the purpose of using a PCA pump postoperatively? - Correct answer-To
manage pain effectively through patient-controlled analgesia.
What should nurses assess to evaluate a client's pain response? - Correct answer-
Use a validated pain scale and reassess after administering pain medication.
What are the potential complications of unmanaged acute post-op pain? - Correct
answer-Decreased mobility, increased risk of DVT, and pulmonary issues.
What is the importance of educating patients about pain control expectations? -
Correct answer-Patients should understand that pain control does not mean
experiencing zero pain.
What is a key nursing action to prevent aspiration in post-op patients? - Correct
answer-Position patients laterally and ensure proper NPO adherence.
What should be monitored to ensure the effectiveness of pain management? -
Correct answer-Level of consciousness (LOC) and sedation levels.
What interventions can help manage acute post-op pain? - Correct answer-Use
multimodal analgesia, assess pain levels, and support mobility.
What should nurses do if they notice restlessness and shallow breathing in a
patient? - Correct answer-Reassess pain management and medicate as necessary.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Overview 2026 Questions and Answers
What is a sign of malignant hyperthermia that nurses must identify
intraoperatively? - Correct answer-Early signs include increased CO₂, muscle
rigidity, and increased temperature.
What medication is administered to treat malignant hyperthermia? - Correct
answer-Dantrolene.
How can nurses maintain the optimal temperature of a client during surgery? -
Correct answer-By using warming blankets, warmed IV fluids, and monitoring
core temperature.
What should nurses do if a client's temperature exceeds 104°F in the PACU? -
Correct answer-Intervene immediately and assess for signs of hypermetabolism.
What preoperative care should be provided regarding malignant hyperthermia? -
Correct answer-Screen for family history of MH, assess risk factors, and educate
on post-op temperature monitoring.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,What postoperative care should be provided in the PACU? - Correct answer-
Continue to assess temperature every 15 minutes.
What are the early signs of malignant hyperthermia that patients should be
educated about? - Correct answer-Muscle cramps, dark urine, or fever.
What should be monitored to prevent complications related to hypothermia in the
OR? - Correct answer-Monitor temperature continuously and use warming devices
correctly.
What is the risk associated with cold temperatures in the OR? - Correct answer-
Hypothermia (temperature < 36°C) can lead to delayed healing and cardiac events.
How should a nurse manage a client with impaired ventilation/oxygenation who is
hypothermic? - Correct answer-Warm them up, provide oxygen, and closely
monitor their breathing.
What preoperative care should be provided to patients at risk for hypothermia? -
Correct answer-Pre-warm patients, especially older adults or those undergoing long
surgeries.
What should be done if a patient shows cold, clammy skin and decreased
temperature? - Correct answer-Intervene early and consider lab tests if
hypothermia persists.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, What is the purpose of using a PCA pump postoperatively? - Correct answer-To
manage pain effectively through patient-controlled analgesia.
What should nurses assess to evaluate a client's pain response? - Correct answer-
Use a validated pain scale and reassess after administering pain medication.
What are the potential complications of unmanaged acute post-op pain? - Correct
answer-Decreased mobility, increased risk of DVT, and pulmonary issues.
What is the importance of educating patients about pain control expectations? -
Correct answer-Patients should understand that pain control does not mean
experiencing zero pain.
What is a key nursing action to prevent aspiration in post-op patients? - Correct
answer-Position patients laterally and ensure proper NPO adherence.
What should be monitored to ensure the effectiveness of pain management? -
Correct answer-Level of consciousness (LOC) and sedation levels.
What interventions can help manage acute post-op pain? - Correct answer-Use
multimodal analgesia, assess pain levels, and support mobility.
What should nurses do if they notice restlessness and shallow breathing in a
patient? - Correct answer-Reassess pain management and medicate as necessary.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
