NUR113 FINAL EXAM QUESTIONS
WITH 100% CORRECT ANSWERS ||
COMMON QUESTIONS IN NUR113
EXAMS
\Q\.meds of concern with surgery - ANSWER-✔aspirin, NSAIDs, platelet aggregators, pain meds
(lower respirations), anti-hypertensives (shock), diabetic meds
\Q\.herbal supplements - ANSWER-✔risk for bleeding (garlic, ginko, ginsing, vit e, fish oil)
\Q\.latex allergy - ANSWER-✔if pt says they are allergic to egg, avacado, bananas, kiwi could
indicate this (needs to be the 1st surgery of the day)
\Q\.informed consent - ANSWER-✔nurse-witnesses, physician-obtains
\Q\.prophylactic antibiotics - ANSWER-✔ancef (prevent infection. must be started started 30-60
min before, ask dr when to start)
vancomycin, levaquin takes 2hrs to infuse
\Q\.antiemetics - ANSWER-✔zofran. prevent prevent n/v
\Q\.benzos - ANSWER-✔decrease anxiety. ex: valium, ativan
,\Q\.beta blockers - ANSWER-✔(end in "lol") labetalol, metoprolol. lowers MI/cardiac event
given in HTN
s/e hypoglycemia, erectile disfunction
asthma pts must get beta 1
\Q\.H2 receptor blocker - ANSWER-✔pepcid, zantac. lower gastric volume
\Q\.general anesthesia - ANSWER-✔*technique of choice* complete loss of consciousnesses,
given IV inhalation
REQUIRES ADVANCED AIRWAY
\Q\.regional anesthesia - ANSWER-✔local anesthetic injected into specific nerve. loss of
sensation w/o loss of consciousnesses ex: spinal block
\Q\.local anesthesia - ANSWER-✔loss of sensation w/o loss of consciousness. topcal, opthalmic,
nebulized, injectable ex: lidocaine, EMLA cream
\Q\.monitored anesthesia care (MAC) - ANSWER-✔pt remains responsive & breaths w/o
assistance. similar to general (given in smaller doses) may be used in conjunction w/ local and
regional. usually when pt takes alot of meds
\Q\.dissociative anesthesia - ANSWER-✔(ketamine, keltar) used in asmatic/trauma pt to
promote broncodilation (higher HR) given IV, IM
*can causes hallucinations & nightmares*
need to create a quiet environment post op
,\Q\.versed - ANSWER-✔reduces hallucinations associated w/ ketamine
\Q\.malignant hyperthermia - ANSWER-✔characterized by hyperthermia w/ rigidity of skeletal
muscles & can result in death.
*temp- >104 degree*
*trigger- succinylcholine (anectine)*
*treatment- dantrolene (dantrium)*
\Q\.hypotension - ANSWER-✔systolic bp <90. place pt in trendelenburg. give fluids (Bolus)
\Q\.pt w/ dysrhythmias - ANSWER-✔place on telemetry
\Q\.post-op complications - ANSWER-✔f&e imbalance (heart problems)
fluid retention (low urine output)
fluid overload (edema & crackles in lungs)
VTE (lower perfusion)
syncope (fainting)
\Q\.notify HCP/surgeon - ANSWER-✔systolic BP <90 or >160
pulse <60 or >120
narrow pulse pressure
BP decrease after several reading
change in rhythm
deviation from preop readings
\Q\.emergence delirium - ANSWER-✔waking up wild from anesthesia
, neruo alterations manifested by restlessness, agitation, disorientation, shouting, thrashing
*cx hypoxia, anesthestic agents, bladder distention, pain, neuromuscular blockage, ET tube
\Q\.hypothermia - ANSWER-✔temp <95
complications: bleeding, cardiac events, impaired wound healing, altered drug metabolism
\Q\.indicated infection - ANSWER-✔fever after 48 hrs. fever first 48hr post op is normal
\Q\.6-8hrs - ANSWER-✔pt should urinate _______________ after surgery. should be at least 0.5
mL/kg/hr
\Q\.unrestricted area - ANSWER-✔people in street clothes can interact w/ those in surgical
attire. ex: holding area, locker rooms, nursing station
\Q\.semi-restricted area - ANSWER-✔authorized staff only.
must wear surgical attire & cover all facial & head hair (ex: shoe covers & face masks)
ex: surrounding support areas & corridors
\Q\.restricted area - ANSWER-✔mask are added to surgical attire
ex: OR, scrub sink, sterile core
\Q\.perioperative RN - ANSWER-✔1st member of the surgical team to see pt (pt advocate)
\Q\.circulating RN - ANSWER-✔not scrubbed, gowned, gloved & remains in unsterile field
\Q\.scrub RN - ANSWER-✔gowned & gloved in sterile attire & remain in sterile field
WITH 100% CORRECT ANSWERS ||
COMMON QUESTIONS IN NUR113
EXAMS
\Q\.meds of concern with surgery - ANSWER-✔aspirin, NSAIDs, platelet aggregators, pain meds
(lower respirations), anti-hypertensives (shock), diabetic meds
\Q\.herbal supplements - ANSWER-✔risk for bleeding (garlic, ginko, ginsing, vit e, fish oil)
\Q\.latex allergy - ANSWER-✔if pt says they are allergic to egg, avacado, bananas, kiwi could
indicate this (needs to be the 1st surgery of the day)
\Q\.informed consent - ANSWER-✔nurse-witnesses, physician-obtains
\Q\.prophylactic antibiotics - ANSWER-✔ancef (prevent infection. must be started started 30-60
min before, ask dr when to start)
vancomycin, levaquin takes 2hrs to infuse
\Q\.antiemetics - ANSWER-✔zofran. prevent prevent n/v
\Q\.benzos - ANSWER-✔decrease anxiety. ex: valium, ativan
,\Q\.beta blockers - ANSWER-✔(end in "lol") labetalol, metoprolol. lowers MI/cardiac event
given in HTN
s/e hypoglycemia, erectile disfunction
asthma pts must get beta 1
\Q\.H2 receptor blocker - ANSWER-✔pepcid, zantac. lower gastric volume
\Q\.general anesthesia - ANSWER-✔*technique of choice* complete loss of consciousnesses,
given IV inhalation
REQUIRES ADVANCED AIRWAY
\Q\.regional anesthesia - ANSWER-✔local anesthetic injected into specific nerve. loss of
sensation w/o loss of consciousnesses ex: spinal block
\Q\.local anesthesia - ANSWER-✔loss of sensation w/o loss of consciousness. topcal, opthalmic,
nebulized, injectable ex: lidocaine, EMLA cream
\Q\.monitored anesthesia care (MAC) - ANSWER-✔pt remains responsive & breaths w/o
assistance. similar to general (given in smaller doses) may be used in conjunction w/ local and
regional. usually when pt takes alot of meds
\Q\.dissociative anesthesia - ANSWER-✔(ketamine, keltar) used in asmatic/trauma pt to
promote broncodilation (higher HR) given IV, IM
*can causes hallucinations & nightmares*
need to create a quiet environment post op
,\Q\.versed - ANSWER-✔reduces hallucinations associated w/ ketamine
\Q\.malignant hyperthermia - ANSWER-✔characterized by hyperthermia w/ rigidity of skeletal
muscles & can result in death.
*temp- >104 degree*
*trigger- succinylcholine (anectine)*
*treatment- dantrolene (dantrium)*
\Q\.hypotension - ANSWER-✔systolic bp <90. place pt in trendelenburg. give fluids (Bolus)
\Q\.pt w/ dysrhythmias - ANSWER-✔place on telemetry
\Q\.post-op complications - ANSWER-✔f&e imbalance (heart problems)
fluid retention (low urine output)
fluid overload (edema & crackles in lungs)
VTE (lower perfusion)
syncope (fainting)
\Q\.notify HCP/surgeon - ANSWER-✔systolic BP <90 or >160
pulse <60 or >120
narrow pulse pressure
BP decrease after several reading
change in rhythm
deviation from preop readings
\Q\.emergence delirium - ANSWER-✔waking up wild from anesthesia
, neruo alterations manifested by restlessness, agitation, disorientation, shouting, thrashing
*cx hypoxia, anesthestic agents, bladder distention, pain, neuromuscular blockage, ET tube
\Q\.hypothermia - ANSWER-✔temp <95
complications: bleeding, cardiac events, impaired wound healing, altered drug metabolism
\Q\.indicated infection - ANSWER-✔fever after 48 hrs. fever first 48hr post op is normal
\Q\.6-8hrs - ANSWER-✔pt should urinate _______________ after surgery. should be at least 0.5
mL/kg/hr
\Q\.unrestricted area - ANSWER-✔people in street clothes can interact w/ those in surgical
attire. ex: holding area, locker rooms, nursing station
\Q\.semi-restricted area - ANSWER-✔authorized staff only.
must wear surgical attire & cover all facial & head hair (ex: shoe covers & face masks)
ex: surrounding support areas & corridors
\Q\.restricted area - ANSWER-✔mask are added to surgical attire
ex: OR, scrub sink, sterile core
\Q\.perioperative RN - ANSWER-✔1st member of the surgical team to see pt (pt advocate)
\Q\.circulating RN - ANSWER-✔not scrubbed, gowned, gloved & remains in unsterile field
\Q\.scrub RN - ANSWER-✔gowned & gloved in sterile attire & remain in sterile field
