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NUR 445: Final Exam Questions and Answers with
Complete Solutions UPDATED!!!
What is the nurses role while caring for a patient undergoing
genetic testing? - ANSWER Obtain and assess family history
(assess risk of certain diseases, establish pattern of inheritance,
ID family members at risk and calculate risk)
Assess patients understanding of genetic info and factors r/t
health risks
Refer for risk assessment when a hereditary disease or disorder
is suspected
Determine if genetic testing has been performed and if other
family members are effected
educate patient and family about GINA passed in 2008
Obtain consent and provide support to patients
What interventions must a preoperative nurse complete prior
to a patient being taken to the OR? - ANSWER Baseline head to
toe assessment
Medications: home med list and when last taken (beta blockers
can be taken up until day of, but anticoagulants may be held)
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Obtain informed consent, assess for capability to consent,
witness/verify
Assess allergies and comorbid conditions
Assess family and genetic hx for complications with anesthesia,
latex allergy, malignant hyperthermia
Administer preanesthetic meds, maintain preop record,
transporting patient to surgical area, attending to family needs
Patient education: educate patient regarding surgical process
discharge plan, meds, resources, etc
What criteria must a patient meet for consent? - ANSWER 18
years old (unless emancipated minor)
Autonomous and informed
Competent patient: not cognitively impaired, mentally ill, or
neurologically incapacitated
What are potential complications that can occur during an
operation? - ANSWER Anesthesia awareness
Anaphylaxis
Hypothermia
Malignant hyperthermia
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What are priority assessments for a post op nurse? - ANSWER
Patent airway and cardiovascular stability
VS
Pain relief
Control of nausea and vomiting
What discharge criteria does the patient need to meet, in order
to be discharged from the PACU? - ANSWER Stable BP, adequate
respiratory function and O2 sat compared to baseline
Aldridge score between 7 and 10
What early assessment findings would make a nurse suspect a
patient has increased ICP? - ANSWER Disorientation, confusion,
pupil changes, lethargy, weakness, headache
What are some late assessment findings that would make a
nurse suspect a patient has increased ICP? - ANSWER VS
changes, projectile vomiting, loss of reflexes
NUR 445: Final Exam Questions and Answers with
Complete Solutions UPDATED!!!
What is the nurses role while caring for a patient undergoing
genetic testing? - ANSWER Obtain and assess family history
(assess risk of certain diseases, establish pattern of inheritance,
ID family members at risk and calculate risk)
Assess patients understanding of genetic info and factors r/t
health risks
Refer for risk assessment when a hereditary disease or disorder
is suspected
Determine if genetic testing has been performed and if other
family members are effected
educate patient and family about GINA passed in 2008
Obtain consent and provide support to patients
What interventions must a preoperative nurse complete prior
to a patient being taken to the OR? - ANSWER Baseline head to
toe assessment
Medications: home med list and when last taken (beta blockers
can be taken up until day of, but anticoagulants may be held)
,2|Page
Obtain informed consent, assess for capability to consent,
witness/verify
Assess allergies and comorbid conditions
Assess family and genetic hx for complications with anesthesia,
latex allergy, malignant hyperthermia
Administer preanesthetic meds, maintain preop record,
transporting patient to surgical area, attending to family needs
Patient education: educate patient regarding surgical process
discharge plan, meds, resources, etc
What criteria must a patient meet for consent? - ANSWER 18
years old (unless emancipated minor)
Autonomous and informed
Competent patient: not cognitively impaired, mentally ill, or
neurologically incapacitated
What are potential complications that can occur during an
operation? - ANSWER Anesthesia awareness
Anaphylaxis
Hypothermia
Malignant hyperthermia
, 3|Page
What are priority assessments for a post op nurse? - ANSWER
Patent airway and cardiovascular stability
VS
Pain relief
Control of nausea and vomiting
What discharge criteria does the patient need to meet, in order
to be discharged from the PACU? - ANSWER Stable BP, adequate
respiratory function and O2 sat compared to baseline
Aldridge score between 7 and 10
What early assessment findings would make a nurse suspect a
patient has increased ICP? - ANSWER Disorientation, confusion,
pupil changes, lethargy, weakness, headache
What are some late assessment findings that would make a
nurse suspect a patient has increased ICP? - ANSWER VS
changes, projectile vomiting, loss of reflexes
