NUR 220 – Medical-Surgical
Nursing Exam 2 Study Pack
2025/2026 | Verified
Questions, Answers &
Rationales | Advanced Med-
Surg Review Guide
Inpatient - Answer✅A patient who is admitted to a hospital.
Outpatient or ambulatory patient - Answer✅Goes to the surgical area the day of the surgery and
returns home on the same day
National patient safety goals for surgery - Answer✅1.) having right procedure on the right patient on
the right body location
2.) marking the right site of surgery on the pts body
3.) pausing before surgery to make sure that mistakes are not being made
Surgical care improvement project - Answer✅Used to reduce surgical complications
Admin of prophylactic antibiotics
Correct hair removal
Timing of discontinuation of catheterization after surgery
VTE prophylaxis
Diagnostic surgery - Answer✅Taking tissue sample with intention of diagnosing staging
, Palliative surgery - Answer✅Increase the quality of life while reducing stressors on teh body
noncurative in nature
Reconstructive - Answer✅Performed on abnormal or damaged body structures to improve
functional ability
Preoperative phase begins when - Answer✅Pt is scheduled for surgery and ends at the time transfer
to the surgical suite
Any infection present requires intervention before - Answer✅Surgery which may involve cancellation
of the procedure
Previous surgical procdures and anesthesia effect the pts readiness for surgery - Answer✅Previous
experiences especially with complications may increase anxiety about the surgery past experience
with anesthesia and all allergies
Malignant hyperthermia - Answer✅Inherited muscle disorder which is an acute life threatening
complication of certain drugs used for general anesthesia it is characterized by many problems
including inadequate thermoregulation
S/s of malignant hyperthermia - Answer✅Tachycardia, increased temp, increased level of calcium,
and potassium
What would you give to reverse malignant hyperthermia - Answer✅Dantrolene sodium
Cooling fluids,
IV
02
Preoperative history checklist - Answer✅Age
General status of health
Review systems
Medical history ( current med problems, allergies)
Surgical history (prior surgeries, and anthesia, post opt probs)
Social history ( smoking, alcohol, drug use, OTC drugs, alternative therapies)
Family history (familial surgery and outcome, malignant hyperthermia, bleeding disorder, comp with
anesthesia)
Psychosocial history (understand events during perioperatibe pahses, comfort level,)
Cultural needs
Latex allergy - Answer✅If pts are allergic to strawberry, banan, avocado can also be allergic to latex
Propofol for anthesia can't be given if pt is allergic to - Answer✅Eggs, peanuts, soy
Monitor surgical pts for the cluster of elevated and tidal CO2 and decreased O2 sat and tachycardia
to identity symptoms of malignant hyperthermia if this happens you will - Answer✅Alert the surgeon
and anesthesia provider
Always ask about past experience with anesthesia especially young adult males the pt with genetic
predisposition for malignant hyperthermia is at risk when exposed to - Answer✅Halothane, enflurane,
isoflurane, desflurane, sevoflurane, succinycholine the muscle biopsy tested with CHCT is the most
common used MH test
Tobacco use increases the risk for - Answer✅Pulmonary complications because of changes in the
lungs, blood vessels, and chest cavity
Nursing Exam 2 Study Pack
2025/2026 | Verified
Questions, Answers &
Rationales | Advanced Med-
Surg Review Guide
Inpatient - Answer✅A patient who is admitted to a hospital.
Outpatient or ambulatory patient - Answer✅Goes to the surgical area the day of the surgery and
returns home on the same day
National patient safety goals for surgery - Answer✅1.) having right procedure on the right patient on
the right body location
2.) marking the right site of surgery on the pts body
3.) pausing before surgery to make sure that mistakes are not being made
Surgical care improvement project - Answer✅Used to reduce surgical complications
Admin of prophylactic antibiotics
Correct hair removal
Timing of discontinuation of catheterization after surgery
VTE prophylaxis
Diagnostic surgery - Answer✅Taking tissue sample with intention of diagnosing staging
, Palliative surgery - Answer✅Increase the quality of life while reducing stressors on teh body
noncurative in nature
Reconstructive - Answer✅Performed on abnormal or damaged body structures to improve
functional ability
Preoperative phase begins when - Answer✅Pt is scheduled for surgery and ends at the time transfer
to the surgical suite
Any infection present requires intervention before - Answer✅Surgery which may involve cancellation
of the procedure
Previous surgical procdures and anesthesia effect the pts readiness for surgery - Answer✅Previous
experiences especially with complications may increase anxiety about the surgery past experience
with anesthesia and all allergies
Malignant hyperthermia - Answer✅Inherited muscle disorder which is an acute life threatening
complication of certain drugs used for general anesthesia it is characterized by many problems
including inadequate thermoregulation
S/s of malignant hyperthermia - Answer✅Tachycardia, increased temp, increased level of calcium,
and potassium
What would you give to reverse malignant hyperthermia - Answer✅Dantrolene sodium
Cooling fluids,
IV
02
Preoperative history checklist - Answer✅Age
General status of health
Review systems
Medical history ( current med problems, allergies)
Surgical history (prior surgeries, and anthesia, post opt probs)
Social history ( smoking, alcohol, drug use, OTC drugs, alternative therapies)
Family history (familial surgery and outcome, malignant hyperthermia, bleeding disorder, comp with
anesthesia)
Psychosocial history (understand events during perioperatibe pahses, comfort level,)
Cultural needs
Latex allergy - Answer✅If pts are allergic to strawberry, banan, avocado can also be allergic to latex
Propofol for anthesia can't be given if pt is allergic to - Answer✅Eggs, peanuts, soy
Monitor surgical pts for the cluster of elevated and tidal CO2 and decreased O2 sat and tachycardia
to identity symptoms of malignant hyperthermia if this happens you will - Answer✅Alert the surgeon
and anesthesia provider
Always ask about past experience with anesthesia especially young adult males the pt with genetic
predisposition for malignant hyperthermia is at risk when exposed to - Answer✅Halothane, enflurane,
isoflurane, desflurane, sevoflurane, succinycholine the muscle biopsy tested with CHCT is the most
common used MH test
Tobacco use increases the risk for - Answer✅Pulmonary complications because of changes in the
lungs, blood vessels, and chest cavity
