Preoperative Nursing Care 100
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Graded A+ | 2026 Latest Update!!!
1. Which action is the nurse’s priority during the preoperative
assessment?
A. Confirming the patient’s dietary preferences B. Reviewing the
patient’s allergies and medical history C. Teaching the patient
postoperative exercises D. Measuring the patient’s height and
weight
Answer: B. Reviewing the patient’s allergies and medical history
Rationale: Reviewing allergies and the patient’s medical history is
essential because it identifies potential surgical risks, medication
reactions, and anesthesia complications. Information such as latex
allergies, medication sensitivities, bleeding disorders, and chronic
illnesses directly affects perioperative safety and surgical planning.
2. Which laboratory value is most important for the nurse to
review before surgery?
A. Hemoglobin level B. Calcium level C. Cholesterol level D.
Vitamin D level
Answer: A. Hemoglobin level
,Rationale: Hemoglobin levels help determine the patient’s oxygen-
carrying capacity and ability to tolerate blood loss during surgery. Low
hemoglobin may indicate anemia and increase the risk of perioperative
complications.
3. A patient scheduled for surgery asks why informed consent is
necessary. What is the nurse’s best response?
A. “It protects the hospital from legal action.” B. “It confirms that
the patient understands the procedure and risks.” C. “It allows
family members to approve surgery.” D. “It is required only for
major surgeries.”
Answer: B. “It confirms that the patient understands the procedure
and risks.”
Rationale: Informed consent ensures that the patient understands the
procedure, benefits, risks, alternatives, and potential complications
before agreeing to surgery. The provider performing the procedure is
responsible for obtaining informed consent.
4. Which patient statement indicates a need for further
preoperative teaching?
A. “I will stop eating and drinking after midnight.” B. “I should
remove my nail polish before surgery.” C. “I can take all my
medications on the morning of surgery.” D. “I need to arrange
transportation home after outpatient surgery.”
Answer: C. “I can take all my medications on the morning of
surgery.”
Rationale: Certain medications, such as anticoagulants, insulin, and
some antihypertensives, may need to be adjusted or withheld before
surgery. Patients should only take medications approved by the
healthcare provider.
, 5. Which nursing intervention reduces the risk of postoperative
pulmonary complications?
A. Restricting fluid intake B. Teaching coughing and deep-breathing
exercises C. Keeping the patient on bed rest D. Avoiding ambulation
after surgery
Answer: B. Teaching coughing and deep-breathing exercises
Rationale: Coughing and deep-breathing exercises help expand the
lungs, improve oxygenation, and prevent atelectasis and pneumonia
after surgery. Preoperative teaching increases patient compliance after
the procedure.
6. Which condition places a patient at higher risk for surgical
complications?
A. Controlled hypertension B. Seasonal allergies C. Diabetes
mellitus D. Mild nearsightedness
Answer: C. Diabetes mellitus
Rationale: Diabetes increases the risk of infection, delayed wound
healing, and blood glucose instability during and after surgery.
Careful monitoring and management are necessary.
7. What is the purpose of preoperative fasting?
A. To decrease urinary output B. To prevent aspiration during
anesthesia C. To reduce surgical pain D. To lower blood pressure
Answer: B. To prevent aspiration during anesthesia
Rationale: Fasting reduces the risk of vomiting and aspiration of
stomach contents while the patient is under anesthesia, which can lead
to serious respiratory complications.
, 8. Which finding should the nurse report immediately before
surgery?
A. Blood pressure of 128/78 mm Hg B. Pulse rate of 82 beats/min C.
Temperature of 101°F (38.3°C) D. Respiratory rate of 18
breaths/min
Answer: C. Temperature of 101°F (38.3°C)
Rationale: Fever may indicate infection or another underlying
condition that could increase surgical risks. The healthcare provider
should evaluate the patient before proceeding with surgery.
9. Which patient is at greatest risk for deep vein thrombosis after
surgery?
A. A young adult undergoing minor eye surgery B. An older adult
undergoing hip replacement surgery C. A child having tonsillectomy
D. A healthy adult undergoing dental surgery
Answer: B. An older adult undergoing hip replacement surgery
Rationale: Older adults undergoing orthopedic surgeries, especially
hip procedures, are at increased risk for venous stasis and thrombus
formation due to immobility and tissue trauma.
10. Which action should the nurse take before administering
a preoperative sedative?
A. Ensure informed consent has been signed B. Encourage oral fluid
intake C. Ask the patient to ambulate D. Remove the IV catheter
Answer: A. Ensure informed consent has been signed
Rationale: Sedatives may impair the patient’s ability to provide legal
informed consent. The consent form must be completed before sedative
administration.
Question Practice Exam Merged With
Correct Verified Solutions | Already
Graded A+ | 2026 Latest Update!!!
1. Which action is the nurse’s priority during the preoperative
assessment?
A. Confirming the patient’s dietary preferences B. Reviewing the
patient’s allergies and medical history C. Teaching the patient
postoperative exercises D. Measuring the patient’s height and
weight
Answer: B. Reviewing the patient’s allergies and medical history
Rationale: Reviewing allergies and the patient’s medical history is
essential because it identifies potential surgical risks, medication
reactions, and anesthesia complications. Information such as latex
allergies, medication sensitivities, bleeding disorders, and chronic
illnesses directly affects perioperative safety and surgical planning.
2. Which laboratory value is most important for the nurse to
review before surgery?
A. Hemoglobin level B. Calcium level C. Cholesterol level D.
Vitamin D level
Answer: A. Hemoglobin level
,Rationale: Hemoglobin levels help determine the patient’s oxygen-
carrying capacity and ability to tolerate blood loss during surgery. Low
hemoglobin may indicate anemia and increase the risk of perioperative
complications.
3. A patient scheduled for surgery asks why informed consent is
necessary. What is the nurse’s best response?
A. “It protects the hospital from legal action.” B. “It confirms that
the patient understands the procedure and risks.” C. “It allows
family members to approve surgery.” D. “It is required only for
major surgeries.”
Answer: B. “It confirms that the patient understands the procedure
and risks.”
Rationale: Informed consent ensures that the patient understands the
procedure, benefits, risks, alternatives, and potential complications
before agreeing to surgery. The provider performing the procedure is
responsible for obtaining informed consent.
4. Which patient statement indicates a need for further
preoperative teaching?
A. “I will stop eating and drinking after midnight.” B. “I should
remove my nail polish before surgery.” C. “I can take all my
medications on the morning of surgery.” D. “I need to arrange
transportation home after outpatient surgery.”
Answer: C. “I can take all my medications on the morning of
surgery.”
Rationale: Certain medications, such as anticoagulants, insulin, and
some antihypertensives, may need to be adjusted or withheld before
surgery. Patients should only take medications approved by the
healthcare provider.
, 5. Which nursing intervention reduces the risk of postoperative
pulmonary complications?
A. Restricting fluid intake B. Teaching coughing and deep-breathing
exercises C. Keeping the patient on bed rest D. Avoiding ambulation
after surgery
Answer: B. Teaching coughing and deep-breathing exercises
Rationale: Coughing and deep-breathing exercises help expand the
lungs, improve oxygenation, and prevent atelectasis and pneumonia
after surgery. Preoperative teaching increases patient compliance after
the procedure.
6. Which condition places a patient at higher risk for surgical
complications?
A. Controlled hypertension B. Seasonal allergies C. Diabetes
mellitus D. Mild nearsightedness
Answer: C. Diabetes mellitus
Rationale: Diabetes increases the risk of infection, delayed wound
healing, and blood glucose instability during and after surgery.
Careful monitoring and management are necessary.
7. What is the purpose of preoperative fasting?
A. To decrease urinary output B. To prevent aspiration during
anesthesia C. To reduce surgical pain D. To lower blood pressure
Answer: B. To prevent aspiration during anesthesia
Rationale: Fasting reduces the risk of vomiting and aspiration of
stomach contents while the patient is under anesthesia, which can lead
to serious respiratory complications.
, 8. Which finding should the nurse report immediately before
surgery?
A. Blood pressure of 128/78 mm Hg B. Pulse rate of 82 beats/min C.
Temperature of 101°F (38.3°C) D. Respiratory rate of 18
breaths/min
Answer: C. Temperature of 101°F (38.3°C)
Rationale: Fever may indicate infection or another underlying
condition that could increase surgical risks. The healthcare provider
should evaluate the patient before proceeding with surgery.
9. Which patient is at greatest risk for deep vein thrombosis after
surgery?
A. A young adult undergoing minor eye surgery B. An older adult
undergoing hip replacement surgery C. A child having tonsillectomy
D. A healthy adult undergoing dental surgery
Answer: B. An older adult undergoing hip replacement surgery
Rationale: Older adults undergoing orthopedic surgeries, especially
hip procedures, are at increased risk for venous stasis and thrombus
formation due to immobility and tissue trauma.
10. Which action should the nurse take before administering
a preoperative sedative?
A. Ensure informed consent has been signed B. Encourage oral fluid
intake C. Ask the patient to ambulate D. Remove the IV catheter
Answer: A. Ensure informed consent has been signed
Rationale: Sedatives may impair the patient’s ability to provide legal
informed consent. The consent form must be completed before sedative
administration.
