NUR 317 EXAM 1 2026/2027 – QUESTIONS, STUDY GUIDE &
PRACTICE REVIEW
What is the nurses role in informed consent? - Correct answer ✔✔ to witness the client's
signature on the informed consent form and to ensure that informed consent has been
appropriately obtained
What is the nurses role in Pre-Op assessment? - Correct answer ✔✔ • Vitals
• NPO
• Allergies
• Current medications
• Systems Assessment
Focus on respiratory, CV, & renal fn
• History & physical examination
* Personal & Family Hx
• Dental Prosthetics
• Hcg - Pregnancy
Why? anesthesia and other medications given pre, intra, or post surgery could be harmful to
the fetus
Review of Systems: provide baseline data on patient status - Correct answer ✔✔ • Respiratory -
Infections, COPD, Asthma, Sleep apnea, Smoking
• Cardiovascular - CAD, HTN, Angina, HF, Dysrhythmias
• Neurologic - Ability to respond to questions, commands. Have organized thought patterns, etc.
for post-op comparison
• GU - Urinary Issues, Elimination
• Hepatic - Hepatic dysfunction, Drug metabolism
,• Integumentary - Risk for pressure injury
Patient Teaching - Correct answer ✔✔ •Teaching should begin on Admission!
patient is most alert, repetitiveness helps to get points across more clearly
• Incentive Spirometry, Deep-Breathe & Cough (DB&C)
• Pain expectations & management
• Ambulation
• Lines, Drains, etc
• Discharge planning
• Lifestyle changes
• Follow-up
What three consents are needed pre-operatively? - Correct answer ✔✔ • Surgical
• Anesthesia
• Blood
if any refusal, do *not* continue on
Informed consent for surgery: Nurse verifies - Correct answer ✔✔ • All questions answered
clarify any Qs or direct pt Qs back to the surgeon
• Drug Free
• Signed and Witnessed
• All consents in Chart
*Nurses cannot educate*
,Informed Consent exception - Correct answer ✔✔ If no one knows patient wishes and/or there
is *no* POA, next of kin signs, OR, 2 physicians document necessity
Pre-Op Safety: nurses role - Correct answer ✔✔ • Patient Identification
• Site prep and identification (mark correctly)
• Verify NPO status
• Apply SCDs, Cap and Gown
• Documentation of Vitals, labs, etc.
• Remove undergarments, make-up, nail polish, jewelry, dentures, hearing aids, lenses. (Prep
the patient)
• Safe Hand-off to OR nurse (SBAR)
Intra-Operative Safety: nurse needs to check off on - Correct answer ✔✔ • Right Pateint
• Right Surgery
• Right Location
• Who is on hand?
• Allergies
• Consents
• Equipment
• Prep
local anesthesia - Correct answer ✔✔ • Lidocaine, Benzocaine, etc
• Sutures, dermatologic surgeries, etc.
Regional (Nerve blocks) anesthesia - Correct answer ✔✔ • Lidocaine, tetracaine, etc.
• Injection near nerves
, • Spinal, Epidural, etc.
• Now used a lot outside of L&D
Conscious Sedation anesthesia - Correct answer ✔✔ • Conscious but sedated
• No artificial airway needed
• Dislocations, cardioversion, etc.
• Opioids and sedatives
General Anesthesia - Correct answer ✔✔ • Inhalents - Nitrous Oxide, Halothane
• Muscle Relaxants - Succinacoline
• IV - Propofol, Pentathol
• Loss of Conscousness
• Amnesia
• Analgesia
• Muscle relaxation
• Rapidly excreted
• Respiratory or CV depression
• Needs artificial airway and oxygen supplementation
Malignant Hyperthermia - Correct answer ✔✔ • Rare, Life Threatening
•Trigger: Inhalant anesthesia = Muscle relaxant/Paralytic
• Genetic predisposition
• *Stop Surgery ASAP*
• Supplement *O2*
• *Cooling* Blanket
• **Dantrolene** - ONLY RX
PRACTICE REVIEW
What is the nurses role in informed consent? - Correct answer ✔✔ to witness the client's
signature on the informed consent form and to ensure that informed consent has been
appropriately obtained
What is the nurses role in Pre-Op assessment? - Correct answer ✔✔ • Vitals
• NPO
• Allergies
• Current medications
• Systems Assessment
Focus on respiratory, CV, & renal fn
• History & physical examination
* Personal & Family Hx
• Dental Prosthetics
• Hcg - Pregnancy
Why? anesthesia and other medications given pre, intra, or post surgery could be harmful to
the fetus
Review of Systems: provide baseline data on patient status - Correct answer ✔✔ • Respiratory -
Infections, COPD, Asthma, Sleep apnea, Smoking
• Cardiovascular - CAD, HTN, Angina, HF, Dysrhythmias
• Neurologic - Ability to respond to questions, commands. Have organized thought patterns, etc.
for post-op comparison
• GU - Urinary Issues, Elimination
• Hepatic - Hepatic dysfunction, Drug metabolism
,• Integumentary - Risk for pressure injury
Patient Teaching - Correct answer ✔✔ •Teaching should begin on Admission!
patient is most alert, repetitiveness helps to get points across more clearly
• Incentive Spirometry, Deep-Breathe & Cough (DB&C)
• Pain expectations & management
• Ambulation
• Lines, Drains, etc
• Discharge planning
• Lifestyle changes
• Follow-up
What three consents are needed pre-operatively? - Correct answer ✔✔ • Surgical
• Anesthesia
• Blood
if any refusal, do *not* continue on
Informed consent for surgery: Nurse verifies - Correct answer ✔✔ • All questions answered
clarify any Qs or direct pt Qs back to the surgeon
• Drug Free
• Signed and Witnessed
• All consents in Chart
*Nurses cannot educate*
,Informed Consent exception - Correct answer ✔✔ If no one knows patient wishes and/or there
is *no* POA, next of kin signs, OR, 2 physicians document necessity
Pre-Op Safety: nurses role - Correct answer ✔✔ • Patient Identification
• Site prep and identification (mark correctly)
• Verify NPO status
• Apply SCDs, Cap and Gown
• Documentation of Vitals, labs, etc.
• Remove undergarments, make-up, nail polish, jewelry, dentures, hearing aids, lenses. (Prep
the patient)
• Safe Hand-off to OR nurse (SBAR)
Intra-Operative Safety: nurse needs to check off on - Correct answer ✔✔ • Right Pateint
• Right Surgery
• Right Location
• Who is on hand?
• Allergies
• Consents
• Equipment
• Prep
local anesthesia - Correct answer ✔✔ • Lidocaine, Benzocaine, etc
• Sutures, dermatologic surgeries, etc.
Regional (Nerve blocks) anesthesia - Correct answer ✔✔ • Lidocaine, tetracaine, etc.
• Injection near nerves
, • Spinal, Epidural, etc.
• Now used a lot outside of L&D
Conscious Sedation anesthesia - Correct answer ✔✔ • Conscious but sedated
• No artificial airway needed
• Dislocations, cardioversion, etc.
• Opioids and sedatives
General Anesthesia - Correct answer ✔✔ • Inhalents - Nitrous Oxide, Halothane
• Muscle Relaxants - Succinacoline
• IV - Propofol, Pentathol
• Loss of Conscousness
• Amnesia
• Analgesia
• Muscle relaxation
• Rapidly excreted
• Respiratory or CV depression
• Needs artificial airway and oxygen supplementation
Malignant Hyperthermia - Correct answer ✔✔ • Rare, Life Threatening
•Trigger: Inhalant anesthesia = Muscle relaxant/Paralytic
• Genetic predisposition
• *Stop Surgery ASAP*
• Supplement *O2*
• *Cooling* Blanket
• **Dantrolene** - ONLY RX
