NSG 3250 EXAM 1
100 Original Practice Questions with Answers
& Rationales
Perioperative Nursing • Anesthesia •
Postoperative Complications • Diabetes
Coverage map
1. 1. Perioperative Phases, Consent, and Surgery Classification (10
questions)
2. 2. Preoperative Assessment, Risk Factors, and Medications (10
questions)
3. 3. Preparation, Patient Education, Coping, and OR Roles (10 questions)
4. 4. Anesthesia Types and Classical Anesthesia Stages (10 questions)
5. 5. Intraoperative Safety and Malignant Hyperthermia (10 questions)
6. 6. PACU Recovery, Assessment, and Postoperative Nausea (10
questions)
7. 7. Hypovolemia, Bleeding, and Hemodynamic Priorities (10 questions)
8. 8. Wound Healing, Infection, and Postoperative Complications (10
questions)
9. 9. Diabetes, Insulin, and Diabetic Ketoacidosis (10 questions)
10. 10. Diabetes Complications, Dawn Phenomenon, and Integrated
Judgment (10 questions)
,Perioperative Phases, Consent, and Surgery Classification
1. Which sequence correctly identifies the three broad phases of
perioperative care?
A. Admission, induction, discharge
B. Assessment, diagnosis, treatment
C. Preoperative, intraoperative, postoperative
D. Preparation, anesthesia, rehabilitation
Answer: C. Preoperative, intraoperative, postoperative
Rationale: Perioperative care spans preparation before surgery, care
during the procedure, and recovery afterward.
2. A patient is alert but says they do not understand the planned
operation or its risks. The consent form is unsigned. What should the
nurse do?
A. Explain the surgical risks independently and obtain the signature
B. Pause the transfer and ask the authorized procedural provider to
clarify the procedure and answer questions
C. Ask a family member to sign even though the patient has decision-
making capacity
D. Send the patient to the operating room because the procedure is
scheduled
Answer: B. Pause the transfer and ask the authorized procedural
provider to clarify the procedure and answer questions
Rationale: Informed consent requires adequate disclosure and
understanding. The provider responsible for obtaining consent explains
the procedure; the nurse should raise concerns and verify that consent is
complete before proceeding.
,3. Which is an example of emergent surgery?
A. Immediate surgery to control life-threatening internal bleeding after
major trauma
B. Removal of a stable skin lesion scheduled for convenience
C. Cataract surgery planned for a later month
D. Repair of a scar requested for appearance
Answer: A. Immediate surgery to control life-threatening internal
bleeding after major trauma
Rationale: Emergent surgery is needed without delay to preserve life or
prevent serious harm. [Foundational]
4. A patient with a closed fracture is scheduled for surgery within the
next day because delay could worsen the injury. This is commonly
classified as:
A. Optional
B. Elective
C. Urgent
D. Emergent in every circumstance
Answer: C. Urgent
Rationale: Urgent surgery is generally performed within a short
timeframe, often around 24-48 hours, depending on the clinical situation.
Classification terminology can vary by course or facility. [Application]
, 5. Which statement best describes a required surgery in common
nursing-textbook classifications?
A. It should be planned within weeks or months to address a condition
that needs treatment
B. It must always occur within minutes
C. It is performed only for personal preference
D. It is never medically necessary
Answer: A. It should be planned within weeks or months to address a
condition that needs treatment
Rationale: Required surgery is important for treating a condition but can
often be scheduled over a longer interval than urgent surgery.
6. Which example most closely fits elective surgery?
A. A planned procedure to repair a condition when a short delay is not
expected to cause immediate catastrophe
B. An operation required immediately to stop exsanguination
C. An emergency airway procedure
D. A procedure that can never be scheduled in advance
Answer: A. A planned procedure to repair a condition when a short
delay is not expected to cause immediate catastrophe
Rationale: Elective surgery can be scheduled in advance. It may be
medically beneficial even though it is not an immediate emergency.
100 Original Practice Questions with Answers
& Rationales
Perioperative Nursing • Anesthesia •
Postoperative Complications • Diabetes
Coverage map
1. 1. Perioperative Phases, Consent, and Surgery Classification (10
questions)
2. 2. Preoperative Assessment, Risk Factors, and Medications (10
questions)
3. 3. Preparation, Patient Education, Coping, and OR Roles (10 questions)
4. 4. Anesthesia Types and Classical Anesthesia Stages (10 questions)
5. 5. Intraoperative Safety and Malignant Hyperthermia (10 questions)
6. 6. PACU Recovery, Assessment, and Postoperative Nausea (10
questions)
7. 7. Hypovolemia, Bleeding, and Hemodynamic Priorities (10 questions)
8. 8. Wound Healing, Infection, and Postoperative Complications (10
questions)
9. 9. Diabetes, Insulin, and Diabetic Ketoacidosis (10 questions)
10. 10. Diabetes Complications, Dawn Phenomenon, and Integrated
Judgment (10 questions)
,Perioperative Phases, Consent, and Surgery Classification
1. Which sequence correctly identifies the three broad phases of
perioperative care?
A. Admission, induction, discharge
B. Assessment, diagnosis, treatment
C. Preoperative, intraoperative, postoperative
D. Preparation, anesthesia, rehabilitation
Answer: C. Preoperative, intraoperative, postoperative
Rationale: Perioperative care spans preparation before surgery, care
during the procedure, and recovery afterward.
2. A patient is alert but says they do not understand the planned
operation or its risks. The consent form is unsigned. What should the
nurse do?
A. Explain the surgical risks independently and obtain the signature
B. Pause the transfer and ask the authorized procedural provider to
clarify the procedure and answer questions
C. Ask a family member to sign even though the patient has decision-
making capacity
D. Send the patient to the operating room because the procedure is
scheduled
Answer: B. Pause the transfer and ask the authorized procedural
provider to clarify the procedure and answer questions
Rationale: Informed consent requires adequate disclosure and
understanding. The provider responsible for obtaining consent explains
the procedure; the nurse should raise concerns and verify that consent is
complete before proceeding.
,3. Which is an example of emergent surgery?
A. Immediate surgery to control life-threatening internal bleeding after
major trauma
B. Removal of a stable skin lesion scheduled for convenience
C. Cataract surgery planned for a later month
D. Repair of a scar requested for appearance
Answer: A. Immediate surgery to control life-threatening internal
bleeding after major trauma
Rationale: Emergent surgery is needed without delay to preserve life or
prevent serious harm. [Foundational]
4. A patient with a closed fracture is scheduled for surgery within the
next day because delay could worsen the injury. This is commonly
classified as:
A. Optional
B. Elective
C. Urgent
D. Emergent in every circumstance
Answer: C. Urgent
Rationale: Urgent surgery is generally performed within a short
timeframe, often around 24-48 hours, depending on the clinical situation.
Classification terminology can vary by course or facility. [Application]
, 5. Which statement best describes a required surgery in common
nursing-textbook classifications?
A. It should be planned within weeks or months to address a condition
that needs treatment
B. It must always occur within minutes
C. It is performed only for personal preference
D. It is never medically necessary
Answer: A. It should be planned within weeks or months to address a
condition that needs treatment
Rationale: Required surgery is important for treating a condition but can
often be scheduled over a longer interval than urgent surgery.
6. Which example most closely fits elective surgery?
A. A planned procedure to repair a condition when a short delay is not
expected to cause immediate catastrophe
B. An operation required immediately to stop exsanguination
C. An emergency airway procedure
D. A procedure that can never be scheduled in advance
Answer: A. A planned procedure to repair a condition when a short
delay is not expected to cause immediate catastrophe
Rationale: Elective surgery can be scheduled in advance. It may be
medically beneficial even though it is not an immediate emergency.
