MED SURG FINAL EXAM QUESTION BANK

MED SURG FINAL EXAM QUESTION BANK (From Exams 1-3 & ATI’s)Exam 11.A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is best? Answer: Tell the patient dry mouth is an expected side effect.2.A patient arrives at the ambulatory surgery center for a scheduled laparoscopy procedure in outpatient surgery. Which information is of most concern to the nurse?Answer: The patient is planning to drive home after surgery.3.As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding ring, saying, "I have never taken it off since the day I was married." Which response by the nurse is best?Answer: Suggest that the patient give the ring to a family member to keep.4.The outpatient surgery nurse reviews the complete blood cell (CBC) count results for a patient who is scheduled for surgery in a few days. The results are white blood cell (WBC) count 10.2 × 103/μL; hemoglobin 15 g/dL; hematocrit 45%; platelets 150 × 103/μL. Which action should the nurse take? Answer: Continue to prepare the patient forthe surgical procedure.5.A 36-year-old female is admitted for an elective surgical procedure. Which information obtained by the nurse during the preoperative assessment is most important to report to the anesthesiologist before surgery? Answer: The patient's statement that her last menstrual period was 8 weeks ago6.Which information in the preoperative patient's medication history is most important to communicate to the health care provider? Answer: The patient takes garlic capsules daily.7.A patient who takes a diuretic and a β-blocker to control blood pressure is scheduled for breast reconstruction surgery. Which patient information is most important to communicate to the health care provider before surgery? Answer: Serum potassium 3.2 mEq/L8.Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of adislocated shoulder. What does the nurse anticipate? Answer: Starting an IV in the patient’s unaffected arm.9.While in the holding area, a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority? Answer: Alert the anesthesia care provider of the family member’s reaction to surgery10.The nurse facilitates student clinical experiences in the surgical suite. Which action, if performed by a student, would require the nurse to intervene? Answer: The student wears street clothed in the semi-restricted area.11.The operating room nurse is providing orientation to a student nurse. Which action wouldthe nurse list as a major responsibility of a scrub nurse? Answer: Keep both hands above the operating table level