NURS 315 Exam 1 Questions With Solutions
A 59-yr-old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo daily. What
is the priority intervention?
a. Inform the surgeon, since the procedure may have to be rescheduled.
b. Notify the anesthesia care provider, since this herb interferes with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal supplement.
d. Tell the patient to continue to take the herbal supplement up to the day before surgery.
A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an emancipated minor. She
has a statement from the court for verification. Which intervention is mostappropriate?
a. Witness the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under 18.
c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated minors. A
A priority nursing intervention to aid a preoperative patient in coping with fear of postoperative
pain would be to
a. inform the patient that pain medication will be available.
, NURS 315 Exam 1 Questions With Solutions
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale. D
A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center.
The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours
before coming to the surgery center. What should the nurse do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate. D
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks the nurse
what to do about her dose the night before surgery. The best response would be to have her
a. skip her insulin altogether the night before surgery.
b. get instructions from her surgeon or HCP on any insulin adjustments.
c. take her usual dose at bedtime and eat a light breakfast in the morning.
d. eat a moderate meal before bedtime and then take half her usual insulin dose. B
, NURS 315 Exam 1 Questions With Solutions
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational materials.
b. speaking louder for patients with hearing aids.
c. recognizing that sensory deficits may be present.
d. providing warm blankets to prevent hypothermia.
e. teaching important information early in the morning. C, D
Proper attire for the semirestricted area of the surgery department is
a. street clothing.
b. surgical attire and head cover.
c. scrub attire, head cover, shoe covers.
d. street clothing with the addition of shoe covers. C
Activities that the nurse might perform in the role of a scrub nurse during surgery include (select
all that apply)
a. checking electrical equipment.
b. preparing the instrument table.
c. assisting with draping the patient.
A 59-yr-old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo daily. What
is the priority intervention?
a. Inform the surgeon, since the procedure may have to be rescheduled.
b. Notify the anesthesia care provider, since this herb interferes with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal supplement.
d. Tell the patient to continue to take the herbal supplement up to the day before surgery.
A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an emancipated minor. She
has a statement from the court for verification. Which intervention is mostappropriate?
a. Witness the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under 18.
c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated minors. A
A priority nursing intervention to aid a preoperative patient in coping with fear of postoperative
pain would be to
a. inform the patient that pain medication will be available.
, NURS 315 Exam 1 Questions With Solutions
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale. D
A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center.
The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours
before coming to the surgery center. What should the nurse do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate. D
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks the nurse
what to do about her dose the night before surgery. The best response would be to have her
a. skip her insulin altogether the night before surgery.
b. get instructions from her surgeon or HCP on any insulin adjustments.
c. take her usual dose at bedtime and eat a light breakfast in the morning.
d. eat a moderate meal before bedtime and then take half her usual insulin dose. B
, NURS 315 Exam 1 Questions With Solutions
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational materials.
b. speaking louder for patients with hearing aids.
c. recognizing that sensory deficits may be present.
d. providing warm blankets to prevent hypothermia.
e. teaching important information early in the morning. C, D
Proper attire for the semirestricted area of the surgery department is
a. street clothing.
b. surgical attire and head cover.
c. scrub attire, head cover, shoe covers.
d. street clothing with the addition of shoe covers. C
Activities that the nurse might perform in the role of a scrub nurse during surgery include (select
all that apply)
a. checking electrical equipment.
b. preparing the instrument table.
c. assisting with draping the patient.
