Examl 1:l NUR170l /l NURl 170l (NEWl
2025/l 2026l Update)l Conceptsl ofl Medical-
Surgicall Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
implementl interventionsl neededl beforel surgeryl tol dol what?
Answer:
reducel anxietyl &l complications,l promotel ptl adherencel tol treatmentl planl postop
QUESTION
thel ptl readinessl forl surgeryl isl criticall tol thel outcome.l prel opl carel focusesl onl what?
Answer:
preparingl ptl forl surgeryl &l ensuringl safety,l
assessingl ptl knowledgel &l educationall needs.
QUESTION
Periopl care:
whenl al ptl isl goingl underl generall anesthesia/epiduralsl whatl dol wel monitor?
Answer:
BPl (hypotn,l tachycardia),l O2l sat,
,QUESTION
whatl kindl ofl ptsl mayl requirel al littlel morel anesthesial thanl normal
Answer:
obese,l redl heads
QUESTION
locall conductionl blocks
Answer:
shouldl onlyl bel numbl inl onel area,l shouldl notl movel froml toel tol calf
QUESTION
differencel betweenl spinall andl epidurall anesthesia?
Answer:
spinal:l al needle,l muscularl andl sensoryl anesthesial startsl atl thel toesl andl movesl upwards,l
intol subarachnoidl space
epidural:l muscular,l sensory,l andl autonomicl anesthesial requiresl smallerl dose.l lessl chancel
ofl hypotnl &l HAl becausel itl doesn'tl puncturel subarachnoidl space,l dol notl wantl needlel tol
move
QUESTION
howl willl Il knowl ifl anl epidurall needlel hasl moved?
Answer:
hypotn,l respl depression,l ifl numbnessl movesl froml onel areal tol another
QUESTION
,Pre-opl assessmentl includes:
1.l healthl hxl suchl asl whatl diseases?
2.l allergies,l why?
3.l whol isl atl riskl forl clots?
4.l medsl ptl isl on?
5.l askl aboutl al faml hxl ofl whatl disease?
6.l physicall assessment?
Answer:
1.l diabetes-l delaysl woundl healing,l heartl concerns,l BP/respl diseases
2.l canl causel anaphylaxis
3.l hxl ofl PVD,l DM,l immobilel ptsl (anklel flexionl exercises,l SCDs,l tedl hose)l
4.l bloodl thinners-l aspirin,l ASA,l heparin,l warfarin,l betal blockers,l ACEi,l ARBs:l lowersl
BP,l SSRIs,l steroids
5.l MH
6.l baselinel data:l lung,l heart,l bowell sounds
QUESTION
inheritedl musclel disorder,l inadequatel thermoregulation,l causedl byl increasedl Cal inl
skeletall musclel inl responsel tol anesthetics
Answer:
malignantl hyperthermia
QUESTION
Assessl anyonel whol hasl orl isl atl riskl forl hyperkalemial tol recognize
Answer:
cardiacl changes,l ifl ptsl HRl fallsl belowl 60l orl ifl Tl wavesl becomel spiked,l respondl byl
notifyingl thel RRT
QUESTION
malignantl hyperthermial mayl startl when?
, Answer:
immediatelyl afterl anesthesial induction,l severall hoursl intol procedure,l orl afterl anesthesial
isl complete
QUESTION
whatl isl thel musclel relaxantl thatl isl thel onlyl drugl specificallyl approvedl forl malignantl
hyperthermia?
Answer:
dantrolenel sodium
QUESTION
assessl thel CVl systeml firstl inl al ptl whol isl atl riskl forl acidosis,l why?
Answer:
acidosisl canl leadl tol cardiacl arrestl froml accompanyingl hyperkalemia,l ifl cardiacl changesl
occurl notifyl thel HCPl immediately
QUESTION
symptomsl ofl malignantl hyperthermia
Answer:
tachycardia,l dysrhythmias,l hypotn,l tachypnea
musclel rigidityl ofl jaw/upperl chest,l skinl mottling,l
cyanosis,l myoglobinuria,l musclel spasm,l highl temp
QUESTION
extremelyl elevatedl templ asl highl asl degreel isl al latel signl ofl malignantl hyperthermia?
2025/l 2026l Update)l Conceptsl ofl Medical-
Surgicall Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
implementl interventionsl neededl beforel surgeryl tol dol what?
Answer:
reducel anxietyl &l complications,l promotel ptl adherencel tol treatmentl planl postop
QUESTION
thel ptl readinessl forl surgeryl isl criticall tol thel outcome.l prel opl carel focusesl onl what?
Answer:
preparingl ptl forl surgeryl &l ensuringl safety,l
assessingl ptl knowledgel &l educationall needs.
QUESTION
Periopl care:
whenl al ptl isl goingl underl generall anesthesia/epiduralsl whatl dol wel monitor?
Answer:
BPl (hypotn,l tachycardia),l O2l sat,
,QUESTION
whatl kindl ofl ptsl mayl requirel al littlel morel anesthesial thanl normal
Answer:
obese,l redl heads
QUESTION
locall conductionl blocks
Answer:
shouldl onlyl bel numbl inl onel area,l shouldl notl movel froml toel tol calf
QUESTION
differencel betweenl spinall andl epidurall anesthesia?
Answer:
spinal:l al needle,l muscularl andl sensoryl anesthesial startsl atl thel toesl andl movesl upwards,l
intol subarachnoidl space
epidural:l muscular,l sensory,l andl autonomicl anesthesial requiresl smallerl dose.l lessl chancel
ofl hypotnl &l HAl becausel itl doesn'tl puncturel subarachnoidl space,l dol notl wantl needlel tol
move
QUESTION
howl willl Il knowl ifl anl epidurall needlel hasl moved?
Answer:
hypotn,l respl depression,l ifl numbnessl movesl froml onel areal tol another
QUESTION
,Pre-opl assessmentl includes:
1.l healthl hxl suchl asl whatl diseases?
2.l allergies,l why?
3.l whol isl atl riskl forl clots?
4.l medsl ptl isl on?
5.l askl aboutl al faml hxl ofl whatl disease?
6.l physicall assessment?
Answer:
1.l diabetes-l delaysl woundl healing,l heartl concerns,l BP/respl diseases
2.l canl causel anaphylaxis
3.l hxl ofl PVD,l DM,l immobilel ptsl (anklel flexionl exercises,l SCDs,l tedl hose)l
4.l bloodl thinners-l aspirin,l ASA,l heparin,l warfarin,l betal blockers,l ACEi,l ARBs:l lowersl
BP,l SSRIs,l steroids
5.l MH
6.l baselinel data:l lung,l heart,l bowell sounds
QUESTION
inheritedl musclel disorder,l inadequatel thermoregulation,l causedl byl increasedl Cal inl
skeletall musclel inl responsel tol anesthetics
Answer:
malignantl hyperthermia
QUESTION
Assessl anyonel whol hasl orl isl atl riskl forl hyperkalemial tol recognize
Answer:
cardiacl changes,l ifl ptsl HRl fallsl belowl 60l orl ifl Tl wavesl becomel spiked,l respondl byl
notifyingl thel RRT
QUESTION
malignantl hyperthermial mayl startl when?
, Answer:
immediatelyl afterl anesthesial induction,l severall hoursl intol procedure,l orl afterl anesthesial
isl complete
QUESTION
whatl isl thel musclel relaxantl thatl isl thel onlyl drugl specificallyl approvedl forl malignantl
hyperthermia?
Answer:
dantrolenel sodium
QUESTION
assessl thel CVl systeml firstl inl al ptl whol isl atl riskl forl acidosis,l why?
Answer:
acidosisl canl leadl tol cardiacl arrestl froml accompanyingl hyperkalemia,l ifl cardiacl changesl
occurl notifyl thel HCPl immediately
QUESTION
symptomsl ofl malignantl hyperthermia
Answer:
tachycardia,l dysrhythmias,l hypotn,l tachypnea
musclel rigidityl ofl jaw/upperl chest,l skinl mottling,l
cyanosis,l myoglobinuria,l musclel spasm,l highl temp
QUESTION
extremelyl elevatedl templ asl highl asl degreel isl al latel signl ofl malignantl hyperthermia?
