NURS 334 Exam 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Surgery - CORRECT ANSWER - Art and science of treating diseases, injuries, and
deformities by operation and instrumentation
Can be elective or emergent
Can be inpatient (admitted) or outpatient (ambulatory)
Surgery performed for - CORRECT ANSWER - Diagnosis
Cure
Palliation
Prevention
Exploration
Cosmetic improvement
Nurses role preop - CORRECT ANSWER - Have knowledge of the nature and disorder
requiring surgery
Identify the individual patient's response to the stress of surgery
Have knowledge of the results of the preoperative diagnostic tests
Identify potential risks and complications associated with surgery
Nursing assessment - CORRECT ANSWER - Determine psychological and physiological
factors that may contribute to risk with surgery
Possible surgical fears - CORRECT ANSWER - Death
Pain
Anesthesia
Mutilation
Disruption of life
,Additional subjective date to be gathered for preop nursing assessment - CORRECT
ANSWER - Allergies
Current Medications (prescription, OTC, vitamins, herbs, recreational drugs, alcohol, tobacco)
Which supplements/drugs affect platelet aggregation/ thin blood - CORRECT ANSWER -
Fish oil
Vitamin E
St. Johns Wort
NSAIDs
Health history for preop nursing - CORRECT ANSWER - Diagnosed medical condition
Previous surgeries and problems
Menstrual/obstetric history
Familial diseases/Conditions
Reactions/problems to anesthesia (patient or family)
Cardiovascular hx - CORRECT ANSWER - hx of hypertension, MI, CHF
Respiratory hx - CORRECT ANSWER - Increased risk for laryngospasm, bronchospasm,
SOB, chronic cough
Nervous system hx - CORRECT ANSWER - Evaluation of neurological functioning, fine
motor skills, gross motor skills
Urinary system hx - CORRECT ANSWER - Hx of frequent UTI, risk for fluid and electrolyte
imbalance
Integumentary system - CORRECT ANSWER - Risk for skin breakdown, weight, activity
, GI hx - CORRECT ANSWER - hx of constipation, GI motility concerns
Endocrine system hx - CORRECT ANSWER - If diabetic, watch blood glucose levels
Immune system hx - CORRECT ANSWER - Compromised patients have an increased risk
for infection and wound healing
Fluid and electrolyte status - CORRECT ANSWER - NPO before surgery
Obesity in relation to surgery - CORRECT ANSWER - Over 2/3 of US adults are overweight
or obese (BMI >25)
1/3 of adults age 20 and above are obese (BMI >30)
Estimated 16.9% of children and adolescents age 2-19 are obsese
Obesity stresses cardiac and pulmonary systems
The larger the neck circumference the more they are at risk for complications and airway
complications
They are predisposed to wound dehiscence and infection
Slows recovery
Adipose tissue absorbs and stores anesthesia
Preoperative teaching - CORRECT ANSWER - Patients has right to know what to expect and
how to participate
The Joint Commission requires an H&P- increases patient satisfaction, reduces fear, anxiety,
stress, pain, and vomiting
Legal preparation for surgery - CORRECT ANSWER - Each institution have its own
informed consent form
Must include adequate disclosure of diagnosis, treatment, risks, and probability of success
Surgeon is responsible for obtaining consent
Exam Questions and CORRECT Answers
Surgery - CORRECT ANSWER - Art and science of treating diseases, injuries, and
deformities by operation and instrumentation
Can be elective or emergent
Can be inpatient (admitted) or outpatient (ambulatory)
Surgery performed for - CORRECT ANSWER - Diagnosis
Cure
Palliation
Prevention
Exploration
Cosmetic improvement
Nurses role preop - CORRECT ANSWER - Have knowledge of the nature and disorder
requiring surgery
Identify the individual patient's response to the stress of surgery
Have knowledge of the results of the preoperative diagnostic tests
Identify potential risks and complications associated with surgery
Nursing assessment - CORRECT ANSWER - Determine psychological and physiological
factors that may contribute to risk with surgery
Possible surgical fears - CORRECT ANSWER - Death
Pain
Anesthesia
Mutilation
Disruption of life
,Additional subjective date to be gathered for preop nursing assessment - CORRECT
ANSWER - Allergies
Current Medications (prescription, OTC, vitamins, herbs, recreational drugs, alcohol, tobacco)
Which supplements/drugs affect platelet aggregation/ thin blood - CORRECT ANSWER -
Fish oil
Vitamin E
St. Johns Wort
NSAIDs
Health history for preop nursing - CORRECT ANSWER - Diagnosed medical condition
Previous surgeries and problems
Menstrual/obstetric history
Familial diseases/Conditions
Reactions/problems to anesthesia (patient or family)
Cardiovascular hx - CORRECT ANSWER - hx of hypertension, MI, CHF
Respiratory hx - CORRECT ANSWER - Increased risk for laryngospasm, bronchospasm,
SOB, chronic cough
Nervous system hx - CORRECT ANSWER - Evaluation of neurological functioning, fine
motor skills, gross motor skills
Urinary system hx - CORRECT ANSWER - Hx of frequent UTI, risk for fluid and electrolyte
imbalance
Integumentary system - CORRECT ANSWER - Risk for skin breakdown, weight, activity
, GI hx - CORRECT ANSWER - hx of constipation, GI motility concerns
Endocrine system hx - CORRECT ANSWER - If diabetic, watch blood glucose levels
Immune system hx - CORRECT ANSWER - Compromised patients have an increased risk
for infection and wound healing
Fluid and electrolyte status - CORRECT ANSWER - NPO before surgery
Obesity in relation to surgery - CORRECT ANSWER - Over 2/3 of US adults are overweight
or obese (BMI >25)
1/3 of adults age 20 and above are obese (BMI >30)
Estimated 16.9% of children and adolescents age 2-19 are obsese
Obesity stresses cardiac and pulmonary systems
The larger the neck circumference the more they are at risk for complications and airway
complications
They are predisposed to wound dehiscence and infection
Slows recovery
Adipose tissue absorbs and stores anesthesia
Preoperative teaching - CORRECT ANSWER - Patients has right to know what to expect and
how to participate
The Joint Commission requires an H&P- increases patient satisfaction, reduces fear, anxiety,
stress, pain, and vomiting
Legal preparation for surgery - CORRECT ANSWER - Each institution have its own
informed consent form
Must include adequate disclosure of diagnosis, treatment, risks, and probability of success
Surgeon is responsible for obtaining consent
