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Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
What phase starts when the patient determines to have a surgical procedure?
  1. Perioperative phase
  2. Preoperative phase
  3. Intraoperative phase
  4. Postoperative phase
2 .
What is a component of preadmission nursing care? Select all that apply.
  1. Verifying patient surgical history
  2. Verifying patient medications
  3. Performing ordered tests
  4. Marking the surgical site
3 .
The preadmission nurse has explained what to expect the day of surgery to a patient having an outpatient procedure to remove cataracts. What patient statement lets the nurse know that they need to reinforce education to ensure safety after the procedure?
  1. “I will be able to drive myself home.”
  2. “I will bring my glasses case for my glasses.”
  3. “I will leave jewelry at home.”
  4. “I should hold my metformin the morning of surgery.”
4 .
The nurse is reviewing a consent form with a patient whose native language is not English. What action should the nurse take?
  1. Have the patient’s English-speaking family member to go over the consent form and document the family member’s name as the interpreter.
  2. Ask a nurse coworker who speaks the patient’s language to verify the consent form with the patient and document their name as the interpreter.
  3. Call a medically trained interpreter to verify the consent form either over the phone or in person and obtain the interpreter’s name and ID for the consent form and chart.
  4. Reschedule the surgery until a medically trained interpreter can be present for the day of surgery.
5 .
The preoperative nurse brings the patient to the preop room to begin an assessment and prepare for surgery. The patient appears fearful and is crying and tugging on the sleeves of their jacket. What intervention should the nurse implement? Select all that apply.
  1. Let the patient’s family come back with them.
  2. Keep the interview going, as nervousness is a normal part of surgery.
  3. Ask the patient if there is anything in particular they are nervous about.
  4. Ask about any spiritual or cultural beliefs or practices the patient may have.
6 .
The nurse provides a patient with preoperative instructions. The nurse understands the need to reinforce education when the patient makes what statement?
  1. “I should hold all my vitamins and supplements until after surgery.”
  2. “I can take my baby aspirin the day of surgery.”
  3. “I should not have anything to eat or drink after midnight.”
  4. “My husband will need to drive me home after the procedure.”
7 .
A 25-year-old female presents to the facility for a right knee arthroscopy. The preoperative nurse advises the patient that a urine sample is needed. The patient states that “If this is for pregnancy, I just took a test last week, and it was negative.” How should the preoperative nurse best respond?
  1. “Okay, if you took a test last week, then we will skip the test today.”
  2. “I understand, but it is protocol to test the day of surgery.”
  3. “I’m sorry, I cannot trust your previous test was accurate.”
  4. “It doesn’t matter. We have to test all patients prior to surgery.”
8 .
The preoperative nurse brings a patient to the preop room to begin an assessment and prepare for surgery. What steps will the nurse take to prevent complications? Select all that apply.
  1. Have the patient remove any jewelry.
  2. Verifying the last doses of medications.
  3. Allow the patient to put the hospital gown over their clothing.
  4. Prep the skin and verify there are no open wounds near the surgical site.
9 .
The preoperative nurse has provided the patient and family with education related to the events of the surgery day. The nurse knows that education needs to be reinforced when the patient’s partner makes what statement?
  1. “I can go into the operating room with my partner.”
  2. “I can watch the screen in the lobby for updates with my partner’s case number.”
  3. “I will be the one to drive us home.”
  4. “The provider will come talk to us before my partner goes back to the operating room.”
10 .
What is a goal of the National Patient Safety Goals? Select all that apply.
  1. Identifying patients correctly
  2. Preventing infection
  3. Improving patient communication
  4. Improving staff communication
11 .
The preoperative nurse is reviewing a chart for a next day surgery patient who has a BMI of 47. What complications should the nurse recognize? Select all that apply.
  1. Wound dehiscence
  2. Pulmonary complications
  3. Surgical site infections
  4. Blood loss
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