NSG 430 EXAM 1 QUESTIONS BANK NEWEST 2026
ACTUAL EXAM COMPLETE 200+ QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
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Which information in the preoperative patients medication
history is most important to communicate to the health
care provider?
A. The patient uses acetaminophen (Tylenol) occasionally
for aches and pains
B. The patient takes garlic capsules daily but did not take
any on the surgical day
C. The patient has a history of cocaine use but quit using
the drug over 10 years ago
D. The patient took a sedative medication the previous
night to assist in falling asleep - ANSWER-B. The patient
takes garlic capsules daily but did not take any on the
surgical day
Rationale: Chronic use of garlic may predispose to
intraoperative and postoperative bleeding. The use of a
sedative the previous night, occasional acetaminophen
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use, and a distant history of cocaine use will not usually
affect the surgical outcome.
A patient who takes a diuretic and a b-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?
A. Hematocrit 36%
B. Blood pressure 144/82
C. Pulse rate 58 beats/minute
D. Serum potassium 3.2 mEq/L - ANSWER-D. Serum
potassium 3.2 mEq/L
Rationale: The low potassium level may increase the risk
for intraoperative complications such as dysrhythmias.
When caring for a preoperative patient on the day of
surgery, which actions included in the plan of care can the
nurse delegate to unlicensed assistive personnel (UAP)?
(Select all that apply.)
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A. Teach incentive spirometer use
B. Explain preoperative routine care
C. Obtain and document baseline vital signs
D. Remove nail polish and apply pulse oximeter
E. Transport the patient by stretcher to the operating room
- ANSWER-C. Obtain and document baseline vital signs
D. Remove nail polish and apply pulse oximeter
E. Transport the patient by stretcher to the operating room
Rationale: Obtaining vital signs, removing nail polish,
pulse oximeter placement, and transport of the patient are
routine skills that are appropriate to delegate. Teaching
patients about the preoperative routine and incentive
spirometer use require critical thinking and should be done
by the registered nurse.
The nurse educator facilitates student clinical experiences
in the surgical suite. Which action, if performed by a
student, would require the nurse educator to intervene?
A. The student wears a mask at the sink area
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B. The student wears street clothes in the unrestricted
area
C. The student wears surgical scrubs in the semirestricted
area
D. The student covers head and facial hair in the
semirestricted area - ANSWER-C. The student wears
surgical scrubs in the semirestricted area
Rationale: The surgical suite is divided into three distinct
areas: unrestricted staff and others in street clothes can
interact with those in surgical attire; semirestricted staff
must wear surgical attire and cover all head and facial
hair;r estricted includes the operating room, the sink area,
and clean core where masks are required in addition to
surgical attire.
Which statement, if made by a new circulating nurse, is
appropriate?
A. "I will assist in preparing the operating room for the
patient."
B. "I will remain gloved while performing activities in the
sterile field."