NUR170/ NUR 170 Exam 1: (Latest 2024/ 2025 Update)
Medical-Surgical Nursing |Complete Guide with Questions
and Verified Answers| 100% Correct - Galen
Exam
Preoperative Phase - answerDecision for surgery is made and ends when the patient is
transferred to the operating room
Intraoperative Phase - answerBegins with the patient's entry into the operating room
and ends with admittance to the postanesthesia care unite (PACU) or recovery room
Postoperative Phase - answerBegins with the patient's admittance to the PACU and
ends with the patient's complete recovery from the surgical intervention
Elective Surgery - answerSuggested and scheduled, no forseen ill effects if postponed
Urgent Surgery - answerNecessary to be performed within 1 to 2 days (ASAP)
Emergency Surgery - answerPerformed IMMEDIATELY; life or limb threatening
Ambulatory Admission - answerSurgeries are performed that DONT require hospital
admission; Outpatient procedure
Same Day Admission - answerAdmission of surgical patients to the hospital on the day
of surgery
Early Admission - answerPatient that may have multiple and/or significant comorbidities
are admitted 1 to 2 days prior to surgery to maintain or prepare
Diagnostic Surgery - answerSurgical exploration that alows health care providers to
confirm diagnoses ex: laparotomy
Curative Surgery - answerSurgery performed to resolve a health problem by repairing or
removing the cause
• Ex. Lap chole, Mastectomy, Hysterectomy
Palliative Surgery - answerSurgery that improves comfort or reduces intensity of
disease symptoms; will not produce cure (ex. colostomy, debridement of necrotic tissue)
Cosmetic Surgery - answerSurgeries specific in the surgical restoration and
reconstruction of body structures (ex. rhinoplasty)
, Reconstructive Surgery - answerSurgery performed to improve/restore a client's
functional ability
• Ex. Total knee replacement, Finger reimplantation
Neuroendocrine Response - answerSNS stimulation (stress response) = compensatory
vasoconstriction
Increased HR and BP (risk for stroke, bleeding)
Decreased Peristalsis (No Bowel Sounds, pain meds not effective)
Hormonal Response - answerNorepinephrine = increased HR
Aldosterone = increased fluid/Na (decreased UO)
Glucocorticoids = increased blood sugar
Metabolic Response - answerRelative rate of starvation
~Gluconeogenesis
~Fat metabolism
~Protein breakdown
~Negative Nitrogen balance
Healing - answerAdequate protein and Vitamin C
Psychological Response - answerAnxiety and Fear r/t to cause for surgery and poor
coping skills
Preoperative Management - answer~Patient Safety is PRIMARY CONCERN
~NPO
~Bowel Prep and Skin Prep
~Pre-Op Labs
~Hospital gown, voiding, removal of dentures, jewelry, contacts, etc.
~Attend to family's needs
Hold Meds: Preop Care - answerInsulin
Aspirin
Coumadin
Heparin
Signed Operative Consent Form - answer~Disclosure of the risks associated with the
intended operation or procedure to the patient
~The patient, nurse and surgeon sign
~Nurse serves as witness
PreOp Teaching - answer~PreOp experience
~PreOp meds (IV or IM, feels like...)
~Breathing exercises, coughing, incentive spirometer, leg exercises
~Position changes and movement
Medical-Surgical Nursing |Complete Guide with Questions
and Verified Answers| 100% Correct - Galen
Exam
Preoperative Phase - answerDecision for surgery is made and ends when the patient is
transferred to the operating room
Intraoperative Phase - answerBegins with the patient's entry into the operating room
and ends with admittance to the postanesthesia care unite (PACU) or recovery room
Postoperative Phase - answerBegins with the patient's admittance to the PACU and
ends with the patient's complete recovery from the surgical intervention
Elective Surgery - answerSuggested and scheduled, no forseen ill effects if postponed
Urgent Surgery - answerNecessary to be performed within 1 to 2 days (ASAP)
Emergency Surgery - answerPerformed IMMEDIATELY; life or limb threatening
Ambulatory Admission - answerSurgeries are performed that DONT require hospital
admission; Outpatient procedure
Same Day Admission - answerAdmission of surgical patients to the hospital on the day
of surgery
Early Admission - answerPatient that may have multiple and/or significant comorbidities
are admitted 1 to 2 days prior to surgery to maintain or prepare
Diagnostic Surgery - answerSurgical exploration that alows health care providers to
confirm diagnoses ex: laparotomy
Curative Surgery - answerSurgery performed to resolve a health problem by repairing or
removing the cause
• Ex. Lap chole, Mastectomy, Hysterectomy
Palliative Surgery - answerSurgery that improves comfort or reduces intensity of
disease symptoms; will not produce cure (ex. colostomy, debridement of necrotic tissue)
Cosmetic Surgery - answerSurgeries specific in the surgical restoration and
reconstruction of body structures (ex. rhinoplasty)
, Reconstructive Surgery - answerSurgery performed to improve/restore a client's
functional ability
• Ex. Total knee replacement, Finger reimplantation
Neuroendocrine Response - answerSNS stimulation (stress response) = compensatory
vasoconstriction
Increased HR and BP (risk for stroke, bleeding)
Decreased Peristalsis (No Bowel Sounds, pain meds not effective)
Hormonal Response - answerNorepinephrine = increased HR
Aldosterone = increased fluid/Na (decreased UO)
Glucocorticoids = increased blood sugar
Metabolic Response - answerRelative rate of starvation
~Gluconeogenesis
~Fat metabolism
~Protein breakdown
~Negative Nitrogen balance
Healing - answerAdequate protein and Vitamin C
Psychological Response - answerAnxiety and Fear r/t to cause for surgery and poor
coping skills
Preoperative Management - answer~Patient Safety is PRIMARY CONCERN
~NPO
~Bowel Prep and Skin Prep
~Pre-Op Labs
~Hospital gown, voiding, removal of dentures, jewelry, contacts, etc.
~Attend to family's needs
Hold Meds: Preop Care - answerInsulin
Aspirin
Coumadin
Heparin
Signed Operative Consent Form - answer~Disclosure of the risks associated with the
intended operation or procedure to the patient
~The patient, nurse and surgeon sign
~Nurse serves as witness
PreOp Teaching - answer~PreOp experience
~PreOp meds (IV or IM, feels like...)
~Breathing exercises, coughing, incentive spirometer, leg exercises
~Position changes and movement
