MED-SURG (VNSG 1429) CH. 17
"Surgical Care" NCLEX-STYLE
QUESTIONS 2026 EXPERT
VERIFIED | ACE THE TEST
The nurse had admitted a patient with a history of chronic alcoholism who
is scheduled for surgery in the morning. The nurse anticipates that this
patient's history will affect anesthesia in which way?
A) The patient will require more general anesthesia.
,B) The patient should only receive spinal anesthesia.
C) The patient will require less general anesthesia.
D) The patient should only receive conscious sedation. - 🧠ANSWER ✔✔A)
The patient will require more general anesthesia.
Clients with a history of chronic alcoholism require more general
anesthesia than other patients. The increased tolerance to alcohol
decreases the effect of general anesthesia. Chronic alcoholism does not
require that spinal anesthesia or conscious sedation be given in place of
general anesthesia. The nurse also needs to frequently assess the patient
for alertness and monitor vital signs.REF: p. 257
The nurse is preparing preoperative medications for a patient who will be
undergoing abdominal surgery. The nurse is aware that the medication
glycopyrrolate (Robinul) is most likely ordered for which reason?
A) Sedative
B) Antiemetic
C) Reduce salivation
,D) Produce sedation - 🧠ANSWER ✔✔C) Reduce salivation
Robinul is an anticholinergic that is used preoperatively to decrease
gastrointestinal and urinary motility, reduce salivation, and reduce
respiratory and gastrointestinal secretions. Examples of medications used
to cause sedation are chlorpromazine, promethazine, and pentobarbital.
Antiemetic medications include chlorpromazine and promethazine.REF: pp.
263, 264, 271
The nurse is caring for a patient in the preoperative area who will be
undergoing palliative surgery. Which is an example of palliative surgery?
A) Breast augmentation
B) Replacement of a knee that has severe osteoarthritis
C) Opening of the abdomen to discover the source of unexplained pain
D) Creation of an ostomy for a patient with malignant metastatic tumor of
the intestine - 🧠ANSWER ✔✔D) Creation of an ostomy for a patient with
malignant metastatic tumor of the intestine
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, Breast augmentation surgery is considered cosmetic. Replacement of a
knee is considered curative surgery. Opening the abdomen to find the
source of pain is an exploratory surgery. Creation of an ostomy is
performed to relieve bowel obstruction and other symptoms and is
considered palliative because the basic problem is not corrected.REF: p.
256
A patient who has had a surgical procedure is at risk for development of a
postoperative wound infection. Which interventions by the nurse are
appropriate for prevention? (Select all that apply.)
A) Monitor vital signs every 8 hours.
B) Follow sterile technique when performing wound care.
C) Report increasing temperature to the primary care physician.
D) Assess the wound every hour for bleeding during the first 24 hours.
E) Collect a wound culture each day that the patient remains in the
hospital.
"Surgical Care" NCLEX-STYLE
QUESTIONS 2026 EXPERT
VERIFIED | ACE THE TEST
The nurse had admitted a patient with a history of chronic alcoholism who
is scheduled for surgery in the morning. The nurse anticipates that this
patient's history will affect anesthesia in which way?
A) The patient will require more general anesthesia.
,B) The patient should only receive spinal anesthesia.
C) The patient will require less general anesthesia.
D) The patient should only receive conscious sedation. - 🧠ANSWER ✔✔A)
The patient will require more general anesthesia.
Clients with a history of chronic alcoholism require more general
anesthesia than other patients. The increased tolerance to alcohol
decreases the effect of general anesthesia. Chronic alcoholism does not
require that spinal anesthesia or conscious sedation be given in place of
general anesthesia. The nurse also needs to frequently assess the patient
for alertness and monitor vital signs.REF: p. 257
The nurse is preparing preoperative medications for a patient who will be
undergoing abdominal surgery. The nurse is aware that the medication
glycopyrrolate (Robinul) is most likely ordered for which reason?
A) Sedative
B) Antiemetic
C) Reduce salivation
,D) Produce sedation - 🧠ANSWER ✔✔C) Reduce salivation
Robinul is an anticholinergic that is used preoperatively to decrease
gastrointestinal and urinary motility, reduce salivation, and reduce
respiratory and gastrointestinal secretions. Examples of medications used
to cause sedation are chlorpromazine, promethazine, and pentobarbital.
Antiemetic medications include chlorpromazine and promethazine.REF: pp.
263, 264, 271
The nurse is caring for a patient in the preoperative area who will be
undergoing palliative surgery. Which is an example of palliative surgery?
A) Breast augmentation
B) Replacement of a knee that has severe osteoarthritis
C) Opening of the abdomen to discover the source of unexplained pain
D) Creation of an ostomy for a patient with malignant metastatic tumor of
the intestine - 🧠ANSWER ✔✔D) Creation of an ostomy for a patient with
malignant metastatic tumor of the intestine
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, Breast augmentation surgery is considered cosmetic. Replacement of a
knee is considered curative surgery. Opening the abdomen to find the
source of pain is an exploratory surgery. Creation of an ostomy is
performed to relieve bowel obstruction and other symptoms and is
considered palliative because the basic problem is not corrected.REF: p.
256
A patient who has had a surgical procedure is at risk for development of a
postoperative wound infection. Which interventions by the nurse are
appropriate for prevention? (Select all that apply.)
A) Monitor vital signs every 8 hours.
B) Follow sterile technique when performing wound care.
C) Report increasing temperature to the primary care physician.
D) Assess the wound every hour for bleeding during the first 24 hours.
E) Collect a wound culture each day that the patient remains in the
hospital.
