Exam 1 - NUR2392 / NUR 2392 Actual Exam 2026/2027 |
Multidimensional Care II / MDC 2 - Rasmussen |
Complete Questions and Verified Answers | Pass
Guaranteed - A+ Graded
Perioperative Nursing & Pain Management
Q1: The nurse is preparing a patient for surgery scheduled for 1300. The patient takes a
daily anticoagulant (Warfarin). What is the most important instruction regarding this
medication prior to surgery?
A. Take the usual dose with a sip of water on the morning of surgery.
B. Hold the medication as prescribed by the physician, typically several days before
surgery.
C. Double the dose the night before to ensure therapeutic levels.
D. Substitute the medication with an NSAID like ibuprofen.
Correct Answer: B
Rationale: The best answer is B because anticoagulants must be held prior to surgery
to prevent excessive bleeding during the procedure; the exact timing is
physician-directed but usually involves stopping them days in advance.
Q2: During the preoperative assessment, the nurse teaches the patient how to use an
incentive spirometer. What is the primary rationale for this teaching?
A. To prevent postoperative atelectasis and pneumonia.
B. To lower the patient's blood pressure before anesthesia.
C. To help the patient manage postoperative pain without medication.
D. To reduce the risk of deep vein thrombosis (DVT).
Correct Answer: A
Rationale: This choice is correct because anesthesia and immobility decrease lung
volume; incentive spirometry encourages deep breathing and coughing to prevent
alveolar collapse (atelectasis) and respiratory infections.
Q3: The nurse is caring for a patient in the Post-Anesthesia Care Unit (PACU). Which
assessment finding requires immediate intervention?
A. The patient reports a pain level of 5/10.
B. The patient is drowsy but awakens easily to their name.
C. The patient has an oxygen saturation of 88% on room air.
D. The patient has a dressing that is dry and intact.
Correct Answer: C
,Rationale: The best answer is C because hypoxia (SpO2 < 90-92%) is a life-threatening
airway/breathing priority that must be addressed immediately by increasing oxygen or
stimulating respirations, unlike pain or drowsiness which are common in PACU.
Q4: A patient is being discharged after a laparoscopic cholecystectomy. The nurse
notes that the patient's incision is closed with surgical glue. What discharge instruction
is essential for this patient?
A. Soak the incision in a bathtub daily to keep it clean.
B. Apply vitamin E oil to the site to prevent scarring.
C. Keep the area clean and dry, and avoid submerging it in water.
D. Peel the glue off gently after 3 days to help the skin heal.
Correct Answer: C
Rationale: This choice is correct because surgical glue acts as a waterproof barrier;
keeping it dry and intact allows it to fall off naturally, whereas soaking or peeling it can
disrupt the wound healing.
Q5: The nurse is caring for a patient who is 2 days post-op. The patient refuses to
cough due to incisional pain. What is the best nursing intervention to facilitate lung
expansion?
A. Administer the prescribed pain medication and then assist the patient to splint the
incision while coughing.
B. Tell the patient that they will get pneumonia if they do not cough immediately.
C. Force the patient to take a deep breath against their will.
D. Document the refusal and wait until the next day to try again.
Correct Answer: A
Rationale: This aligns with MDC 2 priorities because managing pain is a prerequisite to
activity; splinting (holding a pillow over the incision) stabilizes the wound and reduces
pain during coughing.
Q6: A patient is receiving a Patient-Controlled Analgesia (PCA) pump with Morphine.
The family member asks the nurse to push the button for the patient while they sleep so
they "don't wake up in pain." How should the nurse respond?
A. Agree to push it only once because the patient looks uncomfortable.
B. Explain that only the patient should push the button, and monitor the patient's
respiratory status.
C. Tell the family member they can push it every 10 minutes if the patient is sleeping
soundly.
D. Call the physician to switch to oral analgesics immediately.
Correct Answer: B
, Rationale: The best answer is B because PCA is designed for the patient to
self-administer; anyone else pushing the button creates a high risk for opioid overdose
and respiratory depression, especially while the patient sleeps.
Q7: Which of the following postoperative patients is at the highest risk for the
development of a Deep Vein Thrombosis (DVT)?
A. A 25-year-old who had an arthroscopic knee surgery and is walking frequently.
B. A 60-year-old who had a laparoscopic appendectomy and is on birth control pills.
C. A 40-year-old who had a open abdominal hysterectomy and is obese.
D. A 30-year-old who had a tonsillectomy and is drinking fluids well.
Correct Answer: C
Rationale: This choice is correct because open abdominal surgery (venous stasis),
obesity (venous stasis), and age over 40 are all significant risk factors for DVT
according to Virchow's Triad.
Q8: The nurse assesses the wound of a postoperative patient and finds the wound
edges separated with underlying fascia visible. How is this documented?
A. Dehiscence
B. Evisceration
C. Hematoma
D. Seroma
Correct Answer: A
Rationale: The best answer is A because dehiscence is the partial or total separation of
the wound layers; if the organs were protruding through the opening, it would be called
evisceration.
Q9: A patient is ordered to receive 25 mg of Demerol (Meperidine) IM for pain. The
medication is available as 50 mg/mL. How many mL should the nurse administer?
A. 0.25 mL
B. 0.5 mL
C. 1.0 mL
D. 2.0 mL
Correct Answer: B
Rationale: This choice is correct because calculating the dose (25 mg divided by 50
mg/mL) equals 0.5 mL.
Q10: When assessing a patient's pain, the nurse uses the PQRST method. What does
the "T" stand for?
A. Type
B. Time
C. Tolerance
Multidimensional Care II / MDC 2 - Rasmussen |
Complete Questions and Verified Answers | Pass
Guaranteed - A+ Graded
Perioperative Nursing & Pain Management
Q1: The nurse is preparing a patient for surgery scheduled for 1300. The patient takes a
daily anticoagulant (Warfarin). What is the most important instruction regarding this
medication prior to surgery?
A. Take the usual dose with a sip of water on the morning of surgery.
B. Hold the medication as prescribed by the physician, typically several days before
surgery.
C. Double the dose the night before to ensure therapeutic levels.
D. Substitute the medication with an NSAID like ibuprofen.
Correct Answer: B
Rationale: The best answer is B because anticoagulants must be held prior to surgery
to prevent excessive bleeding during the procedure; the exact timing is
physician-directed but usually involves stopping them days in advance.
Q2: During the preoperative assessment, the nurse teaches the patient how to use an
incentive spirometer. What is the primary rationale for this teaching?
A. To prevent postoperative atelectasis and pneumonia.
B. To lower the patient's blood pressure before anesthesia.
C. To help the patient manage postoperative pain without medication.
D. To reduce the risk of deep vein thrombosis (DVT).
Correct Answer: A
Rationale: This choice is correct because anesthesia and immobility decrease lung
volume; incentive spirometry encourages deep breathing and coughing to prevent
alveolar collapse (atelectasis) and respiratory infections.
Q3: The nurse is caring for a patient in the Post-Anesthesia Care Unit (PACU). Which
assessment finding requires immediate intervention?
A. The patient reports a pain level of 5/10.
B. The patient is drowsy but awakens easily to their name.
C. The patient has an oxygen saturation of 88% on room air.
D. The patient has a dressing that is dry and intact.
Correct Answer: C
,Rationale: The best answer is C because hypoxia (SpO2 < 90-92%) is a life-threatening
airway/breathing priority that must be addressed immediately by increasing oxygen or
stimulating respirations, unlike pain or drowsiness which are common in PACU.
Q4: A patient is being discharged after a laparoscopic cholecystectomy. The nurse
notes that the patient's incision is closed with surgical glue. What discharge instruction
is essential for this patient?
A. Soak the incision in a bathtub daily to keep it clean.
B. Apply vitamin E oil to the site to prevent scarring.
C. Keep the area clean and dry, and avoid submerging it in water.
D. Peel the glue off gently after 3 days to help the skin heal.
Correct Answer: C
Rationale: This choice is correct because surgical glue acts as a waterproof barrier;
keeping it dry and intact allows it to fall off naturally, whereas soaking or peeling it can
disrupt the wound healing.
Q5: The nurse is caring for a patient who is 2 days post-op. The patient refuses to
cough due to incisional pain. What is the best nursing intervention to facilitate lung
expansion?
A. Administer the prescribed pain medication and then assist the patient to splint the
incision while coughing.
B. Tell the patient that they will get pneumonia if they do not cough immediately.
C. Force the patient to take a deep breath against their will.
D. Document the refusal and wait until the next day to try again.
Correct Answer: A
Rationale: This aligns with MDC 2 priorities because managing pain is a prerequisite to
activity; splinting (holding a pillow over the incision) stabilizes the wound and reduces
pain during coughing.
Q6: A patient is receiving a Patient-Controlled Analgesia (PCA) pump with Morphine.
The family member asks the nurse to push the button for the patient while they sleep so
they "don't wake up in pain." How should the nurse respond?
A. Agree to push it only once because the patient looks uncomfortable.
B. Explain that only the patient should push the button, and monitor the patient's
respiratory status.
C. Tell the family member they can push it every 10 minutes if the patient is sleeping
soundly.
D. Call the physician to switch to oral analgesics immediately.
Correct Answer: B
, Rationale: The best answer is B because PCA is designed for the patient to
self-administer; anyone else pushing the button creates a high risk for opioid overdose
and respiratory depression, especially while the patient sleeps.
Q7: Which of the following postoperative patients is at the highest risk for the
development of a Deep Vein Thrombosis (DVT)?
A. A 25-year-old who had an arthroscopic knee surgery and is walking frequently.
B. A 60-year-old who had a laparoscopic appendectomy and is on birth control pills.
C. A 40-year-old who had a open abdominal hysterectomy and is obese.
D. A 30-year-old who had a tonsillectomy and is drinking fluids well.
Correct Answer: C
Rationale: This choice is correct because open abdominal surgery (venous stasis),
obesity (venous stasis), and age over 40 are all significant risk factors for DVT
according to Virchow's Triad.
Q8: The nurse assesses the wound of a postoperative patient and finds the wound
edges separated with underlying fascia visible. How is this documented?
A. Dehiscence
B. Evisceration
C. Hematoma
D. Seroma
Correct Answer: A
Rationale: The best answer is A because dehiscence is the partial or total separation of
the wound layers; if the organs were protruding through the opening, it would be called
evisceration.
Q9: A patient is ordered to receive 25 mg of Demerol (Meperidine) IM for pain. The
medication is available as 50 mg/mL. How many mL should the nurse administer?
A. 0.25 mL
B. 0.5 mL
C. 1.0 mL
D. 2.0 mL
Correct Answer: B
Rationale: This choice is correct because calculating the dose (25 mg divided by 50
mg/mL) equals 0.5 mL.
Q10: When assessing a patient's pain, the nurse uses the PQRST method. What does
the "T" stand for?
A. Type
B. Time
C. Tolerance
