MDC 2 - Exam 1 2026\2027 update
Multiple Choice Questions with answer key (100 Items)
Name: Class: Date:
________________ ________________ ________________
Instructions: Select the best answer for each question. Each question is
worth 1 point.
1. A patient is scheduled for surgery and has a known allergy to latex.
Which action is most important for the nurse to take preoperatively?
A) Document the allergy in the B) Notify the surgical team and
chart only ensure a latex-free environment
C) Apply latex-free gloves for D) Administer diphenhydramine
nursing care only before surgery
2. The nurse is assessing a patient who is NPO before surgery. The
patient states they took their morning insulin dose. What is the nurse's
priority action?
A) Document the finding and B) Notify the surgeon and
continue preparation anesthesia provider immediately
C) Allow the patient to eat a D) Administer glucagon
small snack intravenously
3. Which assessment finding in a preoperative patient requires immediate
notification of the surgeon?
A) Heart rate of 88 bpm B) Blood pressure of 148/92
mmHg
C) Temperature of 101.2°F D) Respiratory rate of 18
(38.4°C) breaths/min
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,4. A patient is being prepared for general anesthesia. Which medication
order should the nurse question?
A) Midazolam (Versed) for B) Metformin (Glucophage)
anxiolysis taken the morning of surgery
C) Ondansetron (Zofran) for D) Cefazolin (Ancef) for surgical
nausea prevention prophylaxis
5. During the immediate postoperative period, which assessment finding
requires the nurse's priority attention?
A) Urine output of 30 mL/hr B) Blood pressure of 90/60
mmHg
C) Pain rating of 6 on a 0-10 D) Oxygen saturation of 95% on
scale room air
6. A postoperative patient has a Jackson-Pratt drain. Which finding
indicates the drain is functioning properly?
A) The drain bulb is fully B) The drain site is surrounded by
expanded serous drainage
C) The drain bulb is compressed D) No drainage has accumulated
and shows drainage in the tubing in 24 hours
7. The nurse is caring for a patient who had abdominal surgery 24 hours
ago. The patient has not passed flatus. What is the most appropriate
nursing action?
A) Insert a nasogastric tube B) Encourage ambulation
C) Administer a laxative D) Withhold all oral intake
indefinitely
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, 8. Which of the following is a primary responsibility of the circulating
nurse during surgery?
A) Performing surgical counts B) Assisting the surgeon at the
with the scrub nurse sterile field
C) Managing the sterile field D) Suturing the incision at
closure
9. A postoperative patient reports sudden chest pain and dyspnea. The
nurse suspects a pulmonary embolism. Which action should the nurse
take first?
A) Apply oxygen and notify the B) Administer the prescribed pain
rapid response team medication
C) Assess the surgical incision D) Encourage deep breathing
site exercises
10. The nurse is preparing a patient for surgery who takes warfarin
(Coumadin) daily. Which laboratory value is most important to assess
before surgery?
A) Complete blood count B) International normalized ratio
(INR)
C) Basic metabolic panel D) Erythrocyte sedimentation rate
11. A patient is receiving patient-controlled analgesia (PCA) with
morphine after surgery. Which finding requires the nurse's immediate
intervention?
A) Pain rating of 5 on a 0-10 B) Respiratory rate of 8 breaths
scale per minute
C) Patient attempts 8 doses and D) Blood pressure of 110/70
receives 6 mmHg
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