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# NURSING 307 MED-SURG: PERIOPERATIVE
NURSING TEST REVIEW QUESTIONS AND
ANSWERS## COMPLETE GUIDE FOR 2026/2027 –
180 QUESTIONS WITH RATIONALES
## Table of Contents
| Section | Topic Area | Question Numbers |
|---------|------------|------------------|
| 1 | Preoperative Nursing Care | 1–30 |
| 2 | Intraoperative Nursing Care | 31–50 |
| 3 | Postoperative Nursing Care | 51–85 |
| 4 | Pain Management | 86–100 |
| 5 | Wound Healing & Surgical Site Infection | 101–115 |
| 6 | Complications of Surgery | 116–135 |
| 7 | Perioperative Pharmacology & Fluids | 136–150 |
| 8 | High-Yield Exam Review & NGN Cases | 151–180 |
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## Section 1: Preoperative Nursing Care (1–30)
**1. A patient is scheduled for surgery tomorrow. The nurse notes that
the patient took ibuprofen yesterday for a headache. Which action is
most appropriate?**
A) Cancel the surgery
B) Notify the surgeon (NSAIDs increase bleeding risk and may need to
be held 3-7 days before surgery)
C) Administer vitamin K to reverse the effects
D) Document and proceed with surgery
**Answer: B**
**Rationale:** NSAIDs (ibuprofen, naproxen, aspirin) inhibit platelet
aggregation and increase bleeding risk. The surgeon may need to
postpone surgery or take precautions. Vitamin K (C) is for warfarin
reversal, not NSAIDs .
**2. A patient is scheduled for surgery and takes warfarin daily. Which
preoperative instruction is correct?**
A) "Stop warfarin 5 days before surgery as directed by your provider."
B) "Continue warfarin until the day of surgery."
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C) "Double your warfarin dose the day before surgery."
D) "Stop warfarin 24 hours before surgery."
**Answer: A**
**Rationale:** Warfarin is typically stopped 5 days before surgery to
allow the INR to return to normal (unless it is emergency surgery).
Bridging with heparin may be required for high-risk patients. The exact
timing should be prescribed by the provider .
**3. Which of the following is a critical component of the preoperative
patient assessment?**
A) Review of medical history and medications
B) Airway assessment (Mallampati score, neck mobility)
C) Fasting status verification (NPO)
D) All of the above
**Answer: D**
**Rationale:** Preoperative assessment includes medical history (A),
airway assessment (B) to anticipate difficult intubation, and NPO status
(C) to reduce aspiration risk. All are essential components .
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**4. The nurse is verifying informed consent for surgery. Which
statement by the patient indicates that additional teaching is required?**
A) "I know this surgery will cure my cancer."
B) "The doctor explained the risks and benefits."
C) "I can change my mind at any time."
D) "I understand there are no guarantees."
**Answer: A**
**Rationale:** Informed consent requires the patient to understand that
no surgery has a guaranteed outcome. The statement "will cure my
cancer" indicates unrealistic expectations. The surgeon should provide
additional education .
**5. The nurse is preparing a patient for surgery. Which of the following
medications should be held on the morning of surgery (unless otherwise
instructed)?**
A) Metoprolol (beta-blocker)
B) Metformin (for diabetes)
C) Levothyroxine (thyroid)
D) Inhaled corticosteroid for asthma
# NURSING 307 MED-SURG: PERIOPERATIVE
NURSING TEST REVIEW QUESTIONS AND
ANSWERS## COMPLETE GUIDE FOR 2026/2027 –
180 QUESTIONS WITH RATIONALES
## Table of Contents
| Section | Topic Area | Question Numbers |
|---------|------------|------------------|
| 1 | Preoperative Nursing Care | 1–30 |
| 2 | Intraoperative Nursing Care | 31–50 |
| 3 | Postoperative Nursing Care | 51–85 |
| 4 | Pain Management | 86–100 |
| 5 | Wound Healing & Surgical Site Infection | 101–115 |
| 6 | Complications of Surgery | 116–135 |
| 7 | Perioperative Pharmacology & Fluids | 136–150 |
| 8 | High-Yield Exam Review & NGN Cases | 151–180 |
,2|Page
## Section 1: Preoperative Nursing Care (1–30)
**1. A patient is scheduled for surgery tomorrow. The nurse notes that
the patient took ibuprofen yesterday for a headache. Which action is
most appropriate?**
A) Cancel the surgery
B) Notify the surgeon (NSAIDs increase bleeding risk and may need to
be held 3-7 days before surgery)
C) Administer vitamin K to reverse the effects
D) Document and proceed with surgery
**Answer: B**
**Rationale:** NSAIDs (ibuprofen, naproxen, aspirin) inhibit platelet
aggregation and increase bleeding risk. The surgeon may need to
postpone surgery or take precautions. Vitamin K (C) is for warfarin
reversal, not NSAIDs .
**2. A patient is scheduled for surgery and takes warfarin daily. Which
preoperative instruction is correct?**
A) "Stop warfarin 5 days before surgery as directed by your provider."
B) "Continue warfarin until the day of surgery."
,3|Page
C) "Double your warfarin dose the day before surgery."
D) "Stop warfarin 24 hours before surgery."
**Answer: A**
**Rationale:** Warfarin is typically stopped 5 days before surgery to
allow the INR to return to normal (unless it is emergency surgery).
Bridging with heparin may be required for high-risk patients. The exact
timing should be prescribed by the provider .
**3. Which of the following is a critical component of the preoperative
patient assessment?**
A) Review of medical history and medications
B) Airway assessment (Mallampati score, neck mobility)
C) Fasting status verification (NPO)
D) All of the above
**Answer: D**
**Rationale:** Preoperative assessment includes medical history (A),
airway assessment (B) to anticipate difficult intubation, and NPO status
(C) to reduce aspiration risk. All are essential components .
, 4|Page
**4. The nurse is verifying informed consent for surgery. Which
statement by the patient indicates that additional teaching is required?**
A) "I know this surgery will cure my cancer."
B) "The doctor explained the risks and benefits."
C) "I can change my mind at any time."
D) "I understand there are no guarantees."
**Answer: A**
**Rationale:** Informed consent requires the patient to understand that
no surgery has a guaranteed outcome. The statement "will cure my
cancer" indicates unrealistic expectations. The surgeon should provide
additional education .
**5. The nurse is preparing a patient for surgery. Which of the following
medications should be held on the morning of surgery (unless otherwise
instructed)?**
A) Metoprolol (beta-blocker)
B) Metformin (for diabetes)
C) Levothyroxine (thyroid)
D) Inhaled corticosteroid for asthma
