NSC 380 EXAM: Preoperative Nursing
and Surgical Care: Key Concepts and
Procedures| 156 Real Questions and
Solutions with Detailed Clinical
Rationales| Guaranteed Pass|
(Brand New!!)
1. A nurse is providing preoperative teaching to a patient who will soon
undergo a cardiac bypass. The nurses teaching plan includes exercises of the
extremities. What is the purpose of teaching a patient leg exercises prior to
surgery? - ANSWER✔️-Leg exercises improve circulation and prevent
venous thrombosis.
2. During the care of a preoperative patient, the nurse has given the patient a
preoperative benzodiazepine. The patient is now requesting to void. What
action should the nurse take? - ANSWER✔️-Offer the patient a bedpan or
urinal.
3. The nurse is preparing a patient for surgery. The patient states that she is
very nervous and really does not understand what the surgical procedure is
for or how it will be performed. What is the most appropriate nursing action
for the nurse to take? - ANSWER✔️-Call the physician to review the
procedure with the patient.
4. The nurse is caring for a patient who is admitted to the ER with the
diagnosis of acute appendicitis. The nurse notes during the assessment that
the patients ribs and xiphoid process are prominent. The patient states she
exercises two to three times daily and her mother indicates that she is being
treated for anorexia nervosa. How should the nurse best follow up these
assessment data? - ANSWER✔️-Facilitate a detailed analysis of the patients
electrolyte levels.
5. The nurse is doing preoperative patient education with a 61-year-old male
patient who has a 40-pack per year history of cigarette smoking. The patient
, will undergo an elective bunionectomy at a time that fits his work schedule
in a few months. What would be the best instruction to give to this patient? -
ANSWER✔️-Stop smoking 4 to 8 weeks before the scheduled surgery to
enhance pulmonary function and decrease infection.
6. You are providing preoperative teaching to a patient scheduled for hip
replacement surgery in 1 month. During the preoperative teaching, the
patient gives you a list of medications she takes, the dosage, and frequency.
Which of the following interventions provides the patient with the most
accurate information? - ANSWER✔️-Instruct the patient to stop taking St.
John’s wort at least 2 weeks prior to surgery due to its interaction with
anesthetic agents.
7. The nurse is creating the care plan for a 70-year-old obese patient who has
been admitted to the postsurgical unit following a colon resection. This
patients age and increased body mass index mean that she is at increased risk
for what complication in the postoperative period? - ANSWER✔️-Infection
8. The nurse is caring for a patient in the postoperative period following an
abdominal hysterectomy. The patient states, I dont want to use my pain meds
because theyll make me dependent and I wont get better as fast. Which
response is most important when explaining the use of pain medication? -
ANSWER✔️-You will move more easily and heal more quickly with
decreased pain. Dependence only occurs when it is administered for an
extended period of time.
9. The nurse admitting a patient who is insulin dependent to the same-day
surgical suite for carpal tunnel surgery. How should this patients diagnosis of
type 1 diabetes affect the care that the nurse plans? - ANSWER✔️-The
nurse should assess the patients blood glucose levels vigilantly.
10.The nurse is checking the informed consent for a 17-year-old who has just
been married and expecting her first child. She is scheduled for a cesarean
section. She is still living with her parents and is on her parents health
insurance. When obtaining informed consent for the cesarean section, who is
legally responsible for signing? - ANSWER✔️-The patient
11.The nurse is providing preoperative teaching to a patient scheduled for
surgery. The nurse is instructing the patient on the use of deep breathing,
, coughing, and the use of incentive spirometry when the patient states, I dont
know why youre focusing on my breathing. My surgery is on my hip, not
my chest. What rationale for these instructions should the nurse provide? -
ANSWER✔️-To promote optimal lung expansion
12.One of the things a nurse has taught to a patient during preoperative teaching
is to have nothing by mouth for the specified time before surgery. The
patient asks the nurse why this is important. What is the most appropriate
response for the patient? - ANSWER✔️-You will need to have food and
fluid restricted before surgery so you are not at risk for choking.
13.A patient is scheduled for a bowel resection in the morning and the patients
orders include a cleansing enema tonight. The patient wants to know why
this is necessary. The nurse should explain that the cleansing enema will
have what therapeutic effect? - ANSWER✔️-Preventing potential
contamination of the peritoneum
14.The nurse is caring for a patient who is experiencing pain and anxiety
following his prostatectomy. Which intervention will likely best assist in
decreasing the patients pain and anxiety? - ANSWER✔️-Use of guided
imagery along with pain medication
15.A patient is on call to the OR for an aortobifemoral bypass and the nurse
administers the ordered preoperative medication. After administering a
preoperative medication to the patient, what should the nurse do? -
ANSWER✔️-Place the bed in a low position with the side rails up.
16.A patient is admitted to the ED complaining of severe abdominal pain,
stating that he has been vomiting coffee-ground like emesis. The patient is
diagnosed with a perforated gastric ulcer and is informed that he needs
surgery. When can the patient most likely anticipate that the surgery will be
scheduled? - ANSWER✔️-Without delay because the bleed is emergent
17.The nurse is performing a preoperative assessment on a patient going to
surgery. The patient informs the nurse that he drinks approximately two
bottles of wine each day and has for the last several years. What
postoperative difficulties can the nurse anticipate for this patient? -
and Surgical Care: Key Concepts and
Procedures| 156 Real Questions and
Solutions with Detailed Clinical
Rationales| Guaranteed Pass|
(Brand New!!)
1. A nurse is providing preoperative teaching to a patient who will soon
undergo a cardiac bypass. The nurses teaching plan includes exercises of the
extremities. What is the purpose of teaching a patient leg exercises prior to
surgery? - ANSWER✔️-Leg exercises improve circulation and prevent
venous thrombosis.
2. During the care of a preoperative patient, the nurse has given the patient a
preoperative benzodiazepine. The patient is now requesting to void. What
action should the nurse take? - ANSWER✔️-Offer the patient a bedpan or
urinal.
3. The nurse is preparing a patient for surgery. The patient states that she is
very nervous and really does not understand what the surgical procedure is
for or how it will be performed. What is the most appropriate nursing action
for the nurse to take? - ANSWER✔️-Call the physician to review the
procedure with the patient.
4. The nurse is caring for a patient who is admitted to the ER with the
diagnosis of acute appendicitis. The nurse notes during the assessment that
the patients ribs and xiphoid process are prominent. The patient states she
exercises two to three times daily and her mother indicates that she is being
treated for anorexia nervosa. How should the nurse best follow up these
assessment data? - ANSWER✔️-Facilitate a detailed analysis of the patients
electrolyte levels.
5. The nurse is doing preoperative patient education with a 61-year-old male
patient who has a 40-pack per year history of cigarette smoking. The patient
, will undergo an elective bunionectomy at a time that fits his work schedule
in a few months. What would be the best instruction to give to this patient? -
ANSWER✔️-Stop smoking 4 to 8 weeks before the scheduled surgery to
enhance pulmonary function and decrease infection.
6. You are providing preoperative teaching to a patient scheduled for hip
replacement surgery in 1 month. During the preoperative teaching, the
patient gives you a list of medications she takes, the dosage, and frequency.
Which of the following interventions provides the patient with the most
accurate information? - ANSWER✔️-Instruct the patient to stop taking St.
John’s wort at least 2 weeks prior to surgery due to its interaction with
anesthetic agents.
7. The nurse is creating the care plan for a 70-year-old obese patient who has
been admitted to the postsurgical unit following a colon resection. This
patients age and increased body mass index mean that she is at increased risk
for what complication in the postoperative period? - ANSWER✔️-Infection
8. The nurse is caring for a patient in the postoperative period following an
abdominal hysterectomy. The patient states, I dont want to use my pain meds
because theyll make me dependent and I wont get better as fast. Which
response is most important when explaining the use of pain medication? -
ANSWER✔️-You will move more easily and heal more quickly with
decreased pain. Dependence only occurs when it is administered for an
extended period of time.
9. The nurse admitting a patient who is insulin dependent to the same-day
surgical suite for carpal tunnel surgery. How should this patients diagnosis of
type 1 diabetes affect the care that the nurse plans? - ANSWER✔️-The
nurse should assess the patients blood glucose levels vigilantly.
10.The nurse is checking the informed consent for a 17-year-old who has just
been married and expecting her first child. She is scheduled for a cesarean
section. She is still living with her parents and is on her parents health
insurance. When obtaining informed consent for the cesarean section, who is
legally responsible for signing? - ANSWER✔️-The patient
11.The nurse is providing preoperative teaching to a patient scheduled for
surgery. The nurse is instructing the patient on the use of deep breathing,
, coughing, and the use of incentive spirometry when the patient states, I dont
know why youre focusing on my breathing. My surgery is on my hip, not
my chest. What rationale for these instructions should the nurse provide? -
ANSWER✔️-To promote optimal lung expansion
12.One of the things a nurse has taught to a patient during preoperative teaching
is to have nothing by mouth for the specified time before surgery. The
patient asks the nurse why this is important. What is the most appropriate
response for the patient? - ANSWER✔️-You will need to have food and
fluid restricted before surgery so you are not at risk for choking.
13.A patient is scheduled for a bowel resection in the morning and the patients
orders include a cleansing enema tonight. The patient wants to know why
this is necessary. The nurse should explain that the cleansing enema will
have what therapeutic effect? - ANSWER✔️-Preventing potential
contamination of the peritoneum
14.The nurse is caring for a patient who is experiencing pain and anxiety
following his prostatectomy. Which intervention will likely best assist in
decreasing the patients pain and anxiety? - ANSWER✔️-Use of guided
imagery along with pain medication
15.A patient is on call to the OR for an aortobifemoral bypass and the nurse
administers the ordered preoperative medication. After administering a
preoperative medication to the patient, what should the nurse do? -
ANSWER✔️-Place the bed in a low position with the side rails up.
16.A patient is admitted to the ED complaining of severe abdominal pain,
stating that he has been vomiting coffee-ground like emesis. The patient is
diagnosed with a perforated gastric ulcer and is informed that he needs
surgery. When can the patient most likely anticipate that the surgery will be
scheduled? - ANSWER✔️-Without delay because the bleed is emergent
17.The nurse is performing a preoperative assessment on a patient going to
surgery. The patient informs the nurse that he drinks approximately two
bottles of wine each day and has for the last several years. What
postoperative difficulties can the nurse anticipate for this patient? -
