Exam 2: NUR265 / NUR 265 (Latest 2025/
2026 Update) Advanced Concepts of
Medical-Surgical Nursing Guide|
Questions & Answers| Grade A| 100%
Correct (Verified Solutions)- Galen.
**1. A patient is 2 hours post-op from abdominal surgery. Which
finding requires immediate notification of the surgeon?**
A. Pain rated 5/10
B. Heart rate 110 bpm, BP 88/50
C. Urine output 40 mL/hr
D. Temperature 99.8°F (37.7°C)
**Answer:** B
**Rationale:** Tachycardia with hypotension in the immediate post-op
period suggests hypovolemia or hemorrhage until proven otherwise.
This requires immediate surgical notification .
**2. A patient received general anesthesia. The nurse’s priority in the
immediate post-op period is:**
A. Pain management
B. Airway patency
C. Wound assessment
,D. Fluid replacement
**Answer:** B
**Rationale:** Airway is always the first priority in the immediate post-
operative period, as anesthesia can cause airway obstruction and
respiratory depression .
**3. Which assessment finding indicates malignant hyperthermia?**
A. Hypothermia and bradycardia
B. Muscle rigidity and hyperthermia
C. Hypotension and polyuria
D. Respiratory depression and miosis
**Answer:** B
**Rationale:** Malignant hyperthermia is a life-threatening reaction to
volatile anesthetics or succinylcholine, characterized by muscle rigidity,
hyperthermia, tachycardia, and tachypnea .
**4. A patient post-op has a Jackson-Pratt drain with 150 mL of bright
red blood in 1 hour. What should the nurse do first?**
A. Document as normal
B. Empty the drain
C. Notify the provider
,D. Apply pressure to the site
**Answer:** C
**Rationale:** Drainage of more than 100 mL/hr of bright red blood in
the immediate post-op period suggests active bleeding, and the
provider should be notified immediately .
**5. A patient post-op from a hip replacement reports sudden
shortness of breath and chest pain. The nurse notes the patient is
anxious and tachycardic. Priority action:**
A. Give oxygen and call rapid response
B. Administer morphine
C. Obtain ECG
D. Check oxygen saturation
**Answer:** A
**Rationale:** This presentation is highly suspicious for a pulmonary
embolism (PE). The priority is to administer high-flow oxygen and
activate the rapid response team for immediate intervention .
**6. Which instruction is correct for a patient after outpatient surgery
with general anesthesia?**
A. "You may drive yourself home."
B. "Do not drink alcohol for 24 hours."
, C. "Return to work tomorrow."
D. "You can eat a full meal immediately."
**Answer:** B
**Rationale:** Alcohol interacts with anesthesia and sedatives and can
impair recovery. Patients should avoid alcohol for at least 24 hours
after general anesthesia .
**7. A patient post-op from a thyroidectomy reports tingling around
the mouth and muscle twitching. The nurse should prepare to
administer:**
A. Calcium gluconate
B. Levothyroxine
C. Potassium chloride
D. Magnesium sulfate
**Answer:** A
**Rationale:** Tetany (tingling, twitching) after thyroidectomy
indicates hypocalcemia from accidental parathyroid injury or removal.
IV calcium gluconate is the treatment .
**8. Which medication is given to reverse the effects of neuromuscular
blockers?**
A. Naloxone
2026 Update) Advanced Concepts of
Medical-Surgical Nursing Guide|
Questions & Answers| Grade A| 100%
Correct (Verified Solutions)- Galen.
**1. A patient is 2 hours post-op from abdominal surgery. Which
finding requires immediate notification of the surgeon?**
A. Pain rated 5/10
B. Heart rate 110 bpm, BP 88/50
C. Urine output 40 mL/hr
D. Temperature 99.8°F (37.7°C)
**Answer:** B
**Rationale:** Tachycardia with hypotension in the immediate post-op
period suggests hypovolemia or hemorrhage until proven otherwise.
This requires immediate surgical notification .
**2. A patient received general anesthesia. The nurse’s priority in the
immediate post-op period is:**
A. Pain management
B. Airway patency
C. Wound assessment
,D. Fluid replacement
**Answer:** B
**Rationale:** Airway is always the first priority in the immediate post-
operative period, as anesthesia can cause airway obstruction and
respiratory depression .
**3. Which assessment finding indicates malignant hyperthermia?**
A. Hypothermia and bradycardia
B. Muscle rigidity and hyperthermia
C. Hypotension and polyuria
D. Respiratory depression and miosis
**Answer:** B
**Rationale:** Malignant hyperthermia is a life-threatening reaction to
volatile anesthetics or succinylcholine, characterized by muscle rigidity,
hyperthermia, tachycardia, and tachypnea .
**4. A patient post-op has a Jackson-Pratt drain with 150 mL of bright
red blood in 1 hour. What should the nurse do first?**
A. Document as normal
B. Empty the drain
C. Notify the provider
,D. Apply pressure to the site
**Answer:** C
**Rationale:** Drainage of more than 100 mL/hr of bright red blood in
the immediate post-op period suggests active bleeding, and the
provider should be notified immediately .
**5. A patient post-op from a hip replacement reports sudden
shortness of breath and chest pain. The nurse notes the patient is
anxious and tachycardic. Priority action:**
A. Give oxygen and call rapid response
B. Administer morphine
C. Obtain ECG
D. Check oxygen saturation
**Answer:** A
**Rationale:** This presentation is highly suspicious for a pulmonary
embolism (PE). The priority is to administer high-flow oxygen and
activate the rapid response team for immediate intervention .
**6. Which instruction is correct for a patient after outpatient surgery
with general anesthesia?**
A. "You may drive yourself home."
B. "Do not drink alcohol for 24 hours."
, C. "Return to work tomorrow."
D. "You can eat a full meal immediately."
**Answer:** B
**Rationale:** Alcohol interacts with anesthesia and sedatives and can
impair recovery. Patients should avoid alcohol for at least 24 hours
after general anesthesia .
**7. A patient post-op from a thyroidectomy reports tingling around
the mouth and muscle twitching. The nurse should prepare to
administer:**
A. Calcium gluconate
B. Levothyroxine
C. Potassium chloride
D. Magnesium sulfate
**Answer:** A
**Rationale:** Tetany (tingling, twitching) after thyroidectomy
indicates hypocalcemia from accidental parathyroid injury or removal.
IV calcium gluconate is the treatment .
**8. Which medication is given to reverse the effects of neuromuscular
blockers?**
A. Naloxone
