Page 1 of 75
JERSEY COLLEGE MEDSURG 1 RN FINAL
EXAM TESTBANK 2026|REAL
430QS&AS|ALREADY GRADED A+
Q1. A patient is scheduled for surgery under general anesthesia.
Which of the following instructions is most important to prevent
aspiration?
a) Shower with antibacterial soap the night before
b) Remove all jewelry and nail polish
c) Fast for 6-8 hours before surgery (NPO)
d) Take routine morning medications with a sip of water
Correct Answer: c) Fast for 6-8 hours before surgery (NPO)
Rationale: Fasting reduces gastric contents, minimizing risk of
aspiration during induction. Clear liquids may be allowed up to 2
hours before; but NPO for solids is essential.
,Page 2 of 75
Q2. A patient in the post-anesthesia care unit (PACU) has a
respiratory rate of 8 breaths per minute and oxygen saturation
of 85% after receiving morphine 4 mg IV. The nurse should first:
a) Administer naloxone
b) Stimulate the patient to breathe
c) Notify the anesthesia provider
d) Apply oxygen via non-rebreather
Correct Answer: a) Administer naloxone
Rationale: Opioid-induced respiratory depression requires
immediate reversal. Naloxone (Narcan) is the antidote. Provide
ventilation while naloxone takes effect.
Q3. A patient post-appendectomy has a nursing diagnosis of
“Risk for infection” related to surgical incision. Which intervention
is most appropriate?
a) Administer prescribed prophylactic antibiotics on time
b) Keep the incision open to air
,Page 3 of 75
c) Change the dressing using clean technique
d) Use sterile technique for dressing changes and hand hygiene
Correct Answer: d) Use sterile technique for dressing changes
and hand hygiene
Rationale: Surgical incisions require sterile (aseptic) technique until
healed. Prophylactic antibiotics are used but not the primary
nursing intervention for risk for infection.
Q4. A patient is transferred to the surgical unit after a right
hemicolectomy. The patient has a nasogastric (NG) tube to low
intermittent suction. The nurse notes that the NG tube drainage is
bright red. The priority action is:
a) Irrigate the NG tube with normal saline
b) Clamp the NG tube and notify the provider
c) Document the finding and continue monitoring
d) Notify the provider immediately and assess vital signs
, Page 4 of 75
Correct Answer: d) Notify the provider immediately and
assess vital signs
Rationale: Bright red drainage post-operatively could indicate
hemorrhage. Immediate provider notification and assessment for
hypovolemia (tachycardia, hypotension) are critical.
Q5. A patient is being prepared for surgery. Which of the
following allergies must be reported to the surgical team as a
priority?
a) Latex allergy
b) Codeine allergy
c) Shellfish allergy
d) Peanut allergy
Correct Answer: a) Latex allergy
Rationale: Latex allergy can cause anaphylaxis during surgery due
to exposure to gloves, catheters, and equipment. The surgical team
JERSEY COLLEGE MEDSURG 1 RN FINAL
EXAM TESTBANK 2026|REAL
430QS&AS|ALREADY GRADED A+
Q1. A patient is scheduled for surgery under general anesthesia.
Which of the following instructions is most important to prevent
aspiration?
a) Shower with antibacterial soap the night before
b) Remove all jewelry and nail polish
c) Fast for 6-8 hours before surgery (NPO)
d) Take routine morning medications with a sip of water
Correct Answer: c) Fast for 6-8 hours before surgery (NPO)
Rationale: Fasting reduces gastric contents, minimizing risk of
aspiration during induction. Clear liquids may be allowed up to 2
hours before; but NPO for solids is essential.
,Page 2 of 75
Q2. A patient in the post-anesthesia care unit (PACU) has a
respiratory rate of 8 breaths per minute and oxygen saturation
of 85% after receiving morphine 4 mg IV. The nurse should first:
a) Administer naloxone
b) Stimulate the patient to breathe
c) Notify the anesthesia provider
d) Apply oxygen via non-rebreather
Correct Answer: a) Administer naloxone
Rationale: Opioid-induced respiratory depression requires
immediate reversal. Naloxone (Narcan) is the antidote. Provide
ventilation while naloxone takes effect.
Q3. A patient post-appendectomy has a nursing diagnosis of
“Risk for infection” related to surgical incision. Which intervention
is most appropriate?
a) Administer prescribed prophylactic antibiotics on time
b) Keep the incision open to air
,Page 3 of 75
c) Change the dressing using clean technique
d) Use sterile technique for dressing changes and hand hygiene
Correct Answer: d) Use sterile technique for dressing changes
and hand hygiene
Rationale: Surgical incisions require sterile (aseptic) technique until
healed. Prophylactic antibiotics are used but not the primary
nursing intervention for risk for infection.
Q4. A patient is transferred to the surgical unit after a right
hemicolectomy. The patient has a nasogastric (NG) tube to low
intermittent suction. The nurse notes that the NG tube drainage is
bright red. The priority action is:
a) Irrigate the NG tube with normal saline
b) Clamp the NG tube and notify the provider
c) Document the finding and continue monitoring
d) Notify the provider immediately and assess vital signs
, Page 4 of 75
Correct Answer: d) Notify the provider immediately and
assess vital signs
Rationale: Bright red drainage post-operatively could indicate
hemorrhage. Immediate provider notification and assessment for
hypovolemia (tachycardia, hypotension) are critical.
Q5. A patient is being prepared for surgery. Which of the
following allergies must be reported to the surgical team as a
priority?
a) Latex allergy
b) Codeine allergy
c) Shellfish allergy
d) Peanut allergy
Correct Answer: a) Latex allergy
Rationale: Latex allergy can cause anaphylaxis during surgery due
to exposure to gloves, catheters, and equipment. The surgical team
