MED SURG EXAM WEEK 1&2
MED SURG EXAM WEEK 1&2
Chapter 18: Nursing Management: Preoperative Care
1. Apatient scheduled for an elective hysterectomy tells the nurse, “I am afraid that I will die in surgery like my
mother did!” Which response by the nurse is most appropriate?
a. “Tell me more about what happened to your mother.”
b. “You will receive medications to reduce your anxiety.”
c. “You should talk to the doctor again about the surgery.”
d. “Surgical techniques have improved a lot in recent years.”
2. A patient arrives at the ambulatory surgery center for a scheduled laparoscopy procedure in outpatient surgery.
Which information is of most concern to the nurse?
a. The patient is planning to drive home after surgery.
b. The patient had a sip of water 4 hours before arriving.
c. The patient’s insurance does not cover outpatient surgery.
,MED SURG EXAM WEEK 1&2
d. The patient has not had surgery using general anesthesia before.
3. A 38-year-old female is admitted for an elective surgical procedure. Which information obtained by the nurse
during the preoperative assessment is most important to report to the anesthesiologist before surgery?
a. The patient’s lack of knowledge about postoperative pain control measures
,b. The patient’s statement that her last menstrual period was 8 weeks previously
c. The patient’s history of a postoperative infection following a prior cholecystectomy
d. The patient’s concern that she will be unable to care for her children postoperatively
4. A patientwho has never had any prior surgeries tells the nurse doing the preoperative assessment about an
allergy to bananas and avocados. Which action is most important for the nurse to take?
a. Notify the dietitian about the food allergies.
b. Alert the surgery center about a possible latex allergy.
c. Reassure the patient that all allergies are noted on the medical record.
d. Ask whether the patient uses antihistamines to reduce allergic reactions.
5. A patient who is scheduled for a therapeutic abortion tells the nurse, “Having an abortion is not right.” Which
functional health pattern should the nurse further assess?
a. Value-belief
b. Cognitive-perceptual
c. Sexuality-reproductive
d. Coping-stress tolerance
, undergoing an emergency appendectomy has been using St. John’s wort to prevent depression.
6. A patient
Which complication would the nurse expect in the postanesthesia care unit?
a. Increased pain
b. Hypertensive episodes
c. Longer time to recover from anesthesia
d. Increased risk for postoperative bleeding
7. The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit.
Which action is most important at this time?
a. Auscultate for adventitious breath sounds.
b. Obtain the patient’s blood pressure and temperature.
c. Remind the patient about harmful effects of smoking.
d. Ask the health care provider about prescribing a nicotine patch.
8. The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week. The
patient reports use of garlic and ginkgo biloba. Which action by the nurse is most appropriate?
a. Ascertain that there will be no interactions with anesthetic agents.
MED SURG EXAM WEEK 1&2
Chapter 18: Nursing Management: Preoperative Care
1. Apatient scheduled for an elective hysterectomy tells the nurse, “I am afraid that I will die in surgery like my
mother did!” Which response by the nurse is most appropriate?
a. “Tell me more about what happened to your mother.”
b. “You will receive medications to reduce your anxiety.”
c. “You should talk to the doctor again about the surgery.”
d. “Surgical techniques have improved a lot in recent years.”
2. A patient arrives at the ambulatory surgery center for a scheduled laparoscopy procedure in outpatient surgery.
Which information is of most concern to the nurse?
a. The patient is planning to drive home after surgery.
b. The patient had a sip of water 4 hours before arriving.
c. The patient’s insurance does not cover outpatient surgery.
,MED SURG EXAM WEEK 1&2
d. The patient has not had surgery using general anesthesia before.
3. A 38-year-old female is admitted for an elective surgical procedure. Which information obtained by the nurse
during the preoperative assessment is most important to report to the anesthesiologist before surgery?
a. The patient’s lack of knowledge about postoperative pain control measures
,b. The patient’s statement that her last menstrual period was 8 weeks previously
c. The patient’s history of a postoperative infection following a prior cholecystectomy
d. The patient’s concern that she will be unable to care for her children postoperatively
4. A patientwho has never had any prior surgeries tells the nurse doing the preoperative assessment about an
allergy to bananas and avocados. Which action is most important for the nurse to take?
a. Notify the dietitian about the food allergies.
b. Alert the surgery center about a possible latex allergy.
c. Reassure the patient that all allergies are noted on the medical record.
d. Ask whether the patient uses antihistamines to reduce allergic reactions.
5. A patient who is scheduled for a therapeutic abortion tells the nurse, “Having an abortion is not right.” Which
functional health pattern should the nurse further assess?
a. Value-belief
b. Cognitive-perceptual
c. Sexuality-reproductive
d. Coping-stress tolerance
, undergoing an emergency appendectomy has been using St. John’s wort to prevent depression.
6. A patient
Which complication would the nurse expect in the postanesthesia care unit?
a. Increased pain
b. Hypertensive episodes
c. Longer time to recover from anesthesia
d. Increased risk for postoperative bleeding
7. The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit.
Which action is most important at this time?
a. Auscultate for adventitious breath sounds.
b. Obtain the patient’s blood pressure and temperature.
c. Remind the patient about harmful effects of smoking.
d. Ask the health care provider about prescribing a nicotine patch.
8. The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week. The
patient reports use of garlic and ginkgo biloba. Which action by the nurse is most appropriate?
a. Ascertain that there will be no interactions with anesthetic agents.
