NURS 6501 Advanced Pathophysiology Walden University
Final Exam (2026/2027) | Actual Exam + Practice Test Bank |
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How far in advance should herbal medications be held before a planned surgery? -
selected answer 👀 All herbals should be stopped two weeks prior
List the potential complication of spinal or regional anesthesia - selected answer 👀
HA, nerve damage, infection, limb loss
presurgical guidelines for metformin - selected answer 👀 - take day before surgery,
then resume it afterwards when patient is eating again
- If procedure involves IV contrast or long surgical time ⇒ metformin is stopped
when the preop fasting begins and restarted postop with normal diet resumption
- If renal dysfunction found preop or postop ⇒ DC metformin until renal function
normalizes
SGLP2i presurgical guidelines - selected answer 👀 Stop immediately if undergoing
emergency procedure
Hold med 24h prior to elective surgery
DM2 with insulin presurgical guidelines - selected answer 👀 Continue insulin
therapy
Hold NPH or premixed insulin the morning of surgery if DM2 and BS <120
,DM1 with insulin presurgical guidelines - selected answer 👀 - Will need insulin
perioperative period
- Stress of surgery can cause hyperglycemia or ketoacidosis
- Should get 80% basal insulin dose the evening before surgery and on the morning
of surgery to prevent hypoglycemia
- Prandial insulin is stopped when the fasting state begins
are most DM PO agents taken the day of surgery? - selected answer 👀 yes
What is the Duke Activity Status Index (DASI) and what does it measure? - selected
answer 👀 - Self-administered questionnaire that measures a patient's functional
capacity
- Gets a rough estimate of the patient's peak O2 uptake
Questions:
- Can you take care of yourself, walk around, run, climb stairs, do yard work
Answer yes/no
what does STOP-BANG mean - selected answer 👀 S: Snoring (do you snore loud
enough that it can be heard through closed doors)
T: Tired (often feel tired, fatigued, sleepy)
O: Observed → has anyone observed you stop breathing or choking/gasping during
your sleep
P: Pressure → do you have or are being treated for HTN
, B: BMI >35
A: Age → >50yrs
N: Neck size large → measured around Adam's apple
Men: shirt collar → 17 inches/43cm or larger
Women: shirt collar → 16inches/41cm or larger
G: Gender → male
scoring for STOP BANG - selected answer 👀 - Low risk: yes to 0-2 questions
Intermediate risk: yes to 3-4 questions
- High risk: yes to 5-8 questions
OR yes to 2 or more STOP questions + male gender
OR yes to 2 or more STOP questions + BMI >35
OR yes to 2 or more STOP questions + neck circumference
What is your responsibility as a health care provider to do when a patient informs
you that they have recently been sexually assaulted? (IF WITHIN 72H) - selected
answer 👀 - PCP should defer a PE and refer the pt to the ER if the sexual assault
occured within the last 5 day, preferably within 72h
- Ensures proper measures are taken and comply with standardized protocols
- Support the patient's current or future desire for legal pursuits
Final Exam (2026/2027) | Actual Exam + Practice Test Bank |
How far in advance should herbal medications be held before a planned surgery? -
selected answer 👀 All herbals should be stopped two weeks prior
List the potential complication of spinal or regional anesthesia - selected answer 👀
HA, nerve damage, infection, limb loss
presurgical guidelines for metformin - selected answer 👀 - take day before surgery,
then resume it afterwards when patient is eating again
- If procedure involves IV contrast or long surgical time ⇒ metformin is stopped
when the preop fasting begins and restarted postop with normal diet resumption
- If renal dysfunction found preop or postop ⇒ DC metformin until renal function
normalizes
SGLP2i presurgical guidelines - selected answer 👀 Stop immediately if undergoing
emergency procedure
Hold med 24h prior to elective surgery
DM2 with insulin presurgical guidelines - selected answer 👀 Continue insulin
therapy
Hold NPH or premixed insulin the morning of surgery if DM2 and BS <120
,DM1 with insulin presurgical guidelines - selected answer 👀 - Will need insulin
perioperative period
- Stress of surgery can cause hyperglycemia or ketoacidosis
- Should get 80% basal insulin dose the evening before surgery and on the morning
of surgery to prevent hypoglycemia
- Prandial insulin is stopped when the fasting state begins
are most DM PO agents taken the day of surgery? - selected answer 👀 yes
What is the Duke Activity Status Index (DASI) and what does it measure? - selected
answer 👀 - Self-administered questionnaire that measures a patient's functional
capacity
- Gets a rough estimate of the patient's peak O2 uptake
Questions:
- Can you take care of yourself, walk around, run, climb stairs, do yard work
Answer yes/no
what does STOP-BANG mean - selected answer 👀 S: Snoring (do you snore loud
enough that it can be heard through closed doors)
T: Tired (often feel tired, fatigued, sleepy)
O: Observed → has anyone observed you stop breathing or choking/gasping during
your sleep
P: Pressure → do you have or are being treated for HTN
, B: BMI >35
A: Age → >50yrs
N: Neck size large → measured around Adam's apple
Men: shirt collar → 17 inches/43cm or larger
Women: shirt collar → 16inches/41cm or larger
G: Gender → male
scoring for STOP BANG - selected answer 👀 - Low risk: yes to 0-2 questions
Intermediate risk: yes to 3-4 questions
- High risk: yes to 5-8 questions
OR yes to 2 or more STOP questions + male gender
OR yes to 2 or more STOP questions + BMI >35
OR yes to 2 or more STOP questions + neck circumference
What is your responsibility as a health care provider to do when a patient informs
you that they have recently been sexually assaulted? (IF WITHIN 72H) - selected
answer 👀 - PCP should defer a PE and refer the pt to the ER if the sexual assault
occured within the last 5 day, preferably within 72h
- Ensures proper measures are taken and comply with standardized protocols
- Support the patient's current or future desire for legal pursuits
