NURS 315 EXAM 1 QUESTIONS AND VERIFIED
DETAILED ANSWERS
An overweight patient with a BMI of 28.1 kg/m2 is scheduled for a laparoscopic
cholecystectomy in an outpatient surgery facility. The nurse is aware that
a. the surgery involves multiple small incisions.
b. this is not an appropriate setting for this type of surgery.
c. the surgery requires a partial hepatectomy.
d. special preparation will be required due to the obesity of the client. Answer A
The client tells the nurse preoperatively that she realizes she reacts to rubber gloves.
Which is the BEST response? a. Informed the surgeon so surgery can be canceled. b.
Further questioning to determine potential latex allergy. c. Informed the OR staff
immediately so they can use latexfree supplies.
d. No action is necessary because the patient's rubber sensitivity is unrelated to
surgery. - Answer B
A 59-yr-old man is scheduled for a herniorrhaphy in 2 days and reports that he takes
ginkgo daily. What is the priority intervention?
a. Notify the surgeon because the procedure may need to be rescheduled.
b. Notify the anesthesia care provider because this herb interacts with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal supplement.
d. Instruct the patient to continue to take the herbal supplement up to the day before
surgery. - Answer A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an emancipated
minor. She has a statement from the court for verification. Which intervention is
mostappropriate?
a. Witness the permit after the surgeon obtains consent.
, b. Call a parent or legal guardian to sign the permit since the patient is under 18.
c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated
minors. - Answer A
A priority nursing intervention to help a preoperative patient cope with fear of
postoperative pain would be to
a. inform the patient that pain medication will be available.
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale. - Answer
D
A patient is to undergo surgery that will require general anesthesia at an ambulatory
surgical center. The nurse asks him when he last ate. He states that he had a light
breakfast a couple of hours before coming to the surgery center. What should the nurse
do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Continue preoperative checklist, including identification of site.
d. Inform anesthesia care provider of when and what the patient last consumed. -
Answer D
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime calls
the nurse to ask what to do about her dose the night before surgery. The best response
would be to have her
a. not take any insulin the night before surgery.
b. get an order from her physician or HCP about the adjustments of insulin.
c. taking her usual dose at bedtime and having light breakfast in the morning
d. having a moderate meal before bedtime and taking half her usual dose of insulin.
-Answer B
DETAILED ANSWERS
An overweight patient with a BMI of 28.1 kg/m2 is scheduled for a laparoscopic
cholecystectomy in an outpatient surgery facility. The nurse is aware that
a. the surgery involves multiple small incisions.
b. this is not an appropriate setting for this type of surgery.
c. the surgery requires a partial hepatectomy.
d. special preparation will be required due to the obesity of the client. Answer A
The client tells the nurse preoperatively that she realizes she reacts to rubber gloves.
Which is the BEST response? a. Informed the surgeon so surgery can be canceled. b.
Further questioning to determine potential latex allergy. c. Informed the OR staff
immediately so they can use latexfree supplies.
d. No action is necessary because the patient's rubber sensitivity is unrelated to
surgery. - Answer B
A 59-yr-old man is scheduled for a herniorrhaphy in 2 days and reports that he takes
ginkgo daily. What is the priority intervention?
a. Notify the surgeon because the procedure may need to be rescheduled.
b. Notify the anesthesia care provider because this herb interacts with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this herbal supplement.
d. Instruct the patient to continue to take the herbal supplement up to the day before
surgery. - Answer A
A 17-yr-old patient with a leg fracture who is scheduled for surgery is an emancipated
minor. She has a statement from the court for verification. Which intervention is
mostappropriate?
a. Witness the permit after the surgeon obtains consent.
, b. Call a parent or legal guardian to sign the permit since the patient is under 18.
c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated
minors. - Answer A
A priority nursing intervention to help a preoperative patient cope with fear of
postoperative pain would be to
a. inform the patient that pain medication will be available.
b. teach the patient to use guided imagery to help manage pain.
c. describe the type of pain expected with the patient's particular surgery.
d. explain the pain management plan, including the use of a pain rating scale. - Answer
D
A patient is to undergo surgery that will require general anesthesia at an ambulatory
surgical center. The nurse asks him when he last ate. He states that he had a light
breakfast a couple of hours before coming to the surgery center. What should the nurse
do first?
a. Tell the patient to come back tomorrow, since he ate a meal.
b. Have the patient void before giving any preoperative medications.
c. Continue preoperative checklist, including identification of site.
d. Inform anesthesia care provider of when and what the patient last consumed. -
Answer D
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime calls
the nurse to ask what to do about her dose the night before surgery. The best response
would be to have her
a. not take any insulin the night before surgery.
b. get an order from her physician or HCP about the adjustments of insulin.
c. taking her usual dose at bedtime and having light breakfast in the morning
d. having a moderate meal before bedtime and taking half her usual dose of insulin.
-Answer B
