MED SURG FINAL EXAM QUESTION BANK (From Exams 1-3 & ATI’s) Exam 1
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Course
Pn adult med surg 2023
Institution
Pn Adult Med Surg 2023
MED SURG FINAL EXAM QUESTION BANK (From Exams 1-3 & ATI’s)
Exam 1
1. A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is best? Answer: Tell the patient dry mouth is an expected side effect.
2. A patient arrives at the ambulatory surgery cente...
MED SURG FINAL EXAM QUESTION BANK (From Exams 1-3 &
ATI’s)
Exam 1
1. A patient has received atropine before surgery and complains of dry mouth.
Which action by the nurse is best? Answer: Tell the patient dry mouth is an
expected side effect.
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? Answer: The patient is planning to drive
home after surgery.
3. As the nurse prepares a patient the morning of surgery, the patient refuses
to remove a wedding ring, saying, "I have never taken it off since the day I
was married." Which response by the nurse is best? Answer: Suggest that
the patient give the ring to a family member to keep.
4. The outpatient surgery nurse reviews the complete blood cell (CBC) count
results for a patient who is scheduled for surgery in a few days. The results
are white blood cell (WBC) count 10.2 × 103/µL; hemoglobin 15 g/dL;
hematocrit 45%; platelets 150 × 103/µL. Which action should the nurse take?
Answer: Continue to prepare the patient for the surgical procedure.
5. A 36-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? Answer:
The patient's statement that her last menstrual period was 8 weeks ago
6. Which information in the preoperative patient's medication history is most
important to communicate to the health care provider? Answer: The
patient takes garlic capsules daily.
7. A patient who takes a diuretic and a β-blocker to control blood pressure is
scheduled for breast reconstruction surgery. Which patient information is
most important to communicate to the health care provider before surgery?
Answer: Serum potassium 3.2 mEq/L
8. Monitored anesthesia care (MAC) is going to be used for a closed, manual
reduction of a dislocated shoulder. What does the nurse anticipate? Answer:
Starting an IV in the patient’s unaffected arm.
9. While in the holding area, a patient reveals to the nurse that his father had
a high fever after surgery. What action by the nurse is a priority? Answer:
Alert the anesthesia care provider of the family member’s reaction to
surgery
10.The nurse facilitates student clinical experiences in the surgical suite.
Which action, if performed by a student, would require the nurse to
intervene? Answer: The student wears street clothed in the semi-
restricted area.
,MED SURG FINAL EXAM QUESTION BANK.
11.The operating room nurse is providing orientation to a student nurse. Which
action would the nurse list as a major responsibility of a scrub nurse?
Answer: Keep both hands above the operating table level
, MED SURG FINAL EXAM QUESTION BANK.
12.A patient in surgery receives a neuromuscular blocking agent as an adjunct
to general anesthesia. While in the PACU, what assessment finding is most
important for the nurse to report? Answer: Weak chest movement
13.Which action in the perioperative patient plan of care can the charge nurse
delegate to a surgical technologist? Answer: Pass sterile instruments and
supplies to the surgeon and scrub technician
14.When caring for a patient who has received general anesthetic, the
circulating nurse notes red, raised wheals on the patient’s arms. Which
action should the nurse take? Answer: Notify the ACP
15.The NG tube is removed 2nd day postop, pt is placed on a clear, liquid diet. 4
hrs later the pt complains of sharp, cramping gas pains. What action by the
RN is most appropriate? Answer: assist the patient to ambulate
16.On admission of a patient to the postanesthesia care unit (PACU), the blood
pressure (BP) is 122/72. Thirty minutes after admission, the BP falls to
114/62, with a pulse of 74 and warm, dry skin. Which action by the nurse is
most appropriate? Answer: Continue to take vital signs every 15 minutes.
17.A postop patient has not voided for 8 hrs after surgery…. what action
should the nurse take first? Answer: Bladder scan
18.A patient is transferred from the postanesthesia care unit (PACU) to the
clinical unit. Which action by the nurse on the clinical unit should be
performed first? Answer: Take the patient's vital signs.
19.A postop pt has a nursing dx of ineffective airway clearance. The nurse
determines that interventions for this nursing diagnosis have been
successful if which is observed? Answer: Patients breath sounds are clear to
auscultation
20.In the postanesthesia care unit (PACU), a patient's vital signs are blood
pressure 116/72, pulse 74, respirations 12, and SpO2 91%. The patient is
sleepy but awakens easily. Which action should the nurse take first? Answer:
Encourage the patient to take deep breaths.
21.Which action could the PACU nurse delegate to an UAP? Answer: Help
with transfer onto a stretcher
22.An older pt is being dc from the ambulatory surgical unit following L eye
surgery. The pt tells the nurse, “I don’t know if I can take care of myself once
I’m home”. Which action by the nurse is most appropriate? Answer: discuss
specific concerns regarding self-care
23.A patient is admitted with possible botulism poisoning after eating home-
canned green beans. Which intervention ordered would the nurse
question? Answer: Encourage oral fluids to 3L/day
24.A 22-year-old patient who sustained a T2 spinal cord injury 10 days ago tells
the nurse "i want to be transferred to a hospital where the nurses know what
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