MED SURG Final EXAM 2024 Question BANK 2024 (Exams 1-3 & ATI’s) (UPDATED).
1. A patient has received atropine before surgery and complains of dry
... [Show More] 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.
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
02/3/24, 10:24 AM MED SURG Final EXAM 2024 Question BANK
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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. [Show Less]