OIIQ-RN MARCH 2025 EXAM CHEAT SHEET SURGERY

Ace Your OIIQ Exam with Confidence!

Are you ready to take the next step in your nursing career? Join our comprehensive RN101 Ordre des infirmières et infirmiers du Québec (OIIQ) Exam Review Course! Starting from February 10 to March 6, our curriculum covers all key themes for the March 2025 OIIQ exam, including:

Surgery
Medicine
Gerontology
Mental Health and Psychiatry
Maternal and Child Health

With 12 live online classes every Monday, Tuesday, and Thursday from 9 AM to 12 PM, our expert instructor, Jim, is here to guide you. An IEN graduate and top of his class from John Abbott College in 2012, Jim has 12 years of teaching experience and an extensive background in the OIIQ exam styles, including OSCE, short answers, and multiple-choice questions.

After working at Saint Anne Veterans Hospital, Jim moved to the beautiful countryside of Shefford, Quebec, to focus solely on helping students achieve their goals and to spend more time with his loved ones.

✅ Flexible Learning: Can’t make it to a class? No problem! All sessions are recorded, so you can revisit the material whenever you need.

✅ Proven Success: Hear from our successful students:

“Hi Jim! I hope you are doing well! I just found out that I passed my OIIQ exam with an 84%! It wouldn’t have been possible without you! I am so thankful for all your help this summer!!” – Angela

“Hi Jim, Hope all is well. Just wanted to let you know that I passed the OIIQ exam (with a 76%)! Thank you again for all of your help.” – Jamie

If you haven't yet grabbed a copy of The Complete OIIQ Theme Preparation Guide for the March 2025 Exam, check it out on our Etsy store!

Register today at www.rn101questionbank.com or contact us via email at rn101.net@yahoo.com or call/text 514-632-4228.

Don’t leave your future to chance—enroll now and secure your success for the RN101 OIIQ exam!

Introducing the OIIQ March 2025 Exam Cheat Sheet!

I am excited to share with you my specially created Cheat Sheet designed to help you prepare for the upcoming March 2025 OIIQ exam. This resource is tailored based on the exam themes, focusing on the most common topics and questions you may encounter.

Important Notes about the Cheat Sheet:

Practice Tool Only: Please remember that this cheat sheet is not a collection of official exam questions. Instead, it serves as a practice guide to help you familiarize yourself with potential answers and topics relevant to the exam theme.
Format: The content is not structured as multiple-choice questions and is not designed to assess your critical thinking skills.
Purpose: The primary goal of the cheat sheet is to enhance your understanding of the material and prepare you for the types of questions you may face in the exam.

Use this cheat sheet as a valuable study aid to boost your confidence and readiness for the OIIQ exam!

NOTE: "The Cheat Sheet will be continuously updated, so feel free to visit anytime!"

Responding to Evisceration	Cover the protruding organs with sterile saline-soaked gauze. Evisceration is a medical emergency. The primary concern is to protect the exposed organs by keeping them moist with sterile saline-soaked gauze and preventing further injury.
Preventing Dehiscence or Evisceration	Teach the patient to splint the incision while coughing. Splinting the incision (e.g., holding a pillow against the wound) reduces the stress and pressure on the surgical site during activities like coughing or sneezing, which helps prevent dehiscence.
High-Risk Patients for Dehiscence or Evisceration	Obese, Malnourished or Underweight, Diabetic, Immunocompromised, Older adults, Smokers, Abdominal surgeries, Chronic conditions (e.g., COPD, CKD)
Identifying Dumping Syndrome. A patient is recovering from a partial gastrectomy. Thirty minutes after eating, he report nausea, abdominal cramping, dizziness, and sweating. The heart rate is elevated.	Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, often following gastric surgery. Symptoms typically appear 15–30 minutes after eating and include nausea, abdominal cramping, dizziness, sweating, and tachycardia.
Preventing Dumping Syndrome	Patients with dumping syndrome should eat small, frequent meals that are high in protein and low in simple carbohydrates to slow gastric emptying. Drinking fluids with meals can worsen symptoms by increasing the speed of gastric emptying. Large meals exacerbate symptoms, and high-sugar foods can trigger symptoms by causing a rapid shift of fluid into the intestines.
Recognizing Late Dumping Syndrome	Late dumping syndrome occurs 1–3 hours after eating due to a rapid rise in blood glucose, which triggers an excessive insulin response. This leads to hypoglycemia, causing symptoms such as dizziness, sweating, and confusion. Early dumping syndrome (fluid shifts) typically occurs 15–30 minutes after eating.
Dietary Recommendations for Dumping Syndrome	Lying down after meals slows gastric emptying, which can help prevent the rapid dumping of stomach contents into the small intestine. High-fat foods are generally well-tolerated and not restricted in dumping syndrome. Drinking water before meals increases the risk of symptoms by speeding up gastric emptying. Complex carbohydrates can still cause symptoms if consumed in excess.
Pharmacological Management for Dumping Syndrome	Octreotide, a somatostatin analog, slows gastric emptying and inhibits the release of insulin, effectively reducing symptoms of both early and late dumping syndrome.
Purpose of an Abdominal Binder	"The binder supports the incision and prevents strain on your abdominal muscles." An abdominal binder provides support to the abdominal muscles and reduces strain on the surgical site during movement, coughing, or deep breathing. It also helps reduce the risk of dehiscence.
Contraindications for Abdominal Binders	A patient with severe abdominal distention or bowel obstruction. Abdominal binders are contraindicated in patients with severe abdominal distention or bowel obstruction, as they can worsen pressure on the abdomen and cause complications. Drainage from a surgical site or the presence of surgical drains are not absolute contraindications, as the binder can be adjusted to accommodate these situations.
Applying an Abdominal Binder	Ensure the binder is applied snugly but does not interfere with breathing. The abdominal binder should be snug enough to provide support and prevent strain on the incision but not so tight that it restricts breathing or circulation. Applying it loosely will not provide effective support. The binder should cover the abdominal area, not the chest, and should ideally be applied directly to the skin or over a thin dressing, not a bulky gown.
Monitoring After Application of Abdominal Binder	Assess the patient’s respiratory effort and oxygen saturation. The priority after applying an abdominal binder is to ensure it is not restricting the patient's ability to breathe effectively. Respiratory compromise is a potential complication if the binder is too tight.
Postoperative Positioning after Craniotomy. A patient who is postoperative day 1 after a craniotomy for removal of a brain tumor in the right frontal lobe. The patient is lying flat in bed.	Elevate the head of the bed to 30 degrees to promote venous drainage. After a craniotomy, the head of the bed should typically be elevated 30 degrees to facilitate venous drainage, reduce intracranial pressure (ICP), and promote healing. Lying flat increases ICP, and the Trendelenburg position is contraindicated due to its potential to raise ICP further. Turning onto the operative side may increase pressure on the surgical site.
Monitoring for Complications after Craniotomy. Clear drainage from the nose.	Clear drainage from the nose after a craniotomy may indicate cerebrospinal fluid (CSF) leakage, which requires immediate intervention to prevent infection (e.g., meningitis) and address potential complications like a dural tear.
Seizure Prophylaxis after Craniotomy.	Example: levetiracetam (Keppra) "This medication helps prevent seizures, which are a common complication after brain surgery." Seizures are a common complication following a craniotomy, particularly if the surgery involved manipulation of the brain tissue. Antiepileptic medications like levetiracetam are used to prevent seizures.
Reducing Intracranial Pressure (ICP)	Maintain a quiet environment with minimal stimulation. A quiet, low-stimulation environment helps reduce agitation and prevents an increase in intracranial pressure. AVOID: Rapid IV fluid administration can cause cerebral edema. Forceful coughing increases ICP, and high Fowler’s position can impair venous drainage and increase ICP.
Recognizing Early Signs of Increased ICP	Confusion, worsening headache, and blurred vision. Worsening headache, blurred vision, and lethargy are early signs of increased intracranial pressure (ICP), which is a medical emergency. Prompt notification of the healthcare provider is necessary to prevent further complications, such as brain herniation.