During surgery, a surgeon would not be able to have a successful operation if it wasn’t for the perioperative nurses. To be a perioperative nurse, one must first pass their exams and get the certificate. How well prepared are you for the exams? Take the test below and see for yourself.
Obtain a cuff that covers the upper one third of the client’s arm
Position the cuff approximately 4 inches above the antecubital arm
Use a cuff that is wide enough to cover the upper two thirds of the client’s arm
Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound
Platelet count of 250,000/cu.mm
Total cholesterol of 325 mg/dl
Blood urea nitrogen (BUN)) 17 mg/dl
Hemoglobin 9.5 mg/dl
Turn, cough, and deep breathe every 30 minutes around the clock
Get the client out of bed and ambulate to a bedside chair
Provide passive range of motion three times a day
It is not necessary to worry about complications of immobility on the first postoperative day
Start administration of oxygen through a nasal cannula
Call for assistance
Reposition the head and determine patency of airway
Insert an oral airway and suction the nasopharynx
Remove all jewelries or tape wedding ring
Verify that all laboratory work is complete
Inform family or next of kin
Have all consent forms signed
1, 2, 3, 4
2, 3, 1, 4
2, 1, 4, 3
4, 3, 2, 1
Bland diet
Soft diet
Full liquid diet
Regular diet
“After surgery, I will need to wear the pneumatic compression device while sitting in the chair”
“The skin prep area is going to be longer and wider than the anticipated incision”
“I cannot have anything to drink or eat after midnight on the night before the surgery”
“To ensure my safety, a ‘time out’ will be conducted in the operating room”
To prevent malnutrition
To prevent electrolyte imbalance
To prevent aspiration pneumonia
To prevent intestinal obstruction
Before administration of preoperative medications
The afternoon or evening prior to surgery
Several days prior to surgery
Upon admission of the client in the recovery room
The patient is of legal age with proper mental disposition
If the patient is a child, secure consent from the parents or legal guardian
The consent is secured before administration of preoperative medications
If the patient is unable to write, the nurse signs the consent for the patient
Valium (diazepam)
Phenergan (promethazine)
Atropine sulfate
Demerol (Meperidine)
The patient is unconscious
The patient is awake
The patient experiences slight pain
The patient experiences loss of sensation in the lower half of the body
Cardiac arrest
Hypotension
Hyperthermia
Respiratory paralysis
The obese patient with long history of smoking who had undergone upper abdominal surgery
The patient with normal pulmonary function who had undergone upper abdominal surgery
An adolescent patient with diabetes mellitus who had undergone cholecystectomy
A football player who had undergone knee replacement surgery
Semi-Fowler’s
Flat on bed for 6 to 8 hours
Prone position
Modified Trendelenburg position
Assessing the patient’s level of consciousness
Checking the patient’s vital signs
Checking the patient’s identification and correct operative permit
Positioning and performing skin preparation to the patient
The time of return of motion and sensation in the patient’s legs and toes
The character if the patient’s respiration
The patient’s level of consciousness
The amount of wound drainage
To prevent muscle injury
To prevent sudden drop of blood pressure
To prevent respiratory distress
To promote comfort
The patient pushes out the oral airway with his tongue
The patient’s urine output is 20 ml/hr for the past 2 hours
The patient’s vital signs are as follows: BP = 100/70 mmHg; PR = 95 bpm; RR = 9 minute; T = 36.8°C
The patient’s wound drainage
Cyanosis, lethargy
Fast, thready pulse, bradypnea
Apprehension and restlessness
Faintness, pallor
Cover the wound with sterile gauze moistened with sterile normal saline
Cover the wound with sterile dry gauze
Cover the wound with water-soaked gauze
Leave the wound uncovered and pull the skin edges together
Administer the ordered analgesic
Instruct the patient to do deep breathing and coughing exercises
Assess the patient’s pain level and vital signs
Change the patient’s position
Surgeon
Scrub nurse
Radiology technician
Circulating nurse
Supine
Trendelenburg
Lithotomy
Lateral