Perioperative Nursing
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- 1.The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?
- A.
Obtain a cuff that covers the upper one third of the client’s arm
- B.
Position the cuff approximately 4 inches above the antecubital arm
- C.
Use a cuff that is wide enough to cover the upper two thirds of the client’s arm
- D.
Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound
- 2.
- A.
Platelet count of 250,000/cu.mm
- B.
Total cholesterol of 325 mg/dl
- C.
Blood urea nitrogen (BUN)) 17 mg/dl
- D.
Hemoglobin 9.5 mg/dl
- 3.
- A.
Turn, cough, and deep breathe every 30 minutes around the clock
- B.
Get the client out of bed and ambulate to a bedside chair
- C.
Provide passive range of motion three times a day
- D.
It is not necessary to worry about complications of immobility on the first postoperative day
- 4.
- A.
Start administration of oxygen through a nasal cannula
- B.
Call for assistance
- C.
Reposition the head and determine patency of airway
- D.
Insert an oral airway and suction the nasopharynx
- 5.A client is scheduled for surgery in the morning. Preoperative orders have been written. What is the most important to do before surgery?
- A.
Remove all jewelries or tape wedding ring
- B.
Verify that all laboratory work is complete
- C.
Inform family or next of kin
- D.
Have all consent forms signed
- 6.
- A.
1, 2, 3, 4
- B.
2, 3, 1, 4
- C.
2, 1, 4, 3
- D.
4, 3, 2, 1
- 7.
- A.
Bland diet
- B.
Soft diet
- C.
Full liquid diet
- D.
Regular diet
- 8.
- A.
“After surgery, I will need to wear the pneumatic compression device while sitting in the chair”
- B.
“The skin prep area is going to be longer and wider than the anticipated incision”
- C.
“I cannot have anything to drink or eat after midnight on the night before the surgery”
- D.
“To ensure my safety, a ‘time out’ will be conducted in the operating room”
- 9.
- A.
To prevent malnutrition
- B.
To prevent electrolyte imbalance
- C.
To prevent aspiration pneumonia
- D.
To prevent intestinal obstruction
- 10.
- A.
Before administration of preoperative medications
- B.
The afternoon or evening prior to surgery
- C.
Several days prior to surgery
- D.
Upon admission of the client in the recovery room
- 11.
- A.
The patient is of legal age with proper mental disposition
- B.
If the patient is a child, secure consent from the parents or legal guardian
- C.
The consent is secured before administration of preoperative medications
- D.
If the patient is unable to write, the nurse signs the consent for the patient
- 12.Which of the following drugs is administered to minimize respiratory secretions preoperatively?
- A.
Valium (diazepam)
- B.
Phenergan (promethazine)
- C.
Atropine sulfate
- D.
Demerol (Meperidine)
- 13.
- A.
The patient is unconscious
- B.
The patient is awake
- C.
The patient experiences slight pain
- D.
The patient experiences loss of sensation in the lower half of the body
- 14.Which of the following is most dangerous complication during induction of spinal anesthesia?
- A.
Cardiac arrest
- B.
Hypotension
- C.
Hyperthermia
- D.
Respiratory paralysis
- 15.Which of the following postoperative patients is at risk for respiratory complications?
- A.
The obese patient with long history of smoking who had undergone upper abdominal surgery
- B.
The patient with normal pulmonary function who had undergone upper abdominal surgery
- C.
An adolescent patient with diabetes mellitus who had undergone cholecystectomy
- D.
A football player who had undergone knee replacement surgery
- 16.
- A.
Semi-Fowler’s
- B.
Flat on bed for 6 to 8 hours
- C.
Prone position
- D.
Modified Trendelenburg position
- 17.
- A.
Assessing the patient’s level of consciousness
- B.
Checking the patient’s vital signs
- C.
Checking the patient’s identification and correct operative permit
- D.
Positioning and performing skin preparation to the patient
- 18.
- A.
The time of return of motion and sensation in the patient’s legs and toes
- B.
The character if the patient’s respiration
- C.
The patient’s level of consciousness
- D.
The amount of wound drainage
- 19.
- A.
To prevent muscle injury
- B.
To prevent sudden drop of blood pressure
- C.
To prevent respiratory distress
- D.
To promote comfort
- 20.
- A.
The patient pushes out the oral airway with his tongue
- B.
The patient’s urine output is 20 ml/hr for the past 2 hours
- C.
The patient’s vital signs are as follows: BP = 100/70 mmHg; PR = 95 bpm; RR = 9 minute; T = 36.8°C
- D.
The patient’s wound drainage
- 21.
- A.
Cyanosis, lethargy
- B.
Fast, thready pulse, bradypnea
- C.
Apprehension and restlessness
- D.
Faintness, pallor
- 22.
- A.
Cover the wound with sterile gauze moistened with sterile normal saline
- B.
Cover the wound with sterile dry gauze
- C.
Cover the wound with water-soaked gauze
- D.
Leave the wound uncovered and pull the skin edges together
- 23.
- A.
Administer the ordered analgesic
- B.
Instruct the patient to do deep breathing and coughing exercises
- C.
Assess the patient’s pain level and vital signs
- D.
Change the patient’s position
- 24.Which of the following are not members of the sterile team in the operating room, except:
- A.
Surgeon
- B.
Scrub nurse
- C.
Radiology technician
- D.
Circulating nurse
- 25.The best position for kidney, chest, or hip surgery is:
- A.
Supine
- B.
Trendelenburg
- C.
Lithotomy
- D.
Lateral
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