To Be A Nurse, You Gotta Crack This Perioperative Quiz
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The perioperative period is the time period of a patient's surgical procedure. It commonly includes ward admission, anesthesia, surgery, and recovery. To be a nurse, you gotta crack this Perioperative Quiz. ALL THE BEST
- 1.A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major preoperative concern?
- A.
The client’s brother had a tonsillectomy at age 11
- B.
The client smokes a pack of cigarettes a day
- C.
The client has an intravenous (IV) infusion.
- D.
The client has a history of employment as a computer programmer.
- 2.An appendectomy is appropriately documented by the nurse as:
- A.
Diagnostic surgery
- B.
Palliative surgery
- C.
Ablative surgery
- D.
Reconstructive surgery
- 3.An obese client is admitted for abdominal surgery. The nurse recognizes that this client is more susceptible to the postoperative complication of:
- A.
Anemia
- B.
Seizures
- C.
Protein loss
- D.
Dehiscence
- 4.The nurse is working in a postoperative care unit in an ambulatory surgery center. Of the following clients that have come to have surgery, the client at the greatest risk during surgery is a:
- A.
78-year-old taking an analgesic agent
- B.
43-year-old taking an antihypertensive agent
- C.
27-year-old taking an anticoagulant agent
- D.
10-year-old taking an antibiotic agent
- 5.A 92-year-old client is scheduled for a colectomy. Which normal physiological change that accompanies the aging process increases this client’s risk for surgery?
- A.
An increased tactile sensation
- B.
An increased metabolic rate
- C.
A relaxation of arterial walls
- D.
Reduced glomerular filtration rate
- 6.The nurse is completing the preoperative checklist for an adult female client who is scheduled for an operative procedure later in the morning. Which of the following preoperative assessment findings for this client indicates a need to contact the surgeon?
- A.
Hemoglobin (Hgb) 14 g/100 mL
- B.
Blood urea nitrogen (BUN) 15 mg/100 mL
- C.
Platelets 300,000/mm3
- D.
Serum creatinine 3.2 mg/100 mL
- 7.The nurse is evaluating the outcome “Client describes surgical procedures and postoperative treatment” and determines that the client has not achieved this outcome. The nurse should:
- A.
Obtain the consent, because this is expected with preoperative anxiety
- B.
Teach the client all about the procedure
- C.
Ask the unit manager to assist with a teaching plan
- D.
Inform the surgeon so that information can be provided
- 8.Which of the following statements most accurately reflects nursing accountability in the intraoperative phase?
- A.
“I would like to see the client have a regional anesthetic rather than a general anesthetic.”
- B.
“There seems to be a missing sponge, so a recount should be done of all the sponges that have been removed.”
- C.
“Did the client receive the medications and sign the consent?”
- D.
“The client looks to be reactive and stable.”
- 9.The client will have an incision in the lower left abdomen. Which of the following measures by the nurse will help decrease discomfort in the incisional area when the client coughs postoperatively?
- A.
Applying a splint directly over the lower abdomen
- B.
Keeping the client flat with her feet flexed
- C.
Turning the client onto the right side
- D.
Applying pressure above and below the incision
- 10.The nurse is evaluating the client in the hospital’s postanesthesia care unit (PACU) and determines that the Aldrete score is 8. Based on this assessment, the nurse anticipates that the client will:
- A.
Be sent to the intensive care unit
- B.
Be discharged back to his or her room on the nursing unit
- C.
Remain in the PACU until the score improves
- D.
Return to the operating room for surgical evaluation
- 11.A client is in the postanesthesia care unit (PACU) recovering from a vagotomy and pyloroplasty. Which of the following is a normal expectation of the client in this stage of recovery?
- A.
Returned normal bowel sounds on auscultation
- B.
Pain that is relieved with noninvasive comfort measures
- C.
Voluntary bladder control and function
- D.
A subdued level of consciousness and neurological function
- 12.The client is scheduled for abdominal surgery and has just received the preoperative medications. The nurse should:
- A.
Keep the client quiet
- B.
Obtain the consent
- C.
Prepare the skin at the surgical site
- D.
Place the side rails up on the bed or stretcher
- 13.The nurse is completing the preoperative checklist for an adult client who is scheduled for an operative procedure later in the morning. Which of the following preoperative assessment findings for this client indicates a need to contact the anesthesiologist?
- A.
Temperature is 100° F.
- B.
Pulse is 90 beats per minute.
- C.
Respiratory rate is 20 breaths per minute.
- D.
Blood pressure is 130/74 mm Hg.
- 14.In the postoperative period, the nurse recognizes that an early sign of malignant hyperthermia is:
- A.
Fever
- B.
Tachycardia
- C.
Muscle relaxtion
- D.
Skin pallor
- 15.The client tells the nurse that “blowing into this tube thing (incentive spirometer) is a ridiculous waste of time.” The nurse explains that the specific purpose of the therapy is to:
- A.
Directly remove excess secretions from the lungs
- B.
Increase pulmonary circulation
- C.
Promote lung expansion
- D.
Stimulate the cough reflex
- 16.The female client on the surgical unit is being prepared for abdominal surgery with general anesthesia. In preparing this client for surgery, the nurse should:
- A.
Leave all of her jewelry intact
- B.
Provide her with sips of water for a dry mouth
- C.
Remove her makeup and nail polish
- D.
Remove her hearing aid before transport to the operating room
- 17.The client asks the nurse the purpose of having medications (Demerol and Vistaril) given before surgery. The nurse should inform the client that these particular medications:
- A.
Reduce preoperative fear
- B.
Promote emptying of the stomach
- C.
Reduce body secretions
- D.
Ease the induction of the anesthesia
- 18.A client who receives general or regional anesthesia in an ambulatory surgery center:
- A.
Has to meet identified criteria in order to be discharged home
- B.
Will remain in the phase I recovery area longer than a hospitalized client
- C.
Is allowed to ambulate as soon as being admitted to the recovery area
- D.
Is immediately given liberal amounts of fluid to promote the excretion of the anesthesia
- 19.Following abdominal surgery, the nurse suspects that the client may be having internal bleeding. Which of the following findings is indicative of this complication?
- A.
Increased blood pressure
- B.
Incisional pain
- C.
Abdominal distention
- D.
Increased urinary output
- 20.After discharge from the postanesthesia care unit (PACU), the client returned to the surgical nursing unit at 10:00 AM. It is now 11:30 AM, and the client is not experiencing any complications or difficulties. The nurse will plan to measure the client’s vital signs:
- A.
Every 15 minutes
- B.
Every 30 minutes
- C.
Every 1 hour
- D.
Every 4 hours
- 21.The client had surgery in the morning that involved the right femoral artery. To assess the client’s circulation status to the right leg, the nurse will make sure to check the pulse at the:
- A.
Radial artery
- B.
Ulnar artery
- C.
Brachial artery
- D.
Dorsalis pedis artery
- 22.Upon admission to the postanesthesia care unit (PACU), the client who has no orthopedic or neurological restrictions is positioned with the:
- A.
Bed flat and the client’s arms to the sides
- B.
Client’s neck flexed and body positioned laterally
- C.
Head of the bed slightly elevated with the client’s head to the side
- D.
Client’s arms crossed over the chest and the bed in high-Fowler’s position
- 23.A client who is scheduled for surgery is found to have thrombocytopenia. A specific postoperative concern for the nurse for this client is:
- A.
Hemorrhage
- B.
Wound infection
- C.
Fluid imbalance
- D.
Respiratory depression
- 24.A prostate biopsy is an acceptable procedure to be performed as an ambulatory surgery on an otherwise healthy adult male because the American Society of Anesthesiologists (ASA) considers that a:
- A.
Physical status class 1
- B.
Physical status class 2
- C.
Physical status class 4
- D.
Physical status class 5
- 25.Which of the following statements made by a nurse reflects the greatest insight into the responsibility an ambulatory care nurse has to the client’s family?
- A.
“A client’s family deserves the attention of the nursing staff.”
- B.
“Family is important to my client, and so family is important to me.”
- C.
“I consider myself as having several clients: the surgical client and all the family that’s present.”
- D.
“I am responsible for keeping the family informed of the status of their loved one both during and after the procedure.”
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