Perioperative nursing post test A. “Why are you afraid of the surgery?

”
1. Which of the following is a priority in the B. “This is the best hospital in the city.”
nursing assessment of a client preoperatively? C. “Does having surgery make you afraid?”
A. Question the client about any known D. “There is no reason to be afraid.”
allergies
B. Verification of client identification 6. The nurse requests the client to sign a
C. Determination of client’s nutritional status surgical informed consent form for an
D. Verification of client’s neurological status emergency appendectomy. Which statement by
the client indicates further teaching is needed?
2. A client is scheduled for an operative A. “I will be glad when this is over so I can go
procedure to rule out cancer. When the nurse home today.”- umuwi agad
assesses the client, the nurse observes tears in B. “I will not be able to eat or drink anything
the client’s eyes. Which of the following prior to my surgery.”
would be the most therapeutic nursing C. “I can practice relaxing by listening to my
intervention? favorite music.”
A. Contact the surgeon to alleviate the client’s D. “I will need to get up and walk as soon as
concerns possible.”
B. Ask the client to describe his or her feelings
C. Medicate the client with a preoperative 7. Which of the following is an example of
analgesic Ablative Surgery ?
D. Reassure the client that there is nothing to A. Hemicolectomy
be concerned about B. Laparotomy
C. Cheiloplasty
3. The nurse enters a woman’s room to D. Herniorrhaphy
administer the ordered pre-op medication for
her hysterectomy. During the conversation, the 8. A client with a perforated gastric ulcer is
client tells the nurse that she and her husband scheduled for emergency surgery. The client
are planning to have another child in the cannot sign the operative consent form
coming year. The best action for the nurse to because he has been sedated with opioid
take is which of the following? analgesics. The nurse should take which of the
A. Do not administer the pre-op medication, following actions in the care of this client?
notify the nursing supervisor and the A. Obtain a telephone consent from the family
physician. member witnessed by two persons.
B. Go ahead and administer the medication as B. Obtain a court order for the surgery.
ordered. C. Send the client to surgery without the
C. Check to see if the client has signed a consent form being signed.
surgical consent. D. Have the hospital chaplain sign the
D. Send the client to the operating room (OR) informed consent immediately.
without the medication.
9. A preoperative client expresses anxiety to
4. The nurse administers 10 mg the nurse about the upcoming surgery. Which
intramuscular (IM) morphine as a pre-op of the following responses by the nurse is most
medication, and then discovers that there is no likely to stimulate further discussion between
signed operative permit. What is the best the client and the nurse?
action for the nurse to take? A. “I will be happy to explain the entire
A. Send the client to surgery as scheduled. surgical procedure to you.”
B. Notify the nursing supervisor, the OR, and B. “Let me tell you about the care you’ll
the physician. receive after surgery and the amount of pain
C. Cancel the surgery immediately. you can anticipate.”
D. Obtain the needed consent. C. “If it’s any help, everyone is nervous before
surgery.”
5. The client in the surgical holding area D. “Can you share with me what you’ve been
tells the nurse “I am so scared. I have never told about your surgery?”
had surgery before.” Which statement would
be the nurse’s most appropriate response?
10. A nurse is preparing the client for B. “Tell me why you’re worried about your
transfer to the operating room (OR). The nurse surgery.”
should take which of the following actions in C. “Tell me about your fears of having this
the care of this client at this time? surgery.”
A. Administer all the daily medications. D. “I understand how you feel. Surgery is
B. Ensure that the client has voided. frightening.”
C. Verify that the client has not eaten for the
last 24 hours. 15. Which technique would be most
D. Practice postoperative breathing exercises appropriate for the nurse to implement
when assessing a four (4)-year-old client in
11. A patient is scheduled for surgery and acute pain?
has a history of latex allergy. What precautions A. Use words a four (4)-year-old child can
should the nurse take to ensure the patient's remember.
safety during the perioperative period? B. Explain the 0-to-10 pain scale to the child’s
A. Use latex gloves during patient care. parent.
B. Ensure that the surgical team wears latex C. Have the child point to the face which
gloves. describes the pain.
C. Use latex-free supplies and equipment. D. Administer the medication every four (4)
D. Administer corticosteroids preoperatively. hours.

12. A nurse is caring for a client who is 16. The nursing manager is making
scheduled for an elective surgery to remove assignments for the OR. Which case should
rectal polyps. The nurse knows that this type the manager assign to the inexperienced nurse?
of surgery is classified by degree of urgency A. The client having open-heart surgery.
as: B. The client having a biopsy of the breast.
A. Emergency. C. The client having laser eye surgery.
B. Urgent. D. The client having a laparoscopic knee
C. Elective. repair.
D. Routine.
17. The charge nurse is making shift
13. The nurse is interviewing a surgical assignments. Which postoperative client
client in the holding area. Which should be assigned to the most experienced
information should the nurse report to the nurse?
anesthesiologist? Select all that apply. A. The 4-year-old client who had a
A. The client has loose, decayed teeth. tonsillectomy and is able to swallow fluids.
B. The client is experiencing anxiety. B. The 74-year-old client with a repair of the
C. The client smokes two (2) packs of left hip who is unable to ambulate.
cigarettes a day. C. The 24-year-old client who had an
D. The client has had a chest x-ray which does uncomplicated appendectomy the previous
not show infiltrates. day.
E. The client reports using herbs. D. The 80-year-old client with small bowel
A. A C E obstruction and congestive heart failure.
B. A B C
C. A D E 18. Which of the following items on a
D. C D E client’s pre-surgery laboratory results would
E. ALL OF THE ABOVE indicate a need to contact the surgeon?
A. Platelet count of 250,000/[Link].
14. The nurse is assessing a client in the day B. Total cholesterol of 325 mg/dl.
surgery unit who states, “I am really afraid C. Blood urea nitrogen (BUN)) 17 mg/dl.
of having this surgery. I’m afraid of what they D. Hemoglobin 9.5 mg/dl.
will find.” Which statement would be the best
therapeutic response by the nurse? 19. To prevent complications of immobility,
A. “Don’t worry about your surgery. It is which activities would help the nurse plan for
safe.” the first postoperative day after a colon
resection?
A. Turn, cough, and deep breathe every 30 C. Encourage ambulation, maintain NPO
minutes around the clock. status, and monitor intake & output
B. Get the client out of bed and ambulate to a D. Encourage at least 3000 ml of fluids per
bedside chair. day
C. Provide a passive range of motion three
times a day. 24. A patient is recovering from surgery.
D. It is not necessary to worry about The patient is very restless, heart rate is 120
complications of immobility on the first bpm and blood pressure is 70/53, skin is
postoperative day. cool/clammy. As the nurse you would?
A. Continue to monitor the patient
20. The nurse will provide preoperative B. Notify the MD
teaching on deep breathing, coughing, and C. Obtain an EKG
turning exercises. When is the best time to D. Check the patient's blood glucose
provide the preoperative teachings?
A. Before administration of preoperative 25. As a nurse, which statement is incorrect
medications. regarding an informed consent signed by a
B. The a noon or evening prior to surgery. patient?
C. Several days prior to surgery A. The nurse is responsible for obtaining the
D. Upon admission of the client in the consent for surgery
recovery room. B. Patients under 18 years of age may need a
parent or legal guardian to sign a consent form
21. Which of the following drugs is C. The nurse can witness the client signing the
administered to minimize respiratory consent form
secretions preoperatively? D. It is the nurse's responsibility to ensure the
A. Valium (diazepam) patient has been educated by the physician
B. Phenergan (promethazine) about the procedure before informed consent is
C. Atropine sulfate obtained
D. Demerol (Meperidine)
26. A patient who was admitted through
22. A patient is 6 days post-opt from emergency with a bowel obstruction will need
abdominal surgery. The patient is to be surgery. When can the patient anticipate the
discharged later today. The patient uses the call surgery will be scheduled?
light and asks you to come to his room and A. Within 24 hours
look at his surgical site. On arrival, you see B. Within the next week
that approximately 2 inches of internal organs C. Without delay because the bowel
are protruding through the incision. What obstruction is emergent- not emergent
intervention would you NOT do? D. Difficult to predict because the surgeon
A. Put the patient in prone position with knees may be unavailable
extended to put pressure on the site
B. Cover the wound with sterile normal saline 27. During the preoperative assessment, the
dressing patient informs the nurse that he ingests 5 to
C. Monitor for signs of shock 10 oz of alcohol each day and has for the last
D. Notify the MD and administer as prescribed 15 years. What postoperative difficulties can
antiemetic to prevent vomiting the nurse anticipate for this patient?
A. Delirium tremens immediately following
23. A patient reports he hasn't had a bowel surgery
movement or passed gas since surgery. On B. Delirium tremens within 72 hours after his
assessment, you note the abdomen is distended last alcohol drink
and no bowel sounds are noted in the four C. Delirium tremens upon administration of
quadrants. You notify the MD. What non- general anesthesia
invasive nursing interventions can you D. Delirium tremens 1 week after his last
perform without a MD order?* alcohol drink
A. Insert a nasogastric attached to intermittent
suction
B. Administer IV fluids
28. The patient wears dentures and is A. Have the patient sign the operative permit
reluctant to remove them for the surgery. What and place it in the chart.
is the nurse's best response? B. Call the physician to review the procedure
A. “Everyone needs to remove his dentures with the patient.
prior to surgery.” C. Explain the procedure to the patient and her
B. “You can have your teeth back right after family.
your surgery.” D. Provide the patient with a pamphlet
C. “You may keep your dentures; I will just explaining the procedure
notify the operating nurse.”
D. “Your dentures need to be removed as a 33. Prior to obtaining the patient's signature
safety precaution; they could potentially on the operative permit, the nurse asks the
interfere with your airway and breathing patient if she understands all aspects of the
during surgery.” surgical procedure. The patient replies that she
is very nervous and does not understand what
29. A nurse is caring for a preoperative the surgical procedure is or how it will be
patient who has been administered a performed. The most appropriate nursing
preoperative narcotic and is action is:
requesting to void. What action should A. Have the patient sign the operative permit
the nurse take? Bawal na bumangin kasi risk and place it in the chart.
for injury na B. Call the physician to review the procedure
A. Assist the patient to the bathroom. with the patient.
B. Offer the patient a bedpan. C. Explain the procedure to the patient and her
C. Wait until the patient gets to the operating family.
room and is catheterized. D. Provide the patient with a pamphlet
D. Let the patient go to the bathroom. explaining the procedure

30. After administering preoperative 34. A patient is admitted to the emergency

medication to a patient going to the operating room with the diagnosis of acute appendicitis.
room for an aortobifemoral bypass, the nurse The nurse notes during the assessment that the
should: patient's ribs and xyphoid process are
A. Allow him to walk to the bathroom prominent. The patient states she exercises
unassisted. daily. The patient's mother indicates she is
B. Place the bed in low position with the side being treated for anorexia nervosa. The nurse
rails up. should:
C. Tell him that he'll be asleep before he leaves A. Inform the postoperative nurse of the
for surgery. patient's risk for wound dehiscence.
D. Take his vital signs. B. Evaluate the patient's ability to manage her
pain level.
31. A hospice patient's surgical procedure to C. Inform the surgical team and determine her
reduce the size of his tumor in an effort to electrolyte levels.
relieve pain will be classified as: D. Instruct the patient on the need for proper
A. Diagnostic nutrition to promote healing.
B. Laparoscopic
C. Curative 35. During the preoperative phase of patient
D. Palliative education, a patient who is a known smoker
should be instructed to
32. Prior to obtaining the patient's signature A. Reduce smoking to prevent the
on the operative permit, the nurse asks the development of pneumonia.
patient if she understands all aspects of the B. Increase his exercise regime to promote
surgical procedure. The patient replies that she pulmonary function.
is very nervous and does not understand what C. Stop smoking at least 24 hours prior to
the surgical procedure is or how it will be surgery to promote pulmonary function.
performed. The most appropriate nursing D. Utilize the NicoDerm patch to enhance
action is: pulmonary function and decrease infection
36. An insulin-dependent patient who is 39. A patient has received a preanesthetic
admitted to the same-day surgical suite for medication in the preoperative holding area.
carpal tunnel surgery may be at risk for which The nurse should instruct the patient to:
of the following metabolic disorders? A. Use the call light to summon the nurse for
A. Adrenal insufficiency assistance.
B. Thyrotoxicosis B. Leave the bedpan at the bedside.
C. Impaired acid-base balance C. Have a bedside commode available for the
D. Hyperglycemia patient.
D. Instruct the patient on catheterization.
37. A patient in the postoperative period
following an abdominal hysterectomy states, 40. The family asks the nurse about the
“I don't want to use my pain medication, outcome of the patient's surgery. The nurse's
because it will make me dependent and I won't best response is:
get better as fast.” What response is most A. “The patient is still asleep in the
important when explaining the use of pain postanesthesia care unit.”
medication? B. “The patient will be coming to the floor and
A. “You will need the pain medication for at you will be able to see him. I am sure
least one week to help in your recovery. What everythingwent well.”
do you mean you feel you won't get better C. “The patient is in pain and will be
faster?” medicated after she returns. I will get a report
B. “Pain medication will help to decrease your from the doctor and tell you everything.”
pain and increase your ability to breathe. D. “The physician will tell you about the
Dependency is a risk with pain medication, but patient and surgical procedure as soon as she is
you are young and won't have any problems.” able.
C. “Pain medication can be given by mouth to
prevent the risk of dependency that you are 41. A patient is admitted to the medical
worried about. The pain medication has been surgical unit following surgery. Four days after
shown to increase your risk of a slowed surgery, the patient spikes a 38.9 degrees C
recovery.” oral temperature and exhibits a wet, productive
D. “Pain medication decreases your pain so cough. The nurse assesses the patient with
you can move more easily. You will heal more understanding that an infection that is acquired
quickly with decreased pain. Dependence only during hospitalization is known as:
occurs when medication is administered for an A. a community acquired infection
extended period of time. B. an iatrogenic infection
C. a nosocomial infection- more than 48 hrs
38. During preoperative teaching, the D. an opportunistic infection
patient asks the nurse why she must have
nothing by mouth for 8 hours before surgery. 42. A client with anemia has a hemoglobin
Which of the following is the most appropriate of 6.5 g/dL. The client is experiencing
response for the patient? symptoms of cerebral tissue hypoxia. Which of
A. “Food and fluid must be restricted for 8 the following nursing interventions would be
hours before surgery so you are not at risk for most important in providing care?
aspiration.” A. Providing rest periods throughout the day
B. “The restriction of food or fluid will B. Instituting energy conservation techniques
prevent the development of pneumonia related C. Assisting in ambulation to the bathroom
to decreased lung capacity.” D. Checking temperature of water prior to
C. “The presence of food in the stomach bathing
interferes with the absorption of anesthetic
agents.” 43. The proper way to open an envelop-
D. “By withholding food for 8 hours before wrapped sterile package after removing the
surgery, you will not develop constipation in outer package or tape is to open the first
the postoperative period.” position of the wrapper:
A. away from the body
B. to the left of the body
C. to the right of the body
D. toward the body
44. A patient is in the post-anesthesia care
unit (PACU) following surgery. The nurse
assesses the patient's airway, breathing, and
circulation using the ABCs approach. Which
action should the nurse prioritize during this
assessment?
A. Monitoring the patient's pain level.
B. Checking the surgical incision site.
C. Administering postoperative medications.
D. Ensuring the patient has a patent airway.

45. The patient had undergone a total hip

replacement. He complains of pain in the
operative site. Which of the following is the
appropriate initial nursing action? Unang
gawin is to assess
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

46. A patient was admitted with nausea,

vomiting, and abdominal pain. The patient is
scheduled for an EndoscopicRetrograde
Cholangiopancreatography (ERCP) procedure.
What type of surgery would this describe?
A. Explorative
B. Diagnostic
C. Curative
D. Pallative

47-50. LIVE QUESTION ON THE DAY OF

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