Chapter 50
Perioperative Nursing Quiz
Test your knowledge of perioperative nursing practices through this comprehensive quiz! With 46 questions covering topics from preoperative assessments to postoperative care, this quiz is designed to enhance your understanding of the surgical experience.
Whether you are a nursing student, a practicing nurse, or simply interested in the field, you'll benefit from the detailed scenarios and explanations provided. Challenge yourself and see how well you know the essentials of perioperative nursing!
- 46 multiple choice questions
- Immediate feedback on answers
- Enhance your nursing knowledge
The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means. How should the nurse respond?
A. Perioperative nursing occurs in preadmission testing.
B. Perioperative nursing occurs primarily in the postanesthesia care unit.
C. Perioperative nursing includes activities before, during, and after surgery.
D. Perioperative nursing includes activities only during the surgical procedure.
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient’s laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
A. Perioperative
B. Preoperative
C. Intraoperative
D. Postoperative
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
A. Major
B. Urgent
C. Elective
D. Emergency
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
A. Normal, healthy patient
B. Denial of any major illnesses or conditions
C. Poorly controlled hypertension with implanted pacemaker
D. Moribund patient not expected to survive without the operation
The patient presented to the ambulatory surgery center to have a colonoscopy is scheduled to receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information?
A. The procedure results in loss of sensation in an area of the body.
B. The procedure requires a depressed level of consciousness.
C. The procedure will be performed on an outpatient basis.
D. The procedure necessitates the patient to be immobile.
The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total knee arthroplasty. The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block. Which assessment will be an expected finding for this patient?
A. Sensation decreased in the left leg
B. Patient report of pain in the left foot
C. Pulse decreased at the left posterior tibia
D. Left toes cool to touch and slightly cyanotic
Which nursing goal is a priority for assessing the patient before surgery?
A. Plan for care after the procedure.
B. Establish a patient’s baseline of normal function.
C. Educate the patient and family about the procedure.
D. Gather appropriate equipment for the patient’s needs.
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
A. Warfarin
B. Vitamin C
C. Prednisone
D. Acetaminophen
The nurse is prescreening a surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking an anticoagulant. Which action should the nurse request when consulting with the health care provider?
A. A radiological examination of the chest
B. An international normalized ratio (INR)
C. A blood urea nitrogen (BUN)
D. A serum sodium (Na)
The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which priority goal is the nurse trying to achieve?
A. Manage pain.
B. Prevent atelectasis.
C. Reduce healing time.
D. Decrease thrombus formation.
The nurse caring for a postoperative patient will encourage what activity to prevent venous stasis and the formation of thrombus?
A. Diaphragmatic breathing
B. Incentive spirometry
C. Leg exercises
D. Coughing
The nurse caring for a preoperative patient teaches the principles and demonstrates leg exercises for the patient. The patient is unable to perform leg exercises correctly. What is the nurse’s best next step?
A. Encourage the patient to practice at a later date.
B. Assess for the presence of anxiety, pain, or fatigue.
C. Ask the patient why exercises are not being done.
D. Evaluate the educational methods used to educate the patient.
Which nursing assessment will indicate the patient is performing diaphragmatic breathing correctly?
A. Hands placed on the border of the rib cage with fingers extended will touch as the chest wall contracts.
B. Hands placed on the chest wall with fingers extended will separate as the chest wall contracts.
C. The patient will feel upward movement of the diaphragm during inspiration.
D. The patient will feel downward movement of the diaphragm during expiration.
The nurse is caring for a postoperative patient with an abdominal incision. When the nurse provides a pillow to use during coughing, which activity is the nurse promoting?
A. Pain relief
B. Splinting
C. Distraction
D. Anxiety reduction
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which explanation can the nurse provide that may encourage the patient to comply?
A. “If you don’t deep breathe and cough, you will get pneumonia.”
You will need to cough only a few times during this shift.”
Let’s try clearing the throat because that will work just as well.”
D. “Deep breathing and coughing will clear your lungs of the anesthesia.”
The nurse and the nursing assistive personnel are assisting a postoperative patient to turn in bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
A. “Close your eyes and think about something pleasant.”
Hold your breath and count to three.”
C. “Grab my shoulders with your hands.”
D. “Use your hand to support your incision.”
The nurse is preparing to assist the patient in using the incentive spirometer. Which nursing intervention should the nurse provide first?
A. Perform hand hygiene.
Explain use of the mouthpiece.
C. Instruct the patient to inhale slowly.
D. Place in the reverse Trendelenburg’s position.
The nurse and the nursing assistive personnel (NAP) are caring for a group of postoperative patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises. Which task will the nurse assign to the NAP?
A. Teaching postoperative exercises
B. Doing nothing associated with postoperative exercises
C. Documenting in the medical record when exercises are completed
D. Informing the nurse if the patient is unwilling to perform exercises
The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery?
A. “Start with clear liquids, soup, and crackers. Advance to a normal diet as tolerated.”
B. “Stay with ice chips for several hours. After that, you can have whatever you want.”
C. “Stay on clear liquids for 24 hours. Then you can progress to a normal diet.”
D. “Start with clear liquids for 2 hours and then full liquids for 2 hours. Then progress to a normal diet.”
The nurse explains the pain-relief measures available after surgery during preoperative teaching for a surgical patient. Which comment from the patient indicates the need for additional education on this topic?
I will be asked to rate my pain on a pain scale.”
B. “I will have minimal pain because of the anesthesia.”
C. “I will take the pain medication as the provider prescribes it.”
D. “I will take my pain medications before doing postoperative exercises.”
The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
A. “There is no need for an additional person at the appointment.”
B. “Your family can come and wait with you in the waiting room.”
C. “We recommend including family members at this appointment.”
D. “It is required that you have a family member at this appointment.”
The nurse is reviewing the surgical consent with the patient during preoperative education and finds the patient does not understand what procedure will be performed. What is the nurse’s best next step?
A. Notify the health care provider about the patient’s question.
B. Explain the procedure that will be completed.
C. Continue with preoperative education.
D. Ask the patient to sign the form.
During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?
A. A delay in or cancellation of surgery
B. Questions regarding components of the coffee
C. Additional questions about why the patient had coffee
D. Instructions to determine what education was provided in the preoperative visit
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
A. Notify the operating suite that the medication has been given.
B. Instruct the patient to call for help to go to the restroom.
C. Waste any unused medication according to policy.
D. Ask the patient to sign the consent for surgery.
The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Which will be the most important next step for the nurse to take?
A. Notify the operating suite that the patient has a latex allergy.
B. Document that the patient had a bath at home this morning.
Administer the ordered preoperative intravenous antibiotic.
D. Ask the nursing assistive personnel to obtain vital signs.
The nurse is preparing a patient for a surgical procedure on the right great toe. Which action will be most important to include in this patient’s preparation?
A. Place the patient in a clean surgical gown.
B. Ask the patient to remove all hairpins and cosmetics.
C. Ascertain that the surgical site has been correctly marked.
D. Determine where the family will be located during the procedure.
The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
A. Suturing the surgical incision in the OR suite
B. Managing patient care activities in the OR suite
C. Assisting with applying sterile drapes in the OR suite
D. Handing sterile instruments and supplies to the surgeon in the OR suite
The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be most appropriate for this area?
A. Counting the sterile surgical instruments
B. Emptying the urinary drainage bag
C. Checking the surgical dressing
D. Appling a warm blanket
The nurse is caring for a patient in the operating suite. Which outcome will be most appropriate for this patient at the end of the intraoperative phase?
A. The patient will be free of burns at the grounding pad.
B. The patient will be free of nausea and vomiting.
C. The patient will be free of infection.
D. The patient will be free of pain.
The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which action will the nurse take to minimize skin breakdown?
A. Encouraging the patient to bathe before surgery
B. Securing attachments to the operating table with foam padding
C. Periodically adjusting the patient during the surgical procedure
D. Measuring the time a patient is in one position during surgery
The nurse is assessing a postoperative patient with a history of obstructive sleep apnea for airway obstruction. Which assessment finding will best alert the nurse to this complication?
A. Drop in pulse oximetry readings
B. Moaning with reports of pain
C. Shallow respirations
D. Disorientation
The nurse is caring for a patient in the operating suite who is experiencing hypercarbia, tachypnea, tachycardia, premature ventricular contractions, and muscle rigidity. Which condition does the nurse suspect the patient is experiencing?
A. Malignant hyperthermia
B. Fluid imbalance
C. Hemorrhage
D. Hypoxia
The nurse is caring for a postoperative patient who has had a minimally invasive carpel tunnel repair. The patient has a temperature of 97° F and is shivering. Which reason will the nurse most likely consider as the primary cause when planning care?
A. Anesthesia lowers metabolism.
B. Surgical suites have air currents.
C. The patient is dressed only in a gown.
D. The large open body cavity contributed to heat loss.
The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which action will be most appropriate for the nurse to take?
A. Encourage copious amounts of water.
B. Start an additional intravenous (IV) line.
C. Measure and record all intake and output.
D. Weigh the patient and compare with preoperative weight.
The nurse is caring for a patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, “I feel like I need to go to the bathroom, but I can’t.” Which nursing intervention will be most appropriate initially?
A. Assess the patient for bladder distention.
B. Encourage the patient to wait a minute and try again.
C. Inform the patient that everyone feels this way after surgery.
D. Call the health care provider to obtain an order for catheterization.
36. The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action?
A. This is done to complete the first action in a head-to-toe assessment.
B. This is done to compare and monitor for vital sign variation during transport.
C. This is done to ensure that the medical-surgical nurse checks on the postoperative patient.
D. This is done to follow hospital policy and procedure for care of the surgical patient.
The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient require immediately post procedure?
A. Acute care—medical-surgical unit
B. Acute care—intensive care unit
C. Ambulatory surgery
D. Ambulatory surgery—extended stay
The nurse is caring for a group of patients. Which patient will the nurse see first?
A. A patient who had cataract surgery is coughing.
B. A patient who had vascular repair of the right leg is not doing right leg exercises.
C. A patient after knee surgery is wearing intermittent pneumatic compression devices and receiving heparin.
D. A patient after surgery has vital signs taken every 15 minutes twice, every 30 minutes twice, hourly for 2 hours then every 4 hours.
The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises? 1. Turning 2. Breathing 3. Coughing 4. Leg exercises
A. 4, 1, 2, 3
B. 1, 2, 3, 4
C. 2, 3, 4, 1
D. 3, 1, 4, 2
The nurse is participating in a “time-out.” In which activities will the nurse be involved? (Select all that apply.)
A. Verify the correct site.
B. Verify the correct patient.
C. Verify the correct procedure.
D. Perform “time-out” after surgery.
E. Perform the actual marking of the operative site.
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? (Select all that apply.)
A. Induce shivering.
B. Reduce blood loss.
C. Induce pressure ulcers.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to decrease wound infections? (Select all that apply.)
A. Maintain normoglycemia.
B. Use a straight razor to remove hair.
C. Provide bath and linen change daily.
D. Perform first dressing change 2 days postoperatively.
E. Perform hand hygiene before and after contact with the patient.
F. Administer antibiotics within 60 minutes before surgical incision.
The nurse is preparing for a patient who will be going to surgery. The nurse screens for risk factors that can increase a person’s risks in surgery. What risk factors are included in the nurse’s screening? (Select all that apply.)
A. Age
B. Race
C. Obesity
D. Nutrition
E. Pregnancy
F. Ambulatory surgery
The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment. Which points should the nurse include in the teaching session? (Select all that apply.)
A. The operative suite will be very dark.
B. The family is not allowed in the operating suite.
C. The operating table or bed will be comfortable and soft.
D. The nurses will be there to assist you through this process.
E. The surgical staff will be dressed in special clothing with hats and masks.
The operating room nurse is providing a hand-off report to the postanesthesia care unit (PACU) nurse. Which components will the operating room nurse include? (Select all that apply.)
A. IV fluids
B. Vital signs
C. Insurance data
D. Family location
E. Anesthesia provided
Estimated blood loss
The nurse is caring for a group of postoperative patients on the surgical unit. Which patient assessments indicate the nurse needs to follow up? (Select all that apply.)
A. Patient with abdominal surgery has patent airway.
B. Patient with knee surgery has approximated incision.
C. Patient with femoral artery surgery has strong pedal pulse.
D. Patient with lung surgery has 20 mL/hr of urine output via catheter.
E. Patient with bladder surgery has bloody urine within the first 12 hours.
F. Patient with appendix surgery has thready pulse and blood pressure is 90/60.
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