NUR 227 Perioperative Nursing Exam Questions With
Complete Answers
what are the 3 phases of perioperative care? - ANSWER pre-operative/pre-anesthesia
intraoperative
postoperative/post-anesthesia-PACU and beyond
which phase involves:
nursing and anesthesia provider assessment
planning of care
interventions to prepare for surgical procedure - ANSWER preoperative phase
which phase involves:
starts when patient is wheeled into OR and ends when transferred to immediate
postoperative recovery area (PACU)
nurses assume several roles in phase (RNFA, scrub nurse, circulating nurse) - ANSWER
intraoperative phase
which phase involves:
immediate period usually spent in PACU
PACU nursing care focused on recovery from general anesthesia, airway management,
pain management and close observation of physiologic indicators
ongoing postoperative care in ICU, step-down or med-surg units - ANSWER
postoperative phase
what are some purposes of surgery? - ANSWER diagnosis (ex. biopsy)
cure (ex. removal of tumor)
palliation (ex. comfort like remove something due to pain)
, prevention (ex. remove breast tissue to prevent cancer)
exploration (ex. surgeon looking to see what is going on)
cosmetic improvement (ex. rhinoplasty)
which type of surgery "comes in, has surgery and goes home on the same day"? -
ANSWER ambulatory
ex. deviated septum
which type of surgery "comes in for surgery and then is a post-op admit"? - ANSWER
same day admit
ex. more advanced surgery like bowel surgery
which type of surgery "already admitted to hospital, has surgery, stays post-op"? -
ANSWER inpatient-admitted
ex. admitted for appendix issue but turned into more bowel issues
improves quality of life (physical or psychological) - cataract or breast reduction
time not essence in scheduling
general risks: bleeding, infection, anesthetic exposure
relatively low mortality/ morbidity risk - ANSWER elective surgery
more time sensitive
not required within 24 hours, but scheduling should be considered a priority -
cholecystectomy for gallstone removal, uterine artery ablation for postmenopausal
bleeding from fibroids
relatively low morbidity and mortality risk - ANSWER semi-elective surgery
required within 24 hours of diagnosis
done to prevent unnecessary complications that can occur with waiting - hip fracture
Complete Answers
what are the 3 phases of perioperative care? - ANSWER pre-operative/pre-anesthesia
intraoperative
postoperative/post-anesthesia-PACU and beyond
which phase involves:
nursing and anesthesia provider assessment
planning of care
interventions to prepare for surgical procedure - ANSWER preoperative phase
which phase involves:
starts when patient is wheeled into OR and ends when transferred to immediate
postoperative recovery area (PACU)
nurses assume several roles in phase (RNFA, scrub nurse, circulating nurse) - ANSWER
intraoperative phase
which phase involves:
immediate period usually spent in PACU
PACU nursing care focused on recovery from general anesthesia, airway management,
pain management and close observation of physiologic indicators
ongoing postoperative care in ICU, step-down or med-surg units - ANSWER
postoperative phase
what are some purposes of surgery? - ANSWER diagnosis (ex. biopsy)
cure (ex. removal of tumor)
palliation (ex. comfort like remove something due to pain)
, prevention (ex. remove breast tissue to prevent cancer)
exploration (ex. surgeon looking to see what is going on)
cosmetic improvement (ex. rhinoplasty)
which type of surgery "comes in, has surgery and goes home on the same day"? -
ANSWER ambulatory
ex. deviated septum
which type of surgery "comes in for surgery and then is a post-op admit"? - ANSWER
same day admit
ex. more advanced surgery like bowel surgery
which type of surgery "already admitted to hospital, has surgery, stays post-op"? -
ANSWER inpatient-admitted
ex. admitted for appendix issue but turned into more bowel issues
improves quality of life (physical or psychological) - cataract or breast reduction
time not essence in scheduling
general risks: bleeding, infection, anesthetic exposure
relatively low mortality/ morbidity risk - ANSWER elective surgery
more time sensitive
not required within 24 hours, but scheduling should be considered a priority -
cholecystectomy for gallstone removal, uterine artery ablation for postmenopausal
bleeding from fibroids
relatively low morbidity and mortality risk - ANSWER semi-elective surgery
required within 24 hours of diagnosis
done to prevent unnecessary complications that can occur with waiting - hip fracture
