1.When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the
nurse anticipates that the client may show signs of alcohol withdrawal delirium during which
time period? - >Up to 72 hours after alcohol withdrawal
2.A fractured skull would be classified under which category of surgery based on urgency? -
>Emergent
3.Emergent surgery occurs when the client requires immediate attention. An elective surgery is
classified as a surgery that the client should have. A required surgery means that the client
needs to have surgery. An urgent surgery occurs when the client requires prompt attention.
4.For the client who is taking aspirin, it is important to stop taking this medication at least how
many day(s) before surgery? - >7
5.Which health care profession has the ultimate responsibility to provide appropriate
information regarding a nonemergent surgery? - >Physician
6.The nurse discovers that the client did not sign the operative consent before receiving the
preoperative medication. The appropriate nursing action is: - >To notify the surgeon
7.The nurse expects informed consent to be obtained for insertion of: - >A gastrostomy tube
8.You are the nurse working in an ambulatory surgery center. A teenage son of your clients ask
you why so many people have surgery. What would be your best reply? - >"Many people have
diagnostic or short therapeutic surgical procedures."
9.A client is scheduled for a surgical procedure. When planning the client's care, the nurse
should consider that which of the following conditions will increase the client's risk of
complications after surgery? - >A history of diabetes
10.At what point does the preoperative period end? - >When the client is transferred onto the
operating table
11.The preoperative phase begins when the decision to proceed with surgical intervention is
made and ends with the transfer of the client onto the OR table. The intraoperative phase
,begins when the client is transferred onto the operating table and ends with admission to the
PACU.
12.A client is being prepared for a same-day surgical procedure and is discussing with the nurse
what potential ramifications this type of surgery has. Which of the following would the nurse
correctly identify? Select all that apply. - >Need for teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have done in the
past.
13.When is the ideal time to discuss preoperative teaching - >Preadmission visit
14.A client is undergoing preoperative assessment. During admission paperwork, the client
reports having enjoyed a hearty breakfast this morning to be ready for the procedure. What is
the nurse's next action? - >Notify the surgeon.
A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of
perioperative care, the nurse: - >continuously monitors the sedated client.
A physically fit 86-year-old is scheduled for right knee replacement. Which factor the client at
increased risk for complications during or after surgery? - >Age
A nurse is witnessing a client sign the consent form for surgery. After signing the consent form,
the client starts asking questions regarding the risks and benefits of a surgical procedure. What
action by the nurse is most appropriate? - >Request that the surgeon come and answer the
questions.
A client is undergoing thoracic surgery. What priority education should the nurse provide to
assist in preventing respiratory complications? - >Splint the incision site using a pillow during
deep breathing and coughing exercises.
A client refuses to remove her wedding band when preparing for surgery. What is the best
action for the nurse to take? - >Allow the client to wear the ring and cover it with tape.
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-
threatening hazard should the nurse monitor for? - >Hypoglycemia
The nurse is monitoring a presurgical patient for electrolyte imbalance. Which classification of
medication may cause electrolyte imbalance? - >Diuretics
A nurse knows that she must obtain a signed informed consent for which of the following
procedures? Select all that apply. - >Arteriography
, Open reduction of a fracture
Cystoscopy
Paracentesis
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction
should the nurse include in the teaching? - >Use diaphragmatic breathing.
When the indication for surgery is without delay, the nurse recognizes that the surgery will be
classified as - >emergency.
Emergency surgery means that the client requires immediate attention and the disorder may be
life threatening. Urgent surgery means that the client requires prompt attention within 24 to 30
hours. Required surgery means that the client needs to have surgery, and it should be planned
within a few weeks or months. Elective surgery means that there is an indication for surgery, but
failure to have surgery will not be catastrophic.
Clients who have received corticosteroids preoperatively are at risk for which type of
insufficiency? - >Adrenal
An inappropriate nursing action implemented to keep the client safe includes: - >Moving the
client swiftly
Nursing assessment findings reveal that the client is afraid of dying during the surgical
procedure. Which surgical team member would be most helpful in addressing the client's
concern? - >Surgeon
The nurse is evaluating the client's understanding of diet teaching aimed at promoting wound
healing following surgery. The nurse would conclude teaching was ineffective if the client selects
which of the following? - >Cheeseburger, french fries, coleslaw, and ice cream
Which nursing statement would best decrease a client's anxiety before an emergency operative
procedure? - >"Let me explain to you what will happen next."
An obese client is scheduled for open abdominal surgery. What priority education should the
nurse provide to this client? - >Prevention of respiratory complications
What action by the nurse best encompasses the preoperative phase? - >Educating clients on
signs and symptoms of infection
What is the blood glucose level goal for a diabetic client who will be having a surgical
procedure? - >80 to 110 mg/dL
nurse anticipates that the client may show signs of alcohol withdrawal delirium during which
time period? - >Up to 72 hours after alcohol withdrawal
2.A fractured skull would be classified under which category of surgery based on urgency? -
>Emergent
3.Emergent surgery occurs when the client requires immediate attention. An elective surgery is
classified as a surgery that the client should have. A required surgery means that the client
needs to have surgery. An urgent surgery occurs when the client requires prompt attention.
4.For the client who is taking aspirin, it is important to stop taking this medication at least how
many day(s) before surgery? - >7
5.Which health care profession has the ultimate responsibility to provide appropriate
information regarding a nonemergent surgery? - >Physician
6.The nurse discovers that the client did not sign the operative consent before receiving the
preoperative medication. The appropriate nursing action is: - >To notify the surgeon
7.The nurse expects informed consent to be obtained for insertion of: - >A gastrostomy tube
8.You are the nurse working in an ambulatory surgery center. A teenage son of your clients ask
you why so many people have surgery. What would be your best reply? - >"Many people have
diagnostic or short therapeutic surgical procedures."
9.A client is scheduled for a surgical procedure. When planning the client's care, the nurse
should consider that which of the following conditions will increase the client's risk of
complications after surgery? - >A history of diabetes
10.At what point does the preoperative period end? - >When the client is transferred onto the
operating table
11.The preoperative phase begins when the decision to proceed with surgical intervention is
made and ends with the transfer of the client onto the OR table. The intraoperative phase
,begins when the client is transferred onto the operating table and ends with admission to the
PACU.
12.A client is being prepared for a same-day surgical procedure and is discussing with the nurse
what potential ramifications this type of surgery has. Which of the following would the nurse
correctly identify? Select all that apply. - >Need for teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have done in the
past.
13.When is the ideal time to discuss preoperative teaching - >Preadmission visit
14.A client is undergoing preoperative assessment. During admission paperwork, the client
reports having enjoyed a hearty breakfast this morning to be ready for the procedure. What is
the nurse's next action? - >Notify the surgeon.
A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of
perioperative care, the nurse: - >continuously monitors the sedated client.
A physically fit 86-year-old is scheduled for right knee replacement. Which factor the client at
increased risk for complications during or after surgery? - >Age
A nurse is witnessing a client sign the consent form for surgery. After signing the consent form,
the client starts asking questions regarding the risks and benefits of a surgical procedure. What
action by the nurse is most appropriate? - >Request that the surgeon come and answer the
questions.
A client is undergoing thoracic surgery. What priority education should the nurse provide to
assist in preventing respiratory complications? - >Splint the incision site using a pillow during
deep breathing and coughing exercises.
A client refuses to remove her wedding band when preparing for surgery. What is the best
action for the nurse to take? - >Allow the client to wear the ring and cover it with tape.
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-
threatening hazard should the nurse monitor for? - >Hypoglycemia
The nurse is monitoring a presurgical patient for electrolyte imbalance. Which classification of
medication may cause electrolyte imbalance? - >Diuretics
A nurse knows that she must obtain a signed informed consent for which of the following
procedures? Select all that apply. - >Arteriography
, Open reduction of a fracture
Cystoscopy
Paracentesis
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction
should the nurse include in the teaching? - >Use diaphragmatic breathing.
When the indication for surgery is without delay, the nurse recognizes that the surgery will be
classified as - >emergency.
Emergency surgery means that the client requires immediate attention and the disorder may be
life threatening. Urgent surgery means that the client requires prompt attention within 24 to 30
hours. Required surgery means that the client needs to have surgery, and it should be planned
within a few weeks or months. Elective surgery means that there is an indication for surgery, but
failure to have surgery will not be catastrophic.
Clients who have received corticosteroids preoperatively are at risk for which type of
insufficiency? - >Adrenal
An inappropriate nursing action implemented to keep the client safe includes: - >Moving the
client swiftly
Nursing assessment findings reveal that the client is afraid of dying during the surgical
procedure. Which surgical team member would be most helpful in addressing the client's
concern? - >Surgeon
The nurse is evaluating the client's understanding of diet teaching aimed at promoting wound
healing following surgery. The nurse would conclude teaching was ineffective if the client selects
which of the following? - >Cheeseburger, french fries, coleslaw, and ice cream
Which nursing statement would best decrease a client's anxiety before an emergency operative
procedure? - >"Let me explain to you what will happen next."
An obese client is scheduled for open abdominal surgery. What priority education should the
nurse provide to this client? - >Prevention of respiratory complications
What action by the nurse best encompasses the preoperative phase? - >Educating clients on
signs and symptoms of infection
What is the blood glucose level goal for a diabetic client who will be having a surgical
procedure? - >80 to 110 mg/dL
