Med Surg, Pre-Op, Intra-Op, Post-Op Review Questions with
Answers Graded A+
Pre - Op Questions :)
1. During the preoperative interview, a patient scheduled
for an elective hysterectomy tells the nurse, I am afraid that
I will die in surgery like my mother did! Which response
by the nurse is most appropriate? ANS: A
a. The patients statement may indicate an unusually high
Tell me more about what happened to your mother. anxiety level or a family history of problems such as malig-
b. nant hyperthermia, which will require precautions during
You will receive medications to reduce your anxiety. surgery. The other statements also may address the pa-
c. tients concerns, but further assessment is needed first.
You should talk to the doctor again about the surgery.
d.
Surgical techniques have improved a lot in recent years.
2. A patient arrives at the ambulatory surgery center for
a scheduled outpatient surgery. Which information is of
ANS: B
most concern to the nurse?
After outpatient surgery, the patient should not dri-
a.
ve home and will need assistance with transportation
The patient has not had outpatient surgery before.
and home care. The patients experience with outpatient
b.
surgery is assessed, but it does not have as much ap-
The patient is planning to drive home after surgery.
plication to the patients physiologic safety. The patients
c.
insurance coverage is important to establish, but this is
The patients insurance does not cover outpatient
not usually the nurses role or a priority in nursing care.
surgery.
Having clear liquids a few hours before surgery does not
d.
usually increase risk for aspiration.
The patient had a glass of water a few hours before arriv-
ing.
3. A patient who is scheduled for surgery in a week tells the
nurse doing the preoperative assessment about an allergy ANS: B
to bananas, kiwifruit, and latex products. Which action is When a patient is allergic to latex, special nonlatex ma-
most important for the nurse to take?
,Med Surg, Pre-Op, Intra-Op, Post-Op Review Questions with
Answers Graded A+
a.
Notify the dietitian about the food allergies.
terials are used during surgical procedures and the statt
b.
will need to know about the allergy in advance to obtain
Alert the surgery center about the latex allergy.
appropriate nonlatex materials and have them available
c.
on the surgical date. The other actions also may be ap-
Reassure the patient that all allergies are noted on the
propriate, but prevention of allergic reaction (either con-
medical record.
tact dermatitis or anaphylaxis) during surgery is the most
d.
important action.
Ask whether the patient uses antihistamines to reduce
allergic reactions.
4. Any patient guilt about having a therapeutic abortion
may be identified when the nurse assesses the functional ANS: A
health pattern of The value-belief pattern includes information about con-
a. flicts between a patients values and proposed medical
value-belief. care. In the cognitive-perceptual pattern, the nurse will ask
b. questions about pain and sensory intactness. The sexu-
cognitive-perceptual. ality-reproductive pattern includes data about the impact
c. of the surgery on the patients sexuality. The coping-stress
sexuality-reproductive. tolerance pattern assessment will elicit information about
d. how the patient feels about the surgery.
coping-stress tolerance.
5. During the preoperative assessment of a patient sched-
uled for a colon resection, the patient tells the nurse about
using St. Johns wort to prevent depression. The nurse
ANS: C
should alert the statt in the postanesthesia recovery area
St. Johns wort may prolong the ettects of anesthetic agents
that the patient may
and increase the time to waken completely after surgery. It
a.
is not associated with increased bleeding risk, hyperten-
experience increased pain.
sion, or increased pain.
b.
have hypertensive episodes.
c.
, Med Surg, Pre-Op, Intra-Op, Post-Op Review Questions with
Answers Graded A+
take longer to recover from the anesthesia.
d.
have more postoperative bleeding than expected.
6. On the day of surgery, the nurse is admitting a patient
with a history of cigarette smoking. Which action is most
ANS: A
important at this time?
Abnormal breath sounds may indicate the presence of an
a.
acute respiratory infection or chronic lung disease that
Auscultate for adventitious breath sounds.
will attect the choice of anesthesia and/or proceeding
b.
with the scheduled surgery. The other nursing actions also
Ask whether the patient has smoked recently.
are appropriate but will not attect the immediate surgical
c.
procedure as much as the presence of abnormal breath
Remind the patient about harmful ettects of smoking.
sounds.
d.
Calculate the cigarette smoking history in pack-years.
7. A patient is seen at the health care providers oflce
several weeks before hip surgery for preoperative assess-
ment. The patient reports use of echinacea, saw palmetto,
ANS: B
and glucosamine/chondroitin. The nurse should
The nurse should discuss the medication use with the
a.
patients health care provider because saw palmetto is
ascertain that there will be no interactions with anesthetic
used to decrease prostatic hyperplasia, and the patient
agents.
may need to continue taking the medication or a prescrip-
b.
tion medication to prevent urinary retention. The nurse
discuss the supplement use with the patients health care
should not advise the patient to stop the supplements or
provider.
to continue them without consulting with the health care
c.
provider. Determining the interactions between the sup-
teach the patient that these products may be continued
plements and anesthetics is not within the nurses scope
preoperatively.
of practice.
d.
advise the patient to stop the use of all herbs and supple-
ments at this time.
Answers Graded A+
Pre - Op Questions :)
1. During the preoperative interview, a patient scheduled
for an elective hysterectomy tells the nurse, I am afraid that
I will die in surgery like my mother did! Which response
by the nurse is most appropriate? ANS: A
a. The patients statement may indicate an unusually high
Tell me more about what happened to your mother. anxiety level or a family history of problems such as malig-
b. nant hyperthermia, which will require precautions during
You will receive medications to reduce your anxiety. surgery. The other statements also may address the pa-
c. tients concerns, but further assessment is needed first.
You should talk to the doctor again about the surgery.
d.
Surgical techniques have improved a lot in recent years.
2. A patient arrives at the ambulatory surgery center for
a scheduled outpatient surgery. Which information is of
ANS: B
most concern to the nurse?
After outpatient surgery, the patient should not dri-
a.
ve home and will need assistance with transportation
The patient has not had outpatient surgery before.
and home care. The patients experience with outpatient
b.
surgery is assessed, but it does not have as much ap-
The patient is planning to drive home after surgery.
plication to the patients physiologic safety. The patients
c.
insurance coverage is important to establish, but this is
The patients insurance does not cover outpatient
not usually the nurses role or a priority in nursing care.
surgery.
Having clear liquids a few hours before surgery does not
d.
usually increase risk for aspiration.
The patient had a glass of water a few hours before arriv-
ing.
3. A patient who is scheduled for surgery in a week tells the
nurse doing the preoperative assessment about an allergy ANS: B
to bananas, kiwifruit, and latex products. Which action is When a patient is allergic to latex, special nonlatex ma-
most important for the nurse to take?
,Med Surg, Pre-Op, Intra-Op, Post-Op Review Questions with
Answers Graded A+
a.
Notify the dietitian about the food allergies.
terials are used during surgical procedures and the statt
b.
will need to know about the allergy in advance to obtain
Alert the surgery center about the latex allergy.
appropriate nonlatex materials and have them available
c.
on the surgical date. The other actions also may be ap-
Reassure the patient that all allergies are noted on the
propriate, but prevention of allergic reaction (either con-
medical record.
tact dermatitis or anaphylaxis) during surgery is the most
d.
important action.
Ask whether the patient uses antihistamines to reduce
allergic reactions.
4. Any patient guilt about having a therapeutic abortion
may be identified when the nurse assesses the functional ANS: A
health pattern of The value-belief pattern includes information about con-
a. flicts between a patients values and proposed medical
value-belief. care. In the cognitive-perceptual pattern, the nurse will ask
b. questions about pain and sensory intactness. The sexu-
cognitive-perceptual. ality-reproductive pattern includes data about the impact
c. of the surgery on the patients sexuality. The coping-stress
sexuality-reproductive. tolerance pattern assessment will elicit information about
d. how the patient feels about the surgery.
coping-stress tolerance.
5. During the preoperative assessment of a patient sched-
uled for a colon resection, the patient tells the nurse about
using St. Johns wort to prevent depression. The nurse
ANS: C
should alert the statt in the postanesthesia recovery area
St. Johns wort may prolong the ettects of anesthetic agents
that the patient may
and increase the time to waken completely after surgery. It
a.
is not associated with increased bleeding risk, hyperten-
experience increased pain.
sion, or increased pain.
b.
have hypertensive episodes.
c.
, Med Surg, Pre-Op, Intra-Op, Post-Op Review Questions with
Answers Graded A+
take longer to recover from the anesthesia.
d.
have more postoperative bleeding than expected.
6. On the day of surgery, the nurse is admitting a patient
with a history of cigarette smoking. Which action is most
ANS: A
important at this time?
Abnormal breath sounds may indicate the presence of an
a.
acute respiratory infection or chronic lung disease that
Auscultate for adventitious breath sounds.
will attect the choice of anesthesia and/or proceeding
b.
with the scheduled surgery. The other nursing actions also
Ask whether the patient has smoked recently.
are appropriate but will not attect the immediate surgical
c.
procedure as much as the presence of abnormal breath
Remind the patient about harmful ettects of smoking.
sounds.
d.
Calculate the cigarette smoking history in pack-years.
7. A patient is seen at the health care providers oflce
several weeks before hip surgery for preoperative assess-
ment. The patient reports use of echinacea, saw palmetto,
ANS: B
and glucosamine/chondroitin. The nurse should
The nurse should discuss the medication use with the
a.
patients health care provider because saw palmetto is
ascertain that there will be no interactions with anesthetic
used to decrease prostatic hyperplasia, and the patient
agents.
may need to continue taking the medication or a prescrip-
b.
tion medication to prevent urinary retention. The nurse
discuss the supplement use with the patients health care
should not advise the patient to stop the supplements or
provider.
to continue them without consulting with the health care
c.
provider. Determining the interactions between the sup-
teach the patient that these products may be continued
plements and anesthetics is not within the nurses scope
preoperatively.
of practice.
d.
advise the patient to stop the use of all herbs and supple-
ments at this time.
