NCM 112 PERIOPERATIVE NURSING- Prelims
practice questions with correct answers
The nurse has just reassessed the condition of a postoperative client who was
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admitted 1 hour ago to the surgical unit. The nurse plans to monitor which
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parameter most carefully during the next hour? | | | | | |
a. Urine output of 20ml/hour
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b. Temperature of 37.6 C
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c. Blood pressure of 114/70
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d. Serous drainage on the surgical dressing - CORRECT ANSWER✔✔-a. Urine
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output of 20ml/hour | |
Urine output should be maintained at a minimum of 30mL/hour for an adult. An
| | | | | | | | | | | | | |
output of less than that for each of 2 consecutive hours should be reported to the
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health care provider.
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A postoperative client asks the nurse why it is so important to deep-breathe and
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cough after surgery. When formulating a response, the nurse incorporates the
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understanding that retained pulmonary secretions in a postoperative client can
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lead to which condition?
| | |
a. Pneumonia
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b. Hypoxemia
|
,c. Fluid imbalance
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d. Pulmonary embolism - CORRECT ANSWER✔✔-a. Pneumonia
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Postoperative respiratory problems are atelectasis, pneumonia and pulmonary
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emboli. Pneumonia is the inflammation of lung tissue that causes productive
| | | | | | | | | | |
cough, dyspnea, and lung crackles and can be caused by the retention of
| | | | | | | | | | | | |
pulmonary secretions. |
The nurse is developing a plan of care for a client scheduled for surgery. The
| | | | | | | | | | | | | | |
nurse should include which activity in the nursing care plan for the client on the
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day of surgery?
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a. Avoid oral hygiene and rinsing with mouthwash
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b. Verify that the client has not eaten for the last 24 hours
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c. Have the client void immediately before going into surgery
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c. Report immediately any slight increase in BP or pulse - CORRECT ANSWER✔✔-
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c. Have the client void immediately before going into surgery
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The nurse would assist the client to void immediately before surgery so that the
| | | | | | | | | | | | | |
bladder will be empty. Oral hygiene is allowed, but the client should not swallow
| | | | | | | | | | | | | |
any water. The client usually has a restriction of food and fluids for 6 to 8 hours
| | | | | | | | | | | | | | | | |
before surgery instead of 24 hours. A slight increase in BP and pulse is common
| | | | | | | | | | | | | | |
during the preoperative period due to anxiety.
| | | | | |
A client with a perforated gastric ulcer is scheduled for surgery. The client cannot
| | | | | | | | | | | | | |
sign the operative consent form because of sedation from opioid analgesics that
| | | | | | | | | | | |
, have been administered. The nurse should take which most appropriate action in
| | | | | | | | | | | |
the care of this client?
| | | |
a. Obtain a court order for the surgery.
| | | | | | |
b. Have the charge nurse sign the informed consent immediately
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c. Send the client to surgery without the consent form being signed
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d. Obtain a telephone consent from a family member, following agency policy -
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CORRECT ANSWER✔✔-d. Obtain a telephone consent from a family member,
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following agency policy | |
Every effort should be made to obtain permission from a responsible family
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member to perform surgery if the client is unable to sign the consent form. A
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telephone consent must be witnessed by two persons who hear the family
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member's oral consent. The two witnesses then sign the consent with the name
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of the family member, noting that an oral consent was obtained. Consent is not
| | | | | | | | | | | | | |
informed if it is obtained from a client who is confused, unconscious, mentally
| | | | | | | | | | | | |
incompetent, or under the influence of sedatives. In an emergency the client may
| | | | | | | | | | | |
|not be able to sign and family members may not be available. In this situation, a
| | | | | | | | | | | | | | | |
health care provider is permitted legally to perform surgery without consent, but
| | | | | | | | | | | |
tin this case it is not an emergency. Agency policies regarding informed consent
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should always be followed. | | |
A preoperative client expresses anxiety to the nurse about upcoming surgery.
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Which response by the nurse is most likely to stimulate further discussion
| | | | | | | | | | | |
between the client and the nurse? | | | | |
a. "If it's any help, everyone is nervous before surgery."
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b. "I will be happy to explain the entire surgical procedure to you."
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practice questions with correct answers
The nurse has just reassessed the condition of a postoperative client who was
| | | | | | | | | | | | |
admitted 1 hour ago to the surgical unit. The nurse plans to monitor which
| | | | | | | | | | | | | |
parameter most carefully during the next hour? | | | | | |
a. Urine output of 20ml/hour
| | | |
b. Temperature of 37.6 C
| | | |
c. Blood pressure of 114/70
| | | |
d. Serous drainage on the surgical dressing - CORRECT ANSWER✔✔-a. Urine
| | | | | | | | | | |
output of 20ml/hour | |
Urine output should be maintained at a minimum of 30mL/hour for an adult. An
| | | | | | | | | | | | | |
output of less than that for each of 2 consecutive hours should be reported to the
| | | | | | | | | | | | | | |
health care provider.
| | |
A postoperative client asks the nurse why it is so important to deep-breathe and
| | | | | | | | | | | | | |
cough after surgery. When formulating a response, the nurse incorporates the
| | | | | | | | | | |
understanding that retained pulmonary secretions in a postoperative client can
| | | | | | | | | |
lead to which condition?
| | |
a. Pneumonia
|
b. Hypoxemia
|
,c. Fluid imbalance
| |
d. Pulmonary embolism - CORRECT ANSWER✔✔-a. Pneumonia
| | | | | |
Postoperative respiratory problems are atelectasis, pneumonia and pulmonary
| | | | | | | |
emboli. Pneumonia is the inflammation of lung tissue that causes productive
| | | | | | | | | | |
cough, dyspnea, and lung crackles and can be caused by the retention of
| | | | | | | | | | | | |
pulmonary secretions. |
The nurse is developing a plan of care for a client scheduled for surgery. The
| | | | | | | | | | | | | | |
nurse should include which activity in the nursing care plan for the client on the
| | | | | | | | | | | | | | |
day of surgery?
| |
a. Avoid oral hygiene and rinsing with mouthwash
| | | | | | |
b. Verify that the client has not eaten for the last 24 hours
| | | | | | | | | | | |
c. Have the client void immediately before going into surgery
| | | | | | | | |
c. Report immediately any slight increase in BP or pulse - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
c. Have the client void immediately before going into surgery
| | | | | | | | |
The nurse would assist the client to void immediately before surgery so that the
| | | | | | | | | | | | | |
bladder will be empty. Oral hygiene is allowed, but the client should not swallow
| | | | | | | | | | | | | |
any water. The client usually has a restriction of food and fluids for 6 to 8 hours
| | | | | | | | | | | | | | | | |
before surgery instead of 24 hours. A slight increase in BP and pulse is common
| | | | | | | | | | | | | | |
during the preoperative period due to anxiety.
| | | | | |
A client with a perforated gastric ulcer is scheduled for surgery. The client cannot
| | | | | | | | | | | | | |
sign the operative consent form because of sedation from opioid analgesics that
| | | | | | | | | | | |
, have been administered. The nurse should take which most appropriate action in
| | | | | | | | | | | |
the care of this client?
| | | |
a. Obtain a court order for the surgery.
| | | | | | |
b. Have the charge nurse sign the informed consent immediately
| | | | | | | | |
c. Send the client to surgery without the consent form being signed
| | | | | | | | | | |
d. Obtain a telephone consent from a family member, following agency policy -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-d. Obtain a telephone consent from a family member,
| | | | | | | | | |
following agency policy | |
Every effort should be made to obtain permission from a responsible family
| | | | | | | | | | | |
member to perform surgery if the client is unable to sign the consent form. A
| | | | | | | | | | | | | | |
telephone consent must be witnessed by two persons who hear the family
| | | | | | | | | | | |
member's oral consent. The two witnesses then sign the consent with the name
| | | | | | | | | | | | |
of the family member, noting that an oral consent was obtained. Consent is not
| | | | | | | | | | | | | |
informed if it is obtained from a client who is confused, unconscious, mentally
| | | | | | | | | | | | |
incompetent, or under the influence of sedatives. In an emergency the client may
| | | | | | | | | | | |
|not be able to sign and family members may not be available. In this situation, a
| | | | | | | | | | | | | | | |
health care provider is permitted legally to perform surgery without consent, but
| | | | | | | | | | | |
tin this case it is not an emergency. Agency policies regarding informed consent
| | | | | | | | | | | | |
should always be followed. | | |
A preoperative client expresses anxiety to the nurse about upcoming surgery.
| | | | | | | | | | |
Which response by the nurse is most likely to stimulate further discussion
| | | | | | | | | | | |
between the client and the nurse? | | | | |
a. "If it's any help, everyone is nervous before surgery."
| | | | | | | | |
b. "I will be happy to explain the entire surgical procedure to you."
| | | | | | | | | | | |
