PERIOP MEDSURG Exam Questions and Answers With Verified Solutions 2025
1. The PACU nurse is caring for a client who has arrived from the OR Room. During thr initial assessment,
the nurse observes that the client's skin has become blue and dusky. The nurse loooks, listens and feels
for breathing, and determines the client is not breathing. Which intervention is the priority. - ✔✔Tilt the
head back and push forward on the angle of the lower jaw.
2. A postop client rapidly presents with hypotension; rapid thready pulse; oliguria; and cold pale skin.
The nurse suspects that the client is experiencing a hemorrhage. What should be the nurses 1st action -
✔✔Attempt to determine the cause of hemorrhage
3. During the care of a preop client, the nurses given the client a preop benzodiapezine. The client is
now requesting to void. What action should the nurse takes. - ✔✔Offer the client a bedpan or urinal
4. While the surgical client is anesthetized the scrub nurse hears a member of a surgical team make an
inappropriate remark about the client's weight. How should the nurse best respond? - ✔✔Discourage
the colleagues for making such comments
5. The nurse is creating the plan of care for a postop client for reduction of a femur fracture. Which goal
is the most important short term goal for this client. - ✔✔Adequate respiratory function
6. The OR nurse is participating in the appendectomy of a client who has a dangerously low BMI. The
nurse recognizes the client's consequent risk for hypothermia. Which action that the nurse should
implement to prevent the development of hypothermia. - ✔✔Ensure that IV fluids are warm to the
client's body temp
7. The nurse is performing the shift assessment of a post-surgical client. The nurse finds the client's
mental status, LOC, speech and orientation are intact and at based line, but the client appears
unusuwally restless, what should the nurse do next - ✔✔Assess client's oxygen levels
8. The nurse is preparing a client for surgery. The client reports being nervous and not really
understanding the surgical procedure or its purpose. What is the most appropriate action for the nurse
to take? - ✔✔Call the healthcare provider to review the procedure with the client
, 9. The OR Nurse is providing care for a major trauma client who has been involved in a motorcycle
accident. Which intraoperative changes may suggest the presence of anesthesia awareness? - ✔✔Vital
signs changes and client movement
10. The nurse is caring for a hospice client who is scheduled for a surgical procedure to reduce the size
of a spinal tumor to relieve pain. The nurse should plan that client care with the knowledge that this
surgical procedure is classified as? - ✔✔Palliative
11. When assessing a postsurgical client's risk for DVT, the nurse should prioritize what assessment
parameter? - ✔✔Hydration status
12. The preoperative nurse is providing care for a client who is recovering on the postsurgical unit
following a transurethral prostate resection (TUPR). The client is reluctant to ambulate, citing the need
to recover in bed. For what complication is the client most at risk? - ✔✔Atelectasis
13. The nurse is caring for a trauma victim in the ED who will require emergency surgery due to injuries.
Before leaves the ED for the OR, the client goes into cardiac arrest. The nurse assists in successful
resuscitation and proceeds to release the client to the OR staff. When can the ED nurse perform the
preop assessment? - ✔✔When assisting with the resuscitation
14. The nurse is performing wound care on a postsurgical client. Which practice violates the principles of
surgical asepsis? - ✔✔A circulating nurse touching a sterile drape
15. The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a
procedure to be performed under general anesthetic. For which adverse effect should the nurse most
closely monitor the client? - ✔✔Hypothermia
16. The clinic nurse is doing a preop assessment of a client who will be undergoing outpatient cataract
surgery with lens implantation in 1 week. While taking the client's medical history, the nurse notes that
this client had a kidney transplant 8 years ago and that the client is taking immunosuppressive drugs. For
what is this client at increased risk when having surgery? - ✔✔Infection
17. The nurse is caring for a client who is postop day 2 following a colon resection. While turning the
client, wound dehiscence with evisceration occurs. What should be the nurse's first response? -
✔✔Place saline-soaked sterile dressings on the wound.
1. The PACU nurse is caring for a client who has arrived from the OR Room. During thr initial assessment,
the nurse observes that the client's skin has become blue and dusky. The nurse loooks, listens and feels
for breathing, and determines the client is not breathing. Which intervention is the priority. - ✔✔Tilt the
head back and push forward on the angle of the lower jaw.
2. A postop client rapidly presents with hypotension; rapid thready pulse; oliguria; and cold pale skin.
The nurse suspects that the client is experiencing a hemorrhage. What should be the nurses 1st action -
✔✔Attempt to determine the cause of hemorrhage
3. During the care of a preop client, the nurses given the client a preop benzodiapezine. The client is
now requesting to void. What action should the nurse takes. - ✔✔Offer the client a bedpan or urinal
4. While the surgical client is anesthetized the scrub nurse hears a member of a surgical team make an
inappropriate remark about the client's weight. How should the nurse best respond? - ✔✔Discourage
the colleagues for making such comments
5. The nurse is creating the plan of care for a postop client for reduction of a femur fracture. Which goal
is the most important short term goal for this client. - ✔✔Adequate respiratory function
6. The OR nurse is participating in the appendectomy of a client who has a dangerously low BMI. The
nurse recognizes the client's consequent risk for hypothermia. Which action that the nurse should
implement to prevent the development of hypothermia. - ✔✔Ensure that IV fluids are warm to the
client's body temp
7. The nurse is performing the shift assessment of a post-surgical client. The nurse finds the client's
mental status, LOC, speech and orientation are intact and at based line, but the client appears
unusuwally restless, what should the nurse do next - ✔✔Assess client's oxygen levels
8. The nurse is preparing a client for surgery. The client reports being nervous and not really
understanding the surgical procedure or its purpose. What is the most appropriate action for the nurse
to take? - ✔✔Call the healthcare provider to review the procedure with the client
, 9. The OR Nurse is providing care for a major trauma client who has been involved in a motorcycle
accident. Which intraoperative changes may suggest the presence of anesthesia awareness? - ✔✔Vital
signs changes and client movement
10. The nurse is caring for a hospice client who is scheduled for a surgical procedure to reduce the size
of a spinal tumor to relieve pain. The nurse should plan that client care with the knowledge that this
surgical procedure is classified as? - ✔✔Palliative
11. When assessing a postsurgical client's risk for DVT, the nurse should prioritize what assessment
parameter? - ✔✔Hydration status
12. The preoperative nurse is providing care for a client who is recovering on the postsurgical unit
following a transurethral prostate resection (TUPR). The client is reluctant to ambulate, citing the need
to recover in bed. For what complication is the client most at risk? - ✔✔Atelectasis
13. The nurse is caring for a trauma victim in the ED who will require emergency surgery due to injuries.
Before leaves the ED for the OR, the client goes into cardiac arrest. The nurse assists in successful
resuscitation and proceeds to release the client to the OR staff. When can the ED nurse perform the
preop assessment? - ✔✔When assisting with the resuscitation
14. The nurse is performing wound care on a postsurgical client. Which practice violates the principles of
surgical asepsis? - ✔✔A circulating nurse touching a sterile drape
15. The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a
procedure to be performed under general anesthetic. For which adverse effect should the nurse most
closely monitor the client? - ✔✔Hypothermia
16. The clinic nurse is doing a preop assessment of a client who will be undergoing outpatient cataract
surgery with lens implantation in 1 week. While taking the client's medical history, the nurse notes that
this client had a kidney transplant 8 years ago and that the client is taking immunosuppressive drugs. For
what is this client at increased risk when having surgery? - ✔✔Infection
17. The nurse is caring for a client who is postop day 2 following a colon resection. While turning the
client, wound dehiscence with evisceration occurs. What should be the nurse's first response? -
✔✔Place saline-soaked sterile dressings on the wound.
