Final Exam NR226 2 – Nursing Leadership & Management Comprehensive Review and Practice
Questions
The client is under anesthesia and the surgery has begun.
Which phase of the perioperative period is the client in?
Intraoperative
Postoperative
Preoperative
Perioperative - ANS ✔✔intraoperative
When a nurse witnesses a client's signature on an informed consent, what is the nurse
witnessing in this process?
The client has talked with the surgeon.
The client has no questions regarding the surgery.
The client signed without coercion or altered mental state.
The client understands the risks and benefits of surgery. - ANS ✔✔the client signed without
coercion or altered mental state
Individuals at each end of the age spectrum are at _______lower/higher _______________ risk
during surgery due to immature or aging _________immune/cardiac/gastrointestinal
systems______ inability to regulate body _______pressure/odor/temperature________ and
fragile ________hair/nails/skin____. - ANS ✔✔higher
immune
temperature
skin
,Nurses preparing to transfer client to the operating room.
Which phase of the perioperative period is the client in?
Postoperative
Preoperative
Intraoperative
Perioperative - ANS ✔✔preoperative
The nurse is getting the client ready for surgery and completing the preoperative checklist.
Which is not part of the preoperative checklist?
Removal of jewelry
Conducting a "time-out"
Signing the informed consent
Asking the client about allergies - ANS ✔✔conducting a "time-out"
As the client is brought into the operating room suite, the client starts to shiver uncontrollably.
What action should the nurse take first?
Adjust the thermostat in the room.
Page the surgeon for further orders.
Apply warm blankets.
Take the client's temperature. - ANS ✔✔apply warm blankets
Which aftereffects of anesthesia does the postoperative nurse focus on? Select all that apply.
Impaired airway
,Cardiovascular complications
Pain
Impaired neurological functioning
Incisional bleeding - ANS ✔✔cardiovascular
neurological
impaired airway
Place the following in the correct order of occurrence.
1. In the preoperative area, the nurse reviews instructions and exercises for the postoperative
period.
2. The surgeon talks with the family in the waiting room.
3. The family sees the client after surgery.
4. The client arrives in the postanesthesia care unit (PACU).
5. The client leaves for the operating room suite and the family is taken to the waiting room.
6. The circulating operating room nurses calls the waiting room and updates the family on the
progress of the surgery. - ANS ✔✔1, 5, 6, 2, 4, 3
The client asks what perioperative nursing means. What should the nurse's response be?
1. Perioperative nursing occurs in the postanesthesia care unit (PACU).
2. Perioperative nursing occurs in preadmission, preoperative area, operating room, and PACU.
3. Perioperative nursing occurs only in the operating room suite.
4. Perioperative nursing includes preoperative, intraoperative, and postoperative activities. -
ANS ✔✔4
Which nurses work in the perioperative setting? Select all that apply.
, PACU nurse
Circulating nurse
ICU nurse
Emergency room nurse
Home care nurse - ANS ✔✔PACU nurse
circulating nurse
Before surgery, why does the preoperative nurse assess the client?
To select the proper operating room equipment
To prepare for postoperative education
To plan for care after the procedure
To establish a client's baseline of normal function - ANS ✔✔4
Which statement is incorrect regarding an informed consent signed by a client?
The nurse can witness the client signing the consent form.
The intraoperative nurse is responsible for obtaining the consent for surgery.
The nurse needs to verify the client's identity before signing.
Clients under 18 years of age may need a parent or legal guardian to sign a consent form. - ANS
✔✔The intraoperative nurse is responsible for obtaining the consent for surgery.
The nurse is caring for a postoperative client who reports pain. Based on recent evidence-based
guidelines, which approach would be best?
Multimodal strategies
Standing orders by protocol
Questions
The client is under anesthesia and the surgery has begun.
Which phase of the perioperative period is the client in?
Intraoperative
Postoperative
Preoperative
Perioperative - ANS ✔✔intraoperative
When a nurse witnesses a client's signature on an informed consent, what is the nurse
witnessing in this process?
The client has talked with the surgeon.
The client has no questions regarding the surgery.
The client signed without coercion or altered mental state.
The client understands the risks and benefits of surgery. - ANS ✔✔the client signed without
coercion or altered mental state
Individuals at each end of the age spectrum are at _______lower/higher _______________ risk
during surgery due to immature or aging _________immune/cardiac/gastrointestinal
systems______ inability to regulate body _______pressure/odor/temperature________ and
fragile ________hair/nails/skin____. - ANS ✔✔higher
immune
temperature
skin
,Nurses preparing to transfer client to the operating room.
Which phase of the perioperative period is the client in?
Postoperative
Preoperative
Intraoperative
Perioperative - ANS ✔✔preoperative
The nurse is getting the client ready for surgery and completing the preoperative checklist.
Which is not part of the preoperative checklist?
Removal of jewelry
Conducting a "time-out"
Signing the informed consent
Asking the client about allergies - ANS ✔✔conducting a "time-out"
As the client is brought into the operating room suite, the client starts to shiver uncontrollably.
What action should the nurse take first?
Adjust the thermostat in the room.
Page the surgeon for further orders.
Apply warm blankets.
Take the client's temperature. - ANS ✔✔apply warm blankets
Which aftereffects of anesthesia does the postoperative nurse focus on? Select all that apply.
Impaired airway
,Cardiovascular complications
Pain
Impaired neurological functioning
Incisional bleeding - ANS ✔✔cardiovascular
neurological
impaired airway
Place the following in the correct order of occurrence.
1. In the preoperative area, the nurse reviews instructions and exercises for the postoperative
period.
2. The surgeon talks with the family in the waiting room.
3. The family sees the client after surgery.
4. The client arrives in the postanesthesia care unit (PACU).
5. The client leaves for the operating room suite and the family is taken to the waiting room.
6. The circulating operating room nurses calls the waiting room and updates the family on the
progress of the surgery. - ANS ✔✔1, 5, 6, 2, 4, 3
The client asks what perioperative nursing means. What should the nurse's response be?
1. Perioperative nursing occurs in the postanesthesia care unit (PACU).
2. Perioperative nursing occurs in preadmission, preoperative area, operating room, and PACU.
3. Perioperative nursing occurs only in the operating room suite.
4. Perioperative nursing includes preoperative, intraoperative, and postoperative activities. -
ANS ✔✔4
Which nurses work in the perioperative setting? Select all that apply.
, PACU nurse
Circulating nurse
ICU nurse
Emergency room nurse
Home care nurse - ANS ✔✔PACU nurse
circulating nurse
Before surgery, why does the preoperative nurse assess the client?
To select the proper operating room equipment
To prepare for postoperative education
To plan for care after the procedure
To establish a client's baseline of normal function - ANS ✔✔4
Which statement is incorrect regarding an informed consent signed by a client?
The nurse can witness the client signing the consent form.
The intraoperative nurse is responsible for obtaining the consent for surgery.
The nurse needs to verify the client's identity before signing.
Clients under 18 years of age may need a parent or legal guardian to sign a consent form. - ANS
✔✔The intraoperative nurse is responsible for obtaining the consent for surgery.
The nurse is caring for a postoperative client who reports pain. Based on recent evidence-based
guidelines, which approach would be best?
Multimodal strategies
Standing orders by protocol
