Module 5 PERIOPERATIVE
Select the best answer for the question. Highlight the correct answer in
yellow.
1. Colostomy surgery is categorized as what type of surgery?
a. Cosmetic
b. Curative
c. Diagnostic
d. Palliative
2. The nurse is providing preoperative care for a client who will have an
arthroscopy of the left knee. As part of the Joint Commission National
Patient Safety Goals (NPSG), what will the nurse be required to do?
a. Ensure that the correct procedure is noted in the client’s history.
b. Remind the surgeon that the client will have a left knee arthroscopy.
c. Verify with the client that a left knee arthroscopy will be performed.
d. Mark the left knee site with the client awake and the surgeon present.
3. As the nurse obtains informed consent, the client asks, “Now what exactly
are they going to do to me?” What is the nurse’s response?
a. Contact the anesthesiologist.
b. Contact the surgeon.
c. Explain the procedure.
d. Have the client sign the form.
4. The nurse is educating a client who is about to undergo cardiac surgery with
general anesthesia. Which statement by the client indicates the need for
further instruction?
a. “I will wake up with a tube in my throat.”
b. “I will have a bandage on my chest.”
c. “My family will not be able to see me right away.”
d. “Pain medication will take away my pain.”
5. A preoperative client smokes a pack of cigarettes a day. What is the nurse’s
teaching priority for the best physical outcomes?
a. Instruct the client to quit smoking.
b. Teach about the dangers of tobacco.
c. Teach the importance of incentive spirometry.
d. Tell the client that smoking increases postoperative complications.
6. During a preoperative assessment, which statement by a client requires
further investigation by the nurse to assess surgical risks?
a. “I am taking vitamins.”
, b. “I drink a glass of wine a night.”
c. “I had a heart attack 4 months ago.”
d. “I quit smoking 10 years ago.”
7. Which electrolyte laboratory result does the nurse report immediately to
the anesthesiologist?
a. Creatinine, 1.9 mg/dL (168 mcmol/L)
b. Fasting glucose, 80 mg/dL (4.4 mmol/L)
c. Potassium, 3.9 mEq/L (3.9 mmol/L)
d. Sodium, 140 mEq/L (140 mmol/L)
8. The nurse is instructing a client about the use of antiembolism stockings.
Which statement by the client indicates the need for further teaching?
a. “I will take off my stockings one to three times a day for 30 minutes.”
b. “My stockings are too loose.”
c. “It’s better if they are too tight rather than too loose.”
d. “These stockings help promote blood flow.”
9. At 8:00 a.m., the registered nurse is admitting a client scheduled for sinus
surgery to the outpatient surgery department. Which information given by
the client is of most immediate concern to the nurse?
a. An allergy to iodine and shellfish
b. Being nauseated after a previous surgery
c. Having a small glass of juice at 7:00 a.m.
d. Expressing anxiety about the surgery
10.A diabetic client who is scheduled for vascular surgery is admitted on the
day of surgery with several orders. Which order does the nurse
accomplish first?
a. Use electric clippers to cut hair at the surgical site.
b. Start an infusion of lactated Ringer’s solution at 75 mL/hr.
c. Administer one-half of the client’s usual lispro insulin dose.
d. Draw blood for glucose, electrolyte, and complete blood count values.
11.A client is having an arthroscopy of the left knee and has just been moved to
the surgical holding area. Which statement by the nurse properly identifies
the client while the nurse checks the identification label?
a. “Are you Mr. Smith?”
b. “Good morning, Mr. Smith.”
c. “What is your name, and when were you born?”
d. “What surgery are you having today?”
12.As the unit nurse is about to give a preoperative medication to a client going
into surgery, it is discovered that the surgical consent form is not signed.
What does the nurse do after verifying the procedure with the client?
a. Calls the surgeon