Perioperative Nursing (Test Bank)
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1. The nurse is caring for a surgical patient, when the family member asks what
perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing.
b. Perioperative nursing occurs primarily in the post-anesthesia care unit.
c. Perioperative nursing includes activities before, during, and after surgery.
d. Perioperative nursing includes activities only during the surgical procedure.
ANS: B
Reviewing the patient's laboratory tests and allergies is done before surgery in the
preoperative phase. Perioperative means before, during, and after surgery.
Intraoperative means during the surgical procedure in the operating suite;
postoperative means after the surgery and could occur in the postanesthesia care
unit, in the ambulatory surgical area, or on the hospital unit.
2. The nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the patient's
laboratory tests and allergies and prepares the patient for surgery. In which
perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: D
An emergency procedure must be done immediately to save a life or preserve the
function of a body part. An example would be repair of a perforated appendix,
repair of a traumatic amputation, or control of internal hemorrhaging. An urgent
procedure is necessary for a patient's health and often prevents additional problems
, Perioperative Nursing (Test Bank)
Verified Review 2024 Practice Questions and
Answers, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
from developing. An example would be excision of a cancerous tumor, removal of
a gallbladder for stones, or vascular repair for an obstructed artery. An elective
procedure is performed on the basis of the patient's choice; it is not essential and is
not always necessary for health. An example would be a bunionectomy, plastic
surgery, or hernia reconstruction. A major procedure involves extensive
reconstruction or alteration in body parts; it poses great risks to well-being. An
example would be a coronary artery bypass or colon resection.
3. The nurse is caring for a patient in the postanesthesia care unit. The patient has
developed profuse bleeding from the surgical site, and the surgeon has determined
the need to return to the operative area. How will the nurse classify this procedure?
a. Major
b. Urgent
c. Elective
d. Emergency
ANS: C
An ASA III rating is a patient with a severe systemic disease, such as poorly
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
patient with no major illnesses or conditions. ASA II is a patient with mild
systemic disease. ASA V is a moribund patient who is not expected to survive
without the operation and includes patients with ruptured abdominal/thoracic
aneurysm or massive trauma.
4. The nurse is caring for a patient in preadmission testing. The patient has been
assigned a physical status classification by the American Society of
Anesthesiologists of ASA III. Which assessment will support this classification?
a. Normal, healthy patient
, Perioperative Nursing (Test Bank)
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Answers, 100% Correct with Explanations,
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b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not
require complete anesthesia but rather a depressed level of consciousness. Not all
patients who are treated on an outpatient basis receive moderate sedation. Regional
anesthesia such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be immobile and to not
remember the surgical procedure.
5. The patient has presented to the ambulatory surgery center to have a
colonoscopy. The patient is scheduled to receive moderate sedation (conscious
sedation) during the procedure. How will the nurse interpret this information?
a. The procedure results in loss of sensation in an area of the body.
b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
ANS: A
Induction of regional anesthesia results in loss of sensation in an area of the
body—in this case, the left leg. The peripheral nerve block influences the portions
of sensory pathways that are anesthetized in the targeted area of the body.
Decreased pulse, toes cool to touch and cyanosis are indications of decreased blood
flow and are not expected findings. Reports of pain in the left foot may indicate
that the block is not working or is subsiding and is not an expected finding in the
immediate postoperative period.
Verified Review 2024 Practice Questions and
Answers, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
1. The nurse is caring for a surgical patient, when the family member asks what
perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing.
b. Perioperative nursing occurs primarily in the post-anesthesia care unit.
c. Perioperative nursing includes activities before, during, and after surgery.
d. Perioperative nursing includes activities only during the surgical procedure.
ANS: B
Reviewing the patient's laboratory tests and allergies is done before surgery in the
preoperative phase. Perioperative means before, during, and after surgery.
Intraoperative means during the surgical procedure in the operating suite;
postoperative means after the surgery and could occur in the postanesthesia care
unit, in the ambulatory surgical area, or on the hospital unit.
2. The nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the patient's
laboratory tests and allergies and prepares the patient for surgery. In which
perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: D
An emergency procedure must be done immediately to save a life or preserve the
function of a body part. An example would be repair of a perforated appendix,
repair of a traumatic amputation, or control of internal hemorrhaging. An urgent
procedure is necessary for a patient's health and often prevents additional problems
, Perioperative Nursing (Test Bank)
Verified Review 2024 Practice Questions and
Answers, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
from developing. An example would be excision of a cancerous tumor, removal of
a gallbladder for stones, or vascular repair for an obstructed artery. An elective
procedure is performed on the basis of the patient's choice; it is not essential and is
not always necessary for health. An example would be a bunionectomy, plastic
surgery, or hernia reconstruction. A major procedure involves extensive
reconstruction or alteration in body parts; it poses great risks to well-being. An
example would be a coronary artery bypass or colon resection.
3. The nurse is caring for a patient in the postanesthesia care unit. The patient has
developed profuse bleeding from the surgical site, and the surgeon has determined
the need to return to the operative area. How will the nurse classify this procedure?
a. Major
b. Urgent
c. Elective
d. Emergency
ANS: C
An ASA III rating is a patient with a severe systemic disease, such as poorly
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
patient with no major illnesses or conditions. ASA II is a patient with mild
systemic disease. ASA V is a moribund patient who is not expected to survive
without the operation and includes patients with ruptured abdominal/thoracic
aneurysm or massive trauma.
4. The nurse is caring for a patient in preadmission testing. The patient has been
assigned a physical status classification by the American Society of
Anesthesiologists of ASA III. Which assessment will support this classification?
a. Normal, healthy patient
, Perioperative Nursing (Test Bank)
Verified Review 2024 Practice Questions and
Answers, 100% Correct with Explanations,
Highly Recommended, Download to Score A+
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not
require complete anesthesia but rather a depressed level of consciousness. Not all
patients who are treated on an outpatient basis receive moderate sedation. Regional
anesthesia such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be immobile and to not
remember the surgical procedure.
5. The patient has presented to the ambulatory surgery center to have a
colonoscopy. The patient is scheduled to receive moderate sedation (conscious
sedation) during the procedure. How will the nurse interpret this information?
a. The procedure results in loss of sensation in an area of the body.
b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
ANS: A
Induction of regional anesthesia results in loss of sensation in an area of the
body—in this case, the left leg. The peripheral nerve block influences the portions
of sensory pathways that are anesthetized in the targeted area of the body.
Decreased pulse, toes cool to touch and cyanosis are indications of decreased blood
flow and are not expected findings. Reports of pain in the left foot may indicate
that the block is not working or is subsiding and is not an expected finding in the
immediate postoperative period.
