Preoperative Nursing Management Test Questions
,Preoperative Nursing Management Test Questions
1.
A patient is admitted to the ED complaining of severe abdominal pain, stating that he has been vomiting
coffee-ground like emesis. The patient is diagnosed with a perforated gastric ulcer and is informed that
he needs surgery. When can the patient most likely anticipate that the surgery will be scheduled?
A)
Within 24 hours
B)
Within the next week
C)
Without delay because the bleed is emergent
D)
As soon as all the days elective surgeries have been completed
Ans:
C
Feedback:
Emergency surgeries are unplanned and occur with little time for preparation for the patient or the
perioperative team. An active bleed is considered an emergency, and the patient requires immediate
attention because the disorder may be life threatening. The surgery would not likely be deferred until
after elective surgeries have been completed.
2.
The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs
the nurse that he drinks approximately two bottles of wine each day and has for the last several years.
What postoperative difficulties can the nurse anticipate for this patient?
A)
Alcohol withdrawal syndrome immediately following surgery
B)
Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink
C)
, Preoperative Nursing Management Test Questions
Alcohol withdrawal syndrome upon administration of general anesthesia
D)
Alcohol withdrawal syndrome 1 week after his last alcohol drink
Ans:
B
Feedback:
Alcohol withdrawal syndrome may be anticipated between 48 and 96 hours after alcohol withdrawal
and is associated with a significant mortality rate when it occurs postoperatively.
3.
In anticipation of a patients scheduled surgery, the nurse is teaching her to perform deep breathing and
coughing to use postoperatively. What action should the nurse teach the patient?
A)
The patient should take three deep breaths and cough hard three times, at least every 15 minutes for
the immediately postoperative period.
B)
The patient should take three deep breaths and exhale forcefully and then take a quick short breath and
cough from deep in the lungs.
C)
The patient should take a deep breath in through the mouth and exhale through the mouth, take a short
breath, and cough from deep in the lungs.
D)
The patient should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly.
Ans:
C
Feedback:
The patient assumes a sitting position to enhance lung expansion. The nurse then demonstrates how to
take a deep, slow breath and how to exhale slowly. After practicing deep breathing several times, the
,Preoperative Nursing Management Test Questions
1.
A patient is admitted to the ED complaining of severe abdominal pain, stating that he has been vomiting
coffee-ground like emesis. The patient is diagnosed with a perforated gastric ulcer and is informed that
he needs surgery. When can the patient most likely anticipate that the surgery will be scheduled?
A)
Within 24 hours
B)
Within the next week
C)
Without delay because the bleed is emergent
D)
As soon as all the days elective surgeries have been completed
Ans:
C
Feedback:
Emergency surgeries are unplanned and occur with little time for preparation for the patient or the
perioperative team. An active bleed is considered an emergency, and the patient requires immediate
attention because the disorder may be life threatening. The surgery would not likely be deferred until
after elective surgeries have been completed.
2.
The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs
the nurse that he drinks approximately two bottles of wine each day and has for the last several years.
What postoperative difficulties can the nurse anticipate for this patient?
A)
Alcohol withdrawal syndrome immediately following surgery
B)
Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink
C)
, Preoperative Nursing Management Test Questions
Alcohol withdrawal syndrome upon administration of general anesthesia
D)
Alcohol withdrawal syndrome 1 week after his last alcohol drink
Ans:
B
Feedback:
Alcohol withdrawal syndrome may be anticipated between 48 and 96 hours after alcohol withdrawal
and is associated with a significant mortality rate when it occurs postoperatively.
3.
In anticipation of a patients scheduled surgery, the nurse is teaching her to perform deep breathing and
coughing to use postoperatively. What action should the nurse teach the patient?
A)
The patient should take three deep breaths and cough hard three times, at least every 15 minutes for
the immediately postoperative period.
B)
The patient should take three deep breaths and exhale forcefully and then take a quick short breath and
cough from deep in the lungs.
C)
The patient should take a deep breath in through the mouth and exhale through the mouth, take a short
breath, and cough from deep in the lungs.
D)
The patient should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly.
Ans:
C
Feedback:
The patient assumes a sitting position to enhance lung expansion. The nurse then demonstrates how to
take a deep, slow breath and how to exhale slowly. After practicing deep breathing several times, the
