Ch. 30 Perioperative Nursing NCLEX
Questions and Answers Already Graded
A+
c. This surgery would involve a major body organ, has the potential for postoperative
complications, requires hospitalization, and must be done immediately to save the patient's life.
Elective surgery is a procedure that is preplanned by essentially healthy people. Diagnostic
surgery is performed to confirm a diagnosis. Palliative surgery is not curative, rather it is done to
relieve or reduce the intensity of an illness. - correct answer ✔✔A perioperative nurse is
preparing a patient for surgery for treatment of a ruptured spleen as the result of an
automobile crash. The nurse knows that this type of surgery belongs in what category?
a. Minor, diagnostic
b. Minor, elective
c. Major, emergency
d. Major, palliative
c, d. A localized loss of sensation and possible loss of reflexes occurs with a regional anesthetic.
Loss of consciousness and relaxation of skeletal muscles occurs with general anesthesia.
Prolonged pain relief after other anesthesia wears off and infiltration of the underlying tissues in
an operative area occur with topical anesthesia. - correct answer ✔✔A nurse is preparing a
patient for a cesarean section and teaches her the effects of the regional anesthesia she will be
receiving. Which effects would the nurse expect? Select all that apply.
a. Loss of consciousness
b. Relaxation of skeletal muscles
c. Reduction or loss of reflex action
d. Localized loss of sensation
e. Prolonged pain relief after other anesthesia wears off
f. Infiltrates the underlying tissues in an operative area
, a, b, e, f - correct answer ✔✔A nurse has been asked to witness a patient signature on an
informed consent form for surgery. What information should be included on the form? Select all
that apply.
a) The option of nontreatment
b) The underlying disease process and its natural course
c) Notice that once the form is signed, the patient cannot withdraw consent
d) Explanation of the guaranteed outcome of the procedure or treatment
e) Name and qualifications of the provider of the procedure or treatment
f) Explanation of the risks and benefits of the procedure or treatment
a. Anticoagulant drug therapy would increase the risk for hemorrhage during surgery. - correct
answer ✔✔A 72-year-old woman who is scheduled for a hip replacement is taking several
medications on a regular basis. Which drug category might create a surgical risk for this patient?
a. Anticoagulants
b. Antacids
c. Laxatives
d. Sedatives
b. Fatty tissue is less vascular and, therefore, less resistant to infection and more prone to
delayed wound healing. - correct answer ✔✔A nurse is caring for an obese patient who has had
surgery. The nurse monitors this patient for what postoperative complication?
a. Anesthetic agent interactions
b. Impaired wound healing
c. Hemorrhage
d. Gas pains
Questions and Answers Already Graded
A+
c. This surgery would involve a major body organ, has the potential for postoperative
complications, requires hospitalization, and must be done immediately to save the patient's life.
Elective surgery is a procedure that is preplanned by essentially healthy people. Diagnostic
surgery is performed to confirm a diagnosis. Palliative surgery is not curative, rather it is done to
relieve or reduce the intensity of an illness. - correct answer ✔✔A perioperative nurse is
preparing a patient for surgery for treatment of a ruptured spleen as the result of an
automobile crash. The nurse knows that this type of surgery belongs in what category?
a. Minor, diagnostic
b. Minor, elective
c. Major, emergency
d. Major, palliative
c, d. A localized loss of sensation and possible loss of reflexes occurs with a regional anesthetic.
Loss of consciousness and relaxation of skeletal muscles occurs with general anesthesia.
Prolonged pain relief after other anesthesia wears off and infiltration of the underlying tissues in
an operative area occur with topical anesthesia. - correct answer ✔✔A nurse is preparing a
patient for a cesarean section and teaches her the effects of the regional anesthesia she will be
receiving. Which effects would the nurse expect? Select all that apply.
a. Loss of consciousness
b. Relaxation of skeletal muscles
c. Reduction or loss of reflex action
d. Localized loss of sensation
e. Prolonged pain relief after other anesthesia wears off
f. Infiltrates the underlying tissues in an operative area
, a, b, e, f - correct answer ✔✔A nurse has been asked to witness a patient signature on an
informed consent form for surgery. What information should be included on the form? Select all
that apply.
a) The option of nontreatment
b) The underlying disease process and its natural course
c) Notice that once the form is signed, the patient cannot withdraw consent
d) Explanation of the guaranteed outcome of the procedure or treatment
e) Name and qualifications of the provider of the procedure or treatment
f) Explanation of the risks and benefits of the procedure or treatment
a. Anticoagulant drug therapy would increase the risk for hemorrhage during surgery. - correct
answer ✔✔A 72-year-old woman who is scheduled for a hip replacement is taking several
medications on a regular basis. Which drug category might create a surgical risk for this patient?
a. Anticoagulants
b. Antacids
c. Laxatives
d. Sedatives
b. Fatty tissue is less vascular and, therefore, less resistant to infection and more prone to
delayed wound healing. - correct answer ✔✔A nurse is caring for an obese patient who has had
surgery. The nurse monitors this patient for what postoperative complication?
a. Anesthetic agent interactions
b. Impaired wound healing
c. Hemorrhage
d. Gas pains
