NUR 425 Exam 1
What are the four priorities for the preoperative checklist? - answer-Documentation
-Assessment
-Physical Prep
-Education
Preoperative patient education, and ADVOCATION is whose responsibility? – answer
Preop Nurse
Informed consent includes how many components? - answer6
Consent for procedure, anesthesia, & blood products along with the surgeons name,
benefits/risks & surgical alternatives are? – answer Components of informed consent
It is the role of the preoperative nurse to obtain consent for the procedure. True or
False? – answer False
The surgeon obtains informed consent while the preop nurse is a witness to the
informed consent. True or False? – answer True
What should always be checked multiple times and is "cause for pause/time out" before
surgery is to proceed? - answer-Correct Patient
-Correct Procedure
-Correct Surgical Site
-Correct Surgeon
-Correct equipment
-Correct imaging studies
Asking the patient if they have dental implants is part of the preop patient assessment.
True or false? - answerTrue
A patient scheduled for abdominal surgery states he is concerned about post-op pain.
Which action by the nurse is best? - answerMake a note of this on the chart
Which action should the nurse take first when they notice that the post-op patient's
dressing has a bright-red area? - answerReinforce the surgical dressing
Which patient should the preoperative nurse see first? - answerA 24 Y.O male needing
a meniscus repair who reports 9/10 pain
Nurses see the patient in the most pain first so their preop paperwork can be done so
they can be medicated quickly. True or false? - answerTrue
, This is a complicating factor of anesthesia? - answerHeart attack history
Which patient is a priority based on extent of preoperative care needed? - answerAn 80
Y.O male with history of DVTs, chronic HTN, and smoking
A patient with this has an increased risk of DVTs and post-op pain following an
operation? - answerPre-op anxiety
A patient's medical record number and account number are acceptable patient
identifiers. True or false? - answerFalse
Which medication would cause hypotension pre and post procedure? -
answerMetoprolol
During a pre-op assessment, which key objective data would the nurse collect regarding
the cardiovascular system? - answerPeripheral pulses
Which statement by the new nurse indicates teaching was effective regarding pre-op
knee surgery patient preparation? - answerI should determine if the nails are polish free
Solid foods may be given up to how many hours before surgery? - answer8 Hours
Clear liquids without pulp (grape juice, apple juice, etc.) can be given up to how many
hours before surgery? - answer2 Hours
A social Security number is an acceptable patient identifier. True or false? - answerTrue
Which post-op complication should the nurse anticipate in a patient with history of
chronic smoking? - answerDelayed wound healing
Patients who can not physically sign but make their own care decisions may sign their
consent forms with an X. True or false? - answerTrue
What genetic disorder is triggered by anesthesia and causes tachycardia followed by
severe muscle rigidity, and brown urine? - answerMalignant Hyperthermia
The nurse should monitor the respiratory status of a patient in Trendelenburg's position
due to a greater risk of what? - answerDiminished lung capacity
A patient placed in the lateral position for surgery should have a pad under the lower
axilla to decrease risk of what? - answerBrachial plexus injury
You can use warm irrigation and warm blankets during surgical procedure to decrease
the risk of hypothermia. True or false? - answerTrue
What are the four priorities for the preoperative checklist? - answer-Documentation
-Assessment
-Physical Prep
-Education
Preoperative patient education, and ADVOCATION is whose responsibility? – answer
Preop Nurse
Informed consent includes how many components? - answer6
Consent for procedure, anesthesia, & blood products along with the surgeons name,
benefits/risks & surgical alternatives are? – answer Components of informed consent
It is the role of the preoperative nurse to obtain consent for the procedure. True or
False? – answer False
The surgeon obtains informed consent while the preop nurse is a witness to the
informed consent. True or False? – answer True
What should always be checked multiple times and is "cause for pause/time out" before
surgery is to proceed? - answer-Correct Patient
-Correct Procedure
-Correct Surgical Site
-Correct Surgeon
-Correct equipment
-Correct imaging studies
Asking the patient if they have dental implants is part of the preop patient assessment.
True or false? - answerTrue
A patient scheduled for abdominal surgery states he is concerned about post-op pain.
Which action by the nurse is best? - answerMake a note of this on the chart
Which action should the nurse take first when they notice that the post-op patient's
dressing has a bright-red area? - answerReinforce the surgical dressing
Which patient should the preoperative nurse see first? - answerA 24 Y.O male needing
a meniscus repair who reports 9/10 pain
Nurses see the patient in the most pain first so their preop paperwork can be done so
they can be medicated quickly. True or false? - answerTrue
, This is a complicating factor of anesthesia? - answerHeart attack history
Which patient is a priority based on extent of preoperative care needed? - answerAn 80
Y.O male with history of DVTs, chronic HTN, and smoking
A patient with this has an increased risk of DVTs and post-op pain following an
operation? - answerPre-op anxiety
A patient's medical record number and account number are acceptable patient
identifiers. True or false? - answerFalse
Which medication would cause hypotension pre and post procedure? -
answerMetoprolol
During a pre-op assessment, which key objective data would the nurse collect regarding
the cardiovascular system? - answerPeripheral pulses
Which statement by the new nurse indicates teaching was effective regarding pre-op
knee surgery patient preparation? - answerI should determine if the nails are polish free
Solid foods may be given up to how many hours before surgery? - answer8 Hours
Clear liquids without pulp (grape juice, apple juice, etc.) can be given up to how many
hours before surgery? - answer2 Hours
A social Security number is an acceptable patient identifier. True or false? - answerTrue
Which post-op complication should the nurse anticipate in a patient with history of
chronic smoking? - answerDelayed wound healing
Patients who can not physically sign but make their own care decisions may sign their
consent forms with an X. True or false? - answerTrue
What genetic disorder is triggered by anesthesia and causes tachycardia followed by
severe muscle rigidity, and brown urine? - answerMalignant Hyperthermia
The nurse should monitor the respiratory status of a patient in Trendelenburg's position
due to a greater risk of what? - answerDiminished lung capacity
A patient placed in the lateral position for surgery should have a pad under the lower
axilla to decrease risk of what? - answerBrachial plexus injury
You can use warm irrigation and warm blankets during surgical procedure to decrease
the risk of hypothermia. True or false? - answerTrue
