NIFA Perioperative Exam Questions And Answers Verified 100% Correct

NIFA Perioperative Exam Questions And Answers Verified 100% Correct A blind client is to have a surgical procedure. What is the nurse's best response when the client asks if he or she will be permitted to sign the consent form? A. "Yes, but you will need to make an X instead of signing your name." B. "No, but you can give instructions for a responsible adult to sign for you." C. "Yes, but your signature will need to be witnessed by two people." D. "No, but your next of kin can sign the informed consent for you." - ANSWER C. "Yes, but your signature will need to be witnessed by two people." Which drugs usually taken daily by a client would the surgeon instruct the nurse to be sure to administer prior to surgery? Select all that apply. A. Daily multivitamin B. Anticonvulsant C. Stool softener D. Beta blocker E. Daily chewable aspirin F. Anticoagulant - ANSWER B. Anticonvulsant D. Beta blocker What would the nurse suspect when assessing an older preoperative client and finding brittle nails; dry, flaky skin; muscle wasting; and dry, sparse hair? A. Poor fluid and nutrition status B. Improper client care by the home caregiver C. Expected physiological changes that occur with aging D. Depression of the client related to the aging process - ANSWER A. Poor fluid and nutrition status A preoperative client's vital signs before transport to the surgery holding area are: (BP 90/60 mm Hg, HR 110/minute, RR 24/minute, T 100.9oF [38.3oC]). What is the nurse's priority action? A. Administer acetaminophen with just a sip of water. B. Recheck the vital signs in 15 minutes. C. Call and notify the surgeon immediately. D. Instruct the client to cough and take deep breaths - ANSWER C. Call and notify the surgeon immediately. Which phase of client care in a postanesthesia care unit (PACU) requires the nurse to perform the most intensive observations and assessments? A. Phase I B. Phase II C. Phase III D. Phase IV - ANSWER A. Phase I Which action does the nurse perform first for a postoperative client arriving on the medical-surgical unit after discharge from the postanesthesia care unit (PACU)? A. Calculate the client-controlled analgesia (PCA) pump maximum dose per hour to avoid an overdose. B. Compare the client's core body temperature with bilateral peripheral temperatures. C. Determine the client's level of consciousness and cognition. D. Assess respiratory status for adequate gas exchange. - ANSWER D. Assess respiratory status for adequate gas exchange. Which client signs and symptoms does the nurse consider postoperative complications rather than expected responses to the experience? Select all that apply. A. Core body temperature of 95.2oF (35.1°C) B. Pain at the surgical site C. Pulmonary embolism D. Paralytic ileus E. Sore throat F. Sedation - ANSWER A. Core body temperature of 95.2oF (35.1°C) C. Pulmonary embolism D. Paralytic ileus Which information will the nurse on a medical-surgical unit expect to be included in a client "handoff" report from a postanesthesia care unit (PACU) nurse? Select all that apply. A. Is Jewish B. Is drowsy but coherent C. Is allergic to strawberries D. Can have a progressive diet E. Had a left total hip replacement F. Was given 3 mg morphine IV 45 minutes ago G. Received 2 units of packed red blood cells in the PACU H. Weighs 280 lb (122.2 kg) and is 5 feet 11 inches (180 cm) tall - ANSWER B. Is drowsy but coherent E. Had a left total hip replacement F. Was given 3 mg morphine IV 45 minutes ago G. Received 2 units of packed red blood cells in the PACU What is the nurse's best first action for a client who is 6 hours postoperative from abdominal surgery and now has profuse bleeding from the incision? A. Notify the surgeon. B. Apply pressure to the wound dressing. C. Assess the client's heart rate and blood pressure. D. Instruct the assistive personnel (AP) to get additional dressing supplies. - ANSWER B. Apply pressure to the wound dressing. With which clients will the nurse remain especially vigilant for respiratory complications during the first 24 hours after surgery? Select all that apply. A. 21-year-old with opioid use syndrome B. 39-year-old with a 55-pack-year smoking history C. 55-year-old with type 2 diabetes mellitus D. 62-year-old with chronic obstructive pulmonary disease E. 70-year-old with early-stage Alzheimer disease F. 80-year-old whole last influenza vaccination was 2 years ago - ANSWER B. 39 yearold with a 55-pack-year smoking history D. 62-year-old with chronic obstructive pulmonary disease F. 80-year-old whole last influenza vaccination was 2 years ago What is the nurse's first action when a client develops an abdominal wound evisceration after a hard sneeze? A. Call for help and stay with the client. B. Immediately take the client's vital signs. C. Leave the client to immediately call the surgeon. D. Attempt to reduce the evisceration by gently moving the contents back into the abdomen. - ANSWER A. Call for help and stay with the client. What is the nurse's best action to prevent harm for a client who arrives at the postanesthesia care unit (PACU) with a respiratory rate of 10 breaths/min and an SpO2 of 94% after receiving fentanyl during surgery? A. Monitor the client for the effects of anesthetic for at least 1 hour. B. Administer oxygen, maintain an open airway, and monitor pulse oximetry.