POTTER PERRY CHAPTER 50 - QUESTIONS AND
RATIONALS PERIOPERATIVE // 2026 UPDATES/
100%VERIFIED
1.BTheBnurseBisBpreceptingBaBstudentBnurseBandBexplainsBthatBperioperativeBnursingBcareBoccurs
a.BBefore,Bduring,BandBafterBsurgery.
b.BInBpreadmissionBtesting.
c.BDuringBtheBsurgicalBprocedure.
d.BInBtheBpostanesthesiaBcareBunit.B-BCORRECTBANSWER-ANS:BA
PerioperativeBnursingBcareBoccursBbefore,Bduring,BandBafterBaBsurgery.BPreadmissionBtestingBoccur
sBbeforeBsurgeryBandBisBconsideredBpreoperative.BNursingBcareBprovidedBduringBtheBsurgicalBproce
dureBisBconsideredBintraoperative,BandBinBtheBpostanesthesiaBcareBunit,BitBisBconsideredBpostoper
ative.BAllBofBtheseBareBpartsBofBtheBperioperativeBphase,BbutBeachBindividualBphaseBdoesBnotBexpla
inBtheBtermBcompletely.
2.BTheBnurseBisBcaringBforBaBpatientBwhoBisBscheduledBtoBundergoBaBsurgicalBprocedure.BTheBnurseB
isBcompletingBanBassessmentBandBreviewsBtheBpatient'sBlaboratoryBtestsBandBallergies.BInBwhichBp
erioperativeBnursingBphaseBwouldBthisBworkBbeBcompleted?
a.BPerioperative
b.BPreoperative
c.BIntraoperative
d.BPostoperativeB-BCORRECTBANSWER-ANS:BB
ReviewingBtheBpatient'sBlaboratoryBtestsBandBallergiesBisBdoneBbeforeBsurgeryBinBtheBpreoperativeB
phase.BPerioperativeBmeansBbefore,Bduring,BandBafterBsurgery.BIntraoperativeBmeansBduringBtheBs
urgicalBprocedureBinBtheBoperatingBsuite;BpostoperativeBmeansBafterBtheBsurgeryBandBcouldBoccurB
inBtheBpostanesthesiaBcareBunit,BinBtheBambulatoryBsurgicalBarea,BorBonBtheBhospitalBunit.
3.BTheBnurseBisBcaringBforBaBpatientBinBtheBpostanesthesiaBcareBunit.BTheBpatientBhasBdevelopedBpr
ofuseBbleedingBfromBtheBsurgicalBsite,BandBtheBsurgeonBhasBdeterminedBtheBneedBtoBreturnBtoBthe
BoperativeBarea.BThisBprocedureBwouldBbeBclassifiedBas
,a.BElective.
b.BUrgent.
c.BEmergency.
d.BMajor.B-BCORRECTBANSWER-ANS:BC
AnBemergencyBprocedureBmustBbeBdoneBimmediatelyBtoBsaveBlifeBorBpreserveBfunctionBofBaBbodyB
part.BAnBexampleBwouldBbeBrepairBofBaBperforatedBappendix,BrepairBofBaBtraumaticBamputation,Bor
BcontrolBofBinternalBhemorrhaging.BAnBurgentBprocedureBisBnecessaryBforBaBpatient'sBhealthBandBof
tenBpreventsBadditionalBproblemsBformBdeveloping.BAnBexampleBwouldBbeBexcisionBofBaBcancerou
sBtumor,BremovalBofBaBgallbladderBforBstones,BorBvascularBrepairBforBobstructedBartery.BAnBelectiveB
procedureBisBperformedBonBtheBbasisBofBtheBpatient'sBchoice;BitBisBnotBessentialBandBisBnotBalwaysB
necessaryBforBhealth.BAnBexampleBwouldBbeBaBbunionectomy,BplasticBsurgery,BorBherniaBreconstru
ction.BABmajorBprocedureBinvolvesBextensiveBreconstructionBorBalterationBinBbodyBparts;BitBposesBg
reatBrisksBtoBwell-being.BAnBexampleBwouldBbeBaBcoronaryBarteryBbypassBorBcolonBresection.
4.BTheBnurseBisBcaringBforBaBpatientBinBpreadmissionBtesting.BTheBpatientBhasBbeenBassignedBaBphys
icalBstatusBclassificationBbyBtheBAmericanBSocietyBofBAnesthesiologistBofBP3.BWhichBofBtheBfollowin
gBassessmentsBwouldBsupportBthisBclassification?
a.BDenialBofBanyBmajorBillnessesBorBconditions
b.BNormal,BhealthyBpatient
c.BHistoryBofBhypertension,B80BpoundsBoverweight,BhistoryBofBasthma
d.BHistoryBofBmyocardialBinfarctionBthatBlimitsBactivityB-BCORRECTBANSWER-ANS:BC
ABP3BisBaBpatientBwithBaBsevereBsystemicBdisease.BPatientsBwithBhypertension,Bobesity,BdiabetesBm
ellitus,BandBasthmaBfitBintoBthisBcategory.BABP1BisBaBnormalBhealthyBpatient.BABP2BisBaBpatientBwithB
mildBsystemicBdisease.BABP4BisBaBpatientBwithBsevereBsystemicBdiseaseBthatBisBaBconstantBthreatBtoBl
ife.
5.BTheBpatientBhasBpresentedBtoBtheBambulatoryBsurgeryBcenterBtoBhaveBaBcolonoscopy.BTheBpatie
ntBisBscheduledBtoBreceiveBmoderateBsedationB(consciousBsedation)BduringBtheBprocedure.BModer
ateBsedationBisBusedBroutinelyBforBproceduresBthatBrequire
a.BPerformanceBonBanBoutpatientBbasis.
b.BABdepressedBlevelBofBconsciousness.
c.BLossBofBsensationBinBanBareaBofBtheBbody.
d.BTheBpatientBtoBbeBimmobile.B-BCORRECTBANSWER-ANS:BB
,ModerateBsedationB(consciousBsedation)BisBusedBroutinelyBforBproceduresBthatBdoBnotBrequireBco
mpleteBanesthesia,BbutBratherBaBdepressedBlevelBofBconsciousness.BNotBallBpatientsBwhoBareBtreat
edBonBanBoutpatientBbasisBreceiveBmoderateBsedation.BRegionalBanesthesiaBsuchBasBlocalBanesthe
siaBprovidesBlossBofBsensationBinBanBareaBofBtheBbody.BGeneralBanesthesiaBisBusedBforBpatientsBwho
BneedBtoBbeBimmobileBandBtoBnotBrememberBtheBsurgicalBprocedure.
6.BTheBnurseBisBcaringBforBaBpatientBinBtheBpostanesthesiaBcareBunitBwhoBhasBundergoneBaBleftBtota
lBkneeBarthroplasty.BTheBanesthesiaBproviderBhasBindicatedBthatBtheBpatientBreceivedBaBleftBfemor
alBperipheralBnerveBblock.BWhichBassessmentBwouldBbeBanBexpectedBfindingBforBaBpatientBwithBthi
sBtypeBofBregionalBblock?
a.BDecreasedBpulseBatBtheBleftBposteriorBtibia
b.BLeftBtoesBcoolBtoBtouchBandBslightlyBcyanotic
c.BSensationBdecreasedBinBtheBleftBleg
d.BPatientBreportBofBpainBinBtheBleftBfootB-BCORRECTBANSWER-ANS:BC
InductionBofBregionalBanesthesiaBresultsBinBlossBofBsensationBinBanBareaBofBtheBbody.BTheBperipher
alBnerveBblockBinfluencesBtheBportionBofBsensoryBpathwaysBthatBareBanesthetizedBinBtheBtargetedB
areaBofBtheBbody.BDecreasedBpulse,BtoesBcoolBtoBtouch,BandBcyanosisBareBindicationsBofBdecreased
BbloodBflowBandBareBnotBexpectedBfindings.BReportsBofBpainBtheBinBtheBleftBfootBmayBindicateBthatBt
heBblockBisBnotBworkingBorBisBsubsidingBandBisBnotBanBexpectedBfindingBinBtheBimmediateBpostoper
ativeBperiod.
7.BTheBnurseBisBpreparingBaBpatientBforBsurgery.BAimsBofBassessmentBbeforeBsurgeryBinclude
a.BEstablishingBaBpatient'sBbaselineBofBnormalBfunction.
b.BPlanningBforBcareBafterBtheBprocedure.
c.BEducatingBtheBpatientBandBfamilyBaboutBtheBprocedure.
d.BGatheringBappropriateBequipmentBforBtheBpatient'sBneeds.B-BCORRECTBANSWER-ANS:BA
TheBaimBofBassessmentBofBtheBpatientBbeforeBsurgeryBisBtoBestablishBtheBpatient'sBnormalBpreoper
ativeBfunctionBtoBpreventBandBminimizeBpossibleBpostoperativeBcomplications.BGatheringBappropr
iateBequipment,BplanningBcare,BandBeducatingBtheBpatientBandBfamilyBareBallBimportantBinterventi
onsBthatBmustBbeBprovidedBforBtheBsurgicalBpatient;BtheyBareBpartBofBtheBnursingBprocessBbutBareBn
otBtheBreasonBforBcompletingBanBassessmentBofBtheBsurgicalBpatient.
8.BTheBnurseBisBcompletingBaBmedicationBhistoryBforBtheBsurgicalBpatientBinBpreadmissionBtesting.B
WhichBofBtheBfollowingBmedicationsBshouldBtheBnurseBinstructBtheBpatientBtoBholdBinBpreparationB
forBsurgery?
, a.BIbuprofen
b.BAcetaminophen
c.BVitaminBC
d.BMiconazoleB-BCORRECTBANSWER-ANS:BA
NonsteroidalBanti-
inflammatoryBdrugsB(NSAIDs)BsuchBasBibuprofenBinhibitBplateletBaggregationBandBprolongBbleedin
gBtime,BincreasingBsusceptibilityBtoBpostoperativeBbleeding.BAcetaminophenBisBaBpainBrelieverBthat
BhasBnoBspecialBimplicationsBforBsurgery.BVitaminBCBactuallyBassistsBinBwoundBhealingBandBhasBnoBs
pecialBimplicationsBforBsurgery.BMiconazoleBisBanBantifungalBandBhasBnoBspecialBimplicationsBforBsu
rgery.
9.BTheBnurseBisBcaringBforBaBpotentialBsurgicalBpatientBinBtheBpreadmissionBtestingBunit.BTheBmedic
ationBhistoryBindicatesBthatBtheBpatientBisBcurrentlyBtakingBwarfarinB(Coumadin).BWhichBofBtheBfoll
owingBactionsBshouldBtheBnurseBtake?
a.BConsultBwithBtheBphysicianBregardingBaBradiologicalBexaminationBofBtheBchest.
b.BConsultBwithBtheBphysicianBregardingBanBinternationalBnormalizedBratioB(INR).
c.BConsultBwithBtheBphysicianBregardingBbloodBureaBnitrogenB(BUN).
d.BConsultBwithBtheBphysicianBregardingBaBcompleteBbloodBcountB(CBC).B-BCORRECTBANSWER-
ANS:BB
WarfarinBisBanBanticoagulantBthatBisButilizedBforBdifferentBmaladies,BbutBitsBactionBisBtoBincreaseBth
eBtimeBitBtakesBforBtheBbloodBtoBclot.BThisBactionBcanBputBtheBsurgicalBpatientBatBriskBforBbleedingBt
endencies.BTypically,BifBatBallBpossible,BthisBmedicationBisBheldBseveralBdaysBbeforeBaBsurgicalBproce
dureBtoBdecreaseBthisBrisk.BINR,BPTB(prothrombinBtime),BAPTTB(activatedBpartialBthromboplastinBti
me),BandBplateletBcountsBrevealBtheBclottingBabilityBofBtheBblood.BChestBx-
ray,BBUN,BandBCBCBareBdiagnosticBscreeningBtoolsBforBsurgeryBbutBareBnotBspecificBtoBwarfarin.
10.BTheBnurseBisBencouragingBtheBpostoperativeBpatientBtoButilizeBdiaphragmaticBbreathing.BReaso
nsBforBthisBinterventionBinclude
a.BManagementBofBpain.
b.BDecreasedBhealingBtime.
c.BPreventionBofBatelectasis.
d.BDecreasedBthrombusBformation.B-BCORRECTBANSWER-ANS:BC
RATIONALS PERIOPERATIVE // 2026 UPDATES/
100%VERIFIED
1.BTheBnurseBisBpreceptingBaBstudentBnurseBandBexplainsBthatBperioperativeBnursingBcareBoccurs
a.BBefore,Bduring,BandBafterBsurgery.
b.BInBpreadmissionBtesting.
c.BDuringBtheBsurgicalBprocedure.
d.BInBtheBpostanesthesiaBcareBunit.B-BCORRECTBANSWER-ANS:BA
PerioperativeBnursingBcareBoccursBbefore,Bduring,BandBafterBaBsurgery.BPreadmissionBtestingBoccur
sBbeforeBsurgeryBandBisBconsideredBpreoperative.BNursingBcareBprovidedBduringBtheBsurgicalBproce
dureBisBconsideredBintraoperative,BandBinBtheBpostanesthesiaBcareBunit,BitBisBconsideredBpostoper
ative.BAllBofBtheseBareBpartsBofBtheBperioperativeBphase,BbutBeachBindividualBphaseBdoesBnotBexpla
inBtheBtermBcompletely.
2.BTheBnurseBisBcaringBforBaBpatientBwhoBisBscheduledBtoBundergoBaBsurgicalBprocedure.BTheBnurseB
isBcompletingBanBassessmentBandBreviewsBtheBpatient'sBlaboratoryBtestsBandBallergies.BInBwhichBp
erioperativeBnursingBphaseBwouldBthisBworkBbeBcompleted?
a.BPerioperative
b.BPreoperative
c.BIntraoperative
d.BPostoperativeB-BCORRECTBANSWER-ANS:BB
ReviewingBtheBpatient'sBlaboratoryBtestsBandBallergiesBisBdoneBbeforeBsurgeryBinBtheBpreoperativeB
phase.BPerioperativeBmeansBbefore,Bduring,BandBafterBsurgery.BIntraoperativeBmeansBduringBtheBs
urgicalBprocedureBinBtheBoperatingBsuite;BpostoperativeBmeansBafterBtheBsurgeryBandBcouldBoccurB
inBtheBpostanesthesiaBcareBunit,BinBtheBambulatoryBsurgicalBarea,BorBonBtheBhospitalBunit.
3.BTheBnurseBisBcaringBforBaBpatientBinBtheBpostanesthesiaBcareBunit.BTheBpatientBhasBdevelopedBpr
ofuseBbleedingBfromBtheBsurgicalBsite,BandBtheBsurgeonBhasBdeterminedBtheBneedBtoBreturnBtoBthe
BoperativeBarea.BThisBprocedureBwouldBbeBclassifiedBas
,a.BElective.
b.BUrgent.
c.BEmergency.
d.BMajor.B-BCORRECTBANSWER-ANS:BC
AnBemergencyBprocedureBmustBbeBdoneBimmediatelyBtoBsaveBlifeBorBpreserveBfunctionBofBaBbodyB
part.BAnBexampleBwouldBbeBrepairBofBaBperforatedBappendix,BrepairBofBaBtraumaticBamputation,Bor
BcontrolBofBinternalBhemorrhaging.BAnBurgentBprocedureBisBnecessaryBforBaBpatient'sBhealthBandBof
tenBpreventsBadditionalBproblemsBformBdeveloping.BAnBexampleBwouldBbeBexcisionBofBaBcancerou
sBtumor,BremovalBofBaBgallbladderBforBstones,BorBvascularBrepairBforBobstructedBartery.BAnBelectiveB
procedureBisBperformedBonBtheBbasisBofBtheBpatient'sBchoice;BitBisBnotBessentialBandBisBnotBalwaysB
necessaryBforBhealth.BAnBexampleBwouldBbeBaBbunionectomy,BplasticBsurgery,BorBherniaBreconstru
ction.BABmajorBprocedureBinvolvesBextensiveBreconstructionBorBalterationBinBbodyBparts;BitBposesBg
reatBrisksBtoBwell-being.BAnBexampleBwouldBbeBaBcoronaryBarteryBbypassBorBcolonBresection.
4.BTheBnurseBisBcaringBforBaBpatientBinBpreadmissionBtesting.BTheBpatientBhasBbeenBassignedBaBphys
icalBstatusBclassificationBbyBtheBAmericanBSocietyBofBAnesthesiologistBofBP3.BWhichBofBtheBfollowin
gBassessmentsBwouldBsupportBthisBclassification?
a.BDenialBofBanyBmajorBillnessesBorBconditions
b.BNormal,BhealthyBpatient
c.BHistoryBofBhypertension,B80BpoundsBoverweight,BhistoryBofBasthma
d.BHistoryBofBmyocardialBinfarctionBthatBlimitsBactivityB-BCORRECTBANSWER-ANS:BC
ABP3BisBaBpatientBwithBaBsevereBsystemicBdisease.BPatientsBwithBhypertension,Bobesity,BdiabetesBm
ellitus,BandBasthmaBfitBintoBthisBcategory.BABP1BisBaBnormalBhealthyBpatient.BABP2BisBaBpatientBwithB
mildBsystemicBdisease.BABP4BisBaBpatientBwithBsevereBsystemicBdiseaseBthatBisBaBconstantBthreatBtoBl
ife.
5.BTheBpatientBhasBpresentedBtoBtheBambulatoryBsurgeryBcenterBtoBhaveBaBcolonoscopy.BTheBpatie
ntBisBscheduledBtoBreceiveBmoderateBsedationB(consciousBsedation)BduringBtheBprocedure.BModer
ateBsedationBisBusedBroutinelyBforBproceduresBthatBrequire
a.BPerformanceBonBanBoutpatientBbasis.
b.BABdepressedBlevelBofBconsciousness.
c.BLossBofBsensationBinBanBareaBofBtheBbody.
d.BTheBpatientBtoBbeBimmobile.B-BCORRECTBANSWER-ANS:BB
,ModerateBsedationB(consciousBsedation)BisBusedBroutinelyBforBproceduresBthatBdoBnotBrequireBco
mpleteBanesthesia,BbutBratherBaBdepressedBlevelBofBconsciousness.BNotBallBpatientsBwhoBareBtreat
edBonBanBoutpatientBbasisBreceiveBmoderateBsedation.BRegionalBanesthesiaBsuchBasBlocalBanesthe
siaBprovidesBlossBofBsensationBinBanBareaBofBtheBbody.BGeneralBanesthesiaBisBusedBforBpatientsBwho
BneedBtoBbeBimmobileBandBtoBnotBrememberBtheBsurgicalBprocedure.
6.BTheBnurseBisBcaringBforBaBpatientBinBtheBpostanesthesiaBcareBunitBwhoBhasBundergoneBaBleftBtota
lBkneeBarthroplasty.BTheBanesthesiaBproviderBhasBindicatedBthatBtheBpatientBreceivedBaBleftBfemor
alBperipheralBnerveBblock.BWhichBassessmentBwouldBbeBanBexpectedBfindingBforBaBpatientBwithBthi
sBtypeBofBregionalBblock?
a.BDecreasedBpulseBatBtheBleftBposteriorBtibia
b.BLeftBtoesBcoolBtoBtouchBandBslightlyBcyanotic
c.BSensationBdecreasedBinBtheBleftBleg
d.BPatientBreportBofBpainBinBtheBleftBfootB-BCORRECTBANSWER-ANS:BC
InductionBofBregionalBanesthesiaBresultsBinBlossBofBsensationBinBanBareaBofBtheBbody.BTheBperipher
alBnerveBblockBinfluencesBtheBportionBofBsensoryBpathwaysBthatBareBanesthetizedBinBtheBtargetedB
areaBofBtheBbody.BDecreasedBpulse,BtoesBcoolBtoBtouch,BandBcyanosisBareBindicationsBofBdecreased
BbloodBflowBandBareBnotBexpectedBfindings.BReportsBofBpainBtheBinBtheBleftBfootBmayBindicateBthatBt
heBblockBisBnotBworkingBorBisBsubsidingBandBisBnotBanBexpectedBfindingBinBtheBimmediateBpostoper
ativeBperiod.
7.BTheBnurseBisBpreparingBaBpatientBforBsurgery.BAimsBofBassessmentBbeforeBsurgeryBinclude
a.BEstablishingBaBpatient'sBbaselineBofBnormalBfunction.
b.BPlanningBforBcareBafterBtheBprocedure.
c.BEducatingBtheBpatientBandBfamilyBaboutBtheBprocedure.
d.BGatheringBappropriateBequipmentBforBtheBpatient'sBneeds.B-BCORRECTBANSWER-ANS:BA
TheBaimBofBassessmentBofBtheBpatientBbeforeBsurgeryBisBtoBestablishBtheBpatient'sBnormalBpreoper
ativeBfunctionBtoBpreventBandBminimizeBpossibleBpostoperativeBcomplications.BGatheringBappropr
iateBequipment,BplanningBcare,BandBeducatingBtheBpatientBandBfamilyBareBallBimportantBinterventi
onsBthatBmustBbeBprovidedBforBtheBsurgicalBpatient;BtheyBareBpartBofBtheBnursingBprocessBbutBareBn
otBtheBreasonBforBcompletingBanBassessmentBofBtheBsurgicalBpatient.
8.BTheBnurseBisBcompletingBaBmedicationBhistoryBforBtheBsurgicalBpatientBinBpreadmissionBtesting.B
WhichBofBtheBfollowingBmedicationsBshouldBtheBnurseBinstructBtheBpatientBtoBholdBinBpreparationB
forBsurgery?
, a.BIbuprofen
b.BAcetaminophen
c.BVitaminBC
d.BMiconazoleB-BCORRECTBANSWER-ANS:BA
NonsteroidalBanti-
inflammatoryBdrugsB(NSAIDs)BsuchBasBibuprofenBinhibitBplateletBaggregationBandBprolongBbleedin
gBtime,BincreasingBsusceptibilityBtoBpostoperativeBbleeding.BAcetaminophenBisBaBpainBrelieverBthat
BhasBnoBspecialBimplicationsBforBsurgery.BVitaminBCBactuallyBassistsBinBwoundBhealingBandBhasBnoBs
pecialBimplicationsBforBsurgery.BMiconazoleBisBanBantifungalBandBhasBnoBspecialBimplicationsBforBsu
rgery.
9.BTheBnurseBisBcaringBforBaBpotentialBsurgicalBpatientBinBtheBpreadmissionBtestingBunit.BTheBmedic
ationBhistoryBindicatesBthatBtheBpatientBisBcurrentlyBtakingBwarfarinB(Coumadin).BWhichBofBtheBfoll
owingBactionsBshouldBtheBnurseBtake?
a.BConsultBwithBtheBphysicianBregardingBaBradiologicalBexaminationBofBtheBchest.
b.BConsultBwithBtheBphysicianBregardingBanBinternationalBnormalizedBratioB(INR).
c.BConsultBwithBtheBphysicianBregardingBbloodBureaBnitrogenB(BUN).
d.BConsultBwithBtheBphysicianBregardingBaBcompleteBbloodBcountB(CBC).B-BCORRECTBANSWER-
ANS:BB
WarfarinBisBanBanticoagulantBthatBisButilizedBforBdifferentBmaladies,BbutBitsBactionBisBtoBincreaseBth
eBtimeBitBtakesBforBtheBbloodBtoBclot.BThisBactionBcanBputBtheBsurgicalBpatientBatBriskBforBbleedingBt
endencies.BTypically,BifBatBallBpossible,BthisBmedicationBisBheldBseveralBdaysBbeforeBaBsurgicalBproce
dureBtoBdecreaseBthisBrisk.BINR,BPTB(prothrombinBtime),BAPTTB(activatedBpartialBthromboplastinBti
me),BandBplateletBcountsBrevealBtheBclottingBabilityBofBtheBblood.BChestBx-
ray,BBUN,BandBCBCBareBdiagnosticBscreeningBtoolsBforBsurgeryBbutBareBnotBspecificBtoBwarfarin.
10.BTheBnurseBisBencouragingBtheBpostoperativeBpatientBtoButilizeBdiaphragmaticBbreathing.BReaso
nsBforBthisBinterventionBinclude
a.BManagementBofBpain.
b.BDecreasedBhealingBtime.
c.BPreventionBofBatelectasis.
d.BDecreasedBthrombusBformation.B-BCORRECTBANSWER-ANS:BC
