NR226 Final Study Guide – Nursing Leadership & Management Comprehensive Review and
Practice Questions
Preoperative - ANS ✔✔Begins with decision to have surgery, lasts until transfer to operating
suite.
Intraoperative - ANS ✔✔Extends from admission to surgical department to transfer to the post-
anesthesia care unit (PACU).
Postoperative - ANS ✔✔Lasts from admission to PACU through recovery which can vary from a
day to many weeks depending on the type of surgery.
When a nurse witnesses a client's signature on an informed consent, the nurse is witnessing
which of the following? - ANS ✔✔Client signed without coercion or altered mental state.
Individuals at each end of the age spectrum are at _________ risk during surgery due to
immature or aging ____________ systems, inability to regulate body ___________ and
fragile____________. - ANS ✔✔higher, immune, temperature, skin.
During the preoperative phase, the nurse assesses the individual to establish a ? - ANS
✔✔baseline status by which changes in condition and risks to health can be evaluated.
Match the pre-op labs with the risk factors they reveal. - ANS ✔✔1. CBC- Risk for oxygenation
issues
2. Glucose- Risk for poor wound healing
3. Serum creatinine and BUN- Risk for renal complications
4. Electrolytes- Risk for fluid imbalance and cardiac rhythm issues
5. ECG- Risk for cardiac disease in adults over 40 years old
, What must the preoperative phase include? - ANS ✔✔a discussion about a safe environment
and infection control.
The nurse is getting the client ready for surgery and completing the preoperative checklist.
Which of the following is not part of the preoperative checklist?
A. Removal of jewelry
B. Ask the client about allergies
C. Conducting a "time out"
D. Signing the informed consent - ANS ✔✔C. Conducting a "time out"
As the client is brought into the operating room suite, the client starts to shiver uncontrollably.
What action should the nurse take first?
A. Take the client's temperature
B. Adjust the thermostat in the room
C. Page the surgeon for further orders
D. Apply warm blankets - ANS ✔✔D. Apply warm blankets
The postoperative nurse is focused on which of the following aftereffects of anesthesia? Select
all that apply.
A. Impaired airway
B. Pain
C. Cardiovascular complications
D. Incisional bleeding
E. Impaired neurological functioning - ANS ✔✔A, C, E
The nurse is caring for a surgical client when the client asks what perioperative nursing means.
What should the nurse's response be? - ANS ✔✔Perioperative nursing includes preoperative,
intraoperative, and postoperative activities.
Practice Questions
Preoperative - ANS ✔✔Begins with decision to have surgery, lasts until transfer to operating
suite.
Intraoperative - ANS ✔✔Extends from admission to surgical department to transfer to the post-
anesthesia care unit (PACU).
Postoperative - ANS ✔✔Lasts from admission to PACU through recovery which can vary from a
day to many weeks depending on the type of surgery.
When a nurse witnesses a client's signature on an informed consent, the nurse is witnessing
which of the following? - ANS ✔✔Client signed without coercion or altered mental state.
Individuals at each end of the age spectrum are at _________ risk during surgery due to
immature or aging ____________ systems, inability to regulate body ___________ and
fragile____________. - ANS ✔✔higher, immune, temperature, skin.
During the preoperative phase, the nurse assesses the individual to establish a ? - ANS
✔✔baseline status by which changes in condition and risks to health can be evaluated.
Match the pre-op labs with the risk factors they reveal. - ANS ✔✔1. CBC- Risk for oxygenation
issues
2. Glucose- Risk for poor wound healing
3. Serum creatinine and BUN- Risk for renal complications
4. Electrolytes- Risk for fluid imbalance and cardiac rhythm issues
5. ECG- Risk for cardiac disease in adults over 40 years old
, What must the preoperative phase include? - ANS ✔✔a discussion about a safe environment
and infection control.
The nurse is getting the client ready for surgery and completing the preoperative checklist.
Which of the following is not part of the preoperative checklist?
A. Removal of jewelry
B. Ask the client about allergies
C. Conducting a "time out"
D. Signing the informed consent - ANS ✔✔C. Conducting a "time out"
As the client is brought into the operating room suite, the client starts to shiver uncontrollably.
What action should the nurse take first?
A. Take the client's temperature
B. Adjust the thermostat in the room
C. Page the surgeon for further orders
D. Apply warm blankets - ANS ✔✔D. Apply warm blankets
The postoperative nurse is focused on which of the following aftereffects of anesthesia? Select
all that apply.
A. Impaired airway
B. Pain
C. Cardiovascular complications
D. Incisional bleeding
E. Impaired neurological functioning - ANS ✔✔A, C, E
The nurse is caring for a surgical client when the client asks what perioperative nursing means.
What should the nurse's response be? - ANS ✔✔Perioperative nursing includes preoperative,
intraoperative, and postoperative activities.
