Contents
Chapter 31: Perioperative Nursing ............................................................................................ 2
Answer Key ........................................................................................................................... 6
Chapter 32: Hygiene.................................................................................................................. 8
Answer Key ......................................................................................................................... 12
Chapter 33: Skin Integrity and Wound Care ........................................................................... 13
Answer Key ......................................................................................................................... 17
Chapter 34: Activity ................................................................................................................ 19
Answer Key ......................................................................................................................... 23
Chapter 35: Rest and Sleep ..................................................................................................... 25
Answer Key ......................................................................................................................... 29
Chapter 36: Comfort and Pain Management ........................................................................... 30
Answer Key ......................................................................................................................... 34
Chapter 37: Nutrition .............................................................................................................. 35
Answer Key ......................................................................................................................... 39
Chapter 38: Urinary Elimination ............................................................................................. 40
Answer Key ......................................................................................................................... 44
Chapter 39: Bowel Elimination ............................................................................................... 46
Answer Key ......................................................................................................................... 50
Chapter 40: Oxygenation and Perfusion ................................................................................. 51
Answer Key ......................................................................................................................... 56
,1. Sara Thomas is scheduled for liposuction surgery to reduce her weight. Based on
urgency, how is this surgery classified?
a. urgent
b. elective
c. emergency
d. emergent
2. A diabetic patient is undergoing surgery to amputate a gangrenous foot. This
procedure would be considered which of the following categories of surgery based on
purpose?
a. Diagnostic
b. Ablative
c. Palliative
d. Reconstructive
3. A patient scheduled for major surgery will receive general anesthesia. Why is
inhalation anesthesia often used to provide the desired actions?
a. rapid excretion and reversal of effects
b. safe administration in the patients own room
c. involves only the respiratory system and skin
d. slow onset of action and maintains reflexes
4. Which of the following are desired outcomes of general anesthesia? Select all that
apply.
a. loss of consciousness
b. analgesia
c. relaxed skeletal muscles
d. loss of sensation in specific area
e. depressed reflexes
f. altered mood with some degree of amnesia
5. A nurse is teaching a patient about regional anesthesia. Which of the following
statements is accurate about this type of anesthesia?
a. You will be asleep and wont be aware of the procedure.
b. You will be asleep but may feel some pain during the procedure.
c. You will be awake but will not be aware of the procedure.
d. You will be awake and will not have sensation of the procedure.
6. A nurse has been asked to ensure informed consent for a surgical procedure. What
might be a role of the nurse?
a. securing informed consent from the patient
b. signing the consent form as a witness
c. ensuring the patient does not refuse treatment
d. refusing to participate based on legal guidelines
, 7. A patient, scheduled for open-heart surgery, tells the nurse he does not want to be
saved if he dies during surgery. What should the nurse do next?
a. discuss with and document the wishes of the patient and family
b. administer the ordered oral and intravenous preoperative medications
c. notify the physician after completion of the surgical procedure
d. verbally report the patients wishes to the operating room supervisor
8. Which of the following is a factor influencing the increased incidence of
outpatient/same day surgery?
a. lower healthcare costs
b. increase in length of hospital stays
c. increase in minor surgeries
d. decrease in number of surgeons
9. A nurse is giving a patient scheduled for outpatient surgery preoperative information.
Which of the following are recommended teaching guidelines? Select all that apply.
a. Continue with all medications routinely taken.
b. Notify the surgeons office if a cold or infection develops before surgery.
c. List allergies and be sure the operating staff is aware of these.
d. Wear clothing without buttons or zippers.
e. Have someone available for transportation home after recovery from anesthesia.
f. Continue with regular consumption of food and beverages until the morning of
surgery.
10. An operating room nurse is preparing for a surgical procedure for an infant. The
nurses perioperative care is based on what physiologic factor that puts infants at
greater risk from surgery than adults?
a. increased vascular rigidity
b. diminished chest expansion
c. lower total blood volume
d. decreased peripheral circulation
11. A nurse preparing an elderly patient for hip replacement surgery is aware of the
surgical risks related to the patients age. Which of the following accurately describe
these risks? Select all that apply.
a. increased cardiac output
b. decreased peripheral circulation
c. increased vascular rigidity
d. increased oxygenation of blood
e. decreased thermoregulation ability
f. increased skin moisture and elasticity
12. A nurse caring for an elderly postsurgical patient helps the patient perform leg
exercises. Which age-related change makes these exercises even more important?
a. reduced vital capacity
b. decreased peripheral circulation
, c. decreased oxygenation of blood
d. decreased reaction time and coordination
13. After conducting a preoperative health assessment, the nurse documents that the
patient has physical assessments supporting the medical diagnosis of emphysema.
Based on this finding, what postoperative interventions would be included on the plan
of care?
a. Perform sterile dressing changes each morning.
b. Administer pain medications as needed.
c. Conduct a head-to-toe assessment each shift.
d. Monitor respirations and breath sounds.
14. A preoperative assessment finds a patient to be 75 pounds overweight. The patient is
to have abdominal surgery. What nursing diagnosis would be appropriate based on the
patients weight?
a. Risk for Aspiration
b. Risk for Imbalanced Body Temperature
c. Risk for Infection
d. Risk for Falls
15. Which of the following interventions is of major importance during preoperative
teaching?
a. performing skills necessary to gastrointestinal preparation
b. encouraging the patient to identify and verbalize fears
c. discussing the site and extent of the surgical incision
d. telling the patient not to worry or be afraid of surgery
16. A nurse is reviewing results of preoperative screening tests and notes the patients
potassium level is dangerously low. What should the nurse do next?
a. Nothing; potassium levels have no influence on surgical outcome.
b. Include the information in the postoperative end of shift report.
c. Document the data and notify the physician who will do the surgery.
d. Ask the patient and family members why the potassium is low.
17. A nurse is teaching a surgical patient about postoperative p.r.n. pain control. Which of
the following should be included?
a. We will bring you pain medications; you dont need to ask.
b. Even if you have pain, you may get addicted to the drugs.
c. You wont have much pain so just tough it out.
d. You need to ask for the medication before the pain becomes severe.
18. A nurse is teaching a preoperative patient how to cough effectively. What can the
nurse tell the patient to do to facilitate coughing?
a. Hold a pillow or folded bath blanket over the incision.
b. Get up and walk before you try to cough.
c. It would be best if you do not cough until you feel better.
d. When you cough, cover your nose and mouth with a tissue.
Chapter 31: Perioperative Nursing ............................................................................................ 2
Answer Key ........................................................................................................................... 6
Chapter 32: Hygiene.................................................................................................................. 8
Answer Key ......................................................................................................................... 12
Chapter 33: Skin Integrity and Wound Care ........................................................................... 13
Answer Key ......................................................................................................................... 17
Chapter 34: Activity ................................................................................................................ 19
Answer Key ......................................................................................................................... 23
Chapter 35: Rest and Sleep ..................................................................................................... 25
Answer Key ......................................................................................................................... 29
Chapter 36: Comfort and Pain Management ........................................................................... 30
Answer Key ......................................................................................................................... 34
Chapter 37: Nutrition .............................................................................................................. 35
Answer Key ......................................................................................................................... 39
Chapter 38: Urinary Elimination ............................................................................................. 40
Answer Key ......................................................................................................................... 44
Chapter 39: Bowel Elimination ............................................................................................... 46
Answer Key ......................................................................................................................... 50
Chapter 40: Oxygenation and Perfusion ................................................................................. 51
Answer Key ......................................................................................................................... 56
,1. Sara Thomas is scheduled for liposuction surgery to reduce her weight. Based on
urgency, how is this surgery classified?
a. urgent
b. elective
c. emergency
d. emergent
2. A diabetic patient is undergoing surgery to amputate a gangrenous foot. This
procedure would be considered which of the following categories of surgery based on
purpose?
a. Diagnostic
b. Ablative
c. Palliative
d. Reconstructive
3. A patient scheduled for major surgery will receive general anesthesia. Why is
inhalation anesthesia often used to provide the desired actions?
a. rapid excretion and reversal of effects
b. safe administration in the patients own room
c. involves only the respiratory system and skin
d. slow onset of action and maintains reflexes
4. Which of the following are desired outcomes of general anesthesia? Select all that
apply.
a. loss of consciousness
b. analgesia
c. relaxed skeletal muscles
d. loss of sensation in specific area
e. depressed reflexes
f. altered mood with some degree of amnesia
5. A nurse is teaching a patient about regional anesthesia. Which of the following
statements is accurate about this type of anesthesia?
a. You will be asleep and wont be aware of the procedure.
b. You will be asleep but may feel some pain during the procedure.
c. You will be awake but will not be aware of the procedure.
d. You will be awake and will not have sensation of the procedure.
6. A nurse has been asked to ensure informed consent for a surgical procedure. What
might be a role of the nurse?
a. securing informed consent from the patient
b. signing the consent form as a witness
c. ensuring the patient does not refuse treatment
d. refusing to participate based on legal guidelines
, 7. A patient, scheduled for open-heart surgery, tells the nurse he does not want to be
saved if he dies during surgery. What should the nurse do next?
a. discuss with and document the wishes of the patient and family
b. administer the ordered oral and intravenous preoperative medications
c. notify the physician after completion of the surgical procedure
d. verbally report the patients wishes to the operating room supervisor
8. Which of the following is a factor influencing the increased incidence of
outpatient/same day surgery?
a. lower healthcare costs
b. increase in length of hospital stays
c. increase in minor surgeries
d. decrease in number of surgeons
9. A nurse is giving a patient scheduled for outpatient surgery preoperative information.
Which of the following are recommended teaching guidelines? Select all that apply.
a. Continue with all medications routinely taken.
b. Notify the surgeons office if a cold or infection develops before surgery.
c. List allergies and be sure the operating staff is aware of these.
d. Wear clothing without buttons or zippers.
e. Have someone available for transportation home after recovery from anesthesia.
f. Continue with regular consumption of food and beverages until the morning of
surgery.
10. An operating room nurse is preparing for a surgical procedure for an infant. The
nurses perioperative care is based on what physiologic factor that puts infants at
greater risk from surgery than adults?
a. increased vascular rigidity
b. diminished chest expansion
c. lower total blood volume
d. decreased peripheral circulation
11. A nurse preparing an elderly patient for hip replacement surgery is aware of the
surgical risks related to the patients age. Which of the following accurately describe
these risks? Select all that apply.
a. increased cardiac output
b. decreased peripheral circulation
c. increased vascular rigidity
d. increased oxygenation of blood
e. decreased thermoregulation ability
f. increased skin moisture and elasticity
12. A nurse caring for an elderly postsurgical patient helps the patient perform leg
exercises. Which age-related change makes these exercises even more important?
a. reduced vital capacity
b. decreased peripheral circulation
, c. decreased oxygenation of blood
d. decreased reaction time and coordination
13. After conducting a preoperative health assessment, the nurse documents that the
patient has physical assessments supporting the medical diagnosis of emphysema.
Based on this finding, what postoperative interventions would be included on the plan
of care?
a. Perform sterile dressing changes each morning.
b. Administer pain medications as needed.
c. Conduct a head-to-toe assessment each shift.
d. Monitor respirations and breath sounds.
14. A preoperative assessment finds a patient to be 75 pounds overweight. The patient is
to have abdominal surgery. What nursing diagnosis would be appropriate based on the
patients weight?
a. Risk for Aspiration
b. Risk for Imbalanced Body Temperature
c. Risk for Infection
d. Risk for Falls
15. Which of the following interventions is of major importance during preoperative
teaching?
a. performing skills necessary to gastrointestinal preparation
b. encouraging the patient to identify and verbalize fears
c. discussing the site and extent of the surgical incision
d. telling the patient not to worry or be afraid of surgery
16. A nurse is reviewing results of preoperative screening tests and notes the patients
potassium level is dangerously low. What should the nurse do next?
a. Nothing; potassium levels have no influence on surgical outcome.
b. Include the information in the postoperative end of shift report.
c. Document the data and notify the physician who will do the surgery.
d. Ask the patient and family members why the potassium is low.
17. A nurse is teaching a surgical patient about postoperative p.r.n. pain control. Which of
the following should be included?
a. We will bring you pain medications; you dont need to ask.
b. Even if you have pain, you may get addicted to the drugs.
c. You wont have much pain so just tough it out.
d. You need to ask for the medication before the pain becomes severe.
18. A nurse is teaching a preoperative patient how to cough effectively. What can the
nurse tell the patient to do to facilitate coughing?
a. Hold a pillow or folded bath blanket over the incision.
b. Get up and walk before you try to cough.
c. It would be best if you do not cough until you feel better.
d. When you cough, cover your nose and mouth with a tissue.
