periop practice Flashcards
1
Q
- What is the primary goal of preoperative teaching? A. Decrease length of hospital stay B. Prevent post-op complications C. Reduce anesthesia use D. Promote early discharge
A
B
2
Q
- (SATA) Components of the preoperative checklist include: A. Consent signed B. Jewelry removed C. Last oral intake recorded D. Start antibiotics after surgery | A, B, C
A
3
Q
- The main focus during intraoperative care is: A. Pain management B. Infection prevention C. Airway management and patient safety D. Family education
A
C
4
Q
- Which factor increases a surgical patient’s risk for complications? A. Age 30 B. Obesity C. Hemoglobin 15 g/dL D. No medication use
A
B
5
Q
- Informed consent must be obtained by: A. The nurse B. The surgeon C. The anesthesiologist D. A family member
A
B
6
Q
- (SATA) Which actions are within the circulating nurse’s role? A. Monitor sterile field B. Document intraoperative care C. Count sponges D. Assist with anesthesia | A, B, D
A
7
Q
- A patient is NPO before surgery mainly to reduce risk of: A. Dehydration B. Aspiration C. Hypertension D. Hypoglycemia
A
B
8
Q
- After surgery, the priority assessment is: A. Pain level B. Surgical dressing C. Airway patency D. Mobility | C
A
9
Q
- During moderate sedation, the patient should be: A. Completely unconscious B. Able to respond to verbal stimuli C. On mechanical ventilation D. NPO for 48 hours post-op | B
A
10
Q
- The purpose of incentive spirometry postoperatively is to: A. Strengthen abdominal muscles B. Prevent atelectasis C. Reduce nausea D. Promote wound healing
A
B
11
Q
- (SATA) Early signs of hypoxia in the post-op client include: A. Restlessness B. Confusion C. Bradycardia D. Cyanosis | A, B
A
12
Q
- What is the best indicator of return of bowel function after surgery? A. Absence of nausea B. Flatus C. Abdominal pain D. Clear vomit
A
B
13
Q
- The scrub nurse is responsible for: A. Circulating sterile equipment B. Maintaining sterile technique C. Documenting vital signs D. Talking with family members
A
B
14
Q
- When should a pre-op antibiotic ideally be administered? A. 1 hour before incision B. At the end of surgery C. After anesthesia wears off D. Morning of discharge
A
A
15
Q
- What is the purpose of a “time-out” in surgery? A. Allow staff to rest B. Verify correct patient, procedure, and site C. Prepare instruments D. Begin anesthesia | B
A
16
Q
- (SATA) Post-op interventions to prevent DVT include: A. Early ambulation B. SCD (sequential compression devices) C. High Fowler’s position D. Anticoagulant therapy | A, B, D
A
17
Q
- Priority action if the patient vomits post-anesthesia: A. Administer pain meds B. Suction airway C. Give PO fluids D. Lower the bed flat
A
B
18
Q
- Which action by the nurse reduces surgical site infections? A. Shaving hair the night before surgery B. Administering prophylactic antibiotics on time C. Giving high-dose steroids pre-op D. Keeping wounds dry at all times
A
B
19
Q
- A patient with latex allergy is scheduled for surgery. Priority intervention? A. Schedule surgery first case of the day B. Delay surgery 24 hours C. Administer diphenhydramine 12 hours pre-op D. Remove IV line
A
A
20
Q
- What indicates readiness for discharge from PACU? A. Pain score B. Oxygen saturation > 92% C. IV fluids completed D. No urinary catheter
A
B
21
Q
- (SATA) Common post-op complications include: A. Hemorrhage B. Infection C. Atelectasis D. Hypokalemia | A, B, C
A
22
Q
- If a patient’s blood pressure drops significantly post-op, first action? A. Notify surgeon B. Reassess blood pressure C. Increase IV fluids per protocol D. Administer a vasopressor | B
A
23
Q
- Surgical consent must be obtained: A. Before sedatives are administered B. After sedatives C. On the way to the OR D. After the surgery
A
A
24
Q
- What is the first sign of malignant hyperthermia during surgery? A. Increased blood pressure B. Muscle rigidity C. Cyanosis D. Hypothermia
A
B
25
Q
- Which medication is given to treat malignant hyperthermia? A. Atropine B. Dantrolene C. Epinephrine D. Naloxone
A
B
26
Q
- (SATA) Signs of wound infection include: A. Redness B. Swelling C. Drainage D. Decreased temperature | A, B, C
A
27
Q
- What should the nurse monitor after spinal anesthesia? A. Respiratory depression B. Hypertension C. Diuresis D. Hyperglycemia
A
A
28
Q
- When should patient teaching ideally be started? A. Pre-op period B. After anesthesia wears off C. Day of surgery D. After discharge
A
A
29
Q
- If a patient refuses surgery after signing consent, the nurse should: A. Force them to go B. Notify the surgeon C. Call anesthesia D. Ignore and proceed | B
A
30
Q
- The Aldrete score assesses: A. Bowel function B. Recovery from anesthesia C. Urinary output D. Risk for infection
A
B
31
Q
- (SATA) Immediate post-op nursing priorities include: A. Airway B. Breathing C. Circulation D. Pain score | A, B, C
A
32
Q
- Prolonged immobility increases risk for: A. Bradycardia B. DVT C. Hypothermia D. Infection
A
B
33
Q
- What is the best position for a conscious patient recovering from anesthesia? A. Supine with pillow B. Side-lying C. Trendelenburg D. High Fowler’s
A
B
34
Q
- Priority if a surgical dressing is saturated with blood: A. Remove dressing B. Reinforce dressing and notify surgeon C. Apply ice pack D. Loosen dressings completely
A
B
35
Q
- A urinary output less than ____ mL/hr may indicate renal compromise post-op: A. 15 B. 30 C. 50 D. 75
A
B
36
Q
- If a post-op patient has absent bowel sounds, first action: A. Insert NG tube B. Notify provider C. Ambulate the patient D. Withhold oral intake | D
A
37
Q
- (SATA) Risk factors for delayed wound healing include: A. Diabetes B. Smoking C. Obesity D. Youth | A, B, C
A
38
Q
- An early sign of hemorrhage post-op is: A. Hypertension B. Tachycardia C. Warm skin D. Oliguria
A
B
39
Q
- Which electrolyte is most critical to monitor after major surgery? A. Potassium B. Chloride C. Phosphate D. Bicarbonate
A
A
40
Q
- Normal wound drainage immediately post-op is expected to be: A. Purulent B. Serosanguineous C. Green D. Thick yellow
A
B
