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Perioperative Quiz > Perioperative Quiz > Flashcards

Perioperative Quiz Flashcards

1
Q

The patient is 38 years old and is in her second postoperative day after a fracture of her left femur. She is receiving analgesia via a patient - controlled analgesia (PCA) device. All of the interventions related to caring for a patient with a PCA are appropriate except:
A. Maintaining the system
B. Recording activities of the system
C. Administering the analgesia to the patient
D. Monitoring the patient’s pain level

A

C. Administering the analgesia to the patient

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2
Q 
The patient's Bill of Rights states that a patient must give his or her permission for any specific test or procedure to be performed.  What is the legal term for this permission?
A.  Verbal consent
B.  Medical documentation
C.  Informed consent
D.  Informed decision
A

C. Informed consent

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3
Q

An informed consent was to be obtained from the patient for his scheduled open cholecystectomy. Which circumstance could prevent the patient from signing his informed consent?
A. Pain radiating to the scapula
B. An injection of Demerol, 75mg IM, 1 hour ago
C. The presence of jaundice and sclera icterus
D. His concern over his insurance company not covering the procedure

A

B. An injection of Demerol, 75mg IM, 1 hour ago

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4
Q 
Th anesthesiologist porvides this type of anesthyesia by inhalation and IV administration routes"
A.  General
B.  Regional
C.  Specific
D.  Preoperative
A

A. General

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5
Q 
A type of anesthesia that requires a depressed level of consciousness is:
A.  Regional anesthesia
B.  Specific anesthesia
C.  Optional anesthesia
D.  Conscious sedation
A

D. Conscious sedation

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6
Q

The older adult patient may not respond to surgical treatment as well as a younger adult because of:
A. Poor skin turgor resulting in dehydration
B. Disturbed body image related to surgical incision
C. His or her body’s responses slowed by physiological changes
D. None of the above

A

C. His or her body’s responses slowed by physiological changes

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7
Q

A male patient, age 45, is being induced and the anesthesiologist has asked for quiet in the room. Stimulation during this time can cause:
A. Increased oxygen saturation
B. Increased heart rate and blood pressure
C. Hypothermia
D. Respiratory depression

A

B. Increased heart rate and blood pressure

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8
Q 
A male patient, age 80, has had a total hop replacement and is in the recovery room (PACU).  Hypoventilation and immobility post-op can cause which complication?
A.  Hypotension
B.  Malignant hyperthermia
C.  Paralytic Ileus
D. Atelectasis
A

D. Atelectasis

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9
Q

A female patient. age 65, underwent a right hemicolectomy. On postoperative day 4, her surgical wound dehisced. This means that:
A. There is a partial or complete wound separation
B. There has been inadequate wound closure
C. Abdominal viscera protrude through the walls
D. The wound will not heal well when it is resutured.

A

A. There is a partial or complete wound separation

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10
Q 
A patient is on postoperative day 2 after a nephrectomy.  The nurse is aware that the most effective way to increase her peristalsis is:
A.  Ambulation
B.  An enema
C.  Encouraging hot liquids
D.  Administering a laxative
A

A. Ambulation

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11
Q 
A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle.  Which is the first assessment to make?
A.  Check ankle dressings 
B.  Check airway for patency
C.  Check intravenous site
D.  Check vital signs
A

B. Check airway for patency

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12
Q

Which patient would be at greatest risk during surgery?
A. 78 year old taking an analgesic
B. 43 year old taking an anti-hypertensive
C. 27 year old taking an anticoagulant
D. 10 year old taking an antibiotic

A

C. 27 year old taking an anticoagulant

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13
Q 
Frequent monitoring of the postoperative patient's vital signs assesses which body system?
A.  Gastrointestinal
B.  Endocrine
C.  Neurological
D.  Cardiovascular
A

D. Cardiovascular

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14
Q 
The nurse acknowledges that all preoperative nursing interventions have been performed by signing which document?
A.  Nurse's notes
B.  Anesthesia record
C.  Surgical Checklist
D.  Physician's order sheet
A

C. Surgical Checklist

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15
Q

Which nursing intervention would be appropriate after a wound evisceration?
A. Place the patient in high Fowler’s position
B. Give the patient fluids to prevent shock
C. Replace the dressing with sterile fluffy pads
D. Apply a warm, moist normal saline sterile dressing and call the physician

A

D. Apply a warm, moist normal saline sterile dressing and call the physician

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16
Q

When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?
A. Only when a patient asks
B. Regularly every three to four hours before pain gets worse
C. Only when the physician orders it
D. Only when the patient is in severe pain

A

B. Regularly every three to four hours before pain gets worse

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17
Q

What nursing interventions will minimize the effects of venous stasis?
A. Pillows under the kne in a position of comfort.
B. Sitting with the feet flat on the floow
C. Early ambulation
D. Gentle leg massage

A

C. Early ambulation

18
Q 
The nurse is assisting with the sponge and instrument count in the operating room.  The operative phase in which the nurse is assisting is called the:
A.  Perioperative phase
B.  Preoperative phase
C.  Intraoperative phase
D.  Postoperative phase
A

C. Intraoperative phase

19
Q

A patient will have an incision in the lower left abdomen. Which intervention by the nurse will help decrease discomfort in the incisional area when she coughs?
A. Apply a splint directly over the lower abdomen
B. Keep the patient flat with feet flexed
C. Turn her on her right side
D. Apply a splint above and below the incision

A

A. Apply a splint directly over the lower abdomen

20
Q 
Sudden chest pain combined with dyspnea, cyanosis, and tachycardia is an indication of:
A.  Hypovolemic shock
B.  Dehiscence
C.  Atelectasis
D.  Pulmonary embolus
A

D. Pulmonary embolus

21
Q

What is the responsibility of the nurse regarding informed consent?
A. Explain the surgical options
B. Explain the operative risks
C. Obtain the patient’s signature
D. Check form for appropriate signatures

A

C. Obtain the patient’s signature

22
Q

Which preoperative fear is linked to postoperative behavior?
A. Fear of anesthesia and death
B. Fear of death and malnutrition
C. Fear of unknown and lack of respect
D. Check form for appropriate signatures

A

A. Fear of anesthesia and death

23
Q

Ideally, preoperative teaching should be done
A. Immediately before surgery to eliminate fear
B. 2 months in advance so the patient can prepare
C. 1 to 2 days before the surgery when anxiety is not as high
D. In the surgical holding area

A

C. 1 to 2 days before the surgery when anxiety is not as high

24
Q

Southeast Asian and Native American patients often do not make eye contact when preoperative teaching is being performed because
A. They aren’t educated
B. They aren’t paying attention
C. They believe eye contact is disrespectful
D. They believe they are superior to the nurse

A

C. They believe eye contact is disrespectful

25
Q 
When the nurse performs hand hygiene and uses sterile supplies, the patient's:
A.  Hospital stay is shortened
B.  Sense of self-worth is improved
C.  Risk of infection is reduced
D.  Nursing care need is reduced
A

C. Risk of infection is reduced

26
Q 
The nurse carefully measures drainage during the first 24 hours after surgery on a patient with a Jackson-Pratt drain.  It is considered abnormal if the drainage exceeds
A.  50 mLs
B.  100 mLs
C.  200 mLs
D.  300 mLs
A

D. 300 mLs

27
Q 
The nurse recognizes that the Jackson-Pratt drainage removal system is classified as a(n)
A.  Sterile drainage system
B.  Closed drainage system
C.  Open drainage system
D.  Self-measuring drainage system
A

B. Closed drainage system

28
Q 
The nurse assessing a patient's wound notes a clear watery drainage.  The nurse documents this finding as
A.  Serous drainage
B.  Purulent drainage
C.  Sanguineous drainage
D.  Serosanguineous drainage
A

A. Serous drainage

29
Q 
The nurse assessing a patient's wound notes thick, yellow drainage.  The nurse documents this finding as:
A.  Serous drainage
B.  Purulent drainage
C,  Sanguineous drainage
D.  Serosanguineous drainage
A

B. Purulent drainage

30
Q 
The nurse assessing a patient's wound notes pale red watery drainage.  The nurse documents this finding as:
A.  Serous drainage
B.  Purulent drainage
C,  Sanguineous drainage
D.  Serosanguineous drainage
A

D. Serosanguineous drainage

31
Q

A patient is scheduled for a right total knee replacement. Which of the following would ensure proper site identification?
A. An ACE bandage applied to the left knee
B. A smiley face drawn on the right knee
C. An ACE bandage applied to the right knee
D. Initials marked over the right knee

A

D. Initials marked over the right knee

32
Q

What are the high-risk procedures that may affect perioperative procedures? (Select the most applicable answer)
A. Age, health, occupation, mental status
B. Financial income, health, nutritional status
C. Age, mental state, nutritional status, health
D. Occupation, age nutritional status
E. Financial income, occupation, age, health

A

C. Age, mental state, nutritional status, health

33
Q 
Surgical asepsis is:
A.  The same as medical asepsis
B.  Is known as a cleaning technique
C.  Is known as hand hygiene
D.  Is known as sterile technique
A

D. Is known as sterile technique

34
Q 
The nurse instructs the patient that the most important preventative technique for breaking the chain of infection is
A.  Sterilization
B.  Standard precautions
C.  Hand hygiene
D.  Medical asepsis
A

C. hand hygiene

35
Q

The infection control officer recognizes the need for more instruction on surgical asepsis after observing a nurse
A. Facing the sterile field
B. Placing a sterile dressing on a sterile field
C. Touching the edges of the sterile field with sterile gloves
D. Keeping sterile gloved hands above the waist

A

C. Touching the edges of the sterile field with sterile gloves

36
Q 
A method used to kill all microorganisms, including spores is:
A.  Disinfecting
B.  Using an antiseptic
C.  Using chlorine bleach
D.  Sterilizing
A

D. Sterilizing

37
Q 
A 73 year old patient with diabetes was admitted for a below-the-knee amputation of his right leg.  Removal of his right leg is what type of surgery?
A.  Palliative
B.  Diagnositc
C.  Reconstructive
D.  Abalative
A

D. Abalative

38
Q

When the nurse discovers that the gauze dressing has adhered to the wound, the nurse should:
A. Call the physician
B. Gently remove the gauze with sterile forceps
C. Cover with an occlusive dressing
D. Moisten the dressing with sterile water and remove

A

D. Moisten the dressing with sterile water and remove

39
Q

The nurse follows the basic concept of wound irrigation when directing the flow of the irrigant:
A. From the area of least contamination to the area of most contamination
B. Forcefully into the wound
C. Gently over the skin into the wound
D. From a distance of 12 inches

A

A. From the area of least contamination to the area of most contamination

40
Q 
The nurse informs a patient that a wet-to-dry dressing is applied wet and allowed to dry.  This drying process causes it to adhere to the wound, which when removed results in:
A.  Destruction of tissue
B,  Bleeding
C.  Mechanical debridement
D.  Prevention of infection
A

C. Mechanical debridement

Perioperative Quiz (1 decks)

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