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Perioperative Care Practice Questions and Answers 2024
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Perioperative Care Practice Questions
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Perioperative Care Practice QuestionsThe nurse requests the client to sign a surgical informed consent form for an emergency
appendectomy. Which statement by the client indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today."
2. "I will not be able to eat or drink anything before my surgery."
3. "I can practice relaxing by listening to my favorite music."
4. "I will need to get up and walk as soon as possible." - answer Answer: 1
1. The client will be in the hospital for a few days. This is not a day-surgery procedure.
The client needs more teaching.
2. Clients are NPO (nothing by mouth) before surgery to prevent aspiration during and
after anesthesia. The client understands the teaching.
3. Listening to music and other relaxing techniques can be used to alleviate anxiety and
pain. This statement indicates the client understands the teaching.
4. Clients are encouraged to get out of bed as soon as possible and progress until a
return to daily activity is achieved. The client understands the teaching.
TEST-TAKING HINT: This question is asking the test taker to identify the answer option
that is incorrect. Three options will be appropriate statements that indicate the client
understands the teaching.
The nurse in the holding area of the surgery department is interviewing a client
requesting to keep his religious medal on during surgery. Which intervention should the
nurse implement?
1. Notify the surgeon about the client's request to wear the medal.
2. Tape the medal to the client and allow the client to wear the medal.
3. Request the family member to take the medal before surgery.
4. Explain taking the medal to surgery is against the policy. - answerAnswer: 2
1. The surgeon does not need to be notified of the client's request; this can be
addressed by the nursing staff.
2. The medal should be taped, and the client should be allowed to wear the medal
because meeting spiritual needs is essential to this client's care.
3. The client should be allowed to bring the medal to surgery if the medal is taped to the
client.
4. Hospital policies should be established for the well-being of clients, and spiritual
needs should be addressed.
,TEST-TAKING HINT: Because options "3" and "4" do not allow the client to wear the
medal to surgery, these can be eliminated as possible answers because they are both
saying the same thing.
The nurse must obtain surgical consent forms for the scheduled surgery. Which clients
are able to consent legally to surgery? Select all that apply.
1. The 65-year-old client who cannot read or write.
2. The 30-year-old non-English speaking client.
3. The 16-year-old client with a fractured ankle.
4. The 80-year-old client not oriented to the day.
5. The 45-year-old client who is blind and cannot read Braille. - answerAnswer: 1, 2, 4,
5
1. The 65-year-old client unable to read can mark an "X" on the form and is legally able
to sign a surgical permit as long as the client understands the benefits, alternatives, and
all potential complications of the surgery.
2. The non-English-speaking client can and should have information given and
questions answered in the client's native language.
3. A 16-year-old client is not legally able to give permission for surgery unless the
adolescent has been given an emancipated status by a judge. This information was not
given in the stem.
4. A client is able to give permission unless determined incompetent. Not knowing the
day of the week is not significant.
5. The client who is blind can consent to surgery. The validity of the consent does not
depend on if the form is verbal or written. It depends on voluntary consent and a
complete understanding of the surgery by the client.
TEST-TAKING HINT: Age in a stem or option gives the test taker a clue as to the
correct answer. The nurse must be aware of legal issues when caring for the client.
The nurse is preparing a client for surgery. Which intervention should the nurse
implement first?
1. Check the permit for the spouse's signature.
2. Take and document intake and output.
3. Administer the "on call" sedative.
4. Complete the preoperative checklist. - answerAnswer: 4
1. The client's signature, not the spouse's, should be on the surgical permit.
2. This would be important information if abnormal, but it is not the first intervention.
3. "On call" sedatives should be administered after the surgical checklist is completed.
4. Completing the preoperative checklist has the highest priority to ensure all details are
completed without omissions.
, TEST-TAKING HINT: A client should never be sedated until the permit has been
verified and all legal issues are settled. The test taker should not read into a question by
inserting facts not in the stem. For example, the test taker may think option "1" could be
a correct answer if the client is confused, but the stem does not include this information.
The nurse is interviewing a surgical client in the holding area. Which information should
the nurse report to the anesthesiologist? Select all that apply.
1. The client has loose, decayed teeth.
2. The client is experiencing anxiety.
3. The client smokes two packs of cigarettes a day.
4. The client has a chest x-ray that shows no infiltrates.
5. The client reports using herbs. - answerAnswer: 1, 3, 5
1. Loose teeth or caries need to be reported to the anesthesiologist so provisions can
be made to prevent breaking the teeth and causing the client to aspirate pieces
possibly.
2. The nurse should report any extremely anxious client, but the nurse can address the
needs of a client experiencing expected surgical anxiety.
3. Smokers are at a higher risk of complications from anesthesia.
4. No infiltrates on a chest x-ray is a normal finding and does not have to be reported.
5. Herbs—for example, St. John's wort, licorice, and ginkgo—have serious interactions
with anesthesia and with bodily functions such as coagulation.
TEST-TAKING HINT: This question is an alternate-type question requiring the test taker
to select more than one option as the correct answer. Safety is a priority for a client
undergoing surgery.
Which task would be most appropriate for the RN to delegate to the unlicensed assistive
personnel (UAP)?
1. Complete the preoperative checklist.
2. Assess the client's preoperative vital signs.
3. Teach the client about coughing and deep breathing.
4. Assist the client in removing clothing and jewelry. - answerAnswer: 4
1. The nurse should complete this form because it requires analysis, which cannot be
delegated to the UAP.
2. Nurses cannot delegate assessment.
3. The nurse cannot delegate teaching to a UAP.
4. The UAP can remove clothing and jewelry.
TEST-TAKING HINT: The nurse should consider the knowledge and training of the
person receiving the assignments. The nurse should never delegate assessment,
teaching, administering medications, evaluation, or care of an unstable client to a UAP.
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