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Perioperative Nursing 50 Items
Perioperative Nursing 50 Items
room?
1.) Which of the following is most dangerous A.) Level of consciousness
complication during induction of spinal B.) Vital signs
anesthesia? C.) Patient identification and correct
A.)Tachycardia operative consent
B.)Hypotension D.) Positioning and skin preparation
C.)Hyperthermia
D.)Bradypnea Ans: C
Ans: C
5.) Which of the following nursing actions
should be given highest priority when 10.) If wound eviscerations occurs, the
immediate nursing action is:
A.) Cover the wound with sterile gauze
moistened with sterile NSS family
B.) Cover the wound with water-soaked C.) She has urinary tract infection
gauze D.) She has an underlying emotional problem
C.) Cover the wound with sterile dry gauze
D.) Leave the wound uncovered and pull the Ans: A
skin edges together
16.) Which of the following nursing actions
Ans: A would help the patient decrease anxiety
during the preoperative period?
11.) Appendectomy is classified as A.) Explaining all procedures thoroughly in
A.) Ablative chronological order
B.) Constructive B.) Spending time listening to the patient and
C.) Reconstructive answering questions
D.) Palliative C.) Encouraging sleep and limiting
interruptions
Ans: A D.) Reassuring the patient that the surgical
staff are competent professional
12.) The worst of all fears among clients
undergoing surgery is: Ans: B
A.) Fear of financial burden
B.) Fear of death 17.) Which of the following is the primary
C.) Fear of the unknown purpose of maintaining NPO for 6 to 8 hours
D.) Fear of loss of job before surgery?
A.) To prevent malnutrition
Ans: C B.) To prevent electrolyte imbalance
C.) To prevent aspiration pneumonia
13.) The best time to provide preoperative D.) To prevent intestinal obstruction
teaching on deep breathing, coughing and
turning exercises is: Ans: C
A.) Before administration of preoperative
medications 18.) The following ensure validity of informed
B.) The afternoon or evening prior to surgery written consent EXCEPT:
C.) Several days prior to surgery A.) The patient is of legal age with proper
D.) Upon admission of the client in the mental disposition
recovery room B.) The consent has been secured within 24
hours before the surgery
Ans: B C.) If the patient is unable to write, secure the
consent from a relative
14.) The following are the appropriate D.) The consent is secured before
nursing actions before administration of administration of any medication that alter
preoperative medications EXCEPT: the level of consciousness
A.) Ascertain the consent has been signed
B.) Ensure that NPO has been maintained Ans: C
C.) Instruct patient to empty his bladder
D.) Shave the skin at the site of surgery 19.) Which of the following drugs is
administered to minimize respiratory
Ans: D secretions preop?
A.) Valium (Diazepam)
15.) The patient has been observed pacing B.) Nubain ( Nalbuphine HCL)
along the hallway, goes to the bathroom C.) Phenergan (Promethazine)
frequently and asks questions repeatedly D.) Atropine Sulfate
during preoperative assessment. The most
likely cause of the behavior is: Ans: D
A.) She is anxious about the surgical
procedure 20.) Which of the following is experienced by
B.) She is worried about separation from the the patient who is under spinal anesthesia?
A.) The patient is unconscious admitted for the first time at the Fatima
B.) The patient is awake Hospital with the chief complaint of Right
C.) The patient experiences amnesia Iliac Pain, accompanied by nausea and
D.) The patient experiences total loss of vomiting, chills and fever. She was
sensation diagnosed to have acute appendicitis. She
was scheduled to have emergency
Ans: B appendectomy under spinal anesthesia
21.) The patient who has undergone TAHBSO 26.) Pre-op instructions to the client would
complains of pain. Which of the following is include the following EXCEPT:
an initial nursing action? A.) Deep breathing and coughing exercise
A.) Administer the PRN analgesics B.) Turning to sides
B.) Instruct to do deep breathing exercises C.) Foot and leg exercises
C.) Assess the VS D.) reassuring her that narcotics will be
D.) Change the patient’s position given every 4 hours round the clock until she
is discharged
Ans: C
Ans: D
22.) How frequent should the nurse monitor
the VS of the patient in the recovery room? 27.) The client gave her consent for the
A.) Every 15 minutes surgery. To ensure the legality of the
B.) Every 30 mins consent, the following conditions must be
C.) Every 45 mins met EXCEPT:
D.) Every 60 mins A.) She gave her consent freely
B.) She must understand the nature of the
Ans: A surgery
C.) The consent must be signed by a witness
23.) Which of the following drugs is given to D.) Signing should be done after the
relieve nausea and vomiting? administration of pre-anesthesia meds
A.) Mepivacaine
B.) Aquamephyton Ans: D
C.) Nubain
D.) Plasil 28.) The skin is shaved prior to surgery in
order to:
Ans: D A.) Facilitate skin incision
B.) Indicate the site to be draped
24.) The most important factor in the C.) To prevent wound infection
prevention of postop infection is: D.) Reduce post op scarring
A.) Proper administration of antibiotics
B.) Fluid intake of 2-3L/day Ans: C
C.) Practice of strict aseptic techniques
D.) Frequent change of wound dressings 29.) The important nursing intervention prior
to administration of pre-anesthetic
Ans: C medication is:
A.) Ask patient to empty the bladder
25.) Which of the following primarily B.) Do deep breathing and coughing
prevents postop complications? exercises
A.) Adequate fluid intake C.) Regulate IVF accurately
B.) Early ambulation D.) Shave the skin
C.) Well-balanced diet
D.) Administration of antimicrobials Ans: A
Ans: A Ans: C
35.) A client in shock must be placed in: 41.) Nursing measures to relieve hiccups
A.) High-fowlers position include the following EXCEPT:
B.) Sim’s position A.) Exhale and inhale through a paper bag
C.) Modified trendelenburg B.) Apply pressure over the eyeball through
D.) Prone position closed eye lids
C.) Hold breath while taking a large pulp of
Ans: C water
D.) Administer high concentration of oxygen
36.) The most important factor in the
prevention of post op wound infection is: Ans: D
A.) Adequate fluid intake
42.) Modified radical mastectomy involves: B.) The common bile duct empties into the
A.) Removal of the entire breast, axillary duodenal lumen
lymph nodes, pectoralis muscle C.) The wall of the jejunum contains no
B.) Removal of the lump of the breast intestinal villi
C.) Removal of the entire breast, axillary and D.) The jejunum receives its blood supply
neck lymph nodes, including pectoralis through the duodenum
muscles
D.) Removal of the entire breast but nipple Ans: B
remains intact
47.) During the immediate postoperative
Ans: A period following gastric surgery, why must
the nurse be particularly conscientious
43.) Which of the following is not appropriate about encouraging a client to cough and
nursing intervention after modified radical deep-breathe at regular intervals?
mastectomy? A.) Marked changes in intrathoracic pressure
A.) Place in semi fowler’s position and will stimulate gastric drainage
elevate arm on the affected side with pillow B.) The high abdominal incision will lead to
support shallow breathing to avoid pain
B.) Check behind the client for bleeding C.) The phrenic nerve will have been
C.) Monitor output from wound suction permanently damaged during the surgical
drainage procedure
D.) Immobilize the arm on affected side in D.) Deep-breathing will prevent post op
adduction vomiting and intestinal distention
Ans: D Ans: B
44.) A fluid challenge is begun with a post-op 48.) Prior to having a subtotal gastrectomy, a
gastric surgery client. Which assessment will client is told about the dumping syndrome.
give the best indication of client response to The nurse explains that it is:
this treatment? A.) The body’s absorption of toxins produced
A.) CVP readings and hourly urine output by liquefaction of dead tissue
B.) Blood pressure and apical rate checks B.) Formation of an ulcer at the margin of the
C.) Lung sounds and arterial blood gases gastrojejunal anastomosis
D.) Electrolytes, BUN, creatinine results C.) Obstruction of venous flow from the
stomach into the portal system
Ans: A D.) Rapid emptying of food and fluid from the
stomach into the jejunum
45.) A client is scheduled for a subtotal
gastrectomy. In anticipation of clarifying Ans: D
information for client education, the nurse
knows that vagotomy is done as part of the 49.) Which of the following statements by a
surgical treatment for peptic ulcers in order client recovering from a subtotal
to gastrectomy would indicate a need for
A.) Decrease secretion of hydrochloric acid additional teaching about the diet protocol
B.) Improve the tone of the GI muscles for dumping syndrome?
C.) Increase blood supply to the jejunum A.) “I plan to eat a diet low in carbohydrates
D.) Prevent the transmission of pain and high in protein and fat”
impulses B.) “I plan to eat a diet high in CHO and low
in CHON and fat”
Ans: A C.) “I will eat slowly and avoid drinking fluids
during meals”
46.) Which of the following facts best D.) “I will try to assume a recumbent position
explains why the duodenum is not removed after meals for 30 mins to 1 hour to enhance
during a subtotal gastrectomy? digestion and relieve symptoms
A.) The head of the pancreas is adherent to
the duodenal wall Ans: B
50.) A 40 y/o female client has arrived in the
post anesthesia room following a
cholecystectomy and a common bile duct
exploration. She is semi conscious. Her vital
signs are within normal limits. Which of the
following nursing actions would be
inappropriate?
A.) Apply a warm blanket to her body
B.) Place her in a semi-fowler’s position
C.) Attached her T-tube to gravity drainage
D.) Set up low, intermittent suction for her
NGT
Ans: B