Perioperative Nursing Quiz

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Preop to postop essentials

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Roberta Bell

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Perioperative Nursing Quiz


Perioperative Nursing QuizVersión en línea Preop to postop essentials por Roberta Bell 1 What is the primary goal of preoperative nursing assessment? a Prepare the operating room bed only b Identify risk, optimize patients, and plan care c Notify family after anesthesia d Explain the operative procedure 2 Which client teaching is essential before anesthesia? a Explain postop expectations and pain control b Delay teaching until after surgery c Discuss only the risks of the procedure d Avoid mentioning potential risks 3 Which item is key in the ‘time-out’ before incision? a Verifying patient, procedure, and site b Monitoring vital signs c Maintaining sterile field d Entering billing codes 4 What is a common postoperative risk the nurse monitors for? a Hypoglycemia related to fasting b Pain, nausea, and respiratory complications c Hyperthyroidism from surgical stress d Increased intracranial pressure 5 Which condition requires intraoperative management by the nurse? a Maintaining proper positioning b Withholding all fluids during surgery c Hydrating with ice chips only d Encouraging high sugar intake to boost energy 6 Which action supports early postoperative mobilization? a Assist with ambulation and DVT prevention b Delay movement until discharge c Limit fluids to avoid urination d Withhold pain meds to test sensation 7 Which lab value commonly reviewed preoperatively? a Blood type only b Cholesterol only c Hemoglobin/hematocrit levels d Creatinine in urine only 8 What PPE is essential for the perioperative nurse? a Sterile gloves and mask when sterile field is used b No gloves needed in nonsterile areas c Only a hat and bunny suit is required d N95 or PAPR 9 Which patient safety practice reduces infection risk? a Maintaining aseptic technique and skin prep b Reusing disposable items c Using the same instrument for all patients d Skipping hand hygiene to save time 10 What is the nurse’s role after anesthesia? a Provide only family updates and leave b Schedule the next surgery c Discharge the patient without evaluation d Monitor vitals, manage pain, and prevent complications 11 Which postoperative pain management method provides the most consistent therapeutic blood level of analgesia? a Patient‑controlled analgesia (PCA) pump b As‑needed (PRN) intramuscular opioid injections c Scheduled oral analgesics d Intermittent IV opioid boluses administered by the nurse 12 The nurse is caring for a postoperative patient who is unable to verbalize pain. Which nonverbal findings indicate the patient may be experiencing pain? Choose one or more answers a Facial grimacing b Guarding or protecting the surgical site c Restlessness or frequent position changes d Relaxed posture with steady respirations e Increased heart rate and blood pressure 13 The nurse encourages a postoperative patient to use an incentive spirometer every hour while awake. This intervention is primarily used to prevent which complication? a Pneumonia caused by aspiration b Pulmonary embolism related to immobility c Atelectasis from shallow breathing d Respiratory alkalosis from hyperventilation 14 Which postoperative client is most appropriate for discharge from the post‑anesthesia care unit (PACU)? a A client who is awake, oriented, maintains a patent airway, has stable vital signs, controlled pain, and an oxygen saturation of 94% on room air b A client who is drowsy, responds only to repeated verbal stimulation, and has an oxygen saturation of 90% on 4 L nasal cannula c A client who is confused, reports nausea requiring repeated antiemetic doses, and has intermittent vomiting d A client with increasing surgical site drainage and a heart rate 30% above baseline 15 A client scheduled for surgery says, “I’m really scared. I’ve never had surgery before.” Which response by the nurse demonstrates therapeutic communication? a “Tell me more about what is worrying you about the surgery.” b “There’s nothing to worry about. This is a very common procedure.” c “You’ll be fine—the surgeon does this operation all the time.” d “Try to relax so your blood pressure doesn’t get too high.” 16 The nurse is caring for a postoperative client at risk for deep vein thrombosis (DVT). Which nursing interventions help prevent DVT formation? Choose one or more answers a Encouraging early ambulation as tolerated b Applying sequential compression devices (SCDs) as prescribed c Maintaining adequate hydration d Placing pillows under the knees to promote comfort e Administering prescribed anticoagulant therapy 17 Which type of anesthesia results in loss of consciousness and sensation throughout the entire body? a General anesthesia b Moderate (conscious) sedation c Regional anesthesia d Local anesthesia 18 Which client scenario is most appropriate for the use of regional anesthesia? a A client scheduled for a total knee replacement who remains awake while sensation is blocked below the waist b A client undergoing open abdominal surgery who requires complete loss of consciousness and airway control c A client having a skin lesion removed in the outpatient clinic d A client receiving short diagnostic imaging who requires brief anxiety relief but can respond to verbal commands 19 A client is receiving oxygen via nasal cannula. The nurse notes that the cannula prongs are not properly positioned in the nares. Which assessment finding would most likely indicate this problem? a Restlessness and decreased oxygen saturation b Warm, flushed skin and bounding pulses c Productive cough with coarse crackles d Bradycardia and decreased respiratory rate Feedback 16 Postoperative DVT prevention focuses on reducing venous stasis and hypercoagulability, which includes early mobility, mechanical prophylaxis (SCDs), adequate hydration, and pharmacologic anticoagulation when ordered. Placing pillows under the knees can increase venous stasis and is not recommended.

Perioperative Nursing Quiz

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Perioperative Nursing QuizVersión en línea

por Roberta Bell

What is the primary goal of preoperative nursing assessment?

Which client teaching is essential before anesthesia?

Which item is key in the ‘time-out’ before incision?

What is a common postoperative risk the nurse monitors for?

Which condition requires intraoperative management by the nurse?

Which action supports early postoperative mobilization?

Which lab value commonly reviewed preoperatively?

What PPE is essential for the perioperative nurse?

Which patient safety practice reduces infection risk?

What is the nurse’s role after anesthesia?

Which postoperative pain management method provides the most consistent therapeutic blood level of analgesia?

The nurse is caring for a postoperative patient who is unable to verbalize pain. Which nonverbal findings indicate the patient may be experiencing pain?

The nurse encourages a postoperative patient to use an incentive spirometer every hour while awake. This intervention is primarily used to prevent which complication?

Which postoperative client is most appropriate for discharge from the post‑anesthesia care unit (PACU)?

A client scheduled for surgery says, “I’m really scared. I’ve never had surgery before.” Which response by the nurse demonstrates therapeutic communication?

The nurse is caring for a postoperative client at risk for deep vein thrombosis (DVT). Which nursing interventions help prevent DVT formation?

Which type of anesthesia results in loss of consciousness and sensation throughout the entire body?

Which client scenario is most appropriate for the use of regional anesthesia?

A client is receiving oxygen via nasal cannula. The nurse notes that the cannula prongs are not properly positioned in the nares. Which assessment finding would most likely indicate this problem?