INTRAOPERATIVE NCLEX QUESTIONS AND
ANSWERS LATEST VERSION COMPLETE GRADED A+
Identify five examples of data collected during the perioperative nurse's physical assessment of the
patient that indicate special considerations of the patient's needs during surgery: - ans1) allergy to skin
preparation agents, adhesive tapes, or latex
2) musculoskeletal impairments requiring adaptations in positioning
3) pain requiring adaptation in moving or procedures
4) decreased level of consciousness requiring increased safety and protection techniques
5) Vision and hearing impairments requiring adaptations in communication
6) piercings that require removal of jewelry before elctrosurgery
Also: skin conditions requiring special skin preparation and precautions against infection
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
a. desflurane (Suprane) - ansUsed for maintenance anesthesia- monitor for cardiopulmonary depression,
early pain, and nausea and vomiting
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
b. ketamine (Ketalar) - ansUsed for dissociative anesthesia with analgesia and amnesia- monitor for
agitation, hallucinations, nightmares
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
c. Fentanyl (Sublimaze) - ansInduction and maintenance of anesthesia; promote early analgesia- assess
for nausea and vomiting, monitor respiratory status
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
d. succinylcholine (Anectine) - ansProduce deep muscle relaxation- monitor respiratory muscle movement,
airway patency, and temperature
IV nerve block - ansInjection of agent into veins of extremity after limb is exsanguinated
Local Anesthesia - ansLoss of sensation without loss of consciousness; induced topically or via
infiltration, intracutaneously, or subcutaneously; topical applications may be aerosolized or nebulized
, INTRAOPERATIVE NCLEX QUESTIONS AND
ANSWERS LATEST VERSION COMPLETE GRADED A+
Local infiltration - ansInjection of anesthetic agent directly into tissues
Monitored Anesthesia Care (MAC) - anssimilar to general anesthesia, sedatives and opioids are used but at
a lower dosage; does not involve inhalation agents; relieves anxiety, provides analgesia and amnesia;
patients remain responsive and breathe without assistance; may be used in conjunction with regional or
local anesthesia; often used for minor surgical procedures and diagnostic procedures
Monitored anesthesia care (MAC) is being considered for a patient undergoing a cervical dilation and
endometrial biopsy in health care provider's office. The patient asks the nurse, "What is the MAC?" The
nurse's response is based on the knowledge that MAC
a. can be administered only by anesthesiologists or nurse anesthetists
b. enables the patient to respond to commands and accept painful procedures
c. should never be used outside of the OR because of the risk of serious complications
d. is so safe that it can be administered by nurses with direction from health care providers - ansB- MAC
refers to sedation that allows the patient to manage his or her own airway and respond to commands, and
yet the patient can emotionally and physically accept painful procedures. Drugs are used to provide
analgesia, relieve anxiety, and/or provide amnesia. It can be administered by personnel other than
anesthesiologists, but nurses should be specially trained in the techniques of MAC to carry out this
procedure because of the high risk of complications resulting in clinical emergencies
Nerve block - ansInjection of a specific nerve with an anesthetic agent
Regional Anesthesia - ansLoss of sensation to a region of body without loss of consciousness; involves
blocking a specific nerve or group of nerves with administration of a local anesthetic; includes spinal,
caudal, and epidural anesthesia and IV and peripheral nerve blocks
Spinal block - ansInjection of agent into subarachnoid space
The physical environment of a surgery suite is designed primarily to promote
a. electrical safety
b. medical and surgical asepsis
c. comfort and privacy of the patient
d. communication among the surgical team - ansB- Medical and surgical asepsis
Although all the factors are important to the safety and well being of the patient, the first consideration in
the physical environment of the surgical suite is prevention of transmission of infection to the patient
ANSWERS LATEST VERSION COMPLETE GRADED A+
Identify five examples of data collected during the perioperative nurse's physical assessment of the
patient that indicate special considerations of the patient's needs during surgery: - ans1) allergy to skin
preparation agents, adhesive tapes, or latex
2) musculoskeletal impairments requiring adaptations in positioning
3) pain requiring adaptation in moving or procedures
4) decreased level of consciousness requiring increased safety and protection techniques
5) Vision and hearing impairments requiring adaptations in communication
6) piercings that require removal of jewelry before elctrosurgery
Also: skin conditions requiring special skin preparation and precautions against infection
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
a. desflurane (Suprane) - ansUsed for maintenance anesthesia- monitor for cardiopulmonary depression,
early pain, and nausea and vomiting
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
b. ketamine (Ketalar) - ansUsed for dissociative anesthesia with analgesia and amnesia- monitor for
agitation, hallucinations, nightmares
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
c. Fentanyl (Sublimaze) - ansInduction and maintenance of anesthesia; promote early analgesia- assess
for nausea and vomiting, monitor respiratory status
Identify the rationale for the use of the following drugs during surgery and one nursing implication
indicated in the care of the patient immediately postoperatively related to the drug
d. succinylcholine (Anectine) - ansProduce deep muscle relaxation- monitor respiratory muscle movement,
airway patency, and temperature
IV nerve block - ansInjection of agent into veins of extremity after limb is exsanguinated
Local Anesthesia - ansLoss of sensation without loss of consciousness; induced topically or via
infiltration, intracutaneously, or subcutaneously; topical applications may be aerosolized or nebulized
, INTRAOPERATIVE NCLEX QUESTIONS AND
ANSWERS LATEST VERSION COMPLETE GRADED A+
Local infiltration - ansInjection of anesthetic agent directly into tissues
Monitored Anesthesia Care (MAC) - anssimilar to general anesthesia, sedatives and opioids are used but at
a lower dosage; does not involve inhalation agents; relieves anxiety, provides analgesia and amnesia;
patients remain responsive and breathe without assistance; may be used in conjunction with regional or
local anesthesia; often used for minor surgical procedures and diagnostic procedures
Monitored anesthesia care (MAC) is being considered for a patient undergoing a cervical dilation and
endometrial biopsy in health care provider's office. The patient asks the nurse, "What is the MAC?" The
nurse's response is based on the knowledge that MAC
a. can be administered only by anesthesiologists or nurse anesthetists
b. enables the patient to respond to commands and accept painful procedures
c. should never be used outside of the OR because of the risk of serious complications
d. is so safe that it can be administered by nurses with direction from health care providers - ansB- MAC
refers to sedation that allows the patient to manage his or her own airway and respond to commands, and
yet the patient can emotionally and physically accept painful procedures. Drugs are used to provide
analgesia, relieve anxiety, and/or provide amnesia. It can be administered by personnel other than
anesthesiologists, but nurses should be specially trained in the techniques of MAC to carry out this
procedure because of the high risk of complications resulting in clinical emergencies
Nerve block - ansInjection of a specific nerve with an anesthetic agent
Regional Anesthesia - ansLoss of sensation to a region of body without loss of consciousness; involves
blocking a specific nerve or group of nerves with administration of a local anesthetic; includes spinal,
caudal, and epidural anesthesia and IV and peripheral nerve blocks
Spinal block - ansInjection of agent into subarachnoid space
The physical environment of a surgery suite is designed primarily to promote
a. electrical safety
b. medical and surgical asepsis
c. comfort and privacy of the patient
d. communication among the surgical team - ansB- Medical and surgical asepsis
Although all the factors are important to the safety and well being of the patient, the first consideration in
the physical environment of the surgical suite is prevention of transmission of infection to the patient
