NUR 3112 EXAM 1 – BLUEPRINT QUESTIONS WITH
VERIFIED ACCURATE ANSWERS
perioperative nursing - Answers - encompasses preop, intra-op, and postop
how are good patient outcomes ensured? - Answers - communication, teamwork, and
assessments
diagnostic/exploratory surgery - Answers - determine the origin and cause of a disorder
or the type of cell for cancer
cure/preventative surgery - Answers - resolve a health problem by repairing or removing
the cause
palliative surgery - Answers - alleviates symptoms of a disease process, but does not
cure
rehabilitative/reconstructive surgery - Answers - improve functional ability
transplantation surgery - Answers - replace an organ or structure
cosmetic/constructive surgery - Answers - restore function, alter, or enhance personal
appearance
emergent surgery - Answers - no delay; bleeding, trauma, MI
urgent surgery - Answers - within 24-30 hours; bypass, CABG, gallbladder
required surgery - Answers - within weeks to months; cataracts, some cancers
elective surgery - Answers - delay is not catastrophic; hernias
optional surgery - Answers - personal preference; cosmetic
who transports the patient to pre-op? - Answers - transport; pre-op nurse; unit nurse
what accompanies the patient to pre-op? - Answers - chart; patient identification; signed
consent form; completed preoperative checklist
never events - Answers - errors that should never occur and indicate serious safety
problems; 1 of 112000 procedures; no reimbursement from medicare/medicaid
, SBAR communication - PACU to unit - Answers - diagnosis; type of surgery; age,
general condition; anesthetics/meds given; problems in OR; pathology; IVF/EBL; pain
control
unit nurse role postop - Answers - assessment; attend to immediate needs; connect
tubes; reposition; reinforce deep breathing, coughing, and leg exercises; review postop
orders
medication reconciliation - Answers - prescribed; OTC; herbal/supplements/vitamins;
drugs/tobacco/alcohol; polypharmacy
preoperative labs and diagnostics - Answers - according to the procedure; ex.
echo/EKG/xray for cardiac
preoperative PMH assessment - Answers - comorbidities; medical conditions; previous
hospitalizations/surgeries; menstrual/OB history; family history; problems with
anesthesia (including family)
comorbidities that could affect surgery - Answers - HF; DM; infection; sepsis; COPD;
CKD; ERSD; dialysis; extremities of age; immunological abnormalities
preoperative allergy assessment - Answers - identify allergy and reaction; includes
foods, drugs, latex
why is the preoperative allergy assessment? - Answers - any history of allergic
response has a higher risk of hypersensitivity to anesthesia medications
preoperative pulmonary assessment - Answers - determine any potential risk; normal
function = 6-10% risk; chronic problems increase risk; smokers encouraged to quit 4-8
weeks before
preoperative cardiovascular assessment - Answers - complications more common in
patients with established cardiac disease; control BP
risk for surgical complications with MI - Answers - < 3 months since MI - 30% with 50%
mortality; 3-6 months since MI - 15%; > 6 months since MI - 6%
preoperative neurologic assessment - Answers - cognitive function and deficits must be
assessed and treated; vision and hearing important for consent
preoperative renal assessment - Answers - history or urinary or renal diseases; can
contribute to F&E imbalances, increased risk of infection; impaired wound healing;
altered response to drugs; urinary dysfunction
preoperative integumentary assessment - Answers - skin breakdown; history of skin
problems/pressure ulcers; latex/tape allergies
VERIFIED ACCURATE ANSWERS
perioperative nursing - Answers - encompasses preop, intra-op, and postop
how are good patient outcomes ensured? - Answers - communication, teamwork, and
assessments
diagnostic/exploratory surgery - Answers - determine the origin and cause of a disorder
or the type of cell for cancer
cure/preventative surgery - Answers - resolve a health problem by repairing or removing
the cause
palliative surgery - Answers - alleviates symptoms of a disease process, but does not
cure
rehabilitative/reconstructive surgery - Answers - improve functional ability
transplantation surgery - Answers - replace an organ or structure
cosmetic/constructive surgery - Answers - restore function, alter, or enhance personal
appearance
emergent surgery - Answers - no delay; bleeding, trauma, MI
urgent surgery - Answers - within 24-30 hours; bypass, CABG, gallbladder
required surgery - Answers - within weeks to months; cataracts, some cancers
elective surgery - Answers - delay is not catastrophic; hernias
optional surgery - Answers - personal preference; cosmetic
who transports the patient to pre-op? - Answers - transport; pre-op nurse; unit nurse
what accompanies the patient to pre-op? - Answers - chart; patient identification; signed
consent form; completed preoperative checklist
never events - Answers - errors that should never occur and indicate serious safety
problems; 1 of 112000 procedures; no reimbursement from medicare/medicaid
, SBAR communication - PACU to unit - Answers - diagnosis; type of surgery; age,
general condition; anesthetics/meds given; problems in OR; pathology; IVF/EBL; pain
control
unit nurse role postop - Answers - assessment; attend to immediate needs; connect
tubes; reposition; reinforce deep breathing, coughing, and leg exercises; review postop
orders
medication reconciliation - Answers - prescribed; OTC; herbal/supplements/vitamins;
drugs/tobacco/alcohol; polypharmacy
preoperative labs and diagnostics - Answers - according to the procedure; ex.
echo/EKG/xray for cardiac
preoperative PMH assessment - Answers - comorbidities; medical conditions; previous
hospitalizations/surgeries; menstrual/OB history; family history; problems with
anesthesia (including family)
comorbidities that could affect surgery - Answers - HF; DM; infection; sepsis; COPD;
CKD; ERSD; dialysis; extremities of age; immunological abnormalities
preoperative allergy assessment - Answers - identify allergy and reaction; includes
foods, drugs, latex
why is the preoperative allergy assessment? - Answers - any history of allergic
response has a higher risk of hypersensitivity to anesthesia medications
preoperative pulmonary assessment - Answers - determine any potential risk; normal
function = 6-10% risk; chronic problems increase risk; smokers encouraged to quit 4-8
weeks before
preoperative cardiovascular assessment - Answers - complications more common in
patients with established cardiac disease; control BP
risk for surgical complications with MI - Answers - < 3 months since MI - 30% with 50%
mortality; 3-6 months since MI - 15%; > 6 months since MI - 6%
preoperative neurologic assessment - Answers - cognitive function and deficits must be
assessed and treated; vision and hearing important for consent
preoperative renal assessment - Answers - history or urinary or renal diseases; can
contribute to F&E imbalances, increased risk of infection; impaired wound healing;
altered response to drugs; urinary dysfunction
preoperative integumentary assessment - Answers - skin breakdown; history of skin
problems/pressure ulcers; latex/tape allergies
