MASTER PERIOPERATIVE CARE, PAIN MANAGEMENT, WOUND
HEALING & SURGICAL NURSING
SECTION 1: PERIOPERATIVE CARE FUNDAMENTALS
(Questions 1-25)
Question 1
What are the three phases of the perioperative period?
A) Preoperative, Intraoperative, Postoperative
B) Induction, Maintenance, Emergence
C) Assessment, Planning, Evaluation
D) Preoperative, Operative, Recovery
Correct Answer: A
Rationale: The perioperative period consists of the preoperative phase (preparation for
surgery), intraoperative phase (during surgery), and postoperative phase (recovery and
follow-up). These three phases encompass the entire surgical experience .
Question 2
What is the MOST important factor in preoperative nursing assessment?
A) Allergies
B) Airway
C) NPO status
D) Last meal
Correct Answer: B
,Rationale: Airway is the most important factor in preoperative assessment. Maintenance
of a patent airway is always the priority in the ABC framework. Without a patent airway,
breathing and circulation cannot be maintained .
Question 3
The "Time Out" in the operating room involves:
A) Checking the patient's identification only
B) Ensuring the correct surgical site and procedure
C) Complete verification of patient identity, procedure, site, and any implants or special
requirements
D) Verifying the surgeon's credentials
Correct Answer: C
Rationale: The "Time Out" is a critical safety procedure that involves complete
verification of patient identity, correct surgical procedure, correct surgical site, and any
special requirements such as implants or allergies. It is performed immediately before
the procedure begins to prevent wrong-site, wrong-procedure, and wrong-patient
surgery .
Question 4
Which of the following are the five rights of medication administration?
A) Right patient, right drug, right dose, right route, right time
B) Right patient, right drug, right dose, right doctor, right time
C) Right drug, right dose, right route, right time, right place
D) Right patient, right drug, right dose, right route, right reason
Correct Answer: A
Rationale: The five rights of medication administration are right patient, right drug,
right dose, right route, and right time. These rights are essential for safe medication
administration in all healthcare settings .
,Question 5
When completing an incident report, the nurse should:
A) Include opinions about the cause
B) Include only the facts of the incident
C) Blame the involved staff
D) Speculate about what should have been done
Correct Answer: B
Rationale: Incident reports should contain only the facts of the incident, not opinions,
blame, or speculation. The purpose of an incident report is to document what occurred
for quality improvement purposes and to prevent recurrence .
Question 6
What does the abbreviation "NPO" mean?
A) Nothing by mouth
B) Non-per oral
C) Nutrition provided orally
D) Nothing provided orally
Correct Answer: A
Rationale: NPO stands for "nil per os" which means "nothing by mouth." This is a
common preoperative order to prevent aspiration during surgery. Patients are typically
NPO for 6-8 hours before surgery, depending on the procedure and anesthesia type.
Question 7
Which of the following is the primary role of the nurse during the preoperative phase?
, A) Performing the surgery
B) Administering anesthesia
C) Preparing the patient physically and emotionally for surgery
D) Monitoring the patient in the PACU
Correct Answer: C
Rationale: The primary role of the nurse during the preoperative phase is to prepare the
patient physically and emotionally for surgery. This includes assessing the patient,
providing education, ensuring consent is obtained, and verifying that preoperative
orders are completed.
Question 8
What is the purpose of the preoperative "surgical skin prep"?
A) To remove all hair from the surgical site
B) To reduce the microbial count on the skin
C) To make the skin easier to cut
D) To prevent the patient from getting cold
Correct Answer: B
Rationale: The purpose of the surgical skin prep is to reduce the microbial count on the
skin at the surgical site. This decreases the risk of surgical site infections .
Question 9
Which of the following is a common preoperative nursing intervention?
A) Administering IV antibiotics
B) Checking for allergies and verifying the surgical site
C) Performing the surgical incision
D) Monitoring the patient during recovery
Correct Answer: B