PERIOP 101 FINAL
REVIEW WITH QUESTION
AND ANSWERS
[Document subtitle]
,Which of the following is associated with increased risk for perioperative
hypothermia?
- female sex
- higher than normal body weight
- hyperthyroidism
- hypertension - correct ans:female sex
When is it appropriate for the periop nurse to release cricoid pressure?
- as the anesthesia provider starts to intubate the patient
- after the trachea is occluded
- when the ET tube cuff is inflated
- when the ET tube stylet Is removed - correct ans:- when the ET tube cuff is
inflated
The ET tube or laryngeal mask airway is removed?
- when the pt is able to maintain their airway
- when the pt is fully awake
- after an IV injection of Sugammedex
- after the narcotic reversal agent is administered - correct ans:when the pt is
able to maintain their airway
The most specific early indicator of a malignant hyperthermia crisis is
- change in the ECG
- increase in end-tidal CO2
- hyperkalemia
- tachypnea - correct ans:increase in end-tidal CO2
,Which of the following describes the administration of sedatives by an
anesthesia provider with additional medications and medical services as
needed?
- moderate sedation
- monitored anesthesia care (MAC)
- local anesthesia injection
- general anesthesia - correct ans:MAC
During the preop interview, the RN should ask the pt about use of any herbal
preparations and/ or botanical products. Why is this is a critical component of
the assessment?
- these products can affect bleeding times
- anesthetic effects can be prolonged
- liver toxicity can be potentiated
- all of the above - correct ans:- all of the above
the preop interview enables the nurse to
- identify any additional pt care needs prior to surgery
- determine the length of the procedure and needed supplies
- introduce the patient to the surgical team
- provide information necessary for d/c - correct ans:- identify any additional
pt care needs prior to surgery
Two elements of economic stability within the framework of SDOH include
- employment and enrollment in higher education
- housing stability and civic participation
- food insecurity and employment
- poverty and access to health care - correct ans:- food insecurity and
employment
, Which of the following is a particular consideration for post-op care of a pt
who is a regular user of cannabis products?
- euphoria
- galactorrhea
- Bispectral index (BIS) elevation
- Unknown tolerance to analgesics - correct ans:- Unknown tolerance to
analgesics
Risk factors for the surgical patient who uses/ abuses ETOH include
- shortened bleeding times
- normal cardiac function
- strengthened immune function
- exaggerated physiological stress response - correct ans:- exaggerated
physiological stress response
A potential complication of gas insufflation is increased
- blood pressure
- blood flow to the kidneys
- cardiac output
- urine output - correct ans:blood pressure
One action to promote safe gas insufflation is to
- flush the insufflator with sterile saline
- check that the alarms are on and audible
- maintain the pneumoperitoneum at the highest level possible
- remove the filter on the insufflator tubing - correct ans:- check that the
alarms are on and audible
REVIEW WITH QUESTION
AND ANSWERS
[Document subtitle]
,Which of the following is associated with increased risk for perioperative
hypothermia?
- female sex
- higher than normal body weight
- hyperthyroidism
- hypertension - correct ans:female sex
When is it appropriate for the periop nurse to release cricoid pressure?
- as the anesthesia provider starts to intubate the patient
- after the trachea is occluded
- when the ET tube cuff is inflated
- when the ET tube stylet Is removed - correct ans:- when the ET tube cuff is
inflated
The ET tube or laryngeal mask airway is removed?
- when the pt is able to maintain their airway
- when the pt is fully awake
- after an IV injection of Sugammedex
- after the narcotic reversal agent is administered - correct ans:when the pt is
able to maintain their airway
The most specific early indicator of a malignant hyperthermia crisis is
- change in the ECG
- increase in end-tidal CO2
- hyperkalemia
- tachypnea - correct ans:increase in end-tidal CO2
,Which of the following describes the administration of sedatives by an
anesthesia provider with additional medications and medical services as
needed?
- moderate sedation
- monitored anesthesia care (MAC)
- local anesthesia injection
- general anesthesia - correct ans:MAC
During the preop interview, the RN should ask the pt about use of any herbal
preparations and/ or botanical products. Why is this is a critical component of
the assessment?
- these products can affect bleeding times
- anesthetic effects can be prolonged
- liver toxicity can be potentiated
- all of the above - correct ans:- all of the above
the preop interview enables the nurse to
- identify any additional pt care needs prior to surgery
- determine the length of the procedure and needed supplies
- introduce the patient to the surgical team
- provide information necessary for d/c - correct ans:- identify any additional
pt care needs prior to surgery
Two elements of economic stability within the framework of SDOH include
- employment and enrollment in higher education
- housing stability and civic participation
- food insecurity and employment
- poverty and access to health care - correct ans:- food insecurity and
employment
, Which of the following is a particular consideration for post-op care of a pt
who is a regular user of cannabis products?
- euphoria
- galactorrhea
- Bispectral index (BIS) elevation
- Unknown tolerance to analgesics - correct ans:- Unknown tolerance to
analgesics
Risk factors for the surgical patient who uses/ abuses ETOH include
- shortened bleeding times
- normal cardiac function
- strengthened immune function
- exaggerated physiological stress response - correct ans:- exaggerated
physiological stress response
A potential complication of gas insufflation is increased
- blood pressure
- blood flow to the kidneys
- cardiac output
- urine output - correct ans:blood pressure
One action to promote safe gas insufflation is to
- flush the insufflator with sterile saline
- check that the alarms are on and audible
- maintain the pneumoperitoneum at the highest level possible
- remove the filter on the insufflator tubing - correct ans:- check that the
alarms are on and audible
