NSG 308 — Perioperative Nursing exam
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1. A nurse is preparing a patient for surgery. Which action is the
priority during the preoperative assessment?
A. Determining the patient's preferred meal after surgery
B. Assessing the patient's understanding of the surgical procedure
C. Asking the patient about preferred visiting hours
D. Providing information about hospital parking
Answer: B. Assessing the patient's understanding of the surgical
procedure
Rationale: Assessing the patient's understanding is essential because
it identifies knowledge deficits, anxiety, and misconceptions that may
affect informed participation in care. The nurse can then provide
,appropriate education or clarification. Visiting hours, meals, and
parking are not priorities in the preoperative assessment.
2. Which finding should the perioperative nurse report immediately
before a scheduled surgical procedure?
A. Blood pressure of 128/76 mmHg
B. Heart rate of 78 beats/minute
C. Temperature of 38.5°C (101.3°F)
D. Respiratory rate of 16 breaths/minute
Answer: C. Temperature of 38.5°C (101.3°F)
Rationale: An elevated temperature may indicate an active infection
or another condition that could increase surgical risk. The healthcare
provider should be notified so the cause can be evaluated and the
procedure reconsidered if necessary. The other vital signs are within
expected adult ranges.
3. A patient scheduled for surgery states, "I am extremely nervous
about what will happen during the operation." What is the nurse's
best initial response?
,A. "There is nothing to worry about."
B. "The surgeon performs this operation frequently."
C. "Tell me what concerns you most about the surgery."
D. "You should try to get some sleep before the procedure."
Answer: C. "Tell me what concerns you most about the surgery."
Rationale: The nurse should first encourage the patient to express
specific fears and concerns. Therapeutic communication allows the
nurse to identify the source of anxiety and provide individualized
information and support. Reassurance without exploration can
minimize the patient's feelings.
4. Which patient statement indicates a need for further teaching
about informed consent?
A. "The surgeon should explain the procedure to me."
B. "I can ask questions before signing the consent."
C. "The nurse will explain all of the surgical risks to me."
D. "I have the right to refuse the procedure."
Answer: C. "The nurse will explain all of the surgical risks to me."
Rationale: The healthcare provider performing the procedure is
responsible for explaining the procedure, expected benefits,
, significant risks, alternatives, and answering questions necessary for
informed consent. The nurse may witness the signature, verify that
the patient appears to understand, and notify the provider when
clarification is needed.
5. Which intervention is most appropriate for reducing the risk of
postoperative respiratory complications?
A. Restricting oral fluids
B. Teaching incentive spirometry before surgery
C. Keeping the patient completely immobile
D. Avoiding coughing after surgery
Answer: B. Teaching incentive spirometry before surgery
Rationale: Preoperative teaching about incentive spirometry prepares
patients to perform deep-breathing exercises after surgery. Deep
breathing helps prevent atelectasis and promotes lung expansion.
Teaching before surgery is particularly useful because pain, sedation,
and anxiety may make learning more difficult afterward.
6. A patient reports taking warfarin daily and is scheduled for
surgery. What should the nurse do first?
Questions and Correct Answers (Verified
Answers) Plus Rationale 2027 Q&A| Instant
Download Pdf
1. A nurse is preparing a patient for surgery. Which action is the
priority during the preoperative assessment?
A. Determining the patient's preferred meal after surgery
B. Assessing the patient's understanding of the surgical procedure
C. Asking the patient about preferred visiting hours
D. Providing information about hospital parking
Answer: B. Assessing the patient's understanding of the surgical
procedure
Rationale: Assessing the patient's understanding is essential because
it identifies knowledge deficits, anxiety, and misconceptions that may
affect informed participation in care. The nurse can then provide
,appropriate education or clarification. Visiting hours, meals, and
parking are not priorities in the preoperative assessment.
2. Which finding should the perioperative nurse report immediately
before a scheduled surgical procedure?
A. Blood pressure of 128/76 mmHg
B. Heart rate of 78 beats/minute
C. Temperature of 38.5°C (101.3°F)
D. Respiratory rate of 16 breaths/minute
Answer: C. Temperature of 38.5°C (101.3°F)
Rationale: An elevated temperature may indicate an active infection
or another condition that could increase surgical risk. The healthcare
provider should be notified so the cause can be evaluated and the
procedure reconsidered if necessary. The other vital signs are within
expected adult ranges.
3. A patient scheduled for surgery states, "I am extremely nervous
about what will happen during the operation." What is the nurse's
best initial response?
,A. "There is nothing to worry about."
B. "The surgeon performs this operation frequently."
C. "Tell me what concerns you most about the surgery."
D. "You should try to get some sleep before the procedure."
Answer: C. "Tell me what concerns you most about the surgery."
Rationale: The nurse should first encourage the patient to express
specific fears and concerns. Therapeutic communication allows the
nurse to identify the source of anxiety and provide individualized
information and support. Reassurance without exploration can
minimize the patient's feelings.
4. Which patient statement indicates a need for further teaching
about informed consent?
A. "The surgeon should explain the procedure to me."
B. "I can ask questions before signing the consent."
C. "The nurse will explain all of the surgical risks to me."
D. "I have the right to refuse the procedure."
Answer: C. "The nurse will explain all of the surgical risks to me."
Rationale: The healthcare provider performing the procedure is
responsible for explaining the procedure, expected benefits,
, significant risks, alternatives, and answering questions necessary for
informed consent. The nurse may witness the signature, verify that
the patient appears to understand, and notify the provider when
clarification is needed.
5. Which intervention is most appropriate for reducing the risk of
postoperative respiratory complications?
A. Restricting oral fluids
B. Teaching incentive spirometry before surgery
C. Keeping the patient completely immobile
D. Avoiding coughing after surgery
Answer: B. Teaching incentive spirometry before surgery
Rationale: Preoperative teaching about incentive spirometry prepares
patients to perform deep-breathing exercises after surgery. Deep
breathing helps prevent atelectasis and promotes lung expansion.
Teaching before surgery is particularly useful because pain, sedation,
and anxiety may make learning more difficult afterward.
6. A patient reports taking warfarin daily and is scheduled for
surgery. What should the nurse do first?
