BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
The preoperative phase is the period: -
correct answer ✅from when the decision for surgery is made until
the patient is transferred to the operating room;
The intraoperative phase is the period: -
correct answer ✅that begins with the transfer of the patient to the
operating room and continues until the patient is admitted to the
post anesthesia care unit (PACU);
The postoperative phase is the period: -
correct answer ✅that begins with the admission of the patient to
the PACU and ends after follow-up evaluation in the clinical setting
or home;
What is included in the preoperative admission clinic: -
correct answer ✅preadmission ax blood work anesthetic consult
med review preoperative and TKA education;
TKA: -
correct answer ✅Total knee arthroplasty (TKA), also known as
total knee replacement, is a surgical procedure that replaces the
damaged parts of the knee with artificial parts. It's a common
,BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
orthopedic procedure that's used to treat severe arthritis or knee
injuries;
Preadmission assessment -
correct answer ✅health hx and physical at which includes
medications anticoagulants allergies co morbidities obesity etc,
surgical and anesthetic history what type of anesthesia
Important blood work for preop -
correct answer ✅increased WBC, Low HMG, GFR lower than 59
Pre op fasting why? -
correct answer ✅reduced the risk of aspiration decreases gastric
volume in addition acidity decreased which reduces injury if
aspiration occurs
General fasting guidelines for pre op -
correct answer ✅solid food stop at 6 hours or before clear fluids
stop at 2 hours or before, all intake no less than 2 hours
Preoperative carbohydrate loading -
correct answer ✅ERAS prescribed 2-4 hours prior keep pt in fed
,BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
state versus fasting reduces hunger thirst and anxiety, insulin
resistance muscle protein
ERAS -
correct answer ✅is enhanced recovery after surgery standardized
medical care minimize surgical trauma reduce post op pain and
complication improve recovery decreased hospital stay lower
Glyburide can cause -
correct answer ✅hypoglycemia in fasting state give juices PRN
What medications are stopped before surgery like ibuprofen
ramipril glyburide -
correct answer ✅Increases bleeding risk antiplatelets
anticoagulants NSAIDS, ACE inhibitors can cause hypotension in
addition to anesthesia which decreases BP, oral diabetics can
increase the risk for hypoglycemia
What is included in the preop unit -
correct answer ✅pre op ax and checklist, informed consent IV
starts with meds like abx ranitidine Tylenol high dose
, BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
Pre-Op ax -
correct answer ✅baseline for post op, abnormal or unexpected, ax
for post op complications, verifies consent, readiness for surgery, pt
safety
Things included in the pre op check list -
correct answer ✅removal hearing aids dentures - at risk for
aspiration, nail polish and cosmetics removed - infection risk oxygen
monitoring, clothing removes - easy access to sites infection risk,
last void- accurate in and out retention, G&S and crossmatch -
incise blood needed
Informed consent -
correct answer ✅voluntary decision about whether to undergo a
health care treatment or procedure
Consent is valid is given -
correct answer ✅voluntarily, obtained fraud or misrepresentation,
the pt can give consent or refusing consent information required to
understand information given description of surgical procedure
nature and reason benefits and risk of procedures and description
of alternatives options
Answers (Grade A+)
The preoperative phase is the period: -
correct answer ✅from when the decision for surgery is made until
the patient is transferred to the operating room;
The intraoperative phase is the period: -
correct answer ✅that begins with the transfer of the patient to the
operating room and continues until the patient is admitted to the
post anesthesia care unit (PACU);
The postoperative phase is the period: -
correct answer ✅that begins with the admission of the patient to
the PACU and ends after follow-up evaluation in the clinical setting
or home;
What is included in the preoperative admission clinic: -
correct answer ✅preadmission ax blood work anesthetic consult
med review preoperative and TKA education;
TKA: -
correct answer ✅Total knee arthroplasty (TKA), also known as
total knee replacement, is a surgical procedure that replaces the
damaged parts of the knee with artificial parts. It's a common
,BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
orthopedic procedure that's used to treat severe arthritis or knee
injuries;
Preadmission assessment -
correct answer ✅health hx and physical at which includes
medications anticoagulants allergies co morbidities obesity etc,
surgical and anesthetic history what type of anesthesia
Important blood work for preop -
correct answer ✅increased WBC, Low HMG, GFR lower than 59
Pre op fasting why? -
correct answer ✅reduced the risk of aspiration decreases gastric
volume in addition acidity decreased which reduces injury if
aspiration occurs
General fasting guidelines for pre op -
correct answer ✅solid food stop at 6 hours or before clear fluids
stop at 2 hours or before, all intake no less than 2 hours
Preoperative carbohydrate loading -
correct answer ✅ERAS prescribed 2-4 hours prior keep pt in fed
,BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
state versus fasting reduces hunger thirst and anxiety, insulin
resistance muscle protein
ERAS -
correct answer ✅is enhanced recovery after surgery standardized
medical care minimize surgical trauma reduce post op pain and
complication improve recovery decreased hospital stay lower
Glyburide can cause -
correct answer ✅hypoglycemia in fasting state give juices PRN
What medications are stopped before surgery like ibuprofen
ramipril glyburide -
correct answer ✅Increases bleeding risk antiplatelets
anticoagulants NSAIDS, ACE inhibitors can cause hypotension in
addition to anesthesia which decreases BP, oral diabetics can
increase the risk for hypoglycemia
What is included in the preop unit -
correct answer ✅pre op ax and checklist, informed consent IV
starts with meds like abx ranitidine Tylenol high dose
, BSNC 3000 Midterm Exam Questions &
Answers (Grade A+)
Pre-Op ax -
correct answer ✅baseline for post op, abnormal or unexpected, ax
for post op complications, verifies consent, readiness for surgery, pt
safety
Things included in the pre op check list -
correct answer ✅removal hearing aids dentures - at risk for
aspiration, nail polish and cosmetics removed - infection risk oxygen
monitoring, clothing removes - easy access to sites infection risk,
last void- accurate in and out retention, G&S and crossmatch -
incise blood needed
Informed consent -
correct answer ✅voluntary decision about whether to undergo a
health care treatment or procedure
Consent is valid is given -
correct answer ✅voluntarily, obtained fraud or misrepresentation,
the pt can give consent or refusing consent information required to
understand information given description of surgical procedure
nature and reason benefits and risk of procedures and description
of alternatives options
