NUR 2550 EXAM #1 QUESTIONS
AND COMPLETE SOLUTIONS
GRADED A+
Your Exam Plug
,preoperative period - Answer: begins when the patient is scheduled for surgery; ends at time of transfer
to surgical suite; nurse functions as educator, advocate, promoter of health and safety
What needs to be reported to the Centers for Medicare and Medicaid? - Answer: wrong site surgery,
hospital acquired pressure ulcers, vascular catheter associated infections, and patient falls
never events - Answer: complications that are preventable
What are the reasons for surgery? - Answer: -diagnostic
-curative
-restorative
-palliative
-cosmetic
cosmetic surgery - Answer: performed to reshape normal body structures to improve the patient's
appearance or self-image; usually is elective in nature; ex. facelift, rhinoplasty
curative surgery - Answer: performed to resolve a health problem by repairing or removing the cause;
ex. removal of cancerous tumor
diagnostic surgery - Answer: performed to determine the origin and cause of a disorder by taking a
tissue sample with the intention of diagnosing (and staging, if applicable) a condition; ex. breast biopsy
after an abnormal finding on a mammogram
palliative surgery - Answer: performed to increase the quality of life (often to reduce pain) while
reducing stressors on the body; non-curative in nature; ex. ileostomy creation, thoracentesis
preventative surgery - Answer: performed with the intention that a condition will not develop; ex.
prophylactic bilateral mastectomy in women who carry the BRCA1 or BRCA2 gene
reconstructive surgery - Answer: performed on abnormal or damaged body structures to improve
functional ability; ex. total knee or hip replacement
, transplantation surgery - Answer: performed to replace a malfunctioning structure; ex. heart or kidney
transplant
What are the levels of urgency for surgery? - Answer: 1. elective
2. urgent
3. emergent
elective surgery - Answer: planned for correction of a non-acute problem; ex. cataract removal, hernia
repair
urgent surgery - Answer: requires prompt intervention; may be life threatening if treatment is delayed
more than 24-48 hours; ex. intestinal obstruction
emergent surgery - Answer: requires immediate intervention because of life threatening consequences;
ex. gunshot or stab wound
simple surgery - Answer: only the most overtly affected areas are involved in the surgery; ex. simple or
partial mastectomy
minimally invasive surgery (MIS) - Answer: surgery performed in a body cavity or body area through one
or more endoscopes; can correct problems, remove organs, take tissue for biopsy, reroute blood vessels
and drainage systems; is a fast growing and every changing type of surgery; ex. arthroscopy, tubal
ligation
radical surgery - Answer: extensive surgery beyond the area obviously involved; is directed at finding a
root cause; ex. radical hysterectomy or radical prostatectomy
postoperative phase - Answer: starts with the completion of the surgical procedure and transfer of the
patient to a specialized area for monitoring such as the PACU or an ICU
inpatient setting - Answer: a patient who is admitted to the hospital
AND COMPLETE SOLUTIONS
GRADED A+
Your Exam Plug
,preoperative period - Answer: begins when the patient is scheduled for surgery; ends at time of transfer
to surgical suite; nurse functions as educator, advocate, promoter of health and safety
What needs to be reported to the Centers for Medicare and Medicaid? - Answer: wrong site surgery,
hospital acquired pressure ulcers, vascular catheter associated infections, and patient falls
never events - Answer: complications that are preventable
What are the reasons for surgery? - Answer: -diagnostic
-curative
-restorative
-palliative
-cosmetic
cosmetic surgery - Answer: performed to reshape normal body structures to improve the patient's
appearance or self-image; usually is elective in nature; ex. facelift, rhinoplasty
curative surgery - Answer: performed to resolve a health problem by repairing or removing the cause;
ex. removal of cancerous tumor
diagnostic surgery - Answer: performed to determine the origin and cause of a disorder by taking a
tissue sample with the intention of diagnosing (and staging, if applicable) a condition; ex. breast biopsy
after an abnormal finding on a mammogram
palliative surgery - Answer: performed to increase the quality of life (often to reduce pain) while
reducing stressors on the body; non-curative in nature; ex. ileostomy creation, thoracentesis
preventative surgery - Answer: performed with the intention that a condition will not develop; ex.
prophylactic bilateral mastectomy in women who carry the BRCA1 or BRCA2 gene
reconstructive surgery - Answer: performed on abnormal or damaged body structures to improve
functional ability; ex. total knee or hip replacement
, transplantation surgery - Answer: performed to replace a malfunctioning structure; ex. heart or kidney
transplant
What are the levels of urgency for surgery? - Answer: 1. elective
2. urgent
3. emergent
elective surgery - Answer: planned for correction of a non-acute problem; ex. cataract removal, hernia
repair
urgent surgery - Answer: requires prompt intervention; may be life threatening if treatment is delayed
more than 24-48 hours; ex. intestinal obstruction
emergent surgery - Answer: requires immediate intervention because of life threatening consequences;
ex. gunshot or stab wound
simple surgery - Answer: only the most overtly affected areas are involved in the surgery; ex. simple or
partial mastectomy
minimally invasive surgery (MIS) - Answer: surgery performed in a body cavity or body area through one
or more endoscopes; can correct problems, remove organs, take tissue for biopsy, reroute blood vessels
and drainage systems; is a fast growing and every changing type of surgery; ex. arthroscopy, tubal
ligation
radical surgery - Answer: extensive surgery beyond the area obviously involved; is directed at finding a
root cause; ex. radical hysterectomy or radical prostatectomy
postoperative phase - Answer: starts with the completion of the surgical procedure and transfer of the
patient to a specialized area for monitoring such as the PACU or an ICU
inpatient setting - Answer: a patient who is admitted to the hospital