Perioperative Nursing
The important nursing intervention prior
to administration of pre-anesthetic
medication is:
A.) Ask patient to empty the bladder
B.) Do deep breathing and coughing
exercises
C.) Regulate IVF accurately
D.) Shave the skin ✔✔A.) Ask patient to empty the bladder
Which of the following is most dangerous complication during induction of spinal
anesthesia?
A.)Tachycardia
B.)Hypotension
C.)Hyperthermia
D.)Bradypnea ✔✔B.)Hypotension
Which type of surgery is most likely to predispose a patient to postoperative
atelectasis, pneumonia or respiratory failure?
A.)Upper abdominal surgery on an obese patient with a long history of smoking
B.)Upper abdominal surgery on a patient with normal pulmonary function
C.)Lower abdominal surgery on a young patient with diabetes mellitus
D.)Surgery on the extremities of a nonsmoking football player ✔✔A.)Upper
abdominal surgery on an obese patient with a long history of smoking
Which of the following characterizes excitement stage of anesthesia
A.) Occurs from the administration of anesthesia to the loss of consciousness
B.) Extends from the loss of consciousness to the loss of lid reflex, characterized by
struggling and talking
C.) From the loss of lid reflex to the loss of most reflexes
D.) From the loss of most reflexes to respiratory and circulatory failure ✔✔B.)
Extends from the loss of consciousness to the loss of lid reflex, characterized by
struggling and talking
To prevent headache after spinal anesthesia the patient should be positioned:
, A.) Semi-fowler's
B.) Flat on bed for 6 to 8 hours
C.) Prone position
D.) Modified Trendelenburg ✔✔B.) Flat on bed for 6 to 8 hours
Which of the following nursing actions should be given highest priority when
admitting the patient into the operating room?
A.) Level of consciousness
B.) Vital signs
C.) Patient identification and correct operative consent
D.) Positioning and skin preparation ✔✔C.) Patient identification and correct
operative consent
What is the primary reason for the gradual change of position of the patient after
surgery?
A.) To prevent muscle injury
B.) To prevent sudden drop of BP
C.) To prevent respiratory distress
D.) To promote comfort ✔✔B.) To prevent sudden drop of BP
Which of the following assessment data is most important to determine when caring
for a patient who has received spinal anesthesia?
A.) The time of return of motion and sensation in the legs and toe
B.) The character of respiration
C.) Level of consciousness
D.) Amount of wound drainage ✔✔A.) The time of return of motion and sensation
in the legs and toes
Which of the following postop findings should the nurse report to the M.D.?
A.) The patient pushes out the oral airway with his tongue
B.) Urine output is 20ml/hr for the past two hours
C.) VS are as follows:
BP=110/70;PR=95;RR=19,Temp=36.8C
D.) Wound drainage is serosanguinous ✔✔B.) Urine output is 20ml/hr for the past
two hours
Which of the following is the earliest sign
of poor respiratory function?
The important nursing intervention prior
to administration of pre-anesthetic
medication is:
A.) Ask patient to empty the bladder
B.) Do deep breathing and coughing
exercises
C.) Regulate IVF accurately
D.) Shave the skin ✔✔A.) Ask patient to empty the bladder
Which of the following is most dangerous complication during induction of spinal
anesthesia?
A.)Tachycardia
B.)Hypotension
C.)Hyperthermia
D.)Bradypnea ✔✔B.)Hypotension
Which type of surgery is most likely to predispose a patient to postoperative
atelectasis, pneumonia or respiratory failure?
A.)Upper abdominal surgery on an obese patient with a long history of smoking
B.)Upper abdominal surgery on a patient with normal pulmonary function
C.)Lower abdominal surgery on a young patient with diabetes mellitus
D.)Surgery on the extremities of a nonsmoking football player ✔✔A.)Upper
abdominal surgery on an obese patient with a long history of smoking
Which of the following characterizes excitement stage of anesthesia
A.) Occurs from the administration of anesthesia to the loss of consciousness
B.) Extends from the loss of consciousness to the loss of lid reflex, characterized by
struggling and talking
C.) From the loss of lid reflex to the loss of most reflexes
D.) From the loss of most reflexes to respiratory and circulatory failure ✔✔B.)
Extends from the loss of consciousness to the loss of lid reflex, characterized by
struggling and talking
To prevent headache after spinal anesthesia the patient should be positioned:
, A.) Semi-fowler's
B.) Flat on bed for 6 to 8 hours
C.) Prone position
D.) Modified Trendelenburg ✔✔B.) Flat on bed for 6 to 8 hours
Which of the following nursing actions should be given highest priority when
admitting the patient into the operating room?
A.) Level of consciousness
B.) Vital signs
C.) Patient identification and correct operative consent
D.) Positioning and skin preparation ✔✔C.) Patient identification and correct
operative consent
What is the primary reason for the gradual change of position of the patient after
surgery?
A.) To prevent muscle injury
B.) To prevent sudden drop of BP
C.) To prevent respiratory distress
D.) To promote comfort ✔✔B.) To prevent sudden drop of BP
Which of the following assessment data is most important to determine when caring
for a patient who has received spinal anesthesia?
A.) The time of return of motion and sensation in the legs and toe
B.) The character of respiration
C.) Level of consciousness
D.) Amount of wound drainage ✔✔A.) The time of return of motion and sensation
in the legs and toes
Which of the following postop findings should the nurse report to the M.D.?
A.) The patient pushes out the oral airway with his tongue
B.) Urine output is 20ml/hr for the past two hours
C.) VS are as follows:
BP=110/70;PR=95;RR=19,Temp=36.8C
D.) Wound drainage is serosanguinous ✔✔B.) Urine output is 20ml/hr for the past
two hours
Which of the following is the earliest sign
of poor respiratory function?
