Which of the following is NOT an example of an ethical dilemma that perioperative nurses may
encounter?
a. Do-not-resuscitate (DNR) order for a surgical patient.
b. Family disagreement regarding possible organ donation
c. Family disagreement about a below the knee amputation on a 18 year-old who has already given
consent.
d. Human experimentation ANS: C. Family disagreement about a below the knee amputation on a 18
year-old who has already given consent.
Which of the following statements reflect the concept of critical thinking? (select all that apply)
a. Memorization
b. Rote tasks
c. Informed practice
d. Holistic thinking
e. Unbiased thinking
f. Reasoned application of a step by step process ANS: c. Informed practice
d. Holistic thinking
e. Unbiased thinking
f. Reasoned application of a step by step process
Which PNDS outcome is the most important when draping the surgical patient?
a. The patient is free from signs and symptoms of infection
b. The patient is free from signs and symptoms of injury from extraneous objects
,c. The patient maintains normothermia during the perioperative phase of care
d. The patient's care is consistent with the perioperative plan of care ANS: a. The patient is free from
signs and symptoms of infection
The types of questions that a novice perioperative nurse might NOT ask her preceptor about an
upcoming cardiovascular surgery include which of the following?
a. How does the conduction system of the heart work?
b. How long will the surgery take?
c. What is the purpose of the surgery?
d. What's the anatomy and physiology of the heart? ANS: a. How does the conduction system of the
heart work?
Which of the following nursing tools does not reflect critical thinking and clinical reasoning?
a. A single procedure list used for all patients scheduled for that procedure
b. Perioperative Nursing Data Set (PNDS)
c. The nursing process
d. World Health Organization's surgical checklist ANS: a. A single procedure list used for all patients
scheduled for that procedure
Important values affecting the clinical setting include which of the following?
a. Conflict resolution
b. Decision-making
c. Fair and equitable care
d. Problem-solving ANS: c. Fair and equitable care
,Which of the following statements concerning mentors and preceptors are correct? (Select all that
apply)
a. Both model professional nursing behaviors
b. Mentors guide nurses through global professional activities
c. Preceptors guide nurses through defined clinical activities
d. The mentor provides support for a fixed and limited period of time ANS: a. Both model professional
nursing behaviors
b. Mentors guide nurses through global professional activities
c. Preceptors guide nurses through defined clinical activities
During which phase of wound healing does contraction occur?
a. Epithelialization
b. Inflammation
c. Proliferation
d. Remodeling ANS: c. Proliferation
In which type of healing does the wound remain open and heal without additional surgery?
a. Delayed primary closure
b. Granulation
c. Infected
d. Primary union ANS: b. Granulation
, In which phase of healing do hemostasis, phagocytosis and edema occur?
a. Edema
b. Inflammation
c. Proliferation
d. Remodeling ANS: b. Inflammation
In which order do the body's defense mechanisms take place during healing?
1. Seal the wound against infection
2. Stop the blood loss
3. Repair deeper tissue damage
4. Regenerate the natural epidermal covering
5. Clean up pathogens and debris in the wound
a. 5, 2, 1, 3, 4
b. 2, 5, 1, 4, 3
c. 2, 1, 5, 3, 4
d. 5, 1, 2, 4, 3 ANS: b. 2, 5, 1, 4, 3
A 72-year-old man is scheduled for a procedure to repair his right hip fracture. He has a history of
smoking and diabetes, and i currently taking prednisone for his rheumatoid arthritis. You are concerned
about his wound healing post-operatively based on the following factors. (Select all that apply.)
a. Post-operative infection rates are 6 times higher in patients older than 66 compared to patients ages
1-14
b. Corticosteroids may potentially delay wound healing