NURS 347 EXAM 3 ACTUAL UPDATED
Exam Questions and CORRECT Answers
what are the 3 perioperative phases? - CORRECT ANSWER - 1. preoperative (begins
when pt/surgeon decide surgery necessary and ends when pt goes to the OR
2. intraoperative (begins when pt is transferred to OR bed and ends with pt transferred to the
PACU)
3. postoperative (begins with PACU admission and ends with complete recovery and last follow
up MD visit)
what is an elective surgery? - CORRECT ANSWER - preplanned surgery with either
minor or major degree of risk (usually few complications)
what is an urgent surgery? - CORRECT ANSWER - surgery that must be done in a
reasonably short time to preserve health
what is an emergency surgery? - CORRECT ANSWER - surgery done immediately to
preserve life, body part, and/or fxn
what is informed consent? - CORRECT ANSWER - pt must voluntarily agree to undergo
surgery and the provider must describe the procedure, alternative therapies, explain the risks,
explain the pt has the right to refuse, and explanation of expected outcome, recovery, rehab, and
its length
what are some developmental risk factors for surgery? - CORRECT ANSWER - - surgery
is greater risk for infants and older adults
- infants have less blood so blood loss is a concern as well as less temp control
- older adults have decreased CO2, reduced resp capacity, decreased blood flow, and decreased
thermoregulation
, what are some med/surg history risk factors for surgery? - CORRECT ANSWER -
previous surgery problems, past negative surgery experience, pt understanding of the surgery and
possible risks (informed consent)
what are some nutritional status risk factors for surgery? - CORRECT ANSWER - -
malnutrition delays wound healing
- obesity causes less infection resistance and resp/cardiac complications
what are some risk factors for surgery relating to alcohol/illicit/prescription drugs? - CORRECT
ANSWER - - risk of interactions with anesthesia
- smoking = higher incidence of respiratory complications
what are some sociocultural risk factors for surgery? - CORRECT ANSWER - - lack of
medical literacy can make pt appear resistant
- reactions to physical care and pain
- language barrier
- cultural and ethnic influences
what is general/systemic anesthesia? - CORRECT ANSWER - - combo of IV and
inhalation
- LOC, amnesia, analgesia, relaxed skeletal muscles, depressed reflexes
- needed to be maintained by anesthesiologist/nurse anesthetist
what is moderate sedation/analgesia? - CORRECT ANSWER - - conscious or procedural
sedation
- maintains consciousness and can respond to verbal commands
what is regional anesthesia? - CORRECT ANSWER - agent injected near a nerve (nerve
blocks), spinal, epidural
Exam Questions and CORRECT Answers
what are the 3 perioperative phases? - CORRECT ANSWER - 1. preoperative (begins
when pt/surgeon decide surgery necessary and ends when pt goes to the OR
2. intraoperative (begins when pt is transferred to OR bed and ends with pt transferred to the
PACU)
3. postoperative (begins with PACU admission and ends with complete recovery and last follow
up MD visit)
what is an elective surgery? - CORRECT ANSWER - preplanned surgery with either
minor or major degree of risk (usually few complications)
what is an urgent surgery? - CORRECT ANSWER - surgery that must be done in a
reasonably short time to preserve health
what is an emergency surgery? - CORRECT ANSWER - surgery done immediately to
preserve life, body part, and/or fxn
what is informed consent? - CORRECT ANSWER - pt must voluntarily agree to undergo
surgery and the provider must describe the procedure, alternative therapies, explain the risks,
explain the pt has the right to refuse, and explanation of expected outcome, recovery, rehab, and
its length
what are some developmental risk factors for surgery? - CORRECT ANSWER - - surgery
is greater risk for infants and older adults
- infants have less blood so blood loss is a concern as well as less temp control
- older adults have decreased CO2, reduced resp capacity, decreased blood flow, and decreased
thermoregulation
, what are some med/surg history risk factors for surgery? - CORRECT ANSWER -
previous surgery problems, past negative surgery experience, pt understanding of the surgery and
possible risks (informed consent)
what are some nutritional status risk factors for surgery? - CORRECT ANSWER - -
malnutrition delays wound healing
- obesity causes less infection resistance and resp/cardiac complications
what are some risk factors for surgery relating to alcohol/illicit/prescription drugs? - CORRECT
ANSWER - - risk of interactions with anesthesia
- smoking = higher incidence of respiratory complications
what are some sociocultural risk factors for surgery? - CORRECT ANSWER - - lack of
medical literacy can make pt appear resistant
- reactions to physical care and pain
- language barrier
- cultural and ethnic influences
what is general/systemic anesthesia? - CORRECT ANSWER - - combo of IV and
inhalation
- LOC, amnesia, analgesia, relaxed skeletal muscles, depressed reflexes
- needed to be maintained by anesthesiologist/nurse anesthetist
what is moderate sedation/analgesia? - CORRECT ANSWER - - conscious or procedural
sedation
- maintains consciousness and can respond to verbal commands
what is regional anesthesia? - CORRECT ANSWER - agent injected near a nerve (nerve
blocks), spinal, epidural
