UPDATED ACTUAL Exam Questions and
CORRECT Answers
What are the 3 phases of preoperative patient care? - CORRECT ANSWER - 1)
Preoperative
2) Intraoperative
3) Postoperative
What is the Preoperative Phase? - CORRECT ANSWER - When the decision to proceed
with surgical intervention is made and ends with the transfer of the patient on to the operating
room bed
What is the Intraoperative Phase? - CORRECT ANSWER - When the patient is
transferred onto the OR bed and ends with admission to the PACU
What is the Postoperative Phase? - CORRECT ANSWER - Begins with the admission of
the patient to the PACU and ends with a follow-up evaluation in the clinical setting or home
Describe a comprehensive preoperative assessment to identify surgical risk factors. - CORRECT
ANSWER - 1) Nutritional, fluid status - malnutrition/obesity
2) Dentition
3) Drug or alcohol use
4) Respiratory status - Resp rate, lung sounds, clubbing
5) Cardiovascular status - BP, apical, peripheral pulses
6) Hepatic, renal function - Urinary problems
7) Endocrine function - Glucose levels
8) Immune function - allergies
9) Drug history - prescription, OTC, herbal, and recreational use
10) Psychosocial factors
, 11) Spiritual, cultural beliefs
12) Musculoskeletal - joints, movement
13) Signs of abuse
What are some nursing responsibilities during the Preadmission Testing (PAT) phase? -
CORRECT ANSWER - 1) Initiates initial preoperative assessment
2) Initiates teaching appropriate to patient's needs
3) Involves family in interview
4) Verifies completion of preoperative diagnostic testing
5) Verifies understanding of surgeon-specific preoperative
orders
6) Discusses, reviews advanced-directive document
7) Begins discharge planning by assessing patient's need for
postoperative transportation, care
Describe the gerontologic considerations related to preoperative management - CORRECT
ANSWER - 1) Cardiac and circulatory compromise
2) Respiratory compromise
3) Renal function
4) Confusion
5) Fluid & electrolyte imbalances
6) Skin
7) Comorbidities
8) Altered sensory
9) Mobility restrictions
What are some health factors that affect patients preoperatively? - CORRECT ANSWER -
1) Obesity
2) Nutritional deficits