HACC N151 Perioperative Nursing Care Exam
Questions And Accurate Answers
Perioperative - ANSWER Term used to describe the 3 phases of surgical procedures.
Preoperative Phase - ANSWER Phase preceding surgery in which patient is identified as
a candidate for surgical or procedural intervention
Intraoperative Phase - ANSWER Actual surgical intervention phase in which patients are
often anesthetized, prepped, & draped, and the procedure takes place.
Postoperative Phase - ANSWER Occurs after the patient is stabilized and establishes
effective breathing. The recovery phase.
From the time the patient leaves the surgical suite until they meet all criteria for
discharge. - ANSWER How long does the postoperative phase last?
Anesthesia Personnel:
~Anesthesiologist (MD)
~Certified Registered Nurse Anesthetist (CNRA)
~Anesthesia Assistant (AA) - ANSWER Delivers anesthesia during the process and
continually monitors physiological status
Circulating Nurse - ANSWER Periop RN who manages nursing care during the surgical
procedure
Scrub Nurse - ANSWER Chooses and passes surgical instruments and supplies to the
surgeon during the procedure
,Preoperative Nurse - ANSWER Cares for the patient prior to the surgical procedure
Postoperative Nurse - ANSWER Cares for the patient after the surgical procedure
Radiology Personnel - ANSWER Takes or evaluates radiological films or tests during
operative or invasive procedures.
Referral or Specialty Physician - ANSWER Specialists already caring for the patient will
play a role in the patients surgical care as appropriate by monitoring during pot-op
period in order to assist in attaining improved client outcomes.
Respiratory Therapist - ANSWER Assists in maintaining the patient's airway and O2
status as needed during the post-op period
Social Worker - ANSWER Assists in accessing resources for additional care of patient
as an inpatient or outpatient (ex. assistive devices, working with insurance, outside
help/services)
Interpreter - ANSWER gathers pertinent info in the pre-op phase and interprets info
between the patient and nurse in the post-op care phase.
Surgeon - ANSWER Performs the surgical procedure
Surgical Tech/First Assistant - ANSWER Assists the surgeon with sterile handling of
instruments and supplies during the procedure.
Wound/Ostomy/Continence Nurse (WOCN) - ANSWER Assists patient with effective
healing
~Surgeon
~Nurse
, ~Anesthesiologist - ANSWER In all 3 phases, the results of blood work are analyzed
by....
Universal protocol - ANSWER Guidelines for healthcare professionals that are designed
to prevent errors during surgical procedures. Established by the Joint Commission.
Time-Out - ANSWER Preprocedural verification used to ensure the correct procedure is
being performed on the correct side/site for the right patient (to avoid wrong-site
surgery)
Prevent errors - ANSWER Preprocedural verification process or hand off report is
performed in all 3 peri-op phases. Designed to....
~Antiemetics
~Non narcotic Analgesics
~Anxiolytics
~Narcotic Analgesics
~Sedative/Hypnotic Agents
~Antibiotics - ANSWER Common medication classes administered to surgical patients
metoclopramide hydrochloride (Reglan) - ANSWER Antiemetic administered during
pre-op phase (and post-op if necessary) to prevent nausea/vomiting associated with
anesthesia postoperatively.
Action:
~Reinforces esophageal sphincter
Monitor:
~F&E
~Tachycardia
Questions And Accurate Answers
Perioperative - ANSWER Term used to describe the 3 phases of surgical procedures.
Preoperative Phase - ANSWER Phase preceding surgery in which patient is identified as
a candidate for surgical or procedural intervention
Intraoperative Phase - ANSWER Actual surgical intervention phase in which patients are
often anesthetized, prepped, & draped, and the procedure takes place.
Postoperative Phase - ANSWER Occurs after the patient is stabilized and establishes
effective breathing. The recovery phase.
From the time the patient leaves the surgical suite until they meet all criteria for
discharge. - ANSWER How long does the postoperative phase last?
Anesthesia Personnel:
~Anesthesiologist (MD)
~Certified Registered Nurse Anesthetist (CNRA)
~Anesthesia Assistant (AA) - ANSWER Delivers anesthesia during the process and
continually monitors physiological status
Circulating Nurse - ANSWER Periop RN who manages nursing care during the surgical
procedure
Scrub Nurse - ANSWER Chooses and passes surgical instruments and supplies to the
surgeon during the procedure
,Preoperative Nurse - ANSWER Cares for the patient prior to the surgical procedure
Postoperative Nurse - ANSWER Cares for the patient after the surgical procedure
Radiology Personnel - ANSWER Takes or evaluates radiological films or tests during
operative or invasive procedures.
Referral or Specialty Physician - ANSWER Specialists already caring for the patient will
play a role in the patients surgical care as appropriate by monitoring during pot-op
period in order to assist in attaining improved client outcomes.
Respiratory Therapist - ANSWER Assists in maintaining the patient's airway and O2
status as needed during the post-op period
Social Worker - ANSWER Assists in accessing resources for additional care of patient
as an inpatient or outpatient (ex. assistive devices, working with insurance, outside
help/services)
Interpreter - ANSWER gathers pertinent info in the pre-op phase and interprets info
between the patient and nurse in the post-op care phase.
Surgeon - ANSWER Performs the surgical procedure
Surgical Tech/First Assistant - ANSWER Assists the surgeon with sterile handling of
instruments and supplies during the procedure.
Wound/Ostomy/Continence Nurse (WOCN) - ANSWER Assists patient with effective
healing
~Surgeon
~Nurse
, ~Anesthesiologist - ANSWER In all 3 phases, the results of blood work are analyzed
by....
Universal protocol - ANSWER Guidelines for healthcare professionals that are designed
to prevent errors during surgical procedures. Established by the Joint Commission.
Time-Out - ANSWER Preprocedural verification used to ensure the correct procedure is
being performed on the correct side/site for the right patient (to avoid wrong-site
surgery)
Prevent errors - ANSWER Preprocedural verification process or hand off report is
performed in all 3 peri-op phases. Designed to....
~Antiemetics
~Non narcotic Analgesics
~Anxiolytics
~Narcotic Analgesics
~Sedative/Hypnotic Agents
~Antibiotics - ANSWER Common medication classes administered to surgical patients
metoclopramide hydrochloride (Reglan) - ANSWER Antiemetic administered during
pre-op phase (and post-op if necessary) to prevent nausea/vomiting associated with
anesthesia postoperatively.
Action:
~Reinforces esophageal sphincter
Monitor:
~F&E
~Tachycardia
