Perioperative Nursing – Exam 3 – FPCC – 2026 – Study
Guide and Review Material
Differentiate among classifications of surgery - correct answer ✔✔ SERIOUSNESS: Minor/Major
URGENCY: Elective; Urgent-Not necessarily emergency
Emergency-Must be done immediately
PURPOSE: Diagnostic; Ablative-Excision or removal of diseased body part; Procurement-
Removal of organs or tissues from a dead person for transplantation into another; Constructive-
Restores function lost or reduced as result of congenital anomalies; Restorative-Restores
function or appearance to traumatized tissues
Palliative
Classifications of Anesthesiology - correct answer ✔✔ -General: results in immobile, quiet
patient who does not recall the surgical procedure,
-Regional: spinal, epidural, or nerve block,
-Local: lose of sensation to desired site, inhibits nerve conduction until the drug diffuses into the
circulation,
-Conscious: depressed level of consciousness
Identify findings in patient's medical history and assessment that increase surgical risk. (Who is
at MOST risk?) - correct answer ✔✔ Age;Nutrition; Obesity; OSA; immunoCompromised; F&E
imbalance; Pregnancy
Young and Elderly most at risk (?)
Analyze lab values specific to the patient's safety in the perioperative period - correct answer
✔✔ CBC-rbc; hgb; hct; WBC; Serum Electrolytes- Sodium; Potassium; Chloride; Bicarbonate;
Coagulation Studies- PT; INR; APTT;Platelets; Serum Creatinine;
, BUN: Glucose
Identify actions to promote informed consent. (Who can give consent for whom? What is the
nurse's role? The provider's?) - correct answer ✔✔ Informed consent is obtained by the
surgeon and witnessed by the nurse. Parents can give consent for minors. Siblings then
grandparents. (next of kin) The nurse is responsible for making sure the patient is informed
adequately.
Explain importance, timing, and proper performance of preoperative teaching. - correct answer
✔✔ Systemic and structured format with teaching ad learning principles, preoperative teaching
regarding a patients expected postoperative course improves recovery. Helps them know what
to expect. attempt before admission, during stay, and after discharge.
Explain the nurse's role and responsibility in each stage of the perioperative patient experience.
- correct answer ✔✔
Contrast donning of surgical attire to personal protective equipment used in standard
precautions - correct answer ✔✔ Surgical attire is sterile and usually requires assistance when
donning while regular PPE doesn't have to be sterile only protective and one doesn't usually
need help putting on.
Identify nursing actions to minimize risks specific to the intraoperative period. (Positioning,
patient ID, etc.) - correct answer ✔✔ Apply monitoring devices; apply compresssion stockings;
document compresssion device application; capillary refill; patient tolerance. Limb Surgeries
assess pulses distal to the operative site. Measure temp constantly. Latex cart avail at all times.
Patient positioning.
Develop a plan of care for the perioperative patient that is individualized to the patient's
condition and risk factors. (Do you need to focus on abdominal wound or extremity elevation?
Bleeding or glucose control?) - correct answer ✔✔ In the PACU nursing interventions focus on
monitoring and maintaining airway, respiratory, circulatory, and neurological status and
managing pain.
Guide and Review Material
Differentiate among classifications of surgery - correct answer ✔✔ SERIOUSNESS: Minor/Major
URGENCY: Elective; Urgent-Not necessarily emergency
Emergency-Must be done immediately
PURPOSE: Diagnostic; Ablative-Excision or removal of diseased body part; Procurement-
Removal of organs or tissues from a dead person for transplantation into another; Constructive-
Restores function lost or reduced as result of congenital anomalies; Restorative-Restores
function or appearance to traumatized tissues
Palliative
Classifications of Anesthesiology - correct answer ✔✔ -General: results in immobile, quiet
patient who does not recall the surgical procedure,
-Regional: spinal, epidural, or nerve block,
-Local: lose of sensation to desired site, inhibits nerve conduction until the drug diffuses into the
circulation,
-Conscious: depressed level of consciousness
Identify findings in patient's medical history and assessment that increase surgical risk. (Who is
at MOST risk?) - correct answer ✔✔ Age;Nutrition; Obesity; OSA; immunoCompromised; F&E
imbalance; Pregnancy
Young and Elderly most at risk (?)
Analyze lab values specific to the patient's safety in the perioperative period - correct answer
✔✔ CBC-rbc; hgb; hct; WBC; Serum Electrolytes- Sodium; Potassium; Chloride; Bicarbonate;
Coagulation Studies- PT; INR; APTT;Platelets; Serum Creatinine;
, BUN: Glucose
Identify actions to promote informed consent. (Who can give consent for whom? What is the
nurse's role? The provider's?) - correct answer ✔✔ Informed consent is obtained by the
surgeon and witnessed by the nurse. Parents can give consent for minors. Siblings then
grandparents. (next of kin) The nurse is responsible for making sure the patient is informed
adequately.
Explain importance, timing, and proper performance of preoperative teaching. - correct answer
✔✔ Systemic and structured format with teaching ad learning principles, preoperative teaching
regarding a patients expected postoperative course improves recovery. Helps them know what
to expect. attempt before admission, during stay, and after discharge.
Explain the nurse's role and responsibility in each stage of the perioperative patient experience.
- correct answer ✔✔
Contrast donning of surgical attire to personal protective equipment used in standard
precautions - correct answer ✔✔ Surgical attire is sterile and usually requires assistance when
donning while regular PPE doesn't have to be sterile only protective and one doesn't usually
need help putting on.
Identify nursing actions to minimize risks specific to the intraoperative period. (Positioning,
patient ID, etc.) - correct answer ✔✔ Apply monitoring devices; apply compresssion stockings;
document compresssion device application; capillary refill; patient tolerance. Limb Surgeries
assess pulses distal to the operative site. Measure temp constantly. Latex cart avail at all times.
Patient positioning.
Develop a plan of care for the perioperative patient that is individualized to the patient's
condition and risk factors. (Do you need to focus on abdominal wound or extremity elevation?
Bleeding or glucose control?) - correct answer ✔✔ In the PACU nursing interventions focus on
monitoring and maintaining airway, respiratory, circulatory, and neurological status and
managing pain.
