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NR 226 Exam 2
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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ANSWERS VERIFIED 100 %
Exam
, Page 2 of 65
NR-226 Chapter 50, 42, 47 Practice Questions, Exam 2
1. The nurse is caring for a surgical patient, when the family member asks
what perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing.
b. Perioperative nursing occurs primarily in the postanesthesia care unit.
c. Perioperative nursing includes activities before, during, and after surgery.
d. Perioperative nursing includes activities only during the surgical procedure.
ANS: C
Perioperative nursing care occurs before, during, and after surgery. Preadmission
testing occurs before surgery and is considered preoperative. Nursing care provided
during the surgical procedure is considered intraoperative, and in the postanesthesia
care unit, it is considered postoperative. All of these are parts of the perioperative
phase, but each individual phase does not explain the term completely.
2. The nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the patient's
laboratory tests and allergies and prepares the patient for surgery. In which
perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: B
Reviewing the patient's laboratory tests and allergies is done before surgery in the
preoperative phase. Perioperative means before, during, and after surgery.
Intraoperative means during the surgical procedure in the operating suite;
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postoperative means after the surgery and could occur in the postanesthesia care
unit, in the ambulatory surgical area, or on the hospital unit.
3. The nurse is caring for a patient in the postanesthesia care unit. The patient
has developed profuse bleeding from the surgical site, and the surgeon has
determined the need to return to the operative area. How will the nurse classify
this procedure?
a. Major
b. Urgent
c. Elective
d. Emergency
ANS: D
An emergency procedure must be done immediately to save a life or preserve the
function of a body part. An example would be repair of a perforated appendix, repair
of a traumatic amputation, or control of internal hemorrhaging. An urgent procedure
is necessary for a patient's health and often prevents additional problems from
developing. An example would be excision of a cancerous tumor, removal of a
gallbladder for stones, or vascular repair for an obstructed artery. An elective
procedure is performed on the basis of the patient's choice; it is not essential and is
not always necessary for health. An example would be a bunionectomy, plastic
surgery, or hernia reconstruction. A major procedure involves extensive
reconstruction or alteration in body parts; it poses great risks to well-being. An
example would be a coronary artery bypass or colon resection.
4. The nurse is caring for a patient in preadmission testing. The patient has
been assigned a physical status classification by the American Society of
Anesthesiologists of ASA III. Which assessment will support this
classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
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ANS: C
An ASA III rating is a patient with a severe systemic disease, such as poorly
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
patient with no major illnesses or conditions. ASA II is a patient with mild systemic
disease. ASA V is a moribund patient who is not expected to survive without the
operation and includes patients with ruptured abdominal/thoracic aneurysm or
massive trauma.
5. The patient has presented to the ambulatory surgery center to have a
colonoscopy. The patient is scheduled to receive moderate sedation
(conscious sedation) during the procedure. How will the nurse interpret this
information?
a. The procedure results in loss of sensation in an area of the body.
b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not
require complete anesthesia but rather a depressed level of consciousness. Not all
patients who are treated on an outpatient basis receive moderate sedation. Regional
anesthesia such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be immobile and to not
remember the surgical procedure.
6. The nurse is caring for a patient in the postanesthesia care unit who has
undergone a left total knee arthroplasty. The anesthesia provider has indicated
that the patient received a left femoral peripheral nerve block. Which
assessment will be an expected finding for this patient?
a. Sensation decreased in the left leg
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia
d. Left toes cool to touch and slightly cyanotic
NR 226 Exam 2
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 65
NR-226 Chapter 50, 42, 47 Practice Questions, Exam 2
1. The nurse is caring for a surgical patient, when the family member asks
what perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing.
b. Perioperative nursing occurs primarily in the postanesthesia care unit.
c. Perioperative nursing includes activities before, during, and after surgery.
d. Perioperative nursing includes activities only during the surgical procedure.
ANS: C
Perioperative nursing care occurs before, during, and after surgery. Preadmission
testing occurs before surgery and is considered preoperative. Nursing care provided
during the surgical procedure is considered intraoperative, and in the postanesthesia
care unit, it is considered postoperative. All of these are parts of the perioperative
phase, but each individual phase does not explain the term completely.
2. The nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the patient's
laboratory tests and allergies and prepares the patient for surgery. In which
perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: B
Reviewing the patient's laboratory tests and allergies is done before surgery in the
preoperative phase. Perioperative means before, during, and after surgery.
Intraoperative means during the surgical procedure in the operating suite;
, Page 3 of 65
postoperative means after the surgery and could occur in the postanesthesia care
unit, in the ambulatory surgical area, or on the hospital unit.
3. The nurse is caring for a patient in the postanesthesia care unit. The patient
has developed profuse bleeding from the surgical site, and the surgeon has
determined the need to return to the operative area. How will the nurse classify
this procedure?
a. Major
b. Urgent
c. Elective
d. Emergency
ANS: D
An emergency procedure must be done immediately to save a life or preserve the
function of a body part. An example would be repair of a perforated appendix, repair
of a traumatic amputation, or control of internal hemorrhaging. An urgent procedure
is necessary for a patient's health and often prevents additional problems from
developing. An example would be excision of a cancerous tumor, removal of a
gallbladder for stones, or vascular repair for an obstructed artery. An elective
procedure is performed on the basis of the patient's choice; it is not essential and is
not always necessary for health. An example would be a bunionectomy, plastic
surgery, or hernia reconstruction. A major procedure involves extensive
reconstruction or alteration in body parts; it poses great risks to well-being. An
example would be a coronary artery bypass or colon resection.
4. The nurse is caring for a patient in preadmission testing. The patient has
been assigned a physical status classification by the American Society of
Anesthesiologists of ASA III. Which assessment will support this
classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
, Page 4 of 65
ANS: C
An ASA III rating is a patient with a severe systemic disease, such as poorly
controlled hypertension with an implanted pacemaker. ASA I is a normal healthy
patient with no major illnesses or conditions. ASA II is a patient with mild systemic
disease. ASA V is a moribund patient who is not expected to survive without the
operation and includes patients with ruptured abdominal/thoracic aneurysm or
massive trauma.
5. The patient has presented to the ambulatory surgery center to have a
colonoscopy. The patient is scheduled to receive moderate sedation
(conscious sedation) during the procedure. How will the nurse interpret this
information?
a. The procedure results in loss of sensation in an area of the body.
b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not
require complete anesthesia but rather a depressed level of consciousness. Not all
patients who are treated on an outpatient basis receive moderate sedation. Regional
anesthesia such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be immobile and to not
remember the surgical procedure.
6. The nurse is caring for a patient in the postanesthesia care unit who has
undergone a left total knee arthroplasty. The anesthesia provider has indicated
that the patient received a left femoral peripheral nerve block. Which
assessment will be an expected finding for this patient?
a. Sensation decreased in the left leg
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia
d. Left toes cool to touch and slightly cyanotic
