NRSB 335 PERIOPERATIVE CARE EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NRSB 335 PERIOPERATIVE CARE EXAM 1 UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS

Question:
Reason for Surgery, Cosmetic:
Answer:
usually elective- improves patients' appearance by shaping body structures (tummy
tuck, rhinoplasty)

Question:
Reason for Surgery, Curative:
Answer:
repairs or removes the cause of a health issue (removes tumor, gallbladder, etc.)

Question:
Reason for Surgery, Diagnostic:
Answer:
determines what the disorder/issue is (biopsy)

Question:
Reason for Surgery, Preventative:
Answer:
removes to prevent an issue from coming (prophylactic mastectomy)

Question:
Reason for Surgery, Reconstructive:
Answer:
improves function of the part (hip or knee replacement)

Question:
Reason for Surgery, Transplant:
Answer:
removes and replaces malfunctioning part (heart, kidney transplant)

Question:
Urgency, Elective:
Answer:
planned (non-acute)

Question:
Urgency, Urgent:
Answer:
prompt intervention needed (within 24-48 hours)

,Question:
Urgency, Emergent:
Answer:
immediate intervention, matter of life or death

Question:
Preoperative:
Answer:
before surgery, anytime prior to surgery once the provider decides the client needs or
will have surgery, before entering the surgical sweet

Question:
Intraoperative:
Answer:
during surgery, in the surgical sweet

Question:
Postoperative:
Answer:
after surgery, leave the surgical sweet and go into the PACU

Question:
Let's Follow a patient through the Perioperative experience Meet Harry. Harry is a
60-year-old male who presents to the emergency room after slipping and falling down
icy stairs
1) What assessment data do you want to gather right now?
Answer:
• Did he hit his head? o Concern b/c of bleeding on the brain -- If he did hit his head
continue with a neuro assessment
• Does the pt have any pain, and if yes where?
• Does he have any skin lacerations? Does it need to be treated right now?
• Are there sighs of any broken bones?
• What are his vitals? o BP and Pulse can tell us if the pt is bleeding o Always need
baseline vitals

Question:
What do providers use during handoff?
Answer:
AMPLE

Question:
A in ample
Answer:
Allergies

, Question:
M in ample
Answer:
medications, what were the last meds taken and what meds are prescribed

Question:
P in ample
Answer:
passed medical history, include anything important to the current situation

Question:
L in ample
Answer:
anything last, last medication, last meal, last bowel movement

Question:
E in ample
Answer:
events that lead to what happened, what happened that lead this event to happen, was
he dizzy, did he slip and fall

Question:
Preoperative Medications
Answer:
• Antibiotics (prophylactic antibiotics) = be given with 1 hour of the start of surgery,
given to prevent postoperative infection
• Anti anxiety medications lorazepam and diazepam= allow pt to calm down and be
able to ask questions
• Pain medications ex: morphine
• Fluids= usually will receive lactated ringers prior to surgery to help in terms of
maintenance fluids and allow for fluids to be pushed, and keeps blood volume up

Question:
Preoperative priorities
• Safe and effective care environment
Answer:
o verifying the right patient, right site, and right procedure (all of these will involve PT)
o There are no abbreviation on the informed consent o Consent must be signed o
Medical history and labs must be done prior to surgery o Communicate allergies to the
team -Allergies to strawberries, kiwis, and bananas can indicate a latex allergy

Question:
Preoperative priorities
• Health promotion and maintenance
Answer:
o Educate on what to expect and what to care for postoperatively