NU 300 PERIOP EXAM | COMPREHENSIVE PERIOPERATIVE & MEDICAL-SURGICAL
NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
preop phase - ANS ✔✔begins when PT is scheduled for surgery, focused on reducing anxiety,
complications & gaining PT cooperation.
-ectomy - ANS ✔✔removal of
-ostomy - ANS ✔✔create a permanent opening
-otomy - ANS ✔✔cutting into
-plasty - ANS ✔✔reconstruction/repair
-scopy - ANS ✔✔use a scope to look at/view
surgeon/MD assessment - ANS ✔✔within 30 days of surgery, updated 24 hours prior to surgery, focus on
medical clearance for surgery
anesthesiologist assessment - ANS ✔✔focus on potential anesthesia related risks & prior complications,
classify PT
nursing assessment - ANS ✔✔evaluate readiness for surgery (physically, emotionally, mentally)
chronic illness hx - ANS ✔✔may need extra meds
cardiac hx - ANS ✔✔anesthesia risk
infection hx - ANS ✔✔may need to fix first
lung dz hx - ANS ✔✔smoking, reduced lung elasticity, increased atelectasis risk, sleep apnea
previous surgeries - ANS ✔✔malignant hyperthermia, PONV, anxiety, implants (increase end tidal CO2 &
tachycardia, dantrolene sodium)
allergies - ANS ✔✔fruits = latex. egg, peanut, soy = propofol. shellfish = follow policy!
blood donation hx - ANS ✔✔autologous donation, directed donation, bloodless surgery, supplements
discharge planning - ANS ✔✔home environment, support system, needs after surgery (case manager)
social hx - ANS ✔✔drinking, drugs, smoking
physical hx - ANS ✔✔baseline VS
cardiac assessment - ANS ✔✔perfusion- neurovascular assessment, pacemakers/ICDs
NURSING STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
preop phase - ANS ✔✔begins when PT is scheduled for surgery, focused on reducing anxiety,
complications & gaining PT cooperation.
-ectomy - ANS ✔✔removal of
-ostomy - ANS ✔✔create a permanent opening
-otomy - ANS ✔✔cutting into
-plasty - ANS ✔✔reconstruction/repair
-scopy - ANS ✔✔use a scope to look at/view
surgeon/MD assessment - ANS ✔✔within 30 days of surgery, updated 24 hours prior to surgery, focus on
medical clearance for surgery
anesthesiologist assessment - ANS ✔✔focus on potential anesthesia related risks & prior complications,
classify PT
nursing assessment - ANS ✔✔evaluate readiness for surgery (physically, emotionally, mentally)
chronic illness hx - ANS ✔✔may need extra meds
cardiac hx - ANS ✔✔anesthesia risk
infection hx - ANS ✔✔may need to fix first
lung dz hx - ANS ✔✔smoking, reduced lung elasticity, increased atelectasis risk, sleep apnea
previous surgeries - ANS ✔✔malignant hyperthermia, PONV, anxiety, implants (increase end tidal CO2 &
tachycardia, dantrolene sodium)
allergies - ANS ✔✔fruits = latex. egg, peanut, soy = propofol. shellfish = follow policy!
blood donation hx - ANS ✔✔autologous donation, directed donation, bloodless surgery, supplements
discharge planning - ANS ✔✔home environment, support system, needs after surgery (case manager)
social hx - ANS ✔✔drinking, drugs, smoking
physical hx - ANS ✔✔baseline VS
cardiac assessment - ANS ✔✔perfusion- neurovascular assessment, pacemakers/ICDs