BSN 206 Quiz 8 Perioperative Care,
Oxygenation, and Advanced Foundations
Blueprint (Syllabus Module 8 50
questions correct answers and rationale)
Covers preoperative checklists, intraoperative safety protocols,
postoperative recovery milestones, oxygen delivery devices, and advanced
airway management.
1. During the preoperative phase, a nurse verifies that the patient has
signed the informed consent form. Who holds the primary legal responsibility
for explaining the surgical procedure and its risks to the patient?
* A) The preoperative nurse
* B) The anesthesia provider
* C) The operating surgeon
* D) The hospital risk manager
* Rationale: The provider performing the procedure (the surgeon) bears the
legal obligation to explain the treatment, risks, benefits, and alternatives.
The nurse witnesses the patient's signature to verify identity and voluntary
consent.
1. A patient is scheduled for an elective surgery. The nurse notes the
patient is wearing a metal wedding band that cannot be removed. What is
the correct nursing action?
* A) Cut the ring off using emergency tools
,* B) Tape the ring securely to the finger and document the finding
* C) Cancel the surgery until the ring is removed
* D) Cover the ring with a sterile glove during transfer
* Rationale: If a ring cannot be removed, taping it down prevents catching or
thermal conduction during electrocautery, and documenting it protects the
legal inventory of the patient's belongings.
1. Which document must be completely finalized and attached to the
patient's chart before they receive preoperative sedatives or clear the
holding area for the operating room?
* A) The official post-discharge care instructions layout
* B) The preoperative checklist, informed consent, and baseline diagnostic
labs
* C) The insurance billing authorization form
* D) The physical therapy evaluation schedule
* Rationale: A complete preoperative packet guarantees all safety
verifications, legal permissions, and necessary lab parameters are available
before the patient's cognitive capacity is altered by medication.
1. During a surgical "Time-Out" in the operating room, which components
must be verified by the entire surgical team prior to making the skin
incision?
* A) The surgeon's operating license credentials
, * B) Correct patient identity, correct surgical site, and the correct procedure
to be performed
* C) The total cost of the sterile implants used
* D) The room temperature and air humidity percentages
* Rationale: The Universal Protocol "Time-Out" is an essential safety pause
where all team members verbally confirm the correct patient, correct site,
and correct procedure to eliminate wrong-site surgeries.
1. A postoperative patient in the Post-Anesthesia Care Unit (PACU) has a
decreased level of consciousness and exhibits loud, snoring respirations.
What is the nurse's immediate priority intervention?
* A) Administer an intravenous respiratory stimulant drug
* B) Perform a jaw-thrust or chin-lift maneuver to clear the airway
* C) Prepare the patient for immediate endotracheal re-intubation
* D) Increase the intravenous fluid infusion rate
* Rationale: Residual anesthesia relaxes the tongue muscle, allowing it to fall
back and occlude the hypopharynx. A manual jaw-thrust or chin-lift
repositions the anatomy to restore an open airway.
1. A nurse assesses a postoperative patient who returned from abdominal
surgery 2 hours ago. The patient's surgical dressing has a small amount of
fresh sanguineous drainage. What should the nurse do first?
* A) Reinforce the dressing and outline the drainage area with a pen, noting
the time
Oxygenation, and Advanced Foundations
Blueprint (Syllabus Module 8 50
questions correct answers and rationale)
Covers preoperative checklists, intraoperative safety protocols,
postoperative recovery milestones, oxygen delivery devices, and advanced
airway management.
1. During the preoperative phase, a nurse verifies that the patient has
signed the informed consent form. Who holds the primary legal responsibility
for explaining the surgical procedure and its risks to the patient?
* A) The preoperative nurse
* B) The anesthesia provider
* C) The operating surgeon
* D) The hospital risk manager
* Rationale: The provider performing the procedure (the surgeon) bears the
legal obligation to explain the treatment, risks, benefits, and alternatives.
The nurse witnesses the patient's signature to verify identity and voluntary
consent.
1. A patient is scheduled for an elective surgery. The nurse notes the
patient is wearing a metal wedding band that cannot be removed. What is
the correct nursing action?
* A) Cut the ring off using emergency tools
,* B) Tape the ring securely to the finger and document the finding
* C) Cancel the surgery until the ring is removed
* D) Cover the ring with a sterile glove during transfer
* Rationale: If a ring cannot be removed, taping it down prevents catching or
thermal conduction during electrocautery, and documenting it protects the
legal inventory of the patient's belongings.
1. Which document must be completely finalized and attached to the
patient's chart before they receive preoperative sedatives or clear the
holding area for the operating room?
* A) The official post-discharge care instructions layout
* B) The preoperative checklist, informed consent, and baseline diagnostic
labs
* C) The insurance billing authorization form
* D) The physical therapy evaluation schedule
* Rationale: A complete preoperative packet guarantees all safety
verifications, legal permissions, and necessary lab parameters are available
before the patient's cognitive capacity is altered by medication.
1. During a surgical "Time-Out" in the operating room, which components
must be verified by the entire surgical team prior to making the skin
incision?
* A) The surgeon's operating license credentials
, * B) Correct patient identity, correct surgical site, and the correct procedure
to be performed
* C) The total cost of the sterile implants used
* D) The room temperature and air humidity percentages
* Rationale: The Universal Protocol "Time-Out" is an essential safety pause
where all team members verbally confirm the correct patient, correct site,
and correct procedure to eliminate wrong-site surgeries.
1. A postoperative patient in the Post-Anesthesia Care Unit (PACU) has a
decreased level of consciousness and exhibits loud, snoring respirations.
What is the nurse's immediate priority intervention?
* A) Administer an intravenous respiratory stimulant drug
* B) Perform a jaw-thrust or chin-lift maneuver to clear the airway
* C) Prepare the patient for immediate endotracheal re-intubation
* D) Increase the intravenous fluid infusion rate
* Rationale: Residual anesthesia relaxes the tongue muscle, allowing it to fall
back and occlude the hypopharynx. A manual jaw-thrust or chin-lift
repositions the anatomy to restore an open airway.
1. A nurse assesses a postoperative patient who returned from abdominal
surgery 2 hours ago. The patient's surgical dressing has a small amount of
fresh sanguineous drainage. What should the nurse do first?
* A) Reinforce the dressing and outline the drainage area with a pen, noting
the time
