Perioperative Care Exam Questions | 202/2027 | Answers
Correct | With Complete Solutions
1. The nurse is precepting a student nurse and explains that
perioperative nursing care occurs
a. Before, during, and after surgery.
b. In preadmission testing.
c. During the surgical procedure.
d. In the postanesthesia care unit. Correct Answers ANS: A
Perioperative nursing care occurs before, during, and after a
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.
DIF: Remember REF: 1254 OBJ: Explain the concept of
perioperative nursing care.
TOP: Implementation
MSC: Physiological Integrity: Reduction of Risk Potential
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 patients laboratory tests and allergies. In which
perioperative nursing phase would this work be completed?
a. Perioperative
b.Preoperative
c. Intraoperative
d. Postoperative Correct Answers ANS: B
Reviewing the patients 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; postoperative
means after the surgery and could occur in the postanesthesia
care unit, in the ambulatory surgical area, or on the hospital unit.
DIF: Understand REF: 1254 OBJ: Explain the concept of
perioperative nursing care.
TOP: Assessment MSC: Physiological Integrity: Reduction of
Risk Potential
2. The nurse is caring for an ambulatory surgery patient. To be
discharged home, what criteria must the patient meet? (Select all
that apply.)
a. Able to drink fluids
b. Able to eat crackers
,c. Manageable pain
d. Able to void
e. Dry and intact dressing
f. Able to dress self Correct Answers ANS: A, C, D, E
To be discharged home, patients need to meet certain criteria.
These criteria include meeting phase 1 criteria of activity,
circulation, respiration, consciousness, and O2 saturation, as
well as phase 2 criteria of dressing dry and intact, manageable
pain, ambulation, able to drink fluids, and voiding. Eating and
the ability to dress self are not included in these criteria.
DIF: Remember REF: 1286
OBJ: Explain the differences and similarities in caring for
ambulatory versus inpatient surgical patients. TOP: Assessment
MSC: Physiological Integrity: Reduction of Risk Potential
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. This procedure would be classified as
a. Elective.
b. Urgent.
, c. Emergency.
d. Major. Correct Answers ANS: C
An emergency procedure must be done immediately to save life
or preserve 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 patients health and often prevents additional
problems form developing. An example would be excision of a
cancerous tumor, removal of a gallbladder for stones, or
vascular repair for obstructed artery. An elective procedure is
performed on the basis of the patients 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.
DIF: Remember REF: 1256
OBJ: Differentiate between classifications of surgery and types
of anesthesia.
TOP: Assessment MSC: Physiological Integrity: Reduction of
Risk Potential
3. The nurse is caring for a postoperative patient with an
incision. Which of the following nursing interventions have
been found to decrease wound infections? (Select all that apply.)
Correct | With Complete Solutions
1. The nurse is precepting a student nurse and explains that
perioperative nursing care occurs
a. Before, during, and after surgery.
b. In preadmission testing.
c. During the surgical procedure.
d. In the postanesthesia care unit. Correct Answers ANS: A
Perioperative nursing care occurs before, during, and after a
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.
DIF: Remember REF: 1254 OBJ: Explain the concept of
perioperative nursing care.
TOP: Implementation
MSC: Physiological Integrity: Reduction of Risk Potential
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 patients laboratory tests and allergies. In which
perioperative nursing phase would this work be completed?
a. Perioperative
b.Preoperative
c. Intraoperative
d. Postoperative Correct Answers ANS: B
Reviewing the patients 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; postoperative
means after the surgery and could occur in the postanesthesia
care unit, in the ambulatory surgical area, or on the hospital unit.
DIF: Understand REF: 1254 OBJ: Explain the concept of
perioperative nursing care.
TOP: Assessment MSC: Physiological Integrity: Reduction of
Risk Potential
2. The nurse is caring for an ambulatory surgery patient. To be
discharged home, what criteria must the patient meet? (Select all
that apply.)
a. Able to drink fluids
b. Able to eat crackers
,c. Manageable pain
d. Able to void
e. Dry and intact dressing
f. Able to dress self Correct Answers ANS: A, C, D, E
To be discharged home, patients need to meet certain criteria.
These criteria include meeting phase 1 criteria of activity,
circulation, respiration, consciousness, and O2 saturation, as
well as phase 2 criteria of dressing dry and intact, manageable
pain, ambulation, able to drink fluids, and voiding. Eating and
the ability to dress self are not included in these criteria.
DIF: Remember REF: 1286
OBJ: Explain the differences and similarities in caring for
ambulatory versus inpatient surgical patients. TOP: Assessment
MSC: Physiological Integrity: Reduction of Risk Potential
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. This procedure would be classified as
a. Elective.
b. Urgent.
, c. Emergency.
d. Major. Correct Answers ANS: C
An emergency procedure must be done immediately to save life
or preserve 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 patients health and often prevents additional
problems form developing. An example would be excision of a
cancerous tumor, removal of a gallbladder for stones, or
vascular repair for obstructed artery. An elective procedure is
performed on the basis of the patients 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.
DIF: Remember REF: 1256
OBJ: Differentiate between classifications of surgery and types
of anesthesia.
TOP: Assessment MSC: Physiological Integrity: Reduction of
Risk Potential
3. The nurse is caring for a postoperative patient with an
incision. Which of the following nursing interventions have
been found to decrease wound infections? (Select all that apply.)