NUR 318 - Perioperative Nursing (PPTs - Exam 1) – UPDATED Questions with 100% Verifie…
NUR 318 - Perioperative Nursing (PPTs - Exam 1)
– UPDATED Questions with 100% Verified
Answers
Section 1: Preoperative, Some, Care (Q1–Q12)
Question & Answer
Q1 What is preoperative care?
A care preceding an operation, including the medical evaluation of the risks of surgery, and the
psychological adjustment of the patient (begins with the decision for surgical intervention and ends
when the patient is transported to the OR and care transferred to the OR nurse)
Q2 What is the scope of a preoperative nursing assessment?
A - physical - psychosocial - spiritual
Q3 What is the scope of preoperative nursing care?
A - developing preoperative nursing care plan - implementing nursing interventions - evaluating
outcomes
Q4 What are the surgical categories based on urgency?
A - emergent (without delay) - urgent (within 24-30 hours) - required (plan within a few weeks or
months) - elective (failure to have surgery is not catastrophic) - optional (personal preference)
Q5 What information is included in a preoperative assessment?
A - acute or chronic disease - medication history - previous hospitalizations, surgeries, and anesthetic
hx - women's menstrual and OB hx - genetic conditions - personal or family history w/anesthesia
(malignant hyperthermia) - allergies and adverse drug reactions (ex. latex, medications) -
nutritional and fluid status - drug or alcohol use - respiratory status - cardiovascular status - hepatic
and renal function - endocrine function - immune function - functional ability - tests (blood tests,
x-rays, diagnostic tests)
Q6 What are some preoperative teachings?
A - timing and technique - diaphragmatic breathing - coughing (splint with pillow) - incentive
spirometry - promoting mobility - pain management - ambulatory surgery considerations (someone
to take patient home and maybe stay with)
Q7 What are some nursing preop responsibilities?
A - managing nutrition and fluids - preparing the bowel - preparing the skin - immediate preoperative
care - preoperative documentation - administering preanesthetic medication - transporting the
patient to the presurgical area - family-centered care needs
Q8 What are some things for a nurse to document from a preoperative assessment?
A - current history and physical exam - current lab and diagnostic test results - valid surgical consent
(other consents - blood transfusion) - premeds administered - completed preoperative checklist -
copy of advanced directive, power of attorney, DNR order
Page 1 of 11
, NUR 318 - Perioperative Nursing (PPTs - Exam 1) – UPDATED Questions with 100% Verifie…
Question & Answer
Q9 What are some special populations to consider for surgical care?
A - gerontological - obesity - disabilities - pregnant and breastfeeding mothers
Q10 What determines the validity of an informed consent?
A - adequate disclosure - understanding and comprehension - consent is voluntary
Q11 What are the different components of informed consent?
A - shared decision making - provider and recipient of care - validity - emergent/medical necessity
Q12 What is the nurse's role in consent?
A - witness signature on consent form - nurse NOT responsible for patient understanding the benefits
vs. risk - patient advocate
Section 2: Surgery, Team, Describe (Q13–Q24)
Question & Answer
Q13 Describe minors, unconscious or incompetent consent guidelines.
A - follow state law, nurse practice act and institution policies - safe practice to consult manager,
house supervisor
Q14 What are two types of advanced directives?
A - power of attorney - DNR (reversed in OR)
Q15 True or False: All consents must be obtained before premedication is administered.
A True. All consents must be obtained before premedication is administered.
Q16 What are some common premeds for surgery?
A - Ativan, Valium - benzo for anti-anxiety - glycopyrrolate (Robinul) or Atropine - decrease secretions
- ondansetron (Zofran) or droperidol - antibiotic (prophylactic) - pepcid, zantac - reduce secretions
and reflux
Q17 What is the timeframe for intraoperative care?
A begins when the patient is transferred to the OR table and ends when transferred into PACU
Q18 Who did asepsis begin wtih?
A PAsteur, Lister, and Semmelweiss
Q19 True or False: The earliest discussions of sterility were related to women dying after
childbirth. There is a greater risk of infection when delivered by an MD rather than a
midwife.
A True. The earliest discussions of sterility were related to women dying after childbirth. There is a
greater risk of infection when delivered by an MD rather than a midwife.
Q20 What are the steps to prepare to go to the OR?
A - have all equipment you need - appropriate identification of patient and procedure - IV access -
premedicated (timing important)
Page 2 of 11
NUR 318 - Perioperative Nursing (PPTs - Exam 1)
– UPDATED Questions with 100% Verified
Answers
Section 1: Preoperative, Some, Care (Q1–Q12)
Question & Answer
Q1 What is preoperative care?
A care preceding an operation, including the medical evaluation of the risks of surgery, and the
psychological adjustment of the patient (begins with the decision for surgical intervention and ends
when the patient is transported to the OR and care transferred to the OR nurse)
Q2 What is the scope of a preoperative nursing assessment?
A - physical - psychosocial - spiritual
Q3 What is the scope of preoperative nursing care?
A - developing preoperative nursing care plan - implementing nursing interventions - evaluating
outcomes
Q4 What are the surgical categories based on urgency?
A - emergent (without delay) - urgent (within 24-30 hours) - required (plan within a few weeks or
months) - elective (failure to have surgery is not catastrophic) - optional (personal preference)
Q5 What information is included in a preoperative assessment?
A - acute or chronic disease - medication history - previous hospitalizations, surgeries, and anesthetic
hx - women's menstrual and OB hx - genetic conditions - personal or family history w/anesthesia
(malignant hyperthermia) - allergies and adverse drug reactions (ex. latex, medications) -
nutritional and fluid status - drug or alcohol use - respiratory status - cardiovascular status - hepatic
and renal function - endocrine function - immune function - functional ability - tests (blood tests,
x-rays, diagnostic tests)
Q6 What are some preoperative teachings?
A - timing and technique - diaphragmatic breathing - coughing (splint with pillow) - incentive
spirometry - promoting mobility - pain management - ambulatory surgery considerations (someone
to take patient home and maybe stay with)
Q7 What are some nursing preop responsibilities?
A - managing nutrition and fluids - preparing the bowel - preparing the skin - immediate preoperative
care - preoperative documentation - administering preanesthetic medication - transporting the
patient to the presurgical area - family-centered care needs
Q8 What are some things for a nurse to document from a preoperative assessment?
A - current history and physical exam - current lab and diagnostic test results - valid surgical consent
(other consents - blood transfusion) - premeds administered - completed preoperative checklist -
copy of advanced directive, power of attorney, DNR order
Page 1 of 11
, NUR 318 - Perioperative Nursing (PPTs - Exam 1) – UPDATED Questions with 100% Verifie…
Question & Answer
Q9 What are some special populations to consider for surgical care?
A - gerontological - obesity - disabilities - pregnant and breastfeeding mothers
Q10 What determines the validity of an informed consent?
A - adequate disclosure - understanding and comprehension - consent is voluntary
Q11 What are the different components of informed consent?
A - shared decision making - provider and recipient of care - validity - emergent/medical necessity
Q12 What is the nurse's role in consent?
A - witness signature on consent form - nurse NOT responsible for patient understanding the benefits
vs. risk - patient advocate
Section 2: Surgery, Team, Describe (Q13–Q24)
Question & Answer
Q13 Describe minors, unconscious or incompetent consent guidelines.
A - follow state law, nurse practice act and institution policies - safe practice to consult manager,
house supervisor
Q14 What are two types of advanced directives?
A - power of attorney - DNR (reversed in OR)
Q15 True or False: All consents must be obtained before premedication is administered.
A True. All consents must be obtained before premedication is administered.
Q16 What are some common premeds for surgery?
A - Ativan, Valium - benzo for anti-anxiety - glycopyrrolate (Robinul) or Atropine - decrease secretions
- ondansetron (Zofran) or droperidol - antibiotic (prophylactic) - pepcid, zantac - reduce secretions
and reflux
Q17 What is the timeframe for intraoperative care?
A begins when the patient is transferred to the OR table and ends when transferred into PACU
Q18 Who did asepsis begin wtih?
A PAsteur, Lister, and Semmelweiss
Q19 True or False: The earliest discussions of sterility were related to women dying after
childbirth. There is a greater risk of infection when delivered by an MD rather than a
midwife.
A True. The earliest discussions of sterility were related to women dying after childbirth. There is a
greater risk of infection when delivered by an MD rather than a midwife.
Q20 What are the steps to prepare to go to the OR?
A - have all equipment you need - appropriate identification of patient and procedure - IV access -
premedicated (timing important)
Page 2 of 11
