PCC EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS

PCC EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
Anxxoverweightxxpatientxx(BMIxx28.1xxkg/
m2)xxisxxscheduledxxforxxaxxlaparoscopicxxcholecystectomyxxatxxanxxoutpatientxxsurgeryxx
setting.xxThexxnursexxknowsxxthat

a.xxsurgeryxxwillxxinvolvexxmultiplexxsmallxxincisions.

b.xxthisxxsettingxxisxxnotxxappropriatexxforxxthisxxprocedure.

c.xxsurgeryxxwillxxinvolvexxremovingxxaxxportionxxofxxthexxliver.

d.xxthexxpatientxxwillxxneedxxspecialxxpreparationxxbecausexxofxxobesity.xx-xxAnswerxxa

Thexxpatientxxtellsxxthexxnursexxinxxthexxpreoperativexxsettingxxthatxxshexxhasxxnoticedxxsh
exxhasxxaxxreactionxxwhenxxwearingxxrubberxxgloves.xxWhatxxisxxthexxmostxxappropriatexxi
ntervention?

a.xxNotifyxxthexxsurgeonxxsoxxthexxcasexxcanxxbexxcancelled.

b.xxAskxxadditionalxxquestionsxxtoxxassessxxforxxaxxpossiblexxlatexxxallergy.

c.xxNotifyxxthexxORxxstaffxximmediatelyxxsoxxthatxxlatex-freexxsuppliesxxcanxxbexxused.

d.xxNoxxinterventionxxisxxneededxxbecausexxthexxpatient'sxxrubberxxsensitivityxxhasxxnoxxb
earingxxonxxsurgery.xx-xxAnswerxxb

Axx59-year-
oldxxmanxxisxxscheduledxxforxxaxxherniorrhaphyxxinxx2xxdays.xxDuringxxthexxpreoperativexx
evaluationxxhexxreportsxxthatxxhexxtakesxxginkgoxxdaily.xxWhatxxisxxthexxpriorityxxinterventi
on?

a.xxInformxxthexxsurgeon,xxsincexxthexxprocedurexxmayxxneedxxtoxxbexxrescheduled.

b.xxNotifyxxthexxanesthesiaxxcarexxprovider,xxsincexxthisxxherbxxinterferesxxwithxxanestheti
cs.

c.xxAskxxthexxpatientxxifxxhexxhasxxnoticedxxanyxxsidexxeffectsxxfromxxtakingxxthisxxherbalxx
supplement.

,d.xxTellxxthexxpatientxxtoxxcontinuexxtoxxtakexxthexxherbalxxsupplementxxupxxtoxxthexxdayxx
beforexxsurgery.xx-xxAnswerxxa

Axx17-year-
oldxxpatientxxwithxxaxxlegxxfracturexxisxxscheduledxxforxxsurgery.xxShexxreportsxxthatxxshexx
isxxlivingxxwithxxaxxfriendxxandxxisxxanxxemancipatedxxminor.xxShexxhasxxaxxstatementxxfro
mxxthexxcourtxxforxxverification.xxWhichxxinterventionxxisxxmostxxappropriate?

a.xxWitnessxxthexxpermitxxafterxxconsentxxisxxobtainedxxbyxxthexxsurgeon.

b.xxCallxxaxxparentxxorxxlegalxxguardianxxtoxxsignxxthexxpermit,xxsincexxthexxpatientxxisxxun
derxx18.

c.xxObtainxxverbalxxconsent,xxsincexxwrittenxxconsentxxisxxnotxxnecessaryxxforxxemancipat
edxxminors.

d.xxInvestigatexxyourxxstate'sxxnursexxpracticexxactxxrelatedxxtoxxemancipatedxxminorsxxan
dxxinformedxxconsent.xx-xxAnswerxxa

Axxpriorityxxnursingxxinterventionxxtoxxassistxxaxxpreoperativexxpatientxxinxxcopingxxwithxxfe
arxxofxxpostoperativexxpainxxwouldxxbexxto

a.xxinformxxthexxpatientxxthatxxpainxxmedicationxxwillxxbexxavailable.

b.xxteachxxthexxpatientxxtoxxusexxguidedxximageryxxtoxxhelpxxmanagexxpain.

c.xxdescribexxthexxtypexxofxxpainxxexpectedxxwithxxthexxpatient'sxxparticularxxsurgery.

d.xxexplainxxthexxpainxxmanagementxxplan,xxincludingxxthexxusexxofxxaxxpainxxratingxxscal
e.xx-xxAnswerxxd

Axxpatientxxisxxscheduledxxforxxsurgeryxxrequiringxxgeneralxxanesthesiaxxatxxanxxambulato
ryxxsurgicalxxcenter.xxThexxnursexxasksxxhimxxwhenxxhexxatexxlast.xxHexxrepliesxxthatxxhexx
hadxxaxxlightxxbreakfastxxaxxcouplexxofxxhoursxxbeforexxcomingxxtoxxthexxsurgeryxxcenter.x
xWhatxxshouldxxthexxnursexxdoxxfirst?


a.xxTellxxthexxpatientxxtoxxcomexxbackxxtomorrow,xxsincexxhexxatexxaxxmeal.

b.xxProceedxxwithxxthexxpreoperativexxchecklist,xxincludingxxsitexxidentification.

c.xxNotifyxxthexxanesthesiaxxcarexxproviderxxofxxwhenxxandxxwhatxxthexxpatientxxlastxxate.

d.xxHavexxthexxpatientxxvoidxxbeforexxadministeringxxanyxxpreoperativexxmedications.xx-
xxAnswerxxc

,Axxpatientxxwhoxxnormallyxxtakesxx40xxunitsxxofxxglarginexxinsulinxx(longxxacting)xxatxxbedt
imexxasksxxthexxnursexxwhatxxtoxxdoxxaboutxxherxxdosexxthexxnightxxbeforexxsurgery.xxThe
xxbestxxresponsexxwouldxxbexxtoxxhavexxher


a.xxskipxxherxxinsulinxxaltogetherxxthexxnightxxbeforexxsurgery.

b.xxtakexxherxxusualxxdosexxatxxbedtimexxandxxeatxxaxxlightxxbreakfastxxinxxthexxmorning.

c.xxeatxxaxxmoderatexxmealxxbeforexxbedtimexxandxxthenxxtakexxhalfxxherxxusualxxinsulinxx
dose.

d.xxgetxxinstructionsxxfromxxherxxsurgeonxxorxxhealthxxcarexxproviderxxonxxanyxxinsulinxxad
justments.xx-xxAnswerxxd

Preoperativexxconsiderationsxxforxxolderxxadultsxxincludexx(selectxxallxxthatxxapply)

a.xxonlyxxusingxxlarge-printxxeducationalxxmaterials.

b.xxspeakingxxlouderxxforxxpatientsxxwithxxhearingxxaids.

c.xxrecognizingxxthatxxsensoryxxdeficitsxxmayxxbexxpresent.

d.xxprovidingxxwarmxxblanketsxxtoxxpreventxxhypothermia.

e.xxteachingxximportantxxinformationxxearlyxxinxxthexxmorning.xx-xxAnswerxxc,d

FivexxminutesxxafterxxreceivingxxaxxpreoperativexxsedativexxmedicationxxbyxxIVxxinjection,
xxaxxpatientxxasksxxtoxxgetxxupxxtoxxgoxxtoxxthexxbathroomxxtoxxurinate.xxWhatxxisxxthexxmo
stxxappropriatexxactionxxforxxthexxnursexxtoxxtake?xx


A.xxOfferxxthexxpatientxxtoxxusexxthexxurinal/
bedpanxxafterxxexplainingxxthexxneedxxtoxxmaintainxxsafety.xx

B.xxAssistxxthexxpatientxxtoxxthexxbathroomxxandxxstayxxnextxxtoxxthexxdoorxxtoxxassistxxpat
ientxxbackxxtoxxbedxxwhenxxdone.xx

C.xxAllowxxthexxpatientxxtoxxgoxxtoxxthexxbathroomxxsincexxthexxonsetxxofxxthexxmedication
xxwillxxbexxmorexxthanxx5xxminutes.xx


D.xxAskxxthexxpatientxxtoxxholdxxthexxurinexxforxxaxxshortxxperiodxxsincexxaxxurinaryxxcathet
erxxwillxxbexxplacedxxinxxthexxoperatingxxroomxx-xxAnswerxxA

Whatxxisxxthexxprimaryxxreasonxxforxxaccuratelyxxrecordingxxthexxpatient'sxxcurrentxxmedic
ationsxxduringxxaxxpreoperativexxassessment?xx

, A.xxSomexxmedicationsxxmayxxalterxxthexxpatient'sxxperceptionsxxaboutxxsurgery.xx




B.xxManyxxanestheticsxxalterxxrenalxxandxxhepaticxxfunction,xxcausingxxtoxicityxxofxxotherxx
drugs.xx




C.xxSomexxmedicationsxxmayxxinteractxxwithxxanesthetics,xxalteringxxthexxpotencyxxandxxe
ffectxxofxxthexxdrugs.xx




D.xxRoutinexxmedicationsxxarexxwithheldxxthexxdayxxofxxsurgery,xxrequiringxxdosagexxandx
xschedulexxadjustmentsxxafterxxsurgery.xx-xxAnswerxxC
Drugxxinteractionsxxmayxxoccurxxbetweenxxprescribedxxmedicationsxxandxxanestheticxxag
entsxxusedxxduringxxsurgery.xxForxxthisxxreason,xxitxxisxximportantxxtoxxtakexxaxxcarefulxxm
edicationxxhistoryxxandxxcheckxxthatxxtheyxxhavexxbeenxxcommunicatedxxtoxxthexxanesthe
siaxxcarexxprovider.xxRoutinexxmedicationsxxmayxxorxxmayxxnotxxbexxprescribedxxforxxusex
xthexxdayxxofxxsurgery.


Whilexxperformingxxpreoperativexxteaching,xxthexxpatientxxasksxxwhenxxshexxneedsxxtoxxs
topxxdrinkingxxwaterxxbeforexxthexxsurgery.xxBasedxxonxxthexxmostxxrecentxxpracticexxguid
elinesxxestablishedxxbyxxthexxAmericanxxSocietyxxofxxAnesthesiologists,xxthexxnursexxtells
xxthexxpatientxxthatxx




A.xxshexxmustxxbexxNPOxxafterxxbreakfast.xx




B.xxshexxneedsxxtoxxbexxNPOxxafterxxmidnight.xx