4110 Nursing Process in the
Perioperative Setting
Final Exam Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Question:
A 56‑year‑old woman scheduled for elective hysterectomy presents in
the preoperative holding area. Which nursing process phase is most
critical at this time to ensure that care is individualized and
evidence‑based?
- A. Diagnosis (NANDA formulation)
- B. Assessment (including psychosocial and cultural factors)
- C. Implementation of post‑op pain protocols
- D. Evaluation of surgical outcomes
Correct ANS:
B. Assessment (including psychosocial and cultural factors)
Rationale:
Preoperative assessment is the cornerstone of the nursing process. It
involves gathering comprehensive data—including physiological,
psychosocial, and cultural factors—that informs the formulation of
nursing diagnoses, individualized care plans, and promotes patient-
centered, evidence-based practice.
---
2. Fill-in-the-Blank
Question:
The systematic process of collecting data, formulating diagnoses,
planning interventions, implementing care, and evaluating outcomes is
known as the __________.
Correct ANS:
nursing process
2
, Rationale:
The nursing process is a dynamic, cyclical framework that guides clinical
decision-making and ensures that patient care is systematic,
personalized, and evidence-based.
---
3. True/False
Question:
True or False: In the preoperative phase, a patient care coordinator’s role
includes liaising between surgical teams, patients, and their families to
ensure that pre-surgical assessments align with evidence-based
protocols.
Correct ANS:
True
Rationale:
The patient care coordinator bridges communication gaps between care
providers and families, ensuring that all preoperative assessments—such
as risk stratification, consent, and teaching—adhere to evidence-based
standards.
---
4. Multiple Response
Question:
When performing a preoperative assessment using the nursing process,
which of the following components are essential? (Select all that apply)
- A. Reviewing the patient’s medical, surgical, and psychosocial history
- B. Identifying patient and family concerns regarding the upcoming
procedure
- C. Implementing postoperative pain management protocols
- D. Formulating individualized nursing diagnoses
- E. Establishing baseline measurements of vital signs and laboratory
3
, values
Correct ANSs:
A, B, D, E
Rationale:
A thorough preoperative assessment requires collecting historical data
(A), exploring patient concerns (B), formulating nursing diagnoses (D),
and establishing baselines (E). Implementation of postoperative
protocols (C) is part of later phases.
---
5. Multiple Choice
Question:
During the intraoperative phase, which nursing role is pivotal to ensuring
patient safety and adherence to sterile technique?
- A. Registered Nurse First Assistant (RNFA)
- B. Circulating Nurse
- C. Scrub Nurse
- D. Patient Care Coordinator
Correct ANS:
C. Scrub Nurse
Rationale:
The scrub nurse plays a critical role in maintaining asepsis by managing
surgical instruments and assisting the surgeon directly. While the
circulating nurse supports overall OR functioning and the RNFA assists
with technical procedures, maintaining sterility is the primary mandate of
the scrub nurse.
---
6. Fill-in-the-Blank
4
Perioperative Setting
Final Exam Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Question:
A 56‑year‑old woman scheduled for elective hysterectomy presents in
the preoperative holding area. Which nursing process phase is most
critical at this time to ensure that care is individualized and
evidence‑based?
- A. Diagnosis (NANDA formulation)
- B. Assessment (including psychosocial and cultural factors)
- C. Implementation of post‑op pain protocols
- D. Evaluation of surgical outcomes
Correct ANS:
B. Assessment (including psychosocial and cultural factors)
Rationale:
Preoperative assessment is the cornerstone of the nursing process. It
involves gathering comprehensive data—including physiological,
psychosocial, and cultural factors—that informs the formulation of
nursing diagnoses, individualized care plans, and promotes patient-
centered, evidence-based practice.
---
2. Fill-in-the-Blank
Question:
The systematic process of collecting data, formulating diagnoses,
planning interventions, implementing care, and evaluating outcomes is
known as the __________.
Correct ANS:
nursing process
2
, Rationale:
The nursing process is a dynamic, cyclical framework that guides clinical
decision-making and ensures that patient care is systematic,
personalized, and evidence-based.
---
3. True/False
Question:
True or False: In the preoperative phase, a patient care coordinator’s role
includes liaising between surgical teams, patients, and their families to
ensure that pre-surgical assessments align with evidence-based
protocols.
Correct ANS:
True
Rationale:
The patient care coordinator bridges communication gaps between care
providers and families, ensuring that all preoperative assessments—such
as risk stratification, consent, and teaching—adhere to evidence-based
standards.
---
4. Multiple Response
Question:
When performing a preoperative assessment using the nursing process,
which of the following components are essential? (Select all that apply)
- A. Reviewing the patient’s medical, surgical, and psychosocial history
- B. Identifying patient and family concerns regarding the upcoming
procedure
- C. Implementing postoperative pain management protocols
- D. Formulating individualized nursing diagnoses
- E. Establishing baseline measurements of vital signs and laboratory
3
, values
Correct ANSs:
A, B, D, E
Rationale:
A thorough preoperative assessment requires collecting historical data
(A), exploring patient concerns (B), formulating nursing diagnoses (D),
and establishing baselines (E). Implementation of postoperative
protocols (C) is part of later phases.
---
5. Multiple Choice
Question:
During the intraoperative phase, which nursing role is pivotal to ensuring
patient safety and adherence to sterile technique?
- A. Registered Nurse First Assistant (RNFA)
- B. Circulating Nurse
- C. Scrub Nurse
- D. Patient Care Coordinator
Correct ANS:
C. Scrub Nurse
Rationale:
The scrub nurse plays a critical role in maintaining asepsis by managing
surgical instruments and assisting the surgeon directly. While the
circulating nurse supports overall OR functioning and the RNFA assists
with technical procedures, maintaining sterility is the primary mandate of
the scrub nurse.
---
6. Fill-in-the-Blank
4
