Exam Questions and CORRECT Answers
Which of the following clients has higher risk for complications during the perioperative period?
A.The client is 65 years old.
B.A 22-year-old college student scheduled for an appendectomy.
C.The client is 5 feet tall and weighs 400 pounds.
D.The surgery is planned as an ambulatory surgical procedure. - CORRECT ANSWER -C
A nurse is conducting preoperative teaching with a client about the use of an incentive
spirometer. The nurse should include which piece of information in discussions with the client?
A.Inhale as rapidly as possible.
B.Keep a loose seal between the lips and the mouthpiece.
C.After maximum inspiration, hold the breath for 15 seconds and exhale.
D.The best results are achieved when sitting up or with the head of the bed is elevated 45 to 90
degrees. - CORRECT ANSWER -D
A client who is scheduled for surgery cannot sign the operative consent form because of
unconsciousness. The nurse should take which appropriate action in the care of this client?
A.Notify the surgeon.
B.Send the client to surgery without the consent form being signed.
C.Have the hospital chaplain sign the informed consent immediately.
D.Obtain a telephone consent from a family member, following agency policy. - CORRECT
ANSWER -D
, The preoperative prescription is lorazepam (Ativan) 1 mg intravenous (IV) now. Which of the
following is the most appropriate action for the nurse to take prior to the administration of this
medication?
A.Check the laboratory results for the most recent serum potassium level.
B.Ask the client about an allergy to iodine or shellfish.
C.Tell the client the medication is used to prevent nausea.
D.Assist the client to the bathroom to void. - CORRECT ANSWER -D
Identify the area where surgical personnel must wear mask and cover all hair
A.Surgical scrub sink area
B.Preoperative holding area
C.Instrument cleansing area
D.Surrounding corridors - CORRECT ANSWER -A
During admission of the patient to the holding area or operating room before surgery, the
perioperative nurse must
A.Verify the patient's understanding of the risks of surgery.
B.Ensure the patient's identity through a formal identification process.
C.Prepare the skin by scrubbing the surgical site with an antimicrobial agent.
D.Perform a preoperative assessment with a patient history and physical examination -
CORRECT ANSWER -B
Which of the following responsibilities should be performed by the circulating nurse (select all
that apply)?
A.IDs and admits client
B.Assists with draping client