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Perioperative Nursing Care – 100+ Exam Questions with Answers | NUR623 | Nursing | ERAS, Anesthesia Types, PACU, Post-op Complications

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This comprehensive document features over 100 detailed exam questions and verified answers for the NUR623 – Perioperative Nursing Care course, designed for the 2025/2026 academic year. It offers a complete overview of the pre-, intra-, and post-operative nursing responsibilities, supporting students in mastering the clinical and theoretical foundations of surgical nursing care. Key topics include types of surgeries (elective, emergency, inpatient, outpatient), Enhanced Recovery After Surgery (ERAS) protocols, and the legal, ethical, and clinical aspects of informed consent. Students are guided through pre-surgical assessments, OR preparation, and intraoperative roles of surgical team members (scrub nurse, circulating nurse, anesthetist, etc.). Detailed focus is given to types of anesthesia (general, spinal, epidural, local, and procedural sedation), including indications, complications, and management strategies. Post-operative care content spans PACU phases, pain management, mobility promotion, and nursing assessments across all systems (neurological, respiratory, cardiovascular, GI, GU, integumentary, and psychological). The material provides essential knowledge on common complications such as VTE, SSI, urinary retention, pulmonary embolism, paralytic ileus, and post-op delirium, including nursing interventions and discharge teaching. This resource is ideal for students enrolled in: Bachelor of Science in Nursing (BSN) Master of Science in Nursing (MSN) Nurse Practitioner (NP) programs Courses in Surgical Nursing, Advanced Health Assessment, Anesthesia Nursing, or Perioperative Care Allied health programs covering surgical protocols and recovery care Perfect for exam preparation, clinical skill reinforcement, and OSCE review, this document delivers structured, real-world nursing knowledge. Keywords: perioperative care, ERAS, anesthesia types, PACU, surgical nursing, postoperative assessment, post-op complications, nursing exam questions, NUR623, informed consent, pain management, urinary retention, VTE prevention, paralytic ileus, wound care, patient discharge teaching

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NUR623 Peri-operative Nursing Care
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



Elective sugery - 🧠 ANSWER ✔✔Elective = Planned surgeries that patients

need, but don't have to be done right away. They are planned in advance.




- Same day surgery (SDS)

- Ambulatory/one-day surgery (ODS)

- Inpatient


Emergency surgery - 🧠 ANSWER ✔✔Surgeries done for urgent, possibly

life-threatening medical conditions

,What is ERAS: Enhanced Recovery After Surgery and its benefits? - 🧠

ANSWER ✔✔- Treatment program standardizing peri-operative care with

evidence-based, best practice

- Care pathways designed to reduce peri-operative stress, maintain

postoperative physiological function and accelerate recovery after surgery

- Associated with: ↓ length of surgical stay, ↓ post-op complications,

enhanced recovery process, improved pt experience, ↓ readmission rate

ERAS basic components (pre- intra- and post-operative) - 🧠 ANSWER

✔✔Preoperative


•Patient, family education & counselling

•Patient optimization

•Prehabilitation

•Carbohydrate loading & elimination of NPO

•Prevention of N/V (PONV)

•Pre-anesthetic meds

•Antimicrobial prophylaxis & skin prep

•Selective bowel prep

,Intraoperative

•Standard anesthetic protocol, opioid sparing, multimodal analgesia

•Fluid normovolemia, electrolyte therapy

•Normothermia

•Minimal invasive surgery

•Minimize drains/catheters




Postoperative

•Multimodal analgesia

•Thromboprophylaxis

•Fluid & electrolyte therapy

•Early urinary catheter removal

•Glycemic control

•Early oral nutrition & stimulation of gut motility

•Early mobilisation


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, •Defined discharge criteria & patient education

Advantages of Carbohydrate Loading & Elimination of NPO - 🧠 ANSWER

✔✔↓ insulin resistance


↓ preoperative thirst, hunger & anxiety

Better maintain lean body mass & muscle strength

Less postoperative losses of nitrogen & protein

Accelerate recovery

↓ length of stay

↓ myocardial injury

Advantages of Early Oral Nutrition & Stimulation of Gut Motility - 🧠

ANSWER ✔✔Avoid starvation response


↓ risk of infection

Not associated with ↑ risk of anastomotic dehiscence (colorectal

population)

Helps to prevent ileus

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