MED SURGE EXAM 2 PERIOPERATIVE CARE QUESTIONS
AND ANSWERS LATEST UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS CORRECT
DETAILED BEST RATED A+ FOR SUCCESS
In which surgical area will the patient's skin be prepped for surgery, and what clothing will the
person doing the prepping be wearing?
a. Surgical suite wearing a lab coat
b. Preoperative holding area wearing street clothes
c. Postanesthesia care unit (PACU) wearing scrubs
d. Operating room wearing surgical attire and masks - CORRECT ANSWERS D
Surgical attire includes pants and shirts (or scrubs), a cap or hood, masks, and protective
eyewear. All surgical attire is worn when the patient's skin is being prepped in the operating
room to avoid contamination of the site. The surgical suite includes all unrestricted,
semirestricted, and restricted areas of the controlled surgical environment. A lab coat is usually
worn by the staff over their scrubs when they leave the surgical area. The staff will not wear
street clothes in the preoperative holding area, although the family may. The holding area and
PACU will not include prepping the patient for surgery.
The patient is going to have a colonoscopy. Which type of anesthesia should the nurse expect
to be used?
a. Local anesthesia
b. Moderate sedation
c. General anesthesia
d. Monitored anesthesia care (MAC) - CORRECT ANSWERS D
The nurse should expect monitored anesthesia care (MAC) to be used for the patient having a
colonoscopy because it can match the sedation level to the patient needs and procedural
requirements. Local anesthesia would not be used because the area affected by a colonoscopy
is larger than loss of sensation could be provided for with topical, intracutaneous, or
subcutaneous application. Moderate sedation is used for procedures performed outside the
OR, and the patient remains responsive. General anesthesia is not needed for a colonoscopy,
and it requires advanced airway management.
,MED SURGE EXAM 2 PERIOPERATIVE CARE QUESTIONS
AND ANSWERS LATEST UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS CORRECT
DETAILED BEST RATED A+ FOR SUCCESS
A 78-year-old patient is having surgery. What risk areas will the nurse need to be especially
aware of for this patient during surgery?
a. Sterility
b. Paralysis
c. Urine output
d. Skin integrity - CORRECT ANSWERS D
Skin of older adults has lost elasticity and is at increased risk for injury from tape, electrodes,
warming or cooling blankets, and dressings. Pooling cleansing solution may create skin burns or
abrasions. The nurse is responsible for monitoring patient safety and adjusting patient position
as necessary to prevent pressure or misalignment. Sterility and urine output would be
monitored for all patients. Paralysis would not be unusual during some types of surgery but
would have an impact on any patient's skin integrity.
A patient having an open reduction internal fixation (ORIF) of a left lower leg fracture will
receive regional anesthesia during the procedure. As the patient is prepared in the operating
room, what should the nurse implement to maintain patient safety during surgery that is
directly related to the type of anesthesia being used?
a. Apply grounding pad to unaffected leg.
b. Assess peripheral pulses and skin color.
c. Verify the last oral intake before surgery.
d. Ensure a smooth surface under the patient. - CORRECT ANSWERS D
Regional anesthesia decreases sensation to the anesthetized area without impairing level of
consciousness, which means the affected leg will be without sensation while the anesthetic is
effective. A double tourniquet on the affected leg is used to restrict blood flow. This increases
the patient's risk of impaired skin integrity because the patient does not have sensation and
cannot identify discomfort or foreign objects and will not be moving during surgery. The nurse's
role includes positioning the patient for correct alignment, exposure of the surgical site, and
preventing injury. The other options will be occurring but are not directly related to the regional
anesthesia.
, MED SURGE EXAM 2 PERIOPERATIVE CARE QUESTIONS
AND ANSWERS LATEST UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS CORRECT
DETAILED BEST RATED A+ FOR SUCCESS
Which National Patient Safety Goal (NPSG) requirement is enacted immediately before surgery
with a surgical time-out?
a. Prevention of infection
b. Improved staff communication
c. Identify patients at risk for suicide.
d. Patient, surgical procedure, and site are checked. - CORRECT ANSWERS D
During the surgical time-out the Universal Protocol is used to verify the patient's identity,
surgical procedure, and site to prevent mistakes in surgery. Prevention of infection is to be
done at all times. Improved staff communication relates to getting important test results to the
right staff on time. Identifying patient's safety risks for suicide is not usually vital before surgery
and does not occur during the time-out.
The new nursing student is confused about where the patient's family (who are wearing street
clothes) can be with the patient in the surgical suite. Which explanation should the
perioperative nurse give to the student nurse?
a. The family is not allowed to talk to the nurse at the nursing station.
b. The family can be with the patient in the preoperative holding area.
c. The family cannot be with the patient until the postanesthesia care unit.
d. The family is only allowed in the conference room for preoperative teaching. - CORRECT
ANSWERS The family can be with the patient in the preoperative holding area.
The perioperative nurse should explain to the student nurse that the family can be in the
preoperative holding area before the patient goes to surgery, but this includes talking to the
nurse at the nursing station. They are also taken to the conference room for preoperative and
postoperative meetings with staff, including teaching.
AND ANSWERS LATEST UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS CORRECT
DETAILED BEST RATED A+ FOR SUCCESS
In which surgical area will the patient's skin be prepped for surgery, and what clothing will the
person doing the prepping be wearing?
a. Surgical suite wearing a lab coat
b. Preoperative holding area wearing street clothes
c. Postanesthesia care unit (PACU) wearing scrubs
d. Operating room wearing surgical attire and masks - CORRECT ANSWERS D
Surgical attire includes pants and shirts (or scrubs), a cap or hood, masks, and protective
eyewear. All surgical attire is worn when the patient's skin is being prepped in the operating
room to avoid contamination of the site. The surgical suite includes all unrestricted,
semirestricted, and restricted areas of the controlled surgical environment. A lab coat is usually
worn by the staff over their scrubs when they leave the surgical area. The staff will not wear
street clothes in the preoperative holding area, although the family may. The holding area and
PACU will not include prepping the patient for surgery.
The patient is going to have a colonoscopy. Which type of anesthesia should the nurse expect
to be used?
a. Local anesthesia
b. Moderate sedation
c. General anesthesia
d. Monitored anesthesia care (MAC) - CORRECT ANSWERS D
The nurse should expect monitored anesthesia care (MAC) to be used for the patient having a
colonoscopy because it can match the sedation level to the patient needs and procedural
requirements. Local anesthesia would not be used because the area affected by a colonoscopy
is larger than loss of sensation could be provided for with topical, intracutaneous, or
subcutaneous application. Moderate sedation is used for procedures performed outside the
OR, and the patient remains responsive. General anesthesia is not needed for a colonoscopy,
and it requires advanced airway management.
,MED SURGE EXAM 2 PERIOPERATIVE CARE QUESTIONS
AND ANSWERS LATEST UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS CORRECT
DETAILED BEST RATED A+ FOR SUCCESS
A 78-year-old patient is having surgery. What risk areas will the nurse need to be especially
aware of for this patient during surgery?
a. Sterility
b. Paralysis
c. Urine output
d. Skin integrity - CORRECT ANSWERS D
Skin of older adults has lost elasticity and is at increased risk for injury from tape, electrodes,
warming or cooling blankets, and dressings. Pooling cleansing solution may create skin burns or
abrasions. The nurse is responsible for monitoring patient safety and adjusting patient position
as necessary to prevent pressure or misalignment. Sterility and urine output would be
monitored for all patients. Paralysis would not be unusual during some types of surgery but
would have an impact on any patient's skin integrity.
A patient having an open reduction internal fixation (ORIF) of a left lower leg fracture will
receive regional anesthesia during the procedure. As the patient is prepared in the operating
room, what should the nurse implement to maintain patient safety during surgery that is
directly related to the type of anesthesia being used?
a. Apply grounding pad to unaffected leg.
b. Assess peripheral pulses and skin color.
c. Verify the last oral intake before surgery.
d. Ensure a smooth surface under the patient. - CORRECT ANSWERS D
Regional anesthesia decreases sensation to the anesthetized area without impairing level of
consciousness, which means the affected leg will be without sensation while the anesthetic is
effective. A double tourniquet on the affected leg is used to restrict blood flow. This increases
the patient's risk of impaired skin integrity because the patient does not have sensation and
cannot identify discomfort or foreign objects and will not be moving during surgery. The nurse's
role includes positioning the patient for correct alignment, exposure of the surgical site, and
preventing injury. The other options will be occurring but are not directly related to the regional
anesthesia.
, MED SURGE EXAM 2 PERIOPERATIVE CARE QUESTIONS
AND ANSWERS LATEST UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS CORRECT
DETAILED BEST RATED A+ FOR SUCCESS
Which National Patient Safety Goal (NPSG) requirement is enacted immediately before surgery
with a surgical time-out?
a. Prevention of infection
b. Improved staff communication
c. Identify patients at risk for suicide.
d. Patient, surgical procedure, and site are checked. - CORRECT ANSWERS D
During the surgical time-out the Universal Protocol is used to verify the patient's identity,
surgical procedure, and site to prevent mistakes in surgery. Prevention of infection is to be
done at all times. Improved staff communication relates to getting important test results to the
right staff on time. Identifying patient's safety risks for suicide is not usually vital before surgery
and does not occur during the time-out.
The new nursing student is confused about where the patient's family (who are wearing street
clothes) can be with the patient in the surgical suite. Which explanation should the
perioperative nurse give to the student nurse?
a. The family is not allowed to talk to the nurse at the nursing station.
b. The family can be with the patient in the preoperative holding area.
c. The family cannot be with the patient until the postanesthesia care unit.
d. The family is only allowed in the conference room for preoperative teaching. - CORRECT
ANSWERS The family can be with the patient in the preoperative holding area.
The perioperative nurse should explain to the student nurse that the family can be in the
preoperative holding area before the patient goes to surgery, but this includes talking to the
nurse at the nursing station. They are also taken to the conference room for preoperative and
postoperative meetings with staff, including teaching.
