NURA 1100 EXAM 2 Perioperative nursing
Questions With Complete Solutions 2026
Perioperative: Nursing Roles - Answer-Safety
Advocacy
Patient education
Perioperative: Reasons for Sx - Cosmetic - Answer-to reshape normal body
structures to improve appearance/self-image. Usually elective. Ex. contouring
(abdominoplasty), facelift, rhinoplasty
Perioperative: Reasons for Sx - Curative - Answer-to resolve a health problem by
repairing/removing cause. Ex. removal of cancerous tumor, gallbladder
Perioperative: Reasons for Sx - Diagnostic - Answer-to determine origin and cause
of a disorder by taking a tissue sample to Dx / stage a condition. Ex breast biopsy,
joint arthroscopy
Impact on Electrocautery
1. Hx of joint replacement & exact location of any prostheses inform sx personnel
impacts placement of electrocautery pads
,2. AVOID placing electrocautery pads: On or near prostheses. Bony prominences.
Tattoos. Pacemakers. Scar tissue. Hair. Weightbearing surfaces. Pressure points.
Metal piercings
Perioperative: ROS
1. General (Constitutional)
2. Eyes
3. Ears, Nose, Mouth, Throat
4. Cardiovascular
5. Respiratory
6. Genitourinary
7. Musculoskeletal
8. Integumentary
9. Neurologic
10. Psychiatric
11. Endocrine
12. Hematologic and Lymphatic
13. Allergic and Immunologic - Answer-1. General (Constitutional) - Fevers and/or
chills. Generalized weakness.
2. Eyes - Dryness or infection of conjunctiva and/or lids. Blurring or changes in
vision.
3. Ears, Nose, Mouth, Throat - Ear drainage or pain. Difficulty / changes in hearing
or breathing through nose. Sinus tenderness. Oral lesions. Changes in dentition
(cavities, dentures). Difficulty in swallowing.
,4. Cardiovascular - Edema. Exercise intolerance. Pain. Palpitations. VTEs. Hx of
ischemic heart disease.
5. Respiratory - Cough with sputum / blood. Pain or SOB when breathing.
Obstructive sleep apnea.
6. Genitourinary - Pain or burning on urination. Frequency, urgency, incontinence.
Bladder changes or difficulty.
7. Musculoskeletal - Clubbing or Cyanosis. Joint pain. Symmetry of extremities.
Loss/Change in ROM.
8. Integumentary - Dryness, rashes, lesions or ulcerations
9. Neurologic - Changes in memory / usual state of orientation. One-sided
weakness. Numbness / tingling. Loss of balance. Hx cerebrovascular disease
10. Psychiatric - General mood. Depression over dx. Anxiety about sx
11. Endocrine - Inc. thirst or urination. Unexplained weight loss/gain
12. Hematologic and Lymphatic - Swollen nodes. New / Unusual bleeding.
Nonhealing wounds
, 13. Allergic and Immunologic - Seasonal, food, chemical allergies. Changes in
immune system
Perioperative: Abnormal Assessment Findings to Report - VS - Answer-obtain
several times at diff. time intervals for accurate baseline values. Anxiety may
increase HR, RR, BP)
Perioperative: Abnormal Assessment Findings to Report - CV status - Answer-a.
HTN
b. Rate, regularity, abnormalities of heart sounds
c. Hx of VTE
d. Temp, color, peripheral pulses, cap refill, edema of extremities
e. Report: absent peripheral pulses, pitting edema, cardiac symptoms, chest pain,
SOB, dyspnea
f. Functioning implantable CV devices (pacemaker, implantable cardioverter
defibrillator (ICD). Report if present
Perioperative: Abnormal Assessment Findings to Report - Respiratory status -
Answer-a. Established by age, smoking hx (including secondhand), chronic
illnesses
b. Obesity: OSA - may complicate anesthesia
c. Observe posture and respiratory effort, rate, rhythm, depth. Auscultate lung
sounds
d. Document clubbing or cyanosis
Perioperative: Abnormal Assessment Findings to Report - Renal status - Answer-a.
Decreased GFR = decreased excretion of drugs and anesthetic agents
Questions With Complete Solutions 2026
Perioperative: Nursing Roles - Answer-Safety
Advocacy
Patient education
Perioperative: Reasons for Sx - Cosmetic - Answer-to reshape normal body
structures to improve appearance/self-image. Usually elective. Ex. contouring
(abdominoplasty), facelift, rhinoplasty
Perioperative: Reasons for Sx - Curative - Answer-to resolve a health problem by
repairing/removing cause. Ex. removal of cancerous tumor, gallbladder
Perioperative: Reasons for Sx - Diagnostic - Answer-to determine origin and cause
of a disorder by taking a tissue sample to Dx / stage a condition. Ex breast biopsy,
joint arthroscopy
Impact on Electrocautery
1. Hx of joint replacement & exact location of any prostheses inform sx personnel
impacts placement of electrocautery pads
,2. AVOID placing electrocautery pads: On or near prostheses. Bony prominences.
Tattoos. Pacemakers. Scar tissue. Hair. Weightbearing surfaces. Pressure points.
Metal piercings
Perioperative: ROS
1. General (Constitutional)
2. Eyes
3. Ears, Nose, Mouth, Throat
4. Cardiovascular
5. Respiratory
6. Genitourinary
7. Musculoskeletal
8. Integumentary
9. Neurologic
10. Psychiatric
11. Endocrine
12. Hematologic and Lymphatic
13. Allergic and Immunologic - Answer-1. General (Constitutional) - Fevers and/or
chills. Generalized weakness.
2. Eyes - Dryness or infection of conjunctiva and/or lids. Blurring or changes in
vision.
3. Ears, Nose, Mouth, Throat - Ear drainage or pain. Difficulty / changes in hearing
or breathing through nose. Sinus tenderness. Oral lesions. Changes in dentition
(cavities, dentures). Difficulty in swallowing.
,4. Cardiovascular - Edema. Exercise intolerance. Pain. Palpitations. VTEs. Hx of
ischemic heart disease.
5. Respiratory - Cough with sputum / blood. Pain or SOB when breathing.
Obstructive sleep apnea.
6. Genitourinary - Pain or burning on urination. Frequency, urgency, incontinence.
Bladder changes or difficulty.
7. Musculoskeletal - Clubbing or Cyanosis. Joint pain. Symmetry of extremities.
Loss/Change in ROM.
8. Integumentary - Dryness, rashes, lesions or ulcerations
9. Neurologic - Changes in memory / usual state of orientation. One-sided
weakness. Numbness / tingling. Loss of balance. Hx cerebrovascular disease
10. Psychiatric - General mood. Depression over dx. Anxiety about sx
11. Endocrine - Inc. thirst or urination. Unexplained weight loss/gain
12. Hematologic and Lymphatic - Swollen nodes. New / Unusual bleeding.
Nonhealing wounds
, 13. Allergic and Immunologic - Seasonal, food, chemical allergies. Changes in
immune system
Perioperative: Abnormal Assessment Findings to Report - VS - Answer-obtain
several times at diff. time intervals for accurate baseline values. Anxiety may
increase HR, RR, BP)
Perioperative: Abnormal Assessment Findings to Report - CV status - Answer-a.
HTN
b. Rate, regularity, abnormalities of heart sounds
c. Hx of VTE
d. Temp, color, peripheral pulses, cap refill, edema of extremities
e. Report: absent peripheral pulses, pitting edema, cardiac symptoms, chest pain,
SOB, dyspnea
f. Functioning implantable CV devices (pacemaker, implantable cardioverter
defibrillator (ICD). Report if present
Perioperative: Abnormal Assessment Findings to Report - Respiratory status -
Answer-a. Established by age, smoking hx (including secondhand), chronic
illnesses
b. Obesity: OSA - may complicate anesthesia
c. Observe posture and respiratory effort, rate, rhythm, depth. Auscultate lung
sounds
d. Document clubbing or cyanosis
Perioperative: Abnormal Assessment Findings to Report - Renal status - Answer-a.
Decreased GFR = decreased excretion of drugs and anesthetic agents
