Med-Surg: Perioperative Care UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Perioperative Care refers to the time: - CORRECT ANSWER - -When the patient is
scheduled for surgery until the patient's condition stabilizes and patient is d/c from facility.
-*Preoperative, intraoperative, and perioperative*
What 3 things will you, as a nurse, function as to the patient in parioperative process? -
CORRECT ANSWER - An educator, advocate, and a promoter of health.
The peri operative emphasis on: - CORRECT ANSWER - Safety, advocacy, patient
education, and a culture of safety.
Objective to Perioperative Care: - CORRECT ANSWER - -Provide care for the
perioperative client
-Provide nursing care for clients experiencing signs and symptoms of commonly occurring
complications, shock, and hemorrhage.
-Manage the pain of the perioperative client
-Develop age-related teaching/learning strategies for the perioperative client.
The preoperative period begins when: - CORRECT ANSWER - The patient is scheduled
for surgery and ends at the time of transfer to the surgical suite.
Reason for Surgery, Diagnostic: - CORRECT ANSWER - *Description:* Performed to
determine the origin and cause of a disorder or the cell type for cancer.
*Condition of Surgical Procedure:* breast biopsy, exploratory laparotomy, arthroscopy.
Reason for Surgery, Curative: - CORRECT ANSWER - *Description:* Performed to
resolve a health problem by repairing or removing the cause.
,*Condition of Surgical Procedure:* Cholecystectomy, appendectomy, hysterectomy.
Reason for Surgery, Restorative: - CORRECT ANSWER - *Description:* Performed to
improve a patient's functional ability.
*Condition of Surgical Procedure:* Total knee replacement, finger re-implantation.
Reason for Surgery, Palliative: - CORRECT ANSWER - *Description:* Performed to
relieve symptoms of a disease process, but does not cure.
*Condition of Surgical Procedure:* Colostomy, nerve root resection, tumor de-bulking,
ileostomy.
Reason for Surgery, Cosmetic: - CORRECT ANSWER - *Description:* Performed
primarily to alter or enhance personal appearance.
*Condition of Surgical Procedure:* Liposuction, revision of scars, rhinoplasty, blepharoplasty.
Urgency of Surgery, Elective: - CORRECT ANSWER - *Description:* Planned for
correction of a nonactive problem.
*Condition of Surgical Procedure:* Cataract removal, hernia repair, hemorrhoidectomy, total
joint replacement.
Urgency of Surgery, Urgent: - CORRECT ANSWER - *Description:* Requires prompt
intervention; may be life threatening if treatment is delayed more than 24-48hrs.
*Condition of Surgical Procedure:* Intestinal obstruction, bladder obstruction, kidney or ureteral
stones, bone fracture, eye injury, acute cholecystitis.
Urgency of Surgery, Emergent: - CORRECT ANSWER - *Description:* Requires
immediate intervention because of life-threatening consequences.
*Condition of Surgical Procedure:* Gunshot or stab wound, severe bleeding, abdominal aortic
aneurysm, compound fracture, appendectomy.
, Degree of Risk of Surgery, Minor: - CORRECT ANSWER - *Description:* Procedure
without significant risk; often done with local anesthesia.
*Condition of Surgical Procedure:* Incision and drainage (I&D), implantation of a venous
access device (VAD), muscle biopsy.
Degree of Risk of Surgery, Major: - CORRECT ANSWER - *Description:* Procedure of
greater risk; usually longer and more extensive than a minor procedure.
*Condition of Surgical Procedure:* Mitral valve replacement, pancreas transplant, lymph node
dissection.
Extent of Surgery, Simple: - CORRECT ANSWER - *Description:* Only the most overtly
affected areas involved in the surgery.
*Condition of Surgical Procedure:* Simple/partial mastectomy.
Extent of Surgery, Radical: - CORRECT ANSWER - *Description:* Extensive surgery
beyond the area obviously involved; is directed at finding a root cause.
*Condition of Surgical Procedure:* Radical prostatectomy, radical hysterectomy.
Extent of Surgery, Minimally Invasive Surgery (MIS): - CORRECT ANSWER -
*Description:* Surgery performed in a body cavity or body area through one or more
endoscopes; can correct problems, remove organs, take tissue for biopsy, re-route blood vessels
and drainage systems; is a fast-growing and ever-changing type of surgery.
*Condition of Surgical Procedure:* Arthroscopy, tubal ligation, hysterectomy, lung lobectomy,
coronary artery bypass, cholecystectomy.
Risk Factors the Acknowledge In The Preoperative Phase: - CORRECT ANSWER -
*Age* (older than 65), *nutritional, health status, fluid and electrolyte imbalances, radiation,
cardiopulmonary, chemotherapy, meds* (antihypertensives, tricyclic antidepressants,
anticoagulants, NSAIDs), *family history* (malignant hyperthermia, cancer, bleeding disorder),
*prior surgical experience* (less than optimal emotional reaction, anesthesia reactions or
complications, postoperative complications), *type of surgery* (neck, oral, or facial procedures
[airway complications], chest or high abdominal procedures [pulmonary complications],
abdominal surgery [paralytic ileus, DVT).
ACTUAL Exam Questions and CORRECT
Answers
Perioperative Care refers to the time: - CORRECT ANSWER - -When the patient is
scheduled for surgery until the patient's condition stabilizes and patient is d/c from facility.
-*Preoperative, intraoperative, and perioperative*
What 3 things will you, as a nurse, function as to the patient in parioperative process? -
CORRECT ANSWER - An educator, advocate, and a promoter of health.
The peri operative emphasis on: - CORRECT ANSWER - Safety, advocacy, patient
education, and a culture of safety.
Objective to Perioperative Care: - CORRECT ANSWER - -Provide care for the
perioperative client
-Provide nursing care for clients experiencing signs and symptoms of commonly occurring
complications, shock, and hemorrhage.
-Manage the pain of the perioperative client
-Develop age-related teaching/learning strategies for the perioperative client.
The preoperative period begins when: - CORRECT ANSWER - The patient is scheduled
for surgery and ends at the time of transfer to the surgical suite.
Reason for Surgery, Diagnostic: - CORRECT ANSWER - *Description:* Performed to
determine the origin and cause of a disorder or the cell type for cancer.
*Condition of Surgical Procedure:* breast biopsy, exploratory laparotomy, arthroscopy.
Reason for Surgery, Curative: - CORRECT ANSWER - *Description:* Performed to
resolve a health problem by repairing or removing the cause.
,*Condition of Surgical Procedure:* Cholecystectomy, appendectomy, hysterectomy.
Reason for Surgery, Restorative: - CORRECT ANSWER - *Description:* Performed to
improve a patient's functional ability.
*Condition of Surgical Procedure:* Total knee replacement, finger re-implantation.
Reason for Surgery, Palliative: - CORRECT ANSWER - *Description:* Performed to
relieve symptoms of a disease process, but does not cure.
*Condition of Surgical Procedure:* Colostomy, nerve root resection, tumor de-bulking,
ileostomy.
Reason for Surgery, Cosmetic: - CORRECT ANSWER - *Description:* Performed
primarily to alter or enhance personal appearance.
*Condition of Surgical Procedure:* Liposuction, revision of scars, rhinoplasty, blepharoplasty.
Urgency of Surgery, Elective: - CORRECT ANSWER - *Description:* Planned for
correction of a nonactive problem.
*Condition of Surgical Procedure:* Cataract removal, hernia repair, hemorrhoidectomy, total
joint replacement.
Urgency of Surgery, Urgent: - CORRECT ANSWER - *Description:* Requires prompt
intervention; may be life threatening if treatment is delayed more than 24-48hrs.
*Condition of Surgical Procedure:* Intestinal obstruction, bladder obstruction, kidney or ureteral
stones, bone fracture, eye injury, acute cholecystitis.
Urgency of Surgery, Emergent: - CORRECT ANSWER - *Description:* Requires
immediate intervention because of life-threatening consequences.
*Condition of Surgical Procedure:* Gunshot or stab wound, severe bleeding, abdominal aortic
aneurysm, compound fracture, appendectomy.
, Degree of Risk of Surgery, Minor: - CORRECT ANSWER - *Description:* Procedure
without significant risk; often done with local anesthesia.
*Condition of Surgical Procedure:* Incision and drainage (I&D), implantation of a venous
access device (VAD), muscle biopsy.
Degree of Risk of Surgery, Major: - CORRECT ANSWER - *Description:* Procedure of
greater risk; usually longer and more extensive than a minor procedure.
*Condition of Surgical Procedure:* Mitral valve replacement, pancreas transplant, lymph node
dissection.
Extent of Surgery, Simple: - CORRECT ANSWER - *Description:* Only the most overtly
affected areas involved in the surgery.
*Condition of Surgical Procedure:* Simple/partial mastectomy.
Extent of Surgery, Radical: - CORRECT ANSWER - *Description:* Extensive surgery
beyond the area obviously involved; is directed at finding a root cause.
*Condition of Surgical Procedure:* Radical prostatectomy, radical hysterectomy.
Extent of Surgery, Minimally Invasive Surgery (MIS): - CORRECT ANSWER -
*Description:* Surgery performed in a body cavity or body area through one or more
endoscopes; can correct problems, remove organs, take tissue for biopsy, re-route blood vessels
and drainage systems; is a fast-growing and ever-changing type of surgery.
*Condition of Surgical Procedure:* Arthroscopy, tubal ligation, hysterectomy, lung lobectomy,
coronary artery bypass, cholecystectomy.
Risk Factors the Acknowledge In The Preoperative Phase: - CORRECT ANSWER -
*Age* (older than 65), *nutritional, health status, fluid and electrolyte imbalances, radiation,
cardiopulmonary, chemotherapy, meds* (antihypertensives, tricyclic antidepressants,
anticoagulants, NSAIDs), *family history* (malignant hyperthermia, cancer, bleeding disorder),
*prior surgical experience* (less than optimal emotional reaction, anesthesia reactions or
complications, postoperative complications), *type of surgery* (neck, oral, or facial procedures
[airway complications], chest or high abdominal procedures [pulmonary complications],
abdominal surgery [paralytic ileus, DVT).
