Perioperative Nursing Care ACTUAL
UPDATED Exam Questions and CORRECT
Answers
What are the 3 phases of perioperative nursing? - CORRECT ANSWER - preoperatively,
intraoperatively and post operatively
What are nursing goals in the preoperative area based on? 7 things) - CORRECT
ANSWER - 1. Quality improvement and evidence- based practices
2. Patient safety through high quality care
3. Teamwork and collaboration
4. Effective communication and interactions with patient, family members and surgical team
5. The nursing process to deliver timely assessment and interventions
6 .Advocacy for patient and family
7. Cost Containment
What does a nurse working within the PERIOPERATIVE setting respond to? - CORRECT
ANSWER - Complex and fluctuating clinical needs during a crucial period of a patients
surgical experience.
What does a nurse who works in any perioperative setting rely on and why? - CORRECT
ANSWER - Clinical reasoning skills to maintain surgical asepsis, communicate effectively
with members of the surgical team and emphasize patient safety in each phase of surgery.
Often recovery occurs in the ____ or in the ____ settings within long term care centers. -
CORRECT ANSWER - home
rehabilitation settings
Table 50.1
Classification type / Seriousness (2) - CORRECT ANSWER - Major & Minor
,MAJOR - Description and example - CORRECT ANSWER - Involves extensive
reconstruction or alteration in body parts; poses great risks to well being. Example: coronary
artery bypass, removal of larynx, resection of lung lobe
MINOR - Description and example - CORRECT ANSWER - Involved minimal alteration
in body parts; designed to correct deformities; involves minimal risks to wellbeing. Example:
Cataract extraction, facial plastic surgery, tooth extraction
URGENCY (3) - CORRECT ANSWER - Elective, Urgent, Emergency
Elective - description & example - CORRECT ANSWER - Performed on basis of patients
choice, is not essential and not always necessary for health. Examples: Facial plastic surgery,
hernia repair, breath reconstruction
Urgent - description and example - CORRECT ANSWER - Necessary for patients health;
prevents development of additional problems. Example: Excision of cancerous tumor, removal
of gall bladder
Emergency - description and example - CORRECT ANSWER - Must be done
immediately to save life or preserve function of body part. Example: control of internal
hemorrhaging, repair perforated appendix, traumatic amputation
Purpose ( 7) - CORRECT ANSWER - Diagnostic
Ablative
Palliative
Reconstructive/restorative
Procurement for transplant
Constructive
Cosmetic
,Diagnostic - CORRECT ANSWER - Surgical exploration performed to confirm diagnosis;
often involves removal of tissue for further diagnostic testing. Example: Exploratory laparotomy
( incision into peritoneal cavity to inspect abdominal organs); breast mass biopsy
Ablative - CORRECT ANSWER - Excision or removal of diseased body part.
Amputation; removal of appendix or an organ such as gallbladder ( cholecystectomy)
Palliative - CORRECT ANSWER - relieves or reduces intensity of disease symptoms;
does not produce cure. Colostomy; debridement of necrotic tissue; resection of nerve roots.
Reconstructive/ restorative - CORRECT ANSWER - Restores function or appearance to
traumatized or malfunctioning tissues. Internal fixation of fractures; scar revision
Procurement for transplant - CORRECT ANSWER - Removal of organs and/or tissues
from a person pronounced brain dead or from living donors or transplantation into another
person. Kidney, heart, or liver transplant
Constructive - CORRECT ANSWER - restores function lost or reduced as a result of
congenital anomalies. Repair of cleft palate, closure of atrial septal defect in heart
Cosmetic - CORRECT ANSWER - Performed to improve personal appearance.
Blepharoplasty for eyelid deformities; rhinoplasty to reshape nose.
Some procedures fall into more than one classification, for example a colon resection to remove
a malignant tumor is ___ in seriousness, ___ in urgency and _____ in purpose. - CORRECT
ANSWER - Colon resection to remove a malignant tumor is
MAJOR in seriousness
URGENT in urgency
& ABLATIVE in purpose
, The same procedures are performed for different reasons on different patients. Example a
gastrectomy may be performed as an __1__ procedure to _2__ a bleeding ulcer OR as an __3__
procedure to ___4_ a malignant tumor. - CORRECT ANSWER - 1. emergency
2. resect
3. urgent
4.remove
The American Society of Anesthesiologists (ASA) assigns classification on the basis of a
patients what? ( 2 things ) - CORRECT ANSWER - patients physiological condition
independent of the proposed surgical procedure.
Anesthesia involves risks even in healthy patients, but some patients including what (2 groups)
are at a HIGHER r risk? - CORRECT ANSWER - Patients with Metabolic & Cardiac
dysfunction
Surgical risk factors can effect patients in what phase of perioperative experience? - CORRECT
ANSWER - In ANY phase
What is one common risk factor for ALL patients? - CORRECT ANSWER - Surgical
stress response
What are 9 surgical risk factors? - CORRECT ANSWER - Smoking
Age
Nutrition
Obesity
Obstructive sleep apnea
Immunosuppression
Fluid and Electrolyte imbalance
Postoperative Nausea and Vomiting (PONV)
Venous Thromboembolism
UPDATED Exam Questions and CORRECT
Answers
What are the 3 phases of perioperative nursing? - CORRECT ANSWER - preoperatively,
intraoperatively and post operatively
What are nursing goals in the preoperative area based on? 7 things) - CORRECT
ANSWER - 1. Quality improvement and evidence- based practices
2. Patient safety through high quality care
3. Teamwork and collaboration
4. Effective communication and interactions with patient, family members and surgical team
5. The nursing process to deliver timely assessment and interventions
6 .Advocacy for patient and family
7. Cost Containment
What does a nurse working within the PERIOPERATIVE setting respond to? - CORRECT
ANSWER - Complex and fluctuating clinical needs during a crucial period of a patients
surgical experience.
What does a nurse who works in any perioperative setting rely on and why? - CORRECT
ANSWER - Clinical reasoning skills to maintain surgical asepsis, communicate effectively
with members of the surgical team and emphasize patient safety in each phase of surgery.
Often recovery occurs in the ____ or in the ____ settings within long term care centers. -
CORRECT ANSWER - home
rehabilitation settings
Table 50.1
Classification type / Seriousness (2) - CORRECT ANSWER - Major & Minor
,MAJOR - Description and example - CORRECT ANSWER - Involves extensive
reconstruction or alteration in body parts; poses great risks to well being. Example: coronary
artery bypass, removal of larynx, resection of lung lobe
MINOR - Description and example - CORRECT ANSWER - Involved minimal alteration
in body parts; designed to correct deformities; involves minimal risks to wellbeing. Example:
Cataract extraction, facial plastic surgery, tooth extraction
URGENCY (3) - CORRECT ANSWER - Elective, Urgent, Emergency
Elective - description & example - CORRECT ANSWER - Performed on basis of patients
choice, is not essential and not always necessary for health. Examples: Facial plastic surgery,
hernia repair, breath reconstruction
Urgent - description and example - CORRECT ANSWER - Necessary for patients health;
prevents development of additional problems. Example: Excision of cancerous tumor, removal
of gall bladder
Emergency - description and example - CORRECT ANSWER - Must be done
immediately to save life or preserve function of body part. Example: control of internal
hemorrhaging, repair perforated appendix, traumatic amputation
Purpose ( 7) - CORRECT ANSWER - Diagnostic
Ablative
Palliative
Reconstructive/restorative
Procurement for transplant
Constructive
Cosmetic
,Diagnostic - CORRECT ANSWER - Surgical exploration performed to confirm diagnosis;
often involves removal of tissue for further diagnostic testing. Example: Exploratory laparotomy
( incision into peritoneal cavity to inspect abdominal organs); breast mass biopsy
Ablative - CORRECT ANSWER - Excision or removal of diseased body part.
Amputation; removal of appendix or an organ such as gallbladder ( cholecystectomy)
Palliative - CORRECT ANSWER - relieves or reduces intensity of disease symptoms;
does not produce cure. Colostomy; debridement of necrotic tissue; resection of nerve roots.
Reconstructive/ restorative - CORRECT ANSWER - Restores function or appearance to
traumatized or malfunctioning tissues. Internal fixation of fractures; scar revision
Procurement for transplant - CORRECT ANSWER - Removal of organs and/or tissues
from a person pronounced brain dead or from living donors or transplantation into another
person. Kidney, heart, or liver transplant
Constructive - CORRECT ANSWER - restores function lost or reduced as a result of
congenital anomalies. Repair of cleft palate, closure of atrial septal defect in heart
Cosmetic - CORRECT ANSWER - Performed to improve personal appearance.
Blepharoplasty for eyelid deformities; rhinoplasty to reshape nose.
Some procedures fall into more than one classification, for example a colon resection to remove
a malignant tumor is ___ in seriousness, ___ in urgency and _____ in purpose. - CORRECT
ANSWER - Colon resection to remove a malignant tumor is
MAJOR in seriousness
URGENT in urgency
& ABLATIVE in purpose
, The same procedures are performed for different reasons on different patients. Example a
gastrectomy may be performed as an __1__ procedure to _2__ a bleeding ulcer OR as an __3__
procedure to ___4_ a malignant tumor. - CORRECT ANSWER - 1. emergency
2. resect
3. urgent
4.remove
The American Society of Anesthesiologists (ASA) assigns classification on the basis of a
patients what? ( 2 things ) - CORRECT ANSWER - patients physiological condition
independent of the proposed surgical procedure.
Anesthesia involves risks even in healthy patients, but some patients including what (2 groups)
are at a HIGHER r risk? - CORRECT ANSWER - Patients with Metabolic & Cardiac
dysfunction
Surgical risk factors can effect patients in what phase of perioperative experience? - CORRECT
ANSWER - In ANY phase
What is one common risk factor for ALL patients? - CORRECT ANSWER - Surgical
stress response
What are 9 surgical risk factors? - CORRECT ANSWER - Smoking
Age
Nutrition
Obesity
Obstructive sleep apnea
Immunosuppression
Fluid and Electrolyte imbalance
Postoperative Nausea and Vomiting (PONV)
Venous Thromboembolism
