CONCEPTS FOR NURSING PRACTICE 4TH
EDITION TEST BANK 2026 ALL CHAPTERS 1 TO
57 COMPLETE QUESTIONS AND SOLUTIONS
◉ ANS: B
Reviewing the patient's laboratory tests and allergies is done before
surgery in the preoperative phase. Perioperative means before,
during, and after surgery. Intraoperative means during the surgical
procedure in the operating suite; postoperative means after the
surgery and could occur in the postanesthesia care unit, in the
ambulatory surgical area, or on the hospital unit. Answer: 2. The
nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the
patient's laboratory tests and allergies and prepares the patient for
surgery. In which perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
◉ ANS: D
An emergency procedure must be done immediately to save a life or
preserve the function of a body part. An example would be repair of
,a perforated appendix, repair of a traumatic amputation, or control
of internal hemorrhaging. An urgent procedure is necessary for a
patient's health and often prevents additional problems from
developing. An example would be excision of a cancerous tumor,
removal of a gallbladder for stones, or vascular repair for an
obstructed artery. An elective procedure is performed on the basis of
the patient's choice; it is not essential and is not always necessary
for health. An example would be a bunionectomy, plastic surgery, or
hernia reconstruction. A major procedure involves extensive
reconstruction or alteration in body parts; it poses great risks to
well-being. An example would be a coronary artery bypass or colon
resection. Answer: 3. The nurse is caring for a patient in the
postanesthesia care unit. The patient has developed profuse
bleeding from the surgical site, and the surgeon has determined the
need to return to the operative area. How will the nurse classify this
procedure?
a. Major
b. Urgent
c. Elective
d. Emergency
◉ ANS: C
An ASA III rating is a patient with a severe systemic disease, such as
poorly controlled hypertension with an implanted pacemaker. ASA I
is a normal healthy patient with no major illnesses or conditions.
ASA II is a patient with mild systemic disease. ASA V is a moribund
,patient who is not expected to survive without the operation and
includes patients with ruptured abdominal/thoracic aneurysm or
massive trauma. Answer: 4. The nurse is caring for a patient in
preadmission testing. The patient has been assigned a physical
status classification by the American Society of Anesthesiologists of
ASA III. Which assessment will support this classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
◉ ANS: B
Moderate sedation (conscious sedation) is used routinely for
procedures that do not require complete anesthesia but rather a
depressed level of consciousness. Not all patients who are treated on
an outpatient basis receive moderate sedation. Regional anesthesia
such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be
immobile and to not remember the surgical procedure. Answer: 5.
The patient has presented to the ambulatory surgery center to have
a colonoscopy. The patient is scheduled to receive moderate
sedation (conscious sedation) during the procedure. How will the
nurse interpret this information?
a. The procedure results in loss of sensation in an area of the body.
, b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
◉ ANS: A
Induction of regional anesthesia results in loss of sensation in an
area of the body—in this case, the left leg. The peripheral nerve
block influences the portions of sensory pathways that are
anesthetized in the targeted area of the body. Decreased pulse, toes
cool to touch, and cyanosis are indications of decreased blood flow
and are not expected findings. Reports of pain in the left foot may
indicate that the block is not working or is subsiding and is not an
expected finding in the immediate postoperative period. Answer: 6.
The nurse is caring for a patient in the post-anesthesia care unit who
has undergone a left total knee arthroplasty. The anesthesia
provider has indicated that the patient received a left femoral
peripheral nerve block. Which assessment will be an expected
finding for this patient?
a. Sensation decreased in the left leg
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia
d. Left toes cool to touch and slightly cyanotic
◉ ANS: B
EDITION TEST BANK 2026 ALL CHAPTERS 1 TO
57 COMPLETE QUESTIONS AND SOLUTIONS
◉ ANS: B
Reviewing the patient's laboratory tests and allergies is done before
surgery in the preoperative phase. Perioperative means before,
during, and after surgery. Intraoperative means during the surgical
procedure in the operating suite; postoperative means after the
surgery and could occur in the postanesthesia care unit, in the
ambulatory surgical area, or on the hospital unit. Answer: 2. The
nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the
patient's laboratory tests and allergies and prepares the patient for
surgery. In which perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
◉ ANS: D
An emergency procedure must be done immediately to save a life or
preserve the function of a body part. An example would be repair of
,a perforated appendix, repair of a traumatic amputation, or control
of internal hemorrhaging. An urgent procedure is necessary for a
patient's health and often prevents additional problems from
developing. An example would be excision of a cancerous tumor,
removal of a gallbladder for stones, or vascular repair for an
obstructed artery. An elective procedure is performed on the basis of
the patient's choice; it is not essential and is not always necessary
for health. An example would be a bunionectomy, plastic surgery, or
hernia reconstruction. A major procedure involves extensive
reconstruction or alteration in body parts; it poses great risks to
well-being. An example would be a coronary artery bypass or colon
resection. Answer: 3. The nurse is caring for a patient in the
postanesthesia care unit. The patient has developed profuse
bleeding from the surgical site, and the surgeon has determined the
need to return to the operative area. How will the nurse classify this
procedure?
a. Major
b. Urgent
c. Elective
d. Emergency
◉ ANS: C
An ASA III rating is a patient with a severe systemic disease, such as
poorly controlled hypertension with an implanted pacemaker. ASA I
is a normal healthy patient with no major illnesses or conditions.
ASA II is a patient with mild systemic disease. ASA V is a moribund
,patient who is not expected to survive without the operation and
includes patients with ruptured abdominal/thoracic aneurysm or
massive trauma. Answer: 4. The nurse is caring for a patient in
preadmission testing. The patient has been assigned a physical
status classification by the American Society of Anesthesiologists of
ASA III. Which assessment will support this classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
◉ ANS: B
Moderate sedation (conscious sedation) is used routinely for
procedures that do not require complete anesthesia but rather a
depressed level of consciousness. Not all patients who are treated on
an outpatient basis receive moderate sedation. Regional anesthesia
such as local anesthesia provides loss of sensation in an area of the
body. General anesthesia is used for patients who need to be
immobile and to not remember the surgical procedure. Answer: 5.
The patient has presented to the ambulatory surgery center to have
a colonoscopy. The patient is scheduled to receive moderate
sedation (conscious sedation) during the procedure. How will the
nurse interpret this information?
a. The procedure results in loss of sensation in an area of the body.
, b. The procedure requires a depressed level of consciousness.
c. The procedure will be performed on an outpatient basis.
d. The procedure necessitates the patient to be immobile.
◉ ANS: A
Induction of regional anesthesia results in loss of sensation in an
area of the body—in this case, the left leg. The peripheral nerve
block influences the portions of sensory pathways that are
anesthetized in the targeted area of the body. Decreased pulse, toes
cool to touch, and cyanosis are indications of decreased blood flow
and are not expected findings. Reports of pain in the left foot may
indicate that the block is not working or is subsiding and is not an
expected finding in the immediate postoperative period. Answer: 6.
The nurse is caring for a patient in the post-anesthesia care unit who
has undergone a left total knee arthroplasty. The anesthesia
provider has indicated that the patient received a left femoral
peripheral nerve block. Which assessment will be an expected
finding for this patient?
a. Sensation decreased in the left leg
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia
d. Left toes cool to touch and slightly cyanotic
◉ ANS: B
