PERIOPERATIVE NURSING EXAM 1 (PRACTICE VERSION) 2025/2026 |
Latest Verified and Updated | Already Graded A+ | 100% Verified
Perioperative Nursing | Key Concepts: Surgical Asepsis, Patient Safety, Preoperative &
Postoperative Care, Anesthesia, Sterile Technique, and Intraoperative Responsibilities |
Expert-Verified Q&A | Clinical & Exam-Ready
Introduction
This updated 2025/2026 Perioperative Nursing Exam 1 Practice resource is designed to reflect
current clinical standards and nursing principles in surgical care. Content areas include
preoperative assessment, surgical positioning, anesthesia considerations, sterile field
maintenance, and postoperative nursing interventions. Each section builds perioperative
competence and critical-thinking skills essential for safe surgical nursing practice and exam
readiness.
Answer Format
All correct answers are highlighted in bold and green, with rationales explaining
evidence-based nursing priorities, safety protocols, and patient-centered care principles.
Exam Structure
● Total Questions: 60
● Question Types: Multiple Choice (35), Select All That Apply (8), Prioritization (6),
Calculation (6), Short Answer (5)
● Time Recommendation: 120 minutes
● Scoring: 1 point per question
Table of Contents
1. Preoperative Assessment & Preparation – Q1–12
2. Surgical Asepsis & Sterile Technique – Q13–22
3. Anesthesia & Intraoperative Monitoring – Q23–32
4. Surgical Positioning & Safety – Q33–40
5. Postoperative Care & Complications – Q41–50
6. Pharmacology & Medication Safety in Perioperative Care – Q51–60
, FULL 60-QUESTION PERIOPERATIVE
NURSING EXAM 1
1–12: Preoperative Assessment & Preparation
1. A 68-year-old patient scheduled for elective coronary artery bypass grafting (CABG) reports
taking clopidogrel 75 mg daily. When should this medication be held preoperatively?
Topics: Pharmacology, Patient Safety
A. Continue until morning of surgery
B. Hold 5–7 days before surgery
C. Hold only if platelet count <100,000
D. Hold 24 hours before surgery
Rationale: Clopidogrel irreversibly inhibits platelet function for 5–7 days; discontinuation
prevents perioperative bleeding (ACC/AHA, 2016).
Time: 2 min
2. (SATA) Which preoperative lab results require immediate notification of the surgeon?
(Select 3)
Topics: Clinical Reasoning, Pathophysiology
A. Hemoglobin 7.8 g/dL
B. Potassium 5.8 mEq/L
C. INR 3.2 on warfarin
D. WBC 8,000/mm³
E. Creatinine 1.1 mg/dL
Rationale: Severe anemia, hyperkalemia, and supratherapeutic INR increase surgical risk;
normal WBC and creatinine do not delay surgery.
3. Prioritize the following preoperative nursing actions for a patient NPO since midnight:
1. Verify consent
2. Insert IV catheter
3. Administer preoperative antibiotics
4. Complete surgical checklist
5. Apply anti-embolism stockings
Correct Order: 1 → 2 → 3 → 4 → 5
Rationale: Consent first (legal), IV access for meds/fluids, prophylactic antibiotics
30–60 min pre-incision, checklist, then DVT prophylaxis.
(AORN, 2023)
4. Calculate the maximum allowable blood loss (ABL) for a 70 kg patient with Hct 42% →
target Hct 30%. EBV = 70 mL/kg.
Latest Verified and Updated | Already Graded A+ | 100% Verified
Perioperative Nursing | Key Concepts: Surgical Asepsis, Patient Safety, Preoperative &
Postoperative Care, Anesthesia, Sterile Technique, and Intraoperative Responsibilities |
Expert-Verified Q&A | Clinical & Exam-Ready
Introduction
This updated 2025/2026 Perioperative Nursing Exam 1 Practice resource is designed to reflect
current clinical standards and nursing principles in surgical care. Content areas include
preoperative assessment, surgical positioning, anesthesia considerations, sterile field
maintenance, and postoperative nursing interventions. Each section builds perioperative
competence and critical-thinking skills essential for safe surgical nursing practice and exam
readiness.
Answer Format
All correct answers are highlighted in bold and green, with rationales explaining
evidence-based nursing priorities, safety protocols, and patient-centered care principles.
Exam Structure
● Total Questions: 60
● Question Types: Multiple Choice (35), Select All That Apply (8), Prioritization (6),
Calculation (6), Short Answer (5)
● Time Recommendation: 120 minutes
● Scoring: 1 point per question
Table of Contents
1. Preoperative Assessment & Preparation – Q1–12
2. Surgical Asepsis & Sterile Technique – Q13–22
3. Anesthesia & Intraoperative Monitoring – Q23–32
4. Surgical Positioning & Safety – Q33–40
5. Postoperative Care & Complications – Q41–50
6. Pharmacology & Medication Safety in Perioperative Care – Q51–60
, FULL 60-QUESTION PERIOPERATIVE
NURSING EXAM 1
1–12: Preoperative Assessment & Preparation
1. A 68-year-old patient scheduled for elective coronary artery bypass grafting (CABG) reports
taking clopidogrel 75 mg daily. When should this medication be held preoperatively?
Topics: Pharmacology, Patient Safety
A. Continue until morning of surgery
B. Hold 5–7 days before surgery
C. Hold only if platelet count <100,000
D. Hold 24 hours before surgery
Rationale: Clopidogrel irreversibly inhibits platelet function for 5–7 days; discontinuation
prevents perioperative bleeding (ACC/AHA, 2016).
Time: 2 min
2. (SATA) Which preoperative lab results require immediate notification of the surgeon?
(Select 3)
Topics: Clinical Reasoning, Pathophysiology
A. Hemoglobin 7.8 g/dL
B. Potassium 5.8 mEq/L
C. INR 3.2 on warfarin
D. WBC 8,000/mm³
E. Creatinine 1.1 mg/dL
Rationale: Severe anemia, hyperkalemia, and supratherapeutic INR increase surgical risk;
normal WBC and creatinine do not delay surgery.
3. Prioritize the following preoperative nursing actions for a patient NPO since midnight:
1. Verify consent
2. Insert IV catheter
3. Administer preoperative antibiotics
4. Complete surgical checklist
5. Apply anti-embolism stockings
Correct Order: 1 → 2 → 3 → 4 → 5
Rationale: Consent first (legal), IV access for meds/fluids, prophylactic antibiotics
30–60 min pre-incision, checklist, then DVT prophylaxis.
(AORN, 2023)
4. Calculate the maximum allowable blood loss (ABL) for a 70 kg patient with Hct 42% →
target Hct 30%. EBV = 70 mL/kg.
