CH 14: PERIOPERATIVE CARE EXAM
QUESTIONS AND ANSWERS 100% PASS
Which action should the nurse perform to prevent deep vein thrombosis in a client recovering
from abdominal surgery? - ANS Reinforce the need for the client to perform leg exercises
every hour while awake
The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic shock.
Which nursing intervention will manage and minimize hemorrhage and shock? -
ANS Reinforcing the dressing or applying pressure if bleeding is frank
The nurse is caring for a client in the postoperative period following an abdominal
hysterectomy. The client states, "I don't want to use my pain meds because they'll make me
dependent and I won't get better as fast." Which response is most important when explaining
the use of pain medication? - ANS "You will move more easily and heal more quickly with
decreased pain. Dependence only occurs when it is given for an extended period of time."
The OR nurse is taking the client into the OR when the client informs the operating nurse that
his grandmother spiked a very high temperature in the OR and nearly died 15 years ago. What
relevance does this information have regarding the client? - ANS The client may be at risk for
malignant hyperthermia.
Maintaining an aseptic environment in the OR is essential to client safety and infection control.
When moving around surgical areas, what distance must the nurse maintain from the sterile
field? - ANS 1 foot (30 cm)
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, Which stage of general anesthesia is reached when too much anesthesia has been
administered? - ANS Stage IV
A nurse is working as a member of the perioperative team and is wearing OR attire but is not
wearing a sterile gown. What role is this nurse most likely performing? - ANS Circulating
nurse
A client with an abdominal surgical wound sneezes and then states, "Something doesn't feel
right with my wound." The nurse asses the upper half of the wound edges, noticing that they
are no longer approximated and the lower half remains well approximated. The nurse would
document that following a sneeze, the wound - ANS dehisced
The nurse is caring for a hospice client who is scheduled for a surgical procedure to reduce the
size of his spinal tumor in an effort to relieve his pain. The nurse should plan this client care with
the knowledge that his surgical procedure is classified as which of the following? -
ANS Palliative
The nurse is preparing a client for surgery. The client states that she is very nervous and really
does not understand what the surgical procedure is for or how it will be performed. What is the
most appropriate nursing action for the nurse to take? - ANS Call the physician to review the
procedure with the client.
Prior to a client's scheduled surgery, the nurse has described the way that members of diverse
health disciplines will collaborate in the client's care. What is the main rationale for organizing
perioperative care in this collaborative manner? - ANS Evidence-based practice
A client vomits postoperatively. What is the most important nursing intervention? - ANS Turn
the client's head completely to one side to prevent aspiration of vomitus into the lungs.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS 100% PASS
Which action should the nurse perform to prevent deep vein thrombosis in a client recovering
from abdominal surgery? - ANS Reinforce the need for the client to perform leg exercises
every hour while awake
The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic shock.
Which nursing intervention will manage and minimize hemorrhage and shock? -
ANS Reinforcing the dressing or applying pressure if bleeding is frank
The nurse is caring for a client in the postoperative period following an abdominal
hysterectomy. The client states, "I don't want to use my pain meds because they'll make me
dependent and I won't get better as fast." Which response is most important when explaining
the use of pain medication? - ANS "You will move more easily and heal more quickly with
decreased pain. Dependence only occurs when it is given for an extended period of time."
The OR nurse is taking the client into the OR when the client informs the operating nurse that
his grandmother spiked a very high temperature in the OR and nearly died 15 years ago. What
relevance does this information have regarding the client? - ANS The client may be at risk for
malignant hyperthermia.
Maintaining an aseptic environment in the OR is essential to client safety and infection control.
When moving around surgical areas, what distance must the nurse maintain from the sterile
field? - ANS 1 foot (30 cm)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which stage of general anesthesia is reached when too much anesthesia has been
administered? - ANS Stage IV
A nurse is working as a member of the perioperative team and is wearing OR attire but is not
wearing a sterile gown. What role is this nurse most likely performing? - ANS Circulating
nurse
A client with an abdominal surgical wound sneezes and then states, "Something doesn't feel
right with my wound." The nurse asses the upper half of the wound edges, noticing that they
are no longer approximated and the lower half remains well approximated. The nurse would
document that following a sneeze, the wound - ANS dehisced
The nurse is caring for a hospice client who is scheduled for a surgical procedure to reduce the
size of his spinal tumor in an effort to relieve his pain. The nurse should plan this client care with
the knowledge that his surgical procedure is classified as which of the following? -
ANS Palliative
The nurse is preparing a client for surgery. The client states that she is very nervous and really
does not understand what the surgical procedure is for or how it will be performed. What is the
most appropriate nursing action for the nurse to take? - ANS Call the physician to review the
procedure with the client.
Prior to a client's scheduled surgery, the nurse has described the way that members of diverse
health disciplines will collaborate in the client's care. What is the main rationale for organizing
perioperative care in this collaborative manner? - ANS Evidence-based practice
A client vomits postoperatively. What is the most important nursing intervention? - ANS Turn
the client's head completely to one side to prevent aspiration of vomitus into the lungs.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
