Perioperative Nursing Exam Questions and Answers (2024), Exams of Nursing

Download Perioperative Nursing Exam Questions and Answers (2024) and more Exams Nursing in PDF only on Docsity! Perioperative nursing Exam Questions and Answers (latest Update 2024) When a nurse witnesses a client's signature on an informed consent, the nurse is witnessing which of the following? A: Client has no questions regarding the surgery B: Client understands the risks and benefits of surgery C: Client signed without coercion or altered mental state D: Client has talked with the surgeon - Correct Answer ✅C Individuals at each end of the age spectrum are at (blank) risk during surgery due to immature or aging (blank) systems, inability to regulate body (blank) and fragile (blank). A: higher, cardiac, pressure, skin B: lower, immune, temperature, skin C: higher, immune, temperature, skin D: higher, cardiac, pressure, skin - Correct Answer ✅C The nurse is getting the client ready for surgery and completing the preoperative checklist. Which of the following is not part of the preoperative checklist? A: Conducting a "time out" Perioperative nursing Exam Questions and Answers (latest Update 2024) B: Signing the informed consent C: Ask the client about allergies D: Removal of jewelry - Correct Answer ✅A As the client is brought into the operating room suite, the client starts to shiver uncontrollably. What action should the nurse take first? A: Take the client's temperature. B: Adjust the thermostat in the room. C: Apply warm blankets. D: Page the surgeon for further orders. - Correct Answer ✅C The postoperative nurse is focused on which of the following aftereffects of anesthesia? Select all that apply. A: Incisional bleeding B: Impaired neurological functioning C: Pain D: Impaired airway E: Cardiovascular complications - Correct Answer ✅B Perioperative nursing Exam Questions and Answers (latest Update 2024) The nurse is caring for a postoperative client who reports pain. Based on recent evidence-based guidelines, which approach would be best? A: Standing orders by protocol B: Opioid dosage based on valid numerical scale C: Multimodal strategies D: Intravenous patient-controlled analgesia (PCA) - Correct Answer ✅C A client is crying and grimacing post-surgery but denies pain and refuses pain medication because "my brother is a drug addict and has ruined our lives." What is the priority intervention for this client? A: Provide accurate information about the use of pain medication. B: Encourage expression of fears and past experiences. C: Explain that addiction is unlikely among acute care clients. D: Seek family assistance in resolving this problem. - Correct Answer ✅B Perioperative nursing Exam Questions and Answers (latest Update 2024) The nurse is discussing preoperative education with a client. The client asks if a family member can also listen. Which is the best response by the nurse? A: "Yes. It is helpful for everyone to support in your recovery." B: "No. This information is private." C: "There is no need for an additional person. I will give you written instruction." D: "There is not that much information so you can remember it." - Correct Answer ✅A A __________________is conducted, right before incision, as a final confirmation of the correct client, procedure, site, and implants. A: Side out B: Check out C: Site out D: Time out - Correct Answer ✅D The client is very restless and verbalizes being "scared to death" and worried about the surgery. The partner asks the Perioperative nursing Exam Questions and Answers (latest Update 2024) nurse what can be done to help. How can the nurse address the psychological comfort of the client? A: Hug the client. B: Let the partner come back to the operating room (OR). C: Give the client a sedative. D: Allow verbalization of fears and concerns. - Correct Answer ✅D Which of the following techniques could the nurse use to decrease pre-operative anxiety prior to obtaining informed consent? Select all that apply. A: Allow a family member to sit with the client B: Administer an anti-anxiety medication C: Have spiritual care visit D: Administer a sedative E: Validate fear and anxiety - Correct Answer ✅A C E Perioperative nursing Exam Questions and Answers (latest Update 2024) D: "Do you think I really need this surgery?" - Correct Answer ✅D David had the following post-op nursing diagnoses related to loss of limb: Impaired Skin Integrity Acute Pain Risk for Disturbed Body Image Impaired Mobility Which diagnosis should the nurse address first? A: Risk for Disturbed Body Image B: Impaired Mobility C: Impaired Skin Integrity D: Acute Pain - Correct Answer ✅D A client arrives to the unit after surgery. Which of the following would the nurse consider an expected outcome of the post-operative period? Select all that apply. Perioperative nursing Exam Questions and Answers (latest Update 2024) A: Client will report localized numbness, tingling, or changes in sensation B: Client will verbalize that pain is relieved or controlled C: Client will demonstrate decreased orientation D: Client will maintain a normal and effective respiratory pattern E: Client will verbalize the effects of the procedure and potential complications - Correct Answer ✅B D E The nurse is called to the phone for an inquiry about David. The caller identifies herself as David's sister. She wants to know his condition. What should the nurse tell the caller? A: "He is in room 226 if you want to visit." B: "I am sorry but I can't give out that information. May I have your name?" C: "David is doing very well after his amputation." D: "David's wife is here. I am going to put you on hold and get her." - Correct Answer ✅B Perioperative nursing Exam Questions and Answers (latest Update 2024) The nurse prepares a patient with type 2 diabetes for a surgical procedure. The patient weighs 112.7 kg (248 lb) and is 5 feet, 2 inches in height. Which factors increase this patient's risk for surgical complications? (Select all that apply.) A: Obesity B: Prolonged bleeding time C: Delayed wound healing D: Ineffective vital capacity E: Immobility secondary to height - Correct Answer ✅A C Which assessment questions should the nurse ask a preoperative patient preparing for surgery? (Select all that apply.) A: "Are you experiencing any pain?" B: "Do you exercise on a daily basis?" C: "When do you regularly take your medications?" D: "Do you have any medication allergies?" Perioperative nursing Exam Questions and Answers (latest Update 2024) B: Give ordered oxygen through a mask at 4 L/min. C: Ask the patient to use an incentive spirometer. D: Position the patient on one side with the face down and the neck slightly extended so that the tongue falls forward. - Correct Answer ✅A Which is the best intervention the nurse should implement to promote bowel function? A: Early ambulation B: Deep-breathing exercises C: Repositioning on the left side D: Lowering the head of the patient's bed - Correct Answer ✅A A nurse cares for a postoperative patient in the PACU. Upon assessment, the nurse finds the surgical dressing is saturated with serosanguineous drainage. Which interventions are a priority? (Select all that apply.) A: Notify surgeon. B: Maintain the intravenous fluid infusion. Perioperative nursing Exam Questions and Answers (latest Update 2024) C: Provide 2 L/min of oxygen via nasal cannula. D: Monitor the patient's vital signs every 5 to 10 minutes. E: Reinforce the dressing. - Correct Answer ✅A E A patient who returned from surgery 3 hours ago following a kidney transplant is reporting pain at a 7 on a scale of 0 to 10. The nurse has tried repositioning with no improvement in the patient's pain report. Unmanaged surgical pain can lead to which of the following problems? (Select all that apply.) A: Delayed ambulation B: Reduced ventilation C: Catheter-associated urinary tract infection D: Retained pulmonary secretions E: Reduced appetite - Correct Answer ✅A B D E