Question 1

What is the nurse's responsibility when obtaining a valid, informed consent from the surgical patient?

Accepted Answer

A) Providing a clear explanation of what is involved with the procedure. 
B) Informing the patient of the risks, benefits and alternatives to the surgical procedure. 
C) Providing information in the patient's primary language. 
D) Both A and B 
A) Providing a clear explanation of what is involved with the procedure. 
B) Informing the patient of the risks, benefits and alternatives to the surgical procedure. 
C) Providing information in the patient's primary language. 
D) Both A and B C

Question 2

Which of the following is true about the effects of pain on specific body systems?

Accepted Answer

A) Pain may cause patient anxiety and feelings of hopelessness. 
B) Pain may cause increased levels of insulin secretion. 
C) Pain may cause a decrease in cortisol production. 
D) Both A and B 
A) Pain may cause patient anxiety and feelings of hopelessness. 
B) Pain may cause increased levels of insulin secretion. 
C) Pain may cause a decrease in cortisol production. 
D) Both A and B A

Question 3

Which of the following is a true statement regarding the evaluation stage for outcome standards during the nursing care process?

Accepted Answer

A) Evaluation is the second step in a series of nursing actions performed during the perioperative period. 
B) Evaluation is performed once at the end of the patient's stay to determine if they are ready to be discharged. 
C) Evaluation involves communicating with the patient, family, and members of the healthcare team to determine if the patient has met outcome criteria. 
D) Both A and B 
A) Evaluation is the second step in a series of nursing actions performed during the perioperative period. 
B) Evaluation is performed once at the end of the patient's stay to determine if they are ready to be discharged. 
C) Evaluation involves communicating with the patient, family, and members of the healthcare team to determine if the patient has met outcome criteria. 
D) Both A and B C

Question 4

Which elements are essential components of the patient care plan during the perioperative process?

Accepted Answer

A) What actions are to be performed by the nurse and where they are to take place 
B) The patient's room location and family members that are present 
C) The name of the insurance company and a copy of the coverage information 
D) What the physician told the patient about the procedure and the patient's response 
A) What actions are to be performed by the nurse and where they are to take place 
B) The patient's room location and family members that are present 
C) The name of the insurance company and a copy of the coverage information 
D) What the physician told the patient about the procedure and the patient's response

Question 5

Which of the following would not be an expected outcome for a woman admitted for an abdominal hysterectomy?

Accepted Answer

A) The patient is free from anxiety and depression. 
B) The patient's vaginal bleeding remains small and controlled following surgery. 
C) The patient practices deep-breathing exercises for adequate lung expansion. 
D) The patient will experience a decrease in abdominal girth and maintain adequate weight. 
A) The patient is free from anxiety and depression. 
B) The patient's vaginal bleeding remains small and controlled following surgery. 
C) The patient practices deep-breathing exercises for adequate lung expansion. 
D) The patient will experience a decrease in abdominal girth and maintain adequate weight.

Question 6

When assessing nutritional status for a patient's plan of care, the nurse should consider which laboratory value that may indicate altered nutrition?

Accepted Answer

A) Hemoglobin 
B) Serum albumin 
C) Arterial blood gas 
D) Platelet count 
A) Hemoglobin 
B) Serum albumin 
C) Arterial blood gas 
D) Platelet count

Question 7

Covering the patient with a warm blanket following the procedure is an example of what type of nursing intervention?

Accepted Answer

A) Independent 
B) Dependent 
C) Co-dependent 
D) Reliant 
A) Independent 
B) Dependent 
C) Co-dependent 
D) Reliant

Question 8

Which of the following actions indicates that a patient is starting to meet expected outcomes after a nursing diagnosis of body image disturbance?

Accepted Answer

A) A patient shows all of their friends, family members and healthcare personnel their incision site from an abdominal surgery. 
B) A patient tells the nurse they feel very vulnerable after having part of their arm removed through amputation. 
C) A patient is willing to look in the mirror after having surgery that has left a large scar on their face. 
D) Both B and C 
A) A patient shows all of their friends, family members and healthcare personnel their incision site from an abdominal surgery. 
B) A patient tells the nurse they feel very vulnerable after having part of their arm removed through amputation. 
C) A patient is willing to look in the mirror after having surgery that has left a large scar on their face. 
D) Both B and C

Question 9

A patient is admitted for a fine needle aspiration of the thyroid gland. What information should the nurse give to this patient to better prepare them for the procedure?

Accepted Answer

A) The procedure will be performed with the patient sitting upright for a better view of the gland. 
B) The patient should avoid talking or swallowing during the procedure. 
C) The patient should avoid using acetaminophen for 24 hours following the procedure. 
D) Both A and B 
A) The procedure will be performed with the patient sitting upright for a better view of the gland. 
B) The patient should avoid talking or swallowing during the procedure. 
C) The patient should avoid using acetaminophen for 24 hours following the procedure. 
D) Both A and B

Question 10

A patient infected with MRSA is admitted to the preoperative unit of the hospital. Which of the following actions should the perioperative nurse include as part of this patient's plan of care?

Accepted Answer

A) Limit the amount of time the patient is transported through the area and only move them when absolutely necessary. 
B) Implement a unit-based screening program to detect the presence of MRSA among healthcare workers in the area. 
C) Contact the physician about postponing the patient's surgery until they have received appropriate treatment for their condition. 
D) Separate the patient into a negative-pressure hospital room. 
A) Limit the amount of time the patient is transported through the area and only move them when absolutely necessary. 
B) Implement a unit-based screening program to detect the presence of MRSA among healthcare workers in the area. 
C) Contact the physician about postponing the patient's surgery until they have received appropriate treatment for their condition. 
D) Separate the patient into a negative-pressure hospital room.

Question 11

All of the following admission process procedures are necessary for upholding patient safety during the procedure EXCEPT:

Accepted Answer

A) Checking the patient's identification and comparing it with the medical record and surgical schedule. 
B) Documenting any medications or blood products administered prior to surgery. 
C) Validating family members that are present and plans for care at home following discharge. 
D) Documenting allergies to medications or latex. 
A) Checking the patient's identification and comparing it with the medical record and surgical schedule. 
B) Documenting any medications or blood products administered prior to surgery. 
C) Validating family members that are present and plans for care at home following discharge. 
D) Documenting allergies to medications or latex.

Question 12

An example of a type of surgical procedure performed for diagnostic purposes would be a(n):

Accepted Answer

A) Colostomy 
B) Cystoscopy 
C) Hip arthroplasty 
D) Otoplasty 
A) Colostomy 
B) Cystoscopy 
C) Hip arthroplasty 
D) Otoplasty

Question 13

A patient expresses fear about the upcoming surgical procedure by saying to the perioperative nurse, "I've never been under the knife before, what if I don't wake up?" The nurse's best response would be:

Accepted Answer

A) "That is a common feeling among people who are getting ready for surgery. Tell me more about your concerns with anesthesia." 
B) "There is nothing to worry about. Your physician and the anesthesiologist have years of experience." 
C) "You should talk with your family members about this. They are the ones who will be supporting you when you wake up." 
D) "I know what you mean. I had surgery last year and I was so frightened. It was terrible." 
A) "That is a common feeling among people who are getting ready for surgery. Tell me more about your concerns with anesthesia." 
B) "There is nothing to worry about. Your physician and the anesthesiologist have years of experience." 
C) "You should talk with your family members about this. They are the ones who will be supporting you when you wake up." 
D) "I know what you mean. I had surgery last year and I was so frightened. It was terrible."

Question 14

According to Orem's nursing systems theory, which nurse actions are warranted while the patient is considered wholly compensatory?

Accepted Answer

A) Providing educational materials about home health services after discharge. 
B) Assisting the patient with sitting up in bed four hours after the procedure. 
C) Keeping the patient covered and draped while under anesthesia in the operating suite. 
D) Instructing the patient about the best types of breathing exercises to promote lung expansion after the procedure. 
A) Providing educational materials about home health services after discharge. 
B) Assisting the patient with sitting up in bed four hours after the procedure. 
C) Keeping the patient covered and draped while under anesthesia in the operating suite. 
D) Instructing the patient about the best types of breathing exercises to promote lung expansion after the procedure.

Question 15

The act of analyzing data collected about the patient and then formulating a statement based on the patient's status and the nurse's evaluation comprises what portion of the perioperative nursing process as defined by the American Nurses Association (ANA)?

Accepted Answer

A) Outcome identification 
B) Planning 
C) Assessment 
D) Nursing diagnosis 
A) Outcome identification 
B) Planning 
C) Assessment 
D) Nursing diagnosis

Question 16

A patient is being admitted for surgical amputation of his left arm. Which of the following statements indicates he is using the mechanism of positive reappraisal to cope with the situation?

Accepted Answer

A) "Can you finish this teaching later? I'm trying to watch my favorite show on television." 
B) "I'll never be able work again. I'll probably lose my job and then my house because I can't pay my bills." 
C) "Before I go into surgery, I'd like to visit with my pastor from church." 
D) "I guess I'm going to have to learn to write with my right hand now." 
A) "Can you finish this teaching later? I'm trying to watch my favorite show on television." 
B) "I'll never be able work again. I'll probably lose my job and then my house because I can't pay my bills." 
C) "Before I go into surgery, I'd like to visit with my pastor from church." 
D) "I guess I'm going to have to learn to write with my right hand now."

Question 17

A Hispanic patient is admitted for cancer surgery and is refusing to eat any fish, chicken, or vegetables following surgery. Her husband explains that these are "cold" foods and his wife wants "hot" foods for her condition to support their cultural beliefs. What is the most appropriate response on the part of the nurse?

Accepted Answer

A) "I know that is important for you, but considering your condition, you need these extra nutrients in your diet." 
B) "The surgery is what has made you better instead of eliminating certain foods." 
C) "I'm not sure what foods you would like. Why don't you tell me and I'll talk to the kitchen?" 
D) "If you want hot foods, just give the plate to me and I'll warm it up in the microwave." 
A) "I know that is important for you, but considering your condition, you need these extra nutrients in your diet." 
B) "The surgery is what has made you better instead of eliminating certain foods." 
C) "I'm not sure what foods you would like. Why don't you tell me and I'll talk to the kitchen?" 
D) "If you want hot foods, just give the plate to me and I'll warm it up in the microwave."

Question 18

Which of the following would be nursing interventions associated with a postoperative nursing diagnosis of pain and postoperative discomfort related to the surgical procedure?

Accepted Answer

A) Rubbing the legs briskly to promote circulation. 
B) Giving the patient creamed soup and milk to reduce abdominal discomfort. 
C) Raising the head of the bed to a 45-degree angle to decrease headache. 
D) Turning the patient from side to side to reduce abdominal distention. 
A) Rubbing the legs briskly to promote circulation. 
B) Giving the patient creamed soup and milk to reduce abdominal discomfort. 
C) Raising the head of the bed to a 45-degree angle to decrease headache. 
D) Turning the patient from side to side to reduce abdominal distention.

Question 19

Which of the following may be considered an expected outcome for a nursing diagnosis of anxiety related to the upcoming surgical process?

Accepted Answer

A) The patient will discuss any financial concerns about the procedure with the nurse. 
B) The patient will talk about concerns related to anesthesia with the nurse or anesthesiologist. 
C) The patient will turn side to side while in bed as instructed by the nurse. 
D) The patient will rate their pain at a "0" on a 0-10 pain scale. 
A) The patient will discuss any financial concerns about the procedure with the nurse. 
B) The patient will talk about concerns related to anesthesia with the nurse or anesthesiologist. 
C) The patient will turn side to side while in bed as instructed by the nurse. 
D) The patient will rate their pain at a "0" on a 0-10 pain scale.

Question 20

Which of the following conditions must the nurse consider as a potential cause for complications during the postoperative period?

Accepted Answer

A) Age between 20 and 40 years 
B) A history of organ transplant 
C) A surgical procedure that lasted 2 ½ hours 
D) Both A and C 
A) Age between 20 and 40 years 
B) A history of organ transplant 
C) A surgical procedure that lasted 2 ½ hours 
D) Both A and C

What is the nurse's responsibility when obtaining a valid, informed consent from the surgical patient?

Which of the following is true about the effects of pain on specific body systems?

Which of the following is a true statement regarding the evaluation stage for outcome standards during the nursing care process?

Which elements are essential components of the patient care plan during the perioperative process?

Which of the following would not be an expected outcome for a woman admitted for an abdominal hysterectomy?

When assessing nutritional status for a patient's plan of care, the nurse should consider which laboratory value that may indicate altered nutrition?

Covering the patient with a warm blanket following the procedure is an example of what type of nursing intervention?

Which of the following actions indicates that a patient is starting to meet expected outcomes after a nursing diagnosis of body image disturbance?

A patient is admitted for a fine needle aspiration of the thyroid gland. What information should the nurse give to this patient to better prepare them for the procedure?

A patient infected with MRSA is admitted to the preoperative unit of the hospital. Which of the following actions should the perioperative nurse include as part of this patient's plan of care?

All of the following admission process procedures are necessary for upholding patient safety during the procedure EXCEPT:

An example of a type of surgical procedure performed for diagnostic purposes would be a(n):

A patient expresses fear about the upcoming surgical procedure by saying to the perioperative nurse, "I've never been under the knife before, what if I don't wake up?" The nurse's best response would be:

According to Orem's nursing systems theory, which nurse actions are warranted while the patient is considered wholly compensatory?

The act of analyzing data collected about the patient and then formulating a statement based on the patient's status and the nurse's evaluation comprises what portion of the perioperative nursing process as defined by the American Nurses Association (ANA)?

A patient is being admitted for surgical amputation of his left arm. Which of the following statements indicates he is using the mechanism of positive reappraisal to cope with the situation?

Which of the following would be nursing interventions associated with a postoperative nursing diagnosis of pain and postoperative discomfort related to the surgical procedure?

Which of the following may be considered an expected outcome for a nursing diagnosis of anxiety related to the upcoming surgical process?

Which of the following conditions must the nurse consider as a potential cause for complications during the postoperative period?

Accountability

Communication

Disinfection

Emergencies

Intraoperative

Management

Preop

Transfer

Filters

Exam 6: IPC Outcomes

What is the nurse's responsibility when obtaining a valid, informed consent from the surgical patient?

Which of the following is true about the effects of pain on specific body systems?

Which of the following is a true statement regarding the evaluation stage for outcome standards during the nursing care process?

Which elements are essential components of the patient care plan during the perioperative process?

Which of the following would not be an expected outcome for a woman admitted for an abdominal hysterectomy?

When assessing nutritional status for a patient's plan of care, the nurse should consider which laboratory value that may indicate altered nutrition?

Covering the patient with a warm blanket following the procedure is an example of what type of nursing intervention?

Which of the following actions indicates that a patient is starting to meet expected outcomes after a nursing diagnosis of body image disturbance?

A patient is admitted for a fine needle aspiration of the thyroid gland. What information should the nurse give to this patient to better prepare them for the procedure?

A patient infected with MRSA is admitted to the preoperative unit of the hospital. Which of the following actions should the perioperative nurse include as part of this patient's plan of care?

All of the following admission process procedures are necessary for upholding patient safety during the procedure EXCEPT:

An example of a type of surgical procedure performed for diagnostic purposes would be a(n):

A patient expresses fear about the upcoming surgical procedure by saying to the perioperative nurse, "I've never been under the knife before, what if I don't wake up?" The nurse's best response would be:

According to Orem's nursing systems theory, which nurse actions are warranted while the patient is considered wholly compensatory?

The act of analyzing data collected about the patient and then formulating a statement based on the patient's status and the nurse's evaluation comprises what portion of the perioperative nursing process as defined by the American Nurses Association (ANA)?

A patient is being admitted for surgical amputation of his left arm. Which of the following statements indicates he is using the mechanism of positive reappraisal to cope with the situation?

Which of the following would be nursing interventions associated with a postoperative nursing diagnosis of pain and postoperative discomfort related to the surgical procedure?

Which of the following may be considered an expected outcome for a nursing diagnosis of anxiety related to the upcoming surgical process?

Which of the following conditions must the nurse consider as a potential cause for complications during the postoperative period?

Accountability

Communication

Disinfection

Emergencies

Intraoperative

Management

Preop

Transfer

Filters