Deck 6: IPC Outcomes

Question 1

Which of the following describes how expected outcomes are constructed for the patient in the perioperative setting?

A)Expected outcomes are considered the target objective for nursing practice.
B)The nurse's needs during patient care form the basis of constructing expected outcomes.
C)Expected outcomes provide a standard by which the nurse may determine whether the patient met their goals.
D)Each goal should be connected to one specific standard outcome.

Answer 1

Expected outcomes provide a standard by which the nurse may determine whether the patient met their goals.

Question 2

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

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.

Answer 2

The patient will talk about concerns related to anesthesia with the nurse or anesthesiologist.

Question 3

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

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

Answer 3

Providing information in the patient's primary language.

Question 4

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:

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 5

Which of the following nursing diagnoses is appropriate for the patient undergoing surgery for an intestinal obstruction?

A)Decreased white blood cell count related to potential infection
B)Altered self-esteem related to surgical incision scar
C)Self-care deficit related to pain associated with surgical procedure
D)Altered nutrition, less than bodily requirements, related to decreased intake following the procedure

Question 6

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

Question 7

Which of the following is a true statement regarding evidenced-based practice in the perioperative setting?

A)It provides a standard to determine how well nursing interventions are being implemented.
B)It is designed to supplant critical thinking skills on the part of the nurse.
C)It is a method of solving clinical problems related to patient care.
D)Both A and C

Question 8

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?

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 9

Which of the following is a type of intervention for a nursing diagnosis of alteration in body temperature related to the surgical process?

A)Stay with the patient at all times to limit anxiety and trembling.
B)Regulate how much of the patient's skin is exposed during and after the procedure.
C)Record the amount of intravenous fluids administered during surgery.
D)Maintain the patient's body in proper alignment throughout the procedure.

Question 10

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

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 11

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

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 12

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

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

Question 13

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

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

Question 14

The daily functions of a specific department within a hospital or surgical center are an example of what type of standards of care?

A)Outcome standards
B)Process standards
C)Structure standards
D)Secondary standards

Question 15

Which of the following describes essentials in the patient care plan format?

A)It should contain nursing diagnoses, expected outcomes and nursing interventions.
B)It should be no longer than one page in length.
C)It should be individualized for the patient receiving care.
D)Both A and C

Question 16

According to Maslow's hierarchy of needs, a patient admitted for surgery that is afraid of the effects of anesthesia may be experiencing an interruption of which level of needs?

A)Self-actualization
B)Self-esteem
C)Social acceptance
D)Safety and security

Question 17

The nurse who discusses the patient's needs for transportation home following the surgical procedure is acting in which phase of the perioperative nurse's role?

A)Evaluation phase
B)Preoperative phase
C)Intraoperative phase
D)Postoperative phase

Question 18

Which of the following scenarios requires permission from a family member or legal guardian when obtaining informed consent for a surgical procedure?

A)A 16-year old married teen
B)A 28-year old man who does not speak English
C)A 50-year old woman with a history of depression
D)A 17-year old young man who is graduating from high school

Question 19

Which of the following is considered the most ideal time to provide patient teaching during the preoperative period?

A)Three days before surgery, performed over the phone by a triage nurse.
B)One-half hour before the patient is to be moved into the surgical suite.
C)At the beginning of the patient's visit during admission testing and procedures.
D)At a group meeting of several patients having the same procedure, performed on the night before surgery.

Question 20

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

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 21

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

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

Question 22

Which of the following factors should the nurse note in the patient's history as potentially contributing to wound infection at the surgical site?

A)A pediatric patient
B)A patient with diabetes mellitus
C)An extremely obese patient
D)Both B and C

Question 23

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

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 24

Which of the following is a true statement regarding incident reports that are written for problems that occurred during the perioperative process?

A)Incident reports should be completed no later than one week after the event.
B)Incident reports should be objective and describe the facts of the situation.
C)Incident reports should be completed and added to the patient's medical record.
D)Incident reports should be reviewed and signed with the patient before submitting to the facility's administrative services.

Question 25

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?

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 26

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

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

Question 27

Upon admitting a woman to the labor and delivery unit for a scheduled Caesarean section, the nurse notes that the patient is G2P1. What does 'G2' mean in this situation?

A)The woman has given birth two times.
B)The woman is pregnant with twins.
C)The woman has been pregnant two times.
D)The woman has had two miscarriages.

Question 28

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)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 29

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

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

Question 30

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?

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 31

All of the following may be considered expected outcomes for a nursing diagnosis of high risk for injury EXCEPT:

A)Patient will not fall or become injured throughout the perioperative process.
B)Patient's body will not retain foreign objects, such as sponges, following surgery.
C)Patient will retain adequate tissue perfusion to extremities after the procedure.
D)Patient's body will remain in the correct position during the recovery process.

Question 32

Which of the following is a potential response for a nurse facing an ethical issue during the perioperative period?

A)The nurse should explore alternative methods that may still meet patient needs without causing an ethical dilemma.
B)The nurse should call their pastor for spiritual guidance about what to do.
C)The nurse should contact their manager to transfer the responsibility of making the decision.
D)Both B and C

Question 33

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

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

Question 34

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

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 35

What is the rationale behind recommending that a patient with pruritus bathe only as necessary to reduce itching?

A)Frequent bathing with soap may dry the skin and cause more itching.
B)Bathing less often allows dead skin and oil to collect on the surface of the skin to keep it smooth.
C)The humidity in the air during a shower can intensify pruritus.
D)Both A and C

Question 36

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

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