PERIOPERATIVE PERIOPERATIVE DRILLSDRILLS

1. Surgery is classified according to purpose. Which type of surgery is done to determine the extent of the disease condition? a.Diagnostic b.Exploratory c.Curative d.Palliative

2. 2. A client with a tumor on her right A client with a tumor on her right breast was ordered by her breast was ordered by her physician to have a biopsy. The physician to have a biopsy. The nurse knows that this procedure is nurse knows that this procedure is classified as?classified as? a.a.Diagnostic Diagnostic b.b.ExploratoryExploratory c.c.PalliativePalliative d.d.CurativeCurative

3. Extends from the time the client is admitted in the surgical unit, to the time the client is prepared physically, psychosocially, spiritually, and legally for the surgical procedure, until transported into the operating room. a.Preoperative phase b.Intraoperative phase c. Postoperative phase d. About phase

4. 4. The nurse is assessing the client’s The nurse is assessing the client’s laboratory result. Which of the laboratory result. Which of the following laboratory value will following laboratory value will postpone the client upcoming postpone the client upcoming surgery?surgery? a.a.WBC count=1300/WBC count=1300/cu.mm b.b.Hemoglobin value of 14g/dlHemoglobin value of 14g/dl c.c.FBS=110 mg/dlFBS=110 mg/dl d.d.Serum K+=3.8 mEq/LSerum K+=3.8 mEq/L

5. 5. Which of the following is the Which of the following is the primary purpose of maintaining primary purpose of maintaining NPO for 6 to 8 hours preoperative?NPO for 6 to 8 hours preoperative? a.a.To prevent electrolyte To prevent electrolyte

intoxicationintoxication b.b.To prevent malnutritionTo prevent malnutrition c.c.To prevent aspirationTo prevent aspiration d.d.To prevent gastric distentionTo prevent gastric distention

• 6. A client with a perforated gastric ulcer is scheduled for 6. A client with a perforated gastric ulcer is scheduled for emergency surgery.  The client cannot sign the operative emergency surgery.  The client cannot sign the operative consent form because of sedation from narcotic analgesics consent form because of sedation from narcotic analgesics that have been administered.  The nurse should take which that have been administered.  The nurse should take which of the following most appropriate actions in the care of this of the following most appropriate actions in the care of this client? client? • A. Obtain telephone consent from a family member and A. Obtain telephone consent from a family member and

have the consent witnessed by two person have the consent witnessed by two person • B. Obtain a court order B. Obtain a court order • C. Send the client to surgery without the consent being C. Send the client to surgery without the consent being

signed signed • D. Have the hospital chaplain sign the informed consent D. Have the hospital chaplain sign the informed consent

immediately immediately

• 7. The following are true regarding 7. The following are true regarding informed consent EXCEPT? informed consent EXCEPT? • A. The nurse explains the procedure, A. The nurse explains the procedure,

telling the procedure to be done, risk telling the procedure to be done, risk and complication that may arise during and complication that may arise during the procedure the procedure

• B. Secured without pressure B. Secured without pressure • C. To protect the hospital from legal C. To protect the hospital from legal

action by a client who claims that an action by a client who claims that an unauthorized procedure was performed unauthorized procedure was performed

• D. Obtained before preoperative D. Obtained before preoperative medication is given medication is given

8. In the OR, the indispensable nursing 8. In the OR, the indispensable nursing tandem for every surgery is?tandem for every surgery is? a.a.Scrub nurse and nurse anesthetistScrub nurse and nurse anesthetist b.b.Scrub nurse and circulating nurseScrub nurse and circulating nurse c.c.Nurse anesthetist, nurse assistant Nurse anesthetist, nurse assistant

and nurse technicianand nurse technician d.d.Surgeon, anesthesiologist, scrub Surgeon, anesthesiologist, scrub

nurse, circulating nursenurse, circulating nurse

•

• 9. While-team effort is needed in the OR for efficient and quality patient care delivery, we should limit the number of people in the room for infection control.  Who comprise this team? • A. Surgeon, anesthesiologist, scrub

nurse, radiologist, orderly • B. Surgeon, assistant surgeon,

anesthesiologist, intern, scrub nurse • C. Surgeon, assistants, scrub nurse,

circulating nurse, anesthesiologist • D. Surgeon, head nurse, scrub nurse,

circulating nurse, anesthesiologist

• 10. The client has elected to have 10. The client has elected to have epidural anesthesia to relieve labor epidural anesthesia to relieve labor pain.  If the client experiences pain.  If the client experiences hypotension, the nurse would expect hypotension, the nurse would expect the doctor will order. the doctor will order. • A. Place the client in A. Place the client in

trendelenberg position trendelenberg position • B. Decrease the rate of IV B. Decrease the rate of IV

infusion infusion • C. Administer oxygen per nasal C. Administer oxygen per nasal

cannula cannula • D. Increase the rate of IV infusion D. Increase the rate of IV infusion

• 11. Which of the following characterizes excitement stage of anesthesia? • A. Occurs from the administration of

anesthesia to the loss of consciousness

• B. Extends from loss of consciousness to the loss of lid reflex, characterized by struggling and talking

• C. From loss of lid reflex to the loss of most reflexes

• D. From loss of most reflexes to respiratory and circulatory failure

• 12. Which of the following characterize 12. Which of the following characterize the surgical stage of anesthesia? the surgical stage of anesthesia? • A. Occurs from the administration of A. Occurs from the administration of

anesthesia to the loss of anesthesia to the loss of consciousness consciousness

• B. Extends from loss of consciousness B. Extends from loss of consciousness to the loss of lid reflex, characterized to the loss of lid reflex, characterized by struggling and taking by struggling and taking

• C. From loss of lid reflex to the loss of C. From loss of lid reflex to the loss of most reflexes most reflexes

• D. From loss of most reflexes to D. From loss of most reflexes to respiratory and circulatory failure respiratory and circulatory failure

• 13. The sterile nurse and sterile 13. The sterile nurse and sterile personnel touch only sterile personnel touch only sterile supplies and instrument.  When supplies and instrument.  When there is a need for sterile supply there is a need for sterile supply which is not the sterile field, who which is not the sterile field, who hands out these items by opening hands out these items by opening its cover? its cover? • A. Orderly A. Orderly • B. Scrub nurse B. Scrub nurse • C. Circulating nurse C. Circulating nurse • D. Anesthesiologist D. Anesthesiologist

14. Nurse Clara is preparing a client with suspected liver Ca for liver biopsy. Which of the following preoperative preparation by the nurse is inaccurate? a.Ensure consent is accomplished b.Instruction that the client will be positioned

on right side lying for easy access c.Instruction that the client exhale deeply,

and hold breath during needle insertion d.Ensure laboratory works such as

coagulation studies is accompanied

• 15. Nurse Edgar was ordered 15. Nurse Edgar was ordered by the surgeon to check the by the surgeon to check the nitrous oxide availability inside  nitrous oxide availability inside  the OR, Edgar knows that the the OR, Edgar knows that the tank he should look for is a tank tank he should look for is a tank which is colored. which is colored.

• A. Green A. Green

• B. Blue B. Blue

• C. Yellow C. Yellow

• D. Pink D. Pink

• 16. In this patient who had 16. In this patient who had general anesthesia and general anesthesia and therefore was intubated, one of therefore was intubated, one of the signs that may indicate that the signs that may indicate that the artificial airway can already the artificial airway can already be removed is? be removed is? • A. Gagging A. Gagging • B. Restlessness B. Restlessness • C. An increase in pain C. An increase in pain • D. Clear lungs on auscultation D. Clear lungs on auscultation

• 17. The anesthesiologist elected to have 17. The anesthesiologist elected to have general anesthesia to a patient who is general anesthesia to a patient who is about to undergo cholecystectomy the about to undergo cholecystectomy the anesthesiologist will place an anesthesiologist will place an endotracheal tube to maintain airway, endotracheal tube to maintain airway, the nurse will anticipate a muscle the nurse will anticipate a muscle relaxant prior to the procedure which is? relaxant prior to the procedure which is? • A. Anectine (Succinylcholine) A. Anectine (Succinylcholine) • B. Nitrious oxide B. Nitrious oxide • C. Salbutamol C. Salbutamol • D. Forane (Isoflurane) D. Forane (Isoflurane)

18. A preoperative client expresses anxiety to a nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse? a.“I will be happy to explain the entire surgical

procedure to you” b.“Let me tell you about the care you’ll receive

after surgery and the amount of pain you can anticipate”

c. “If it’s any help, everyone is nervous before surgery”

d.“Can you share with me what you’ve been told about your surgery”

• 19. Instruments that do not 19. Instruments that do not touch the patient or have touch the patient or have contact only to intact skin is contact only to intact skin is classified as:classified as:

• a. Criticala. Critical

• b. Non Criticalb. Non Critical

• c. Semi Criticalc. Semi Critical

• d. Ultra Criticald. Ultra Critical

• 20. If an instrument is classified 20. If an instrument is classified as Semi Critical, an acceptable as Semi Critical, an acceptable method of making the method of making the instrument ready for surgery is instrument ready for surgery is through:through:

• a. Sterilizationa. Sterilization

• b. High level disinfectionb. High level disinfection

• c. Decontaminationc. Decontamination

• D. cleaningD. cleaning

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