PERI-OP

1.) Which of the following is most dangerous complication during induction of spinal
anesthesia?
A.)Tachycardia
B.)Hypotension
C.)Hyperthermia
D.)Bradypnea

2.) Which type of surgery is most likely to predispose a patient to postoperative atelectasis,
pneumonia or respiratory failure?
A.)Upper abdominal surgery on an obese patient with a long history of smoking
B.)Upper abdominal surgery on a patient with normal pulmonary function
C.)Lower abdominal surgery on a young patient with diabetes mellitus
D.)Surgery on the extremities of a nonsmoking football player

3.) Which of the following characterizes excitement stage of anesthesia

A.) Occurs from the administration of anesthesia to the loss of consciousness
B.) Extends from the loss of consciousness to the loss of lid reflex, characterized by struggling
and talking
C.) From the loss of lid reflex to the loss of most reflexes
D.) From the loss of most reflexes to respiratory and circulatory failure

4.) To prevent headache after spinal anesthesia the patient should be positioned:
A.) Semi-fowlers
B.) Flat on bed for 6 to 8 hours
C.) Prone position
D.) Modified Trendelenburg
Ans: B
5.) Which of the following nursing actions should be given highest priority when admitting the
patient into the operating room?
A.) Level of consciousness
B.) Vital signs
C.) Patient identification and correct operative consent
D.) Positioning and skin preparation
Ans: C
6.) What is the primary reason for the gradual change of position of the patient after surgery?
A.) To prevent muscle injury
B.) To prevent sudden drop of BP
C.) To prevent respiratory distress
D.) To promote comfort
Ans: B
7.) Which of the following assessment data is most important to determine when caring for a
patient who has received spinal anesthesia?
A.) The time of return of motion and sensation in the legs and toes
B.) The character of respiration
C.) Level of consciousness
D.) Amount of wound drainage
Ans: A
8.) Which of the following postop findings should the nurse report to the M.D.?
A.) The patient pushes out the oral airway with his tongue
B.) Urine output is 20ml/hr for the past two hours
C.) VS are as follows: BP=110/70;PR=95;RR=19,Temp=36.8C
D.) Wound drainage is serosanguinous
Ans: B
9.) Which of the following is the earliest sign of poor respiratory function?
A.) Cyanosis B.) Fast thready pulse C.) Restlessness D.) Faintness
Ans: C
10.) If wound eviscerations occurs, the immediate nursing action is:
A.) Cover the wound with sterile gauze moistened with sterile NSS
B.) Cover the wound with water-soaked gauze
C.) Cover the wound with sterile dry gauze
D.) Leave the wound uncovered and pull the skin edges together
Ans: A
11.) Appendectomy is classified as:
A.) Ablative
B.) Constructive
C.) Reconstructive
D.) Palliative
Ans: A
12.) The worst of all fears among clients undergoing surgery is:
A.) Fear of financial burden
B.) Fear of death
C.) Fear of the unknown
D.) Fear of loss of job
Ans: C
13.) The best time to provide preoperative teaching on deep breathing, coughing and turning
exercises is:
A.) Before administration of preoperative medications
B.) The afternoon or evening prior to surgery
C.) Several days prior to surgery
D.) Upon admission of the client in the recovery room
Ans: B
14.) The following are the appropriate nursing actions before administration of preoperative
medications EXCEPT:
A.) Ascertain the consent has been signed
B.) Ensure that NPO has been maintained
C.) Instruct patient to empty his bladder
D.) Shave the skin at the site of surgery
Ans: D
15.) The patient has been observed pacing along the hallway, goes to the bathroom frequently
and asks questions repeatedly during preoperative assessment. The most likely cause of the
behavior is:
A.) She is anxious about the surgical procedure
B.) She is worried about separation from the family
C.) She has urinary tract infection
D.) She has an underlying emotional problem
Ans: A
16.) Which of the following nursing actions would help the patient decrease anxiety during the
preoperative period?
A.) Explaining all procedures thoroughly in chronological order
B.) Spending time listening to the patient and answering questions
C.) Encouraging sleep and limiting interruptions
D.) Reassuring the patient that the surgical staff are competent professional
Ans: B
17.) Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before
surgery?
A.) To prevent malnutrition
B.) To prevent electrolyte imbalance
C.) To prevent aspiration pneumonia
D.) To prevent intestinal obstruction
Ans: C
18.) The following ensure validity of informed written consent EXCEPT:
A.) The patient is of legal age with proper mental disposition
B.) The consent has been secured within 24hours before the surgery
C.) If the patient is unable to write, secure the consent from a relative
D.) The consent is secured before administration of any medication that alter the level of
consciousness
Ans: C
19.) Which of the following drugs is administered to minimize respiratory secretions preop?
A.) Valium (Diazepam)
B.) Nubain ( Nalbuphine HCL)
C.) Phenergan (Promethazine)
D.) Atropine Sulfate
Ans: D
20.) Which of the following is experienced by the patient who is under spinal anesthesia?
A.) The patient is unconscious
B.) The patient is awake
C.) The patient experiences amnesia
D.) The patient experiences total loss of sensation
Ans: B
A.) Valium (Diazepam)
B.) Nubain ( Nalbuphine HCL)
C.) Phenergan (Promethazine)
D.) Atropine Sulfate
Ans: D
21.) The patient who has undergone TAHBSO complains of pain. Which of the following is an
initial nursing action?
A.) Administer the PRN analgesics
B.) Instruct to do deep breathing exercises
C.) Assess the VS
D.) Change the patients position
Ans: C
22.) How frequent should the nurse monitor the VS of the patient in the recovery room?
A.) Every 15 minutes
B.) Every 30 mins
C.) Every 45 mins
D.) Every 60 mins
Ans: A
23.) Which of the following drugs is given to relieve nausea and vomiting?
A.) Mepivacaine
B.) Aquamephyton
C.) Nubain
D.) Plasil
Ans: D
24.) The most important factor in the prevention of postop infection is:
A.) Proper administration of antibiotics
B.) Fluid intake of 2-3L/day
C.) Practice of strict aseptic techniques
D.) Frequent change of wound dressings
Ans: C
25.) Which of the following primarily prevents postop complications?
A.) Adequate fluid intake
B.) Early ambulation
C.) Well-balanced diet
D.) Administration of antimicrobials
Ans: B
Situation: A female client, 23 y/o was admitted for the first time at the Fatima Hospital with the
chief complaint of Right Iliac Pain, accompanied by nausea and vomiting, chills and fever. She
was diagnosed to have acute appendicitis. She was scheduled to have emergency
appendectomy under spinal anesthesia
26.) Pre-op instructions to the client would include the following EXCEPT:
A.) Deep breathing and coughing exercise
B.) Turning to sides
C.) Foot and leg exercises
D.) reassuring her that narcotics will begiven every 4 hours round the clock until she is
discharged
Ans: D
27.) The client gave her consent for the surgery. To ensure the legality of the consent, the
following conditions must be met EXCEPT:
A.) She gave her consent freely
B.) She must understand the nature of the surgery
C.) The consent must be signed by a witness
D.) Signing should be done after the administration of pre-anesthesia meds
Ans: D
28.) The skin is shaved prior to surgery in order to:
A.) Facilitate skin incision
B.) Indicate the site to be draped
C.) To prevent wound infection.
D.) Reduce post op scarring
Ans: C
29.) The important nursing intervention prior to administration of pre-anesthetic medication is:
A.) Ask patient to empty the bladder
B.) Do deep breathing and coughing exercises
C.) Regulate IVF accurately
D.) Shave the skin
Ans: A
30.) Immediately following spinal anesthesia, the greatest risk is:
A.) Severe hemorrhage
B.) Severe Hypotension
C.) Severe Hypoglycemia
D.) Hypertensive crisis
Ans: B
31.) Nursing measures to promote the clients respiratory function during recovery from
anesthesia are the following EXCEPT:
A.) Encourages deep breathing and coughing exercises
B.) Administer Humidified oxygen
C.) Place in semi-fowlers position
D.) Place in supine position with head turned to the side without pillow support
Ans: C
32.) Which of the following criteria must be met before the client is released from the RR to the
unit.
A.) Breathes with ease, coughs freely
B.) Has regained consciousness
C.) Vital signs fluctuates erratically
D.) Able to move four extremities
Ans: C
33.) Early signs of poor respiratory function include which of the following
A.) Cyanosis
B.) Hypotension
C.) Loss of consciousness
D.) Restlessness
Ans: D
34.) Post operatively, the client must be encouraged to turn, cough and deep breathe:
A.) Every 1-2 hours
B.) Every 4 hours
C.) Every 30 Mins
D.) Every 8 hours
Ans: A
35.) A client in shock must be placed in
:A.) High-fowlers position
B.) Sims position
C.) Modified Trendelenburg
D.) Prone position
Ans: C
36.) The most important factor in the prevention of post op wound infection is:
A.) Adequate fluid intake
B.) Proper administration of antibiotics
C.) Practice of strict aseptic technique
D.) Frequent cleaning of the wound
Ans: C
37.) When the patient vomits, the most important nursing objective is to prevent:
A.) Dehydration
B.) Aspiration
C.) Rupture of suture line
D.) Met. Alkalosis
Ans: B
38.) Post operatively, a patient is expected to void after:
A.) 6-8 hours
B.) 2-4 hours
C.) 12-24 hours
D.) 10-12 hours
Ans: A

39.) Headache after spinal anesthesia is due to:

A.) Paralysis of vasomotor nerves
B.) Traction placed on structures within abdomen
C.) Loss of CSF through dural hole
D.) Administration of large amounts and heavy concentration of anesthetic agents
Ans: C
40.) Nursing measures for post-op thrombophlebitis include the following EXCEPT:
A.) Maintain bedrest
B.) Elevate affected leg with pillow support
C.) Massage the painful extremities
D.) Apply anti embolic stockings
Ans: C
41.) Nursing measures to relieve hiccups include the following EXCEPT:
A.) Exhale and inhale through a paper bag
B.) Apply pressure over the eyeball through closed eye lids
C.) Hold breath while taking a large pulp of water
D.) Administer high concentration of oxygen
Ans: D
42.) Modified radical mastectomy involve:
A.) Removal of the entire breast, axillary lymph nodes, pectoralis muscle
B.) Removal of the lump of the breast
C.) Removal of the entire breast, axillary and neck lymph nodes, including pectoralis muscles
D.) Removal of the entire breast but nipple remains intact
Ans: A
43.) Which of the following is not appropriate nursing intervention after modified radical
mastectomy?
A.) Place in semi fowlers position and
elevate arm on the affected side with pillow support
B.) Check behind the client for bleeding
C.) Monitor output from wound suction drainage
D.) Immobilize the arm on affected side in adduction
Ans: D
44.) A fluid challenge is begun with a post-op gastric surgery client. Which assessment will give
the best indication of client response to this treatment?
A.) CVP readings and hourly urine output
B.) Blood pressure and apical rate checks
C.) Lung sounds and arterial blood gases
D.) Electrolytes, BUN, creatinine results
Ans: A
45.) A client is scheduled for a subtotal gastrectomy. In anticipation of clarifying information for
client education, the nurse knows that vagotomy is done as part of the surgical treatment for
peptic ulcers in order to
A.) Decrease secretion of hydrochloric acid
B.) Improve the tone of the GI muscles
C.) Increase blood supply to the jejunum
D.) Prevent the transmission of pain impulses
Ans: A
46.) Which of the following facts best explains why the duodenum is not removed during a
subtotal gastrectomy?
A.) The head of the pancreas is adherent to the duodenal wall
B.) The common bile duct empties into the duodenal lumen
C.) The wall of the jejunum contains no intestinal villi
D.) The jejunum receives its blood supply through the duodenum
Ans: B
47.) During the immediate postoperative period following gastric surgery, why must the nurse
be particularly conscientious about encouraging a client to cough and deep-breathe at regular
intervals?
A.) Marked changes in intrathoracic pressure will stimulate gastric drainage
B.) The high abdominal incision will lead to shallow breathing to avoid pain
C.) The phrenic nerve will have been permanently damaged during the surgical procedure
D.) Deep-breathing will prevent post op vomiting and intestinal distention
Ans: B
48.) Prior to having a subtotal gastrectomy, a client is told about the dumping syndrome. The
nurse explains that it is:
A.) The body’s absorption of toxins produced by liquefaction of dead tissue
B.) Formation of an ulcer at the margin of the gastro jejunal anastomosis.
C.) Obstruction of venous flow from the stomach into the portal system
D.) Rapid emptying of food and fluid from the stomach into the jejunum
Ans: D
49.) Which of the following statements by a client recovering from a subtotal gastrectomy
would indicate a need for additional teaching about the diet protocol for dumping syndrome?
A.) I plan to eat a diet low in carbohydrates and high in protein and fat
B.) I plan to eat a diet high in CHO and low in CHON and fat
C.) I will eat slowly and avoid drinking fluids during meals
D.) I will try to assume a recumbent position after meals for 30 mins to 1 hour to enhance
digestion and relieve symptoms
Ans: B
50.) A 40 y/o female client has arrived in the post anesthesia room following a cholecystectomy
and a common bile duct exploration. She is semi-conscious. Her vital signs are within normal
limits. Which of the following nursing actions would be inappropriate?
A.) Apply a warm blanket to her body
B.) Place her in a semi-fowlers position
C.) Attached her T-tube to gravity drainage
D.) Set up low, intermittent suction for her NGT
Ans: B

A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major

preoperative concern?
A. The client’s brother had a tonsillectomy at age 11
B. The client smokes a pack of cigarettes a day
C. The client has an intravenous (IV) infusion.
D. The client has a history of employment as a computer programmer.
An appendectomy is appropriately documented by the nurse as:
A. Diagnostic surgery
B. Palliative surgery
C. Ablative surgery
D. Reconstructive surgery
An obese client is admitted for abdominal surgery. The nurse recognizes that this client is more
susceptible to the postoperative complication of:
A. Anemia
B. Seizures
C. Protein loss
D. Dehiscence
The nurse is working in a postoperative care unit in an ambulatory surgery center. Of the
following clients that have come to have surgery, the client at the greatest risk during surgery is
a:
A. 78-year-old taking an analgesic agent
B. 43-year-old taking an antihypertensive agent
C. 27-year-old taking an anticoagulant agent
D. 10-year-old taking an antibiotic agent
A 92-year-old client is scheduled for a colectomy. Which normal physiological change that
accompanies the aging process increases this client’s risk for surgery?
A. An increased tactile sensation
 B. An increased metabolic rate
C. A relaxation of arterial walls
D. Reduced glomerular filtration rate
The nurse is completing the preoperative checklist for an adult female client who is scheduled
for an operative procedure later in the morning. Which of the following preoperative
assessment findings for this client indicates a need to contact the surgeon?
A. Hemoglobin (Hgb) 14 g/100 mL
B. Blood urea nitrogen (BUN) 15 mg/100 mL
C. Platelets 300,000/mm3
D. Serum creatinine 3.2 mg/100 mL

The nurse is evaluating the outcome “Client describes surgical procedures and postoperative
treatment” and determines that the client has not achieved this outcome. The nurse should:
A. Obtain the consent, because this is expected with preoperative anxiety
B. Teach the client all about the procedure
C. Ask the unit manager to assist with a teaching plan
D. Inform the surgeon so that information can be provided
Which of the following statements most accurately reflects nursing accountability in the
intraoperative phase?
A. “I would like to see the client have a regional anesthetic rather than a general
anesthetic.”
B. “There seems to be a missing sponge, so a recount should be done of all the sponges
that have been removed.”
C. “Did the client receive the medications and sign the consent?”
D. “The client looks to be reactive and stable.”
The client will have an incision in the lower left abdomen. Which of the following measures by
the nurse will help decrease discomfort in the incisional area when the client coughs
postoperatively?
A. Applying a splint directly over the lower abdomen
B. Keeping the client flat with her feet flexed
C. Turning the client onto the right side
D. Applying pressure above and below the incision
The nurse is evaluating the client in the hospital’s post anesthesia care unit (PACU) and
determines that the Aldrete score is 8. Based on this assessment, the nurse anticipates that the
client will:
A. Be sent to the intensive care unit
 B. Be discharged back to his or her room on the nursing unit
C. Remain in the PACU until the score improves
D. Return to the operating room for surgical evaluation
A client is in the postanesthesia care unit (PACU) recovering from a vagotomy and pyloroplasty.
Which of the following is a normal expectation of the client in this stage of recovery?
A. Returned normal bowel sounds on auscultation
B. Pain that is relieved with noninvasive comfort measures
C. Voluntary bladder control and function
D. A subdued level of consciousness and neurological function
The client is scheduled for abdominal surgery and has just received the preoperative
medications. The nurse should:
A. Keep the client quiet
B. Obtain the consent
C. Prepare the skin at the surgical site
D. Place the side rails up on the bed or stretcher
The nurse is completing the preoperative checklist for an adult client who is scheduled for an
operative procedure later in the morning. Which of the following preoperative assessment
findings for this client indicates a need to contact the anesthesiologist?
A. Temperature is 100° F.
B. Pulse is 90 beats per minute.
C. Respiratory rate is 20 breaths per minute.
D. Blood pressure is 130/74 mm Hg.
In the postoperative period, the nurse recognizes that an early sign of malignant hyperthermia
is:
A. Fever
B. Tachycardia
C. Muscle relaxation
D. Skin pallor

The client tells the nurse that “blowing into this tube thing (incentive spirometer) is a ridiculous
waste of time.” The nurse explains that the specific purpose of the therapy is to:
A. Directly remove excess secretions from the lungs
B. Increase pulmonary circulation
C. Promote lung expansion
D. Stimulate the cough reflex
The female client on the surgical unit is being prepared for abdominal surgery with general
anesthesia. In preparing this client for surgery, the nurse should:
 A. Leave all of her jewelry intact
B. Provide her with sips of water for a dry mouth
C. Remove her makeup and nail polish
D. Remove her hearing aid before transport to the operating room
The client asks the nurse the purpose of having medications (Demerol and Vistaril) given before
surgery. The nurse should inform the client that these particular medications:
A. Reduce preoperative fear
B. Promote emptying of the stomach
C. Reduce body secretions
D. Ease the induction of the anesthesia
A client who receives general or regional anesthesia in an ambulatory surgery center:
A. Has to meet identified criteria in order to be discharged home
B. Will remain in the phase I recovery area longer than a hospitalized client
C. Is allowed to ambulate as soon as being admitted to the recovery area
D. Is immediately given liberal amounts of fluid to promote the excretion of the anesthesia
Following abdominal surgery, the nurse suspects that the client may be having internal
bleeding. Which of the following findings is indicative of this complication?
A. Increased blood pressure.
B. Incisional pain
C. Abdominal distention
D. Increased urinary output
After discharge from the postanesthesia care unit (PACU), the client returned to the surgical
nursing unit at 10:00 AM. It is now 11:30 AM, and the client is not experiencing any
complications or difficulties. The nurse will plan to measure the client’s vital signs:
A. Every 15 minutes
B. Every 30 minutes
C. Every 1 hour
D. Every 4 hours

The client had surgery in the morning that involved the right femoral artery. To assess the
client’s circulation status to the right leg, the nurse will make sure to check the pulse at the:
A. Radial artery
B. Ulnar artery
C. Brachial artery
D. Dorsalis pedis artery
Upon admission to the postanesthesia care unit (PACU), the client who has no orthopedic or
neurological restrictions is positioned with the:
 A. Bed flat and the client’s arms to the sides
B. Client’s neck flexed and body positioned laterally
C. Head of the bed slightly elevated with the client’s head to the side
D. Client’s arms crossed over the chest and the bed in high-Fowler’s position
A client who is scheduled for surgery is found to have thrombocytopenia. A specific
postoperative concern for the nurse for this client is:
A. Hemorrhage
B. Wound infection
C. Fluid imbalance
D. Respiratory depression
A prostate biopsy is an acceptable procedure to be performed as an ambulatory surgery on an
otherwise healthy adult male because the American Society of Anesthesiologists (ASA)
considers that a:
A. Physical status class 1
B. Physical status class 2
C. Physical status class 4
D. Physical status class 5

Which of the following statements made by a nurse reflects the greatest insight into the
responsibility an ambulatory care nurse has to the client’s family?
A. “A client’s family deserves the attention of the nursing staff.”
B. “Family is important to my client, and so family is important to me.”
C. “I consider myself as having several clients: the surgical client and all the family that’s
present.”
D. “I am responsible for keeping the family informed of the status of their loved one both
during and after the procedure.”
E. Which of the following statements made by a nurse reflects the greatest insight into the
planning needs of a same-day surgical experience?
A. “Time is a precious resource in same-day surgery units; being organized allows for the
best utilization of time.”
B. “Everything must be checked and verified as being ready before the client is admitted
into the surgical area.”
C. “With only a few hours from time of admission to the beginning of the procedure, things
have to be effectively organized.”

D. “I take the time to review the client’s preadmission and preoperative data in order to
formulate the most individualized plan of care possible.”
The perioperative nurse realizes that the most effective means of evaluating the client’s
understanding of previous teaching is to:
A. Provide written material on the subject to be reviewed after discharge
B. Reinforce the material with family as the procedure is being performed
C. Discuss it with the client and family in the immediate preoperative period
D. Offer to answer any questions that the client or family have just before discharge
Which of the following preoperative assessment findings would most likely delay a planned
procedure requiring general anesthetic?
A. A cough and low-grade fever
B. The pulse oximetry reading of 97% on room air
C. A blood pressure that is 10 systolic points higher than baseline
D. The client’s report of “being so nervous about this procedure”
A 74-year-old is accompanied by his daughter to the ambulatory surgery department for the
surgical removal of a suspicious skin lesion. The client has experienced dysphasia since a
cerebral vascular accident 3 years ago. The most effective way for the nurse to secure the
necessary preoperative interview information is to:
A. Question the client’s daughter
B. Review the client’s past medical records
C. Present the questions in a simple format
D. Rely on the client’s preadmission survey
A client who has type 2 diabetes is scheduled for the removal of a skin lesion on his right
shoulder at an ambulatory surgery unit. The nursing diagnosis the client is at greatest risk for
postoperatively is:
A. Risk for injury
B. Risk for infection
C. Impaired wound healing
D. Imbalanced nutrition: less than body requirements
A client with a history of sleep apnea has had a same-day surgery procedure that will require
the administration of morphine postoperatively to manage pain. This client will be assessed
most appropriately by the perioperative nurse for the risk for respiratory complications by
frequently:
A. Listening to breath sounds
B. Monitoring pulse oximetry
C. Evaluating spirometer use
D. Counting respirations per minute
A client scheduled for an ambulatory surgery procedure requiring anesthetics arrives with a
low-grade fever and a productive sough. The postponement of the procedure is most likely a
result of the:
 A. Client’s increased risk for a respiratory tract infection
B. Possibility of a respiratory complication during anesthesia
C. Increased risk for the client's infecting staff and other clients
D. Client’s impaired resistance as a result of a respiratory tract infection
Which of the following goals is most appropriate for a preoperative client with a nursing
diagnosis of deficient knowledge regarding preoperative requirements related to lack of
exposure to information?
A. Client will understand the need for scheduled surgery before leaving the provider’s
office.
B. Client will understand the preoperative routines of surgical care before leaving
provider’s office.
C. Client will present for drawing of preoperative laboratory blood at least 48 hours before
scheduled surgery.
D. Client will be able to successfully accomplish the preoperative bowel preparation by
morning of scheduled surgery.
Which of the following client outcomes is most therapeutic for a preoperative client with a
nursing diagnosis of deficient knowledge regarding preoperative requirements related to lack of
exposure to information?
A. Client will share the preoperative routines of surgical care with family to facilitate
compliance.
B. Client will understand the preoperative routines of surgical care before leaving
provider’s office.
C. Client will call laboratory to schedule appointment for preoperative blood draw for
required testing.
D. Client will present for drawing of preoperative laboratory blood at least 48 hours before
scheduled surgery.
Which of the following client evaluations is most reflective of compliance for a preoperative
client with a nursing diagnosis of deficient knowledge regarding preoperative requirements
related to lack of exposure to information?
A. Client will present for scheduled blood laboratory work 48 hours before surgery.
B. Client’s preoperative blood laboratory work results are present on preoperative chart.
C. Client will share the preoperative routines of surgical care with family to facilitate
compliance.
D. Client will understand the preoperative routines of surgical care before leaving
provider’s office.
Which of the following best describes the primary nursing role regarding a client’s consent to
surgery immediately before surgery?
A. Explaining the procedure to the client in a fashion that is easily understood
B. Placing the signed consent in the client’s medical record
 C. Ensuring that the client understands the possible risks of the procedure before signing
the consent
D. Reviewing the client’s surgical consent as a part of the routine preoperative checklist
The initial client education–related nursing action by the preadmission nurse is to:
A. Respond to questions presented by the family regarding the client’s surgery
B. Call the client before the surgery to restate presurgery routine
C. Provide the client with a list of preoperative requirements
D. Arrange a time for presurgical blood work to be drawn
Which of the following statements made by the nurse shows the most informed understanding
of the role of family in the client’s postoperative recovery?
A. "The family will be the ones you will be dealing with regarding postoperative needs."
B. "When the family is more relaxed about caring for the client, the client is more relaxed."

C. "The more the family understands what to expect during recovery, the more
comfortable they are in caring for the client."
D. "Teaching the family what they need to know before the surgery will maximize their
effectiveness regarding the client’s postoperative care."
The nurse recognizes which of the following as the greatest barrier to meeting a preoperative
client’s nursing diagnosis of deficient knowledge regarding surgical procedure?
A. Effects of preoperative medication
B. Complicated nature of the information
C. Fear or anxiety regarding the procedure
D. Emotional denial regarding surgical outcomes
The nurse knows that the client is most likely going to arrive for the surgical procedure having
adhered to the required bowel preparation if:
A. The client understands the need for the laxative
B. The laxative ordered is pleasant tasting
C. The bowel preparation is an uncomplicated process
D. The client has the appropriate support at home
Which surgical classification would be the most appropriate for a cardiac catheterization
scheduled on a 44-year-old male client who is in the hospital with chest pain?
A. Major
B. Minor
C. Ablative
D. Elective
A 36-year-old female diabetic client is having an elective breast augmentation procedure done.
Which of the following tests must be done on the day of surgery?
 A. Complete blood count (CBC)
B. Blood glucose
C. Serum electrolytes
D. Coagulation studies

A 48-year-old male client with a history of chronic obstructive pulmonary disease (COPD) is
scheduled for an inguinal hernia repair. The nurse instructs that client that he can expect the
health care provider to order which of the following tests before surgery?
A. Human immunodeficiency virus (HIV) antibody
B. Prolactin level
C. Pulmonary function test
D. Glucose tolerance test
A 64-year-old male client has been scheduled to undergo surgery for a total knee replacement.
The client would like to be able to use his own blood for the surgery, if needed. The nurse
explains that there are several advantages to the client's having an autologous infusion, but
there are some drawbacks as well. Which of the following would be considered a drawback to
an autologous infusion?
A. The client has a decreased risk for contracting HIV.
B. There is an decreased risk for infection.
C. The client has less risk for a transfusion reaction.
D. The client may have a decreased hemoglobin and hematocrit level on the day of
surgery.
A 24-year-old male client has been scheduled to undergo surgery for an ACL repair of his right
knee. The client states that he is confused about what the surgeon will be doing. The best
response from the nurse is:
A. "The surgeon went over this procedure with you in his office"
B. "Let me get the surgeon to talk with you before we proceed so that you fully understand
what will be happening"
C. To share with the client what he can expect in regard to the procedure
D. "This is just a simple procedure—you should feel much better afterwards"
A 47-year-old female client has been scheduled to undergo surgery for removal of her
gallbladder. Preoperatively the nurse is teaching the client what to expect when she wakes up
in the postanesthesia care center. The nurse tells the client that her vision may be blurry due to
which of the following reasons?
A. The client’s blood pressure may be high from the postoperative pain.
B. The client may be slow to arouse from the anesthesia, causing her vision to be blurred
upon waking.
C. The anesthesia provider applies ointment to clients’ eyes to prevent corneal damage.
 D. The lighting in the postanesthesia area will be subdued, causing the client to have
blurred vision upon waking.
Given a rationale for preoperative and postoperative procedures, the client is better prepared
to participate in care. For which of the following should the nurse provide instruction and
rationale?
A. Incentive spirometry
B. Specific details regarding the progression of diet
C. Working the call button for the nurse
D. Using the patient-controlled analgesia (PCA) pump
The nurse is very busy and needs to delegate some tasks to the nursing assistive personnel
(NAP). Which of the following would be the most appropriate task to delegate?
A. Postoperative client teaching
B. Demonstrating postoperative exercises
C. Transporting the preoperative client from the unit to the holding area
D. Reviewing the preoperative assessment to make sure that the client’s vital signs have
been documented
When discussing the details of having a procedure done in a facility's ambulatory surgery
department, the nurse includes which of the following as advantages? (Select all that apply.)
A. Facilitates faster postsurgical recovery
B. Reduces hospital-oriented expenses
C. Allows for more one-on-one attention by staff

D. Cuts preparation time for surgical procedures

E. Minimizes risk for acquiring a nosocomial infection
F. The anesthetic drugs used result in faster "wake-up" time