Podcast
Questions and Answers
The nurse is caring for a surgical patient, when the family member asks what perioperative
nursing means. How should the nurse respond?
The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means. How should the nurse respond?
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse
is completing an assessment and reviews the patient’s laboratory tests and allergies and
prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient’s laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed
profuse bleeding from the surgical site, and the surgeon has determined the need to return to
the operative area. How will the nurse classify this procedure?
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
The nurse is caring for a patient in preadmission testing. The patient has been assigned a
physical status classification by the American Society of Anesthesiologists of ASA III. Which
assessment will support this classification?
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
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The patient presented to the ambulatory surgery center to have a colonoscopy is scheduled to
receive moderate sedation (conscious sedation) during the procedure. How will the nurse
interpret this information?
The patient presented to the ambulatory surgery center to have a colonoscopy is scheduled to receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information?
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The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total
knee arthroplasty. The anesthesia provider has indicated that the patient received regional
anesthesia in the form of a left femoral peripheral nerve block. Which assessment will be an
expected finding for this patient?
The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total knee arthroplasty. The anesthesia provider has indicated that the patient received regional anesthesia in the form of a left femoral peripheral nerve block. Which assessment will be an expected finding for this patient?
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Which nursing goal is a priority for assessing the patient before surgery?
Which nursing goal is a priority for assessing the patient before surgery?
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The nurse is completing a medication history for the surgical patient in preadmission testing.
Which medication should the nurse instruct the patient to hold (discontinue) in preparation for
surgery according to protocol?
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
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The nurse is prescreening a surgical patient in the preadmission testing unit. The medication
history indicates that the patient is currently taking an anticoagulant. Which action should the
nurse request when consulting with the health care provider?
The nurse is prescreening a surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking an anticoagulant. Which action should the nurse request when consulting with the health care provider?
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The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which
priority goal is the nurse trying to achieve?
The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which priority goal is the nurse trying to achieve?
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The nurse caring for a postoperative patient will encourage what activity to prevent venous
stasis and the formation of thrombus?
The nurse caring for a postoperative patient will encourage what activity to prevent venous stasis and the formation of thrombus?
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The nurse caring for a preoperative patient teaches the principles and demonstrates leg
exercises for the patient. The patient is unable to perform leg exercises correctly. What is the
nurse’s best next step?
The nurse caring for a preoperative patient teaches the principles and demonstrates leg exercises for the patient. The patient is unable to perform leg exercises correctly. What is the nurse’s best next step?
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Which nursing assessment will indicate the patient is performing diaphragmatic breathing
correctly?
Which nursing assessment will indicate the patient is performing diaphragmatic breathing correctly?
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The nurse is caring for a postoperative patient with an abdominal incision. When the nurse
provides a pillow to use during coughing, which activity is the nurse promoting?
The nurse is caring for a postoperative patient with an abdominal incision. When the nurse provides a pillow to use during coughing, which activity is the nurse promoting?
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The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which
explanation can the nurse provide that may encourage the patient to comply?
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which explanation can the nurse provide that may encourage the patient to comply?
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The nurse and the nursing assistive personnel are assisting a postoperative patient to turn in
bed. To assist in minimizing discomfort, which instruction should the nurse provide to the
patient?
The nurse and the nursing assistive personnel are assisting a postoperative patient to turn in bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
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The nurse is preparing to assist the patient in using the incentive spirometer. Which nursing
intervention should the nurse provide first?
The nurse is preparing to assist the patient in using the incentive spirometer. Which nursing intervention should the nurse provide first?
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The nurse and the nursing assistive personnel (NAP) are caring for a group of postoperative
patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises.
Which task will the nurse assign to the NAP?
The nurse and the nursing assistive personnel (NAP) are caring for a group of postoperative patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises. Which task will the nurse assign to the NAP?
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The nurse is providing preoperative teaching for the ambulatory surgery patient who will be
having a cyst removed from the right arm. Which will be the best explanation for diet
progression after surgery?
The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery?
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The nurse explains the pain-relief measures available after surgery during preoperative teaching for a surgical patient. Which comment from the patient indicates the need for additional education on this topic?
The nurse explains the pain-relief measures available after surgery during preoperative teaching for a surgical patient. Which comment from the patient indicates the need for additional education on this topic?
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The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
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The nurse is reviewing the surgical consent with the patient during preoperative education and
finds the patient does not understand what procedure will be performed. What is the nurse’s
best next step?
The nurse is reviewing the surgical consent with the patient during preoperative education and finds the patient does not understand what procedure will be performed. What is the nurse’s best next step?
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During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?
During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?
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The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
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The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Which will be the most important next step for the nurse to take?
The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Which will be the most important next step for the nurse to take?
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The nurse is preparing a patient for a surgical procedure on the right great toe. Which action will be most important to include in this patient’s preparation?
The nurse is preparing a patient for a surgical procedure on the right great toe. Which action will be most important to include in this patient’s preparation?
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The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
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The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be most appropriate for this area?
The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be most appropriate for this area?
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The nurse is caring for a patient in the operating suite. Which outcome will be most appropriate for this patient at the end of the intraoperative phase?
The nurse is caring for a patient in the operating suite. Which outcome will be most appropriate for this patient at the end of the intraoperative phase?
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The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which action will the nurse take to minimize skin breakdown?
The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which action will the nurse take to minimize skin breakdown?
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The nurse is assessing a postoperative patient with a history of obstructive sleep apnea for airway obstruction. Which assessment finding will best alert the nurse to this complication?
The nurse is assessing a postoperative patient with a history of obstructive sleep apnea for airway obstruction. Which assessment finding will best alert the nurse to this complication?
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The nurse is caring for a patient in the operating suite who is experiencing hypercarbia, tachypnea, tachycardia, premature ventricular contractions, and muscle rigidity. Which condition does the nurse suspect the patient is experiencing?
The nurse is caring for a patient in the operating suite who is experiencing hypercarbia, tachypnea, tachycardia, premature ventricular contractions, and muscle rigidity. Which condition does the nurse suspect the patient is experiencing?
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The nurse is caring for a postoperative patient who has had a minimally invasive carpel tunnel repair. The patient has a temperature of 97 F and is shivering. Which reason will the nurse most likely consider as the primary cause when planning care?
The nurse is caring for a postoperative patient who has had a minimally invasive carpel tunnel repair. The patient has a temperature of 97 F and is shivering. Which reason will the nurse most likely consider as the primary cause when planning care?
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The nurse is monitoring a patient in the post-anesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which action will be most appropriate for the nurse to take?
The nurse is monitoring a patient in the post-anesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which action will be most appropriate for the nurse to take?
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The nurse is caring for a patient in the post-anesthesia care unit. The patient asks for a bedpan and states to the nurse, "I feel like I need to go to the bathroom, but I can’t." Which nursing intervention will be most appropriate initially?
The nurse is caring for a patient in the post-anesthesia care unit. The patient asks for a bedpan and states to the nurse, "I feel like I need to go to the bathroom, but I can’t." Which nursing intervention will be most appropriate initially?
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The post-anesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action?
The post-anesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action?
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The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient require immediately post procedure?
The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient require immediately post procedure?
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The nurse is caring for a group of patients. Which patient will the nurse see first?
The nurse is caring for a group of patients. Which patient will the nurse see first?
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The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises?
- Turning
- Breathing
- Coughing
- Leg exercises
The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises?
- Turning
- Breathing
- Coughing
- Leg exercises
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The nurse is participating in a "time-out". In which activities will the nurse be involved? (Select all that apply.)
The nurse is participating in a "time-out". In which activities will the nurse be involved? (Select all that apply.)
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The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? (Select all that apply.)
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? (Select all that apply.)
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The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to decrease wound infections? (Select all that apply.)
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to decrease wound infections? (Select all that apply.)
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The nurse is preparing for a patient who will be going to surgery. The nurse screens for risk factors that can increase a person’s risks in surgery. What risk factors are included in the nurse’s screening? (Select all that apply.)
The nurse is preparing for a patient who will be going to surgery. The nurse screens for risk factors that can increase a person’s risks in surgery. What risk factors are included in the nurse’s screening? (Select all that apply.)
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The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment. Which points should the nurse include in the teaching session? (Select all that apply.)
The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment. Which points should the nurse include in the teaching session? (Select all that apply.)
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The operating room nurse is providing a hand-off report to the post-anesthesia care unit (PACU) nurse. Which components will the operating room nurse include? (Select all that apply.)
The operating room nurse is providing a hand-off report to the post-anesthesia care unit (PACU) nurse. Which components will the operating room nurse include? (Select all that apply.)
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The nurse is caring for a group of postoperative patients on the surgical unit. Which patient assessments indicate the nurse needs to follow up? (Select all that apply.)
The nurse is caring for a group of postoperative patients on the surgical unit. Which patient assessments indicate the nurse needs to follow up? (Select all that apply.)
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