Question 1

The nurse is performing a surgical hand antisepsis scrub with a sponge. Which area should the nurse cleanse first?

Accepted Answer

A)  Palm 
B)  Wrist 
C)  Fingers 
D)  Elbows 
A)  Palm 
B)  Wrist 
C)  Fingers 
D)  Elbows C

Question 2

A client is in the intraoperative phase of the perioperative period. Which action should the nurse expect to be completed during this phase?

Accepted Answer

A)  Teaching 
B)  Intervening to facilitate healing 
C)  Identifying potential health problems 
D)  Transferring to the operating room table 
A)  Teaching 
B)  Intervening to facilitate healing 
C)  Identifying potential health problems 
D)  Transferring to the operating room table D

Question 3

The nurse is preparing a client for surgery. Which teaching should the nurse provide when focusing on the skills training dimension of teaching?

Accepted Answer

A)  Expectations of the client 
B)  Provide accurate information 
C)  Use of an incentive spirometer 
D)  Process of receiving pain medication 
A)  Expectations of the client 
B)  Provide accurate information 
C)  Use of an incentive spirometer 
D)  Process of receiving pain medication C

Question 4

A client is scheduled for surgery at 1400. At which time should the client have a last light meal?

Accepted Answer

A)  0600 
B)  0800 
C)  1000 
D)  1200 
A)  0600 
B)  0800 
C)  1000 
D)  1200

Question 5

A client is returning to the care area from the postanesthesia recovery room. At which time should the nurse assess the client's pain level?

Accepted Answer

A)  During the assessment of vital signs 
B)  When evaluating skin color and temperature 
C)  At the time of assessing level of consciousness 
D)  When monitoring intravenous fluids and flow rate 
A)  During the assessment of vital signs 
B)  When evaluating skin color and temperature 
C)  At the time of assessing level of consciousness 
D)  When monitoring intravenous fluids and flow rate

Question 6

A client has an episode of emesis upon arrival from the postanesthesia care unit after surgery. In which way should the nurse document this occurrence?

Accepted Answer

A)  Patient vomited. 
B)  Patient sipped water and then vomited. 
C)  Patient complained of nausea before vomiting. 
D)  Patient had a 250 mL emesis of clear green fluid. 
A)  Patient vomited. 
B)  Patient sipped water and then vomited. 
C)  Patient complained of nausea before vomiting. 
D)  Patient had a 250 mL emesis of clear green fluid.

Question 7

A client recovering from surgery has dull breath sounds and decreased oxygen saturation. Which action should the nurse take to improve this client's oxygenation?

Accepted Answer

A)  Assist to take oral fluids 
B)  Apply antiembolism stockings 
C)  Encourage to perform leg exercises 
D)  Coach to perform deep-breathing exercises 
A)  Assist to take oral fluids 
B)  Apply antiembolism stockings 
C)  Encourage to perform leg exercises 
D)  Coach to perform deep-breathing exercises

Question 8

The nurse is caring for a client recovering from surgery. Which task should the nurse assign to assistive personnel (AP)?

Accepted Answer

A)  Irrigate a nasogastric tube 
B)  Evaluate the postoperative wound dressing 
C)  Empty the gastrointestinal suction container 
D)  Regulate the rate of the intravenous infusion 
A)  Irrigate a nasogastric tube 
B)  Evaluate the postoperative wound dressing 
C)  Empty the gastrointestinal suction container 
D)  Regulate the rate of the intravenous infusion

Question 9

Which tasks can the nurse assign to the assistive personnel (AP) who is assisting with providing care on a medical-surgical unit? Select all that apply.

Accepted Answer

A)  Documenting the assessment completed by the nurse 
B)  Reinforcing teaching previously provided by the nurse 
C)  Assisting with client exercises 
D)  Reporting when a client cannot complete exercises 
E)  Conducting discharge teaching 
A)  Documenting the assessment completed by the nurse 
B)  Reinforcing teaching previously provided by the nurse 
C)  Assisting with client exercises 
D)  Reporting when a client cannot complete exercises 
E)  Conducting discharge teaching

Question 10

A client recovering from surgery has severe nausea and retching. Which action should the nurse take?

Accepted Answer

A)  Provide chewing gum 
B)  Assist out of bed to a chair 
C)  Provide antiemetic medication 
D)  Encourage oral clear liquid intake 
A)  Provide chewing gum 
B)  Assist out of bed to a chair 
C)  Provide antiemetic medication 
D)  Encourage oral clear liquid intake

Exam 33: Performing Perioperative Care

The nurse is performing a surgical hand antisepsis scrub with a sponge. Which area should the nurse cleanse first?

A client is in the intraoperative phase of the perioperative period. Which action should the nurse expect to be completed during this phase?

The nurse is preparing a client for surgery. Which teaching should the nurse provide when focusing on the skills training dimension of teaching?

A client is scheduled for surgery at 1400. At which time should the client have a last light meal?

A client is returning to the care area from the postanesthesia recovery room. At which time should the nurse assess the client's pain level?

A client has an episode of emesis upon arrival from the postanesthesia care unit after surgery. In which way should the nurse document this occurrence?

A client recovering from surgery has dull breath sounds and decreased oxygen saturation. Which action should the nurse take to improve this client's oxygenation?

The nurse is caring for a client recovering from surgery. Which task should the nurse assign to assistive personnel (AP)?

Which tasks can the nurse assign to the assistive personnel (AP) who is assisting with providing care on a medical-surgical unit? Select all that apply.

A client recovering from surgery has severe nausea and retching. Which action should the nurse take?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

End-Of-Life Care

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