Question 1

What would the ASA classification be for a patient undergoing surgery who has type 2 diabetes and a mild respiratory infection?

Accepted Answer

A) Class I 
B) Class II 
C) Class III 
D) Class IV 
A) Class I 
B) Class II 
C) Class III 
D) Class IV B

Question 2

Today,patients are usually admitted on the same day of their surgery and are given preoperative instructions on an outpatient basis.

Accepted Answer

A) True 
 B)False  True

Question 3

In order to protect the patient's privacy,the circulating nurse should only refer to the patient by the procedure he or she is having when speaking to the patient or in the OR with other perioperative staff.

Accepted Answer

A) True 
 B)False  False

Question 4

Which is a level of preoperative teaching?

Accepted Answer

A) Psychosocial support 
B) Nursing diagnosis 
C) Preoperative class 
D) Empathy 
A) Psychosocial support 
B) Nursing diagnosis 
C) Preoperative class 
D) Empathy

Question 5

A patient may be instructed not to eat any solid food or drink liquids after midnight.

Accepted Answer

A) True 
 B)False

Question 6

What documentation is routinely needed before a procedure?

Accepted Answer

A) Recent history and physical 
B) Blood type and crossmatch 
C) Urinalysis 
D) DSM IV results 
A) Recent history and physical 
B) Blood type and crossmatch 
C) Urinalysis 
D) DSM IV results

Question 7

Which topic would be reviewed in a preoperative phone call to a patient?

Accepted Answer

A) What type of vacation or illness coverage the patient will use when missing work 
B) What type of financial coverage the patient will use to pay for the procedure 
C) The patient's personal feeling towards the surgeon 
D) NPO instructions that the patient must adhere to before surgery 
A) What type of vacation or illness coverage the patient will use when missing work 
B) What type of financial coverage the patient will use to pay for the procedure 
C) The patient's personal feeling towards the surgeon 
D) NPO instructions that the patient must adhere to before surgery

Question 8

For some surgical procedures,the surgeon requires the patient to be blood typed and crossmatched.What is the reason for this blood test?

Accepted Answer

A) The surgeon might make a mistake. 
B) The surgeon anticipates a blood transfusion based on the surgical procedure. 
C) It is done for every patient. 
D) Auto transfusion might be needed. 
A) The surgeon might make a mistake. 
B) The surgeon anticipates a blood transfusion based on the surgical procedure. 
C) It is done for every patient. 
D) Auto transfusion might be needed.

Question 9

Why should an anesthesia provider see a patient for a preoperative assessment?

Accepted Answer

A) To select an appropriate anesthetic for the procedure 
B) To allow the provider to charge for an official consultation before the case 
C) To decide whether the provider wants to work on the patient during the procedure 
D) To determine whether the provider likes the patient before working with him or her 
A) To select an appropriate anesthetic for the procedure 
B) To allow the provider to charge for an official consultation before the case 
C) To decide whether the provider wants to work on the patient during the procedure 
D) To determine whether the provider likes the patient before working with him or her

Question 10

Herbal or dietary supplements must be asked about and noted on the patient's chart preoperatively.

Accepted Answer

A) True 
 B)False

Question 11

The family of the surgical patient should be included in preoperative teaching.

Accepted Answer

A) True 
 B)False

Question 12

What information in the patient's medical records does the anesthesia provider pay special attention to before meeting a preoperative patient?

Accepted Answer

A) Recent financial statements 
B) Past surgical procedures 
C) Current employment 
D) Insurance coverage 
A) Recent financial statements 
B) Past surgical procedures 
C) Current employment 
D) Insurance coverage

Question 13

A good time to conduct an interview and instruct the patient is the morning of surgery so that the patient will not forget the information.

Accepted Answer

A) True 
 B)False

Question 14

The nurse obtains the informed consent and has the patient sign the consent form.

Accepted Answer

A) True 
 B)False

Question 15

Once the patient is placed on the OR table before a procedure,the circulating nurse does not need to be with the patient because the anesthesia provider will take over and start induction.

Accepted Answer

A) True 
 B)False

Question 16

Before transporting a patient to the OR,what should be checked first by the circulating nurse?

Accepted Answer

A) Patient identity 
B) Whether all personnel are present in the OR 
C) Whether all equipment is in place 
D) What procedure is to be performed 
A) Patient identity 
B) Whether all personnel are present in the OR 
C) Whether all equipment is in place 
D) What procedure is to be performed

Question 17

Why should jewelry be removed before a surgical procedure?

Accepted Answer

A) It might get stolen 
B) Doesn't need to be removed 
C) Metal jewelry can cause a burn 
D) It might hang in the way of the procedure 
A) It might get stolen 
B) Doesn't need to be removed 
C) Metal jewelry can cause a burn 
D) It might hang in the way of the procedure

Question 18

To prevent an incorrect surgical procedure on a patient or an error in medication.A "time out" takes place before incision.

Accepted Answer

A) True 
 B)False

Question 19

Which of the patient's senses is last lost before unconsciousness from anesthesia is assumed?

Accepted Answer

A) Taste 
B) Sight 
C) Hearing 
D) Touch 
A) Taste 
B) Sight 
C) Hearing 
D) Touch

Question 20

Which tip should be kept in mind when interviewing a patient?

Accepted Answer

A) Use direct questions and ask for one-word answers to keep the interview brief. 
B) Use technical jargon to describe the procedure so as not to confuse the patient. 
C) Prohibit family members' presence during the interview because their presence would invade the privacy of the patient. 
D) Put the patient at ease during the interview. 
A) Use direct questions and ask for one-word answers to keep the interview brief. 
B) Use technical jargon to describe the procedure so as not to confuse the patient. 
C) Prohibit family members' presence during the interview because their presence would invade the privacy of the patient. 
D) Put the patient at ease during the interview.

Exam 21: Preoperative Preparation of the Patient

What would the ASA classification be for a patient undergoing surgery who has type 2 diabetes and a mild respiratory infection?

Today,patients are usually admitted on the same day of their surgery and are given preoperative instructions on an outpatient basis.

In order to protect the patient's privacy,the circulating nurse should only refer to the patient by the procedure he or she is having when speaking to the patient or in the OR with other perioperative staff.

Which is a level of preoperative teaching?

A patient may be instructed not to eat any solid food or drink liquids after midnight.

What documentation is routinely needed before a procedure?

Which topic would be reviewed in a preoperative phone call to a patient?

For some surgical procedures,the surgeon requires the patient to be blood typed and crossmatched.What is the reason for this blood test?

Why should an anesthesia provider see a patient for a preoperative assessment?

Herbal or dietary supplements must be asked about and noted on the patient's chart preoperatively.

The family of the surgical patient should be included in preoperative teaching.

What information in the patient's medical records does the anesthesia provider pay special attention to before meeting a preoperative patient?

A good time to conduct an interview and instruct the patient is the morning of surgery so that the patient will not forget the information.

The nurse obtains the informed consent and has the patient sign the consent form.

Once the patient is placed on the OR table before a procedure,the circulating nurse does not need to be with the patient because the anesthesia provider will take over and start induction.

Before transporting a patient to the OR,what should be checked first by the circulating nurse?

Why should jewelry be removed before a surgical procedure?

To prevent an incorrect surgical procedure on a patient or an error in medication.A "time out" takes place before incision.

Which of the patient's senses is last lost before unconsciousness from anesthesia is assumed?

Which tip should be kept in mind when interviewing a patient?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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