Question 1

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 B

Question 2

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 A

Question 3

The preoperative interview is not the time to discuss the operating room suite and the routines the patient may experience because he or she will have been premedicated before entering the suite and does not need to know this information.

Accepted Answer

A) True 
 B)False  False

Question 4

Which is an advantage of a preoperative visit from a nurse to a patient prior to surgery?

Accepted Answer

A)  It allows a nurse to improve his or her interviewing skills. 
B)  It individualizes care and can prevent needless delays the day of surgery. 
C)  It is cost effective to send nurses in to see patients before surgery. 
D)  It allows the nurse to avoid making a preoperative phone call. 
A)  It allows a nurse to improve his or her interviewing skills. 
B)  It individualizes care and can prevent needless delays the day of surgery. 
C)  It is cost effective to send nurses in to see patients before surgery. 
D)  It allows the nurse to avoid making a preoperative phone call.

Question 5

Upon arrival 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 6

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

Accepted Answer

A) True 
 B)False

Question 7

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

Accepted Answer

A) True 
 B)False

Question 8

Contact lenses are not to be removed during a surgical procedure because they protect the corneas from being scratched during induction of general anesthesia.

Accepted Answer

A) True 
 B)False

Question 9

Which group of patients should be scheduled early in the day for surgical procedures?

Accepted Answer

A)  Young healthy adults 
B)  Patients scheduled for colonoscopy 
C)  Patients with diabetes 
D)  Out-of-town patients 
A)  Young healthy adults 
B)  Patients scheduled for colonoscopy 
C)  Patients with diabetes 
D)  Out-of-town patients

Question 10

Once the patient has entered the OR,he or she is sedated enough so as not to be cognizant of what is happening,so it is acceptable for the circulating nurse to remain on the other side of the room attending to paperwork and staying away from the patient.

Accepted Answer

A) True 
 B)False

Question 11

Once the patient is placed on the OR table prior to 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 12

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 13

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

Question 14

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

Question 15

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 prior to 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 prior to surgery.

Question 16

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

Question 17

The preoperative nurse is the only person from the OR who needs to see the patient before surgery.

Accepted Answer

A) True 
 B)False

Question 18

What style of interview questions allows the patient to respond freely and share feelings and concerns?

Accepted Answer

A)  Close-ended questions 
B)  Direct questioning 
C)  Open-ended questions 
D)  Direct questions that require only one-word answers 
A)  Close-ended questions 
B)  Direct questioning 
C)  Open-ended questions 
D)  Direct questions that require only one-word answers

Question 19

Choose the test that would routinely be needed before a procedure.

Accepted Answer

A)  Recent history and physical 
B)  Acupuncture results 
C)  Psychological assessment 
D)  DSM IV results 
A)  Recent history and physical 
B)  Acupuncture results 
C)  Psychological assessment 
D)  DSM IV results

Question 20

Why would a nurse need to interview a surgical patient preoperatively?

Accepted Answer

A)  To verify insurance coverage 
B)  To establish nursing diagnoses 
C)  To determine whether the nursing staff is adequately prepared to cope with the problems of the patient and family 
D)  To determine whether the patient has a malignant or benign mass that will be operated on 
A)  To verify insurance coverage 
B)  To establish nursing diagnoses 
C)  To determine whether the nursing staff is adequately prepared to cope with the problems of the patient and family 
D)  To determine whether the patient has a malignant or benign mass that will be operated on

Exam 21: Preoperative Preparation of the Patient

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

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

The preoperative interview is not the time to discuss the operating room suite and the routines the patient may experience because he or she will have been premedicated before entering the suite and does not need to know this information.

Which is an advantage of a preoperative visit from a nurse to a patient prior to surgery?

Upon arrival to the OR,what should be checked first by the circulating nurse?

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.

Contact lenses are not to be removed during a surgical procedure because they protect the corneas from being scratched during induction of general anesthesia.

Which group of patients should be scheduled early in the day for surgical procedures?

Once the patient has entered the OR,he or she is sedated enough so as not to be cognizant of what is happening,so it is acceptable for the circulating nurse to remain on the other side of the room attending to paperwork and staying away from the patient.

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

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.

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

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

The preoperative nurse is the only person from the OR who needs to see the patient before surgery.

What style of interview questions allows the patient to respond freely and share feelings and concerns?

Choose the test that would routinely be needed before a procedure.

Why would a nurse need to interview a surgical patient preoperatively?

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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