Question 1

Which of the following describes the Perioperative Nursing Data Set (PNDS)? Select all that apply.

Accepted Answer

A) A standardized tool for assessing high-risk surgical clients 
B) A standardized vocabulary encompassing all surgical client outcomes 
C) The first specialized nursing language recognized by the American Nurses Association (AN
A)  
D) A standardized language designed to describe the care of perioperative clients 
E) The standard for safety in staffing levels of perioperative nurses

Question 2

The nurse is gathering preoperative data on a client that is scheduled for abdominal surgery tomorrow. The nurse learns that the client takes the following medications daily: warfarin, a multivitamin, and vitamin E. The client reports that he stopped taking the anticoagulant 4 days ago, as instructed by the surgeon. He has continued to take the multivitamin and vitamin E. Based on the information given, why does the nurse notify the surgeon?

Accepted Answer

A) Needs an order to restart the anticoagulant 
B) Is concerned about continued use of the multivitamin 
C) Is concerned about the vitamin E 
D) Has canceled the surgery to evaluate lab values

Question 3

The nurse is assessing the client who is status 4 hours post total knee arthroplasty. The assessment is as follows: blood pressure (BP) 90/60 mm Hg, pulse (P) 94 beats/min; respirations (R) 16 breaths/min; temperature (T) 98.6$\degree$F, dressing is saturated with frank red blood. The nurse reinforces the dressing and contacts the surgeon. What is the nurse's main concern regarding this client?

Accepted Answer

A) The client may be hemorrhaging. 
B) The client may be hypovolemic. 
C) The client is developing an infection. 
D) The client is developing a thrombus.

Question 4

A client has chronic confusion secondary to dementia. As a result, he is unable to sign an informed consent for surgery. What is required in this situation?

Accepted Answer

A) An informed consent is not needed. 
B) Two nurses may witness the client's signature. 
C) The surgeon must sign the informed consent. 
D) The person with power of attorney should sign the informed consent.

Question 5

The nurse is caring for a client who had abdominal surgery 3 days ago and will be discharged home later today. The nurse will know that teaching is effective if the client does which of the following? Select all that apply.

Accepted Answer

A) Describes clinical findings associated with infection 
B) Performs the dressing change as prescribed 
C) Demonstrates absence of surgical incision pain 
D) Completes the regimen of prescribed antibiotics 
E) Completes bowel management regimen

Question 6

A client is admitted from a local skilled nursing facility to the outpatient surgery center for surgical debridement of a stage 4 sacral pressure ulcer. The perioperative nurse discovers that the client does not have a signed consent form for the surgery on the chart or in the surgery center. The client says that she has not talked to the surgeon and that she has many questions regarding her surgery. When informed of this, the surgeon tells the nurse to have the client sign the informed consent form, and he will review it prior to the surgery. What should the nurse do?

Accepted Answer

A) Follow the surgeon's orders, and ask the client to sign the surgical consent form. 
B) Inform the surgeon that she will have the client sign after he discusses the surgery with the client. 
C) Ensure that the signed surgical consent is witnessed by two nurses because the surgeon is not available. 
D) Cancel the surgery and transfer the client back to the long-term care facility.

Question 7

The nurse is caring for a client with a Salem-sump double-lumen nasogastric (NG) tube to suction. The client complains of nausea and has mild abdominal distention. What is the nurse's priority action?

Accepted Answer

A) Administer an antiemetic. 
B) Replace the nasogastric tube. 
C) Check placement of the NG tube. 
D) Irrigate the NG tube.

Question 8

The surgical nurse manager is preparing the schedule based on classification. Surgeries are commonly classified by which of the following? Select all that apply.

Accepted Answer

A) Acuity 
B) Level of urgency 
C) Length of surgery 
D) Body system 
E) Type of anesthesia

Question 9

A 2-year-old child is scheduled for a tonsillectomy. When determining the plan of care, what should the nurse do?

Accepted Answer

A) Include the parents or caregivers in the plan of care. 
B) Explain to the child that she will have a sore throat after surgery. 
C) Tell the child that she can have her favorite foods for the first 24 hours after surgery. 
D) Prepare the child for discharge from the hospital as soon as she is alert.

Question 10

The client is scheduled for a bronchoscopy. The client states that they are mildly anxious but is afraid of "going to sleep and never waking up." Which type of anesthesia would be most appropriate for the client?

Accepted Answer

A) General anesthesia 
B) Peripheral block 
C) Regional block 
D) Conscious sedation

Question 11

The preoperative phase encompasses which period of time?

Accepted Answer

A) Entry to the operating suite until admission to postanesthesia care 
B) Entry into the operating suite until discharge from the hospital 
C) The decision to have surgery until admission to postanesthesia care 
D) The decision to have surgery until entry to the operating suite

Question 12

The preoperative nurse is preparing a client for surgery. Identify the interventions the nurse will perform. Select all that apply.

Accepted Answer

A) Inform the family to wait in the surgical waiting room. 
B) Prepare the surgical suite for the operation. 
C) Remove the client's dentures and contact lenses. 
D) Assist the client to complete a living will. 
E) Describe who will be in the operating suite.

Question 13

The nurse is providing care to the client in the preoperative phase. Which of the following are the nurse's activities related to this phase?

Accepted Answer

A) Admit the client to the surgical suite. 
B) Prepare the client mentally and physically for surgery. 
C) Set up the sterile field in the operating room. 
D) Perform the primary surgical scrub to the surgical site.

Question 14

The nurse is assessing a client admitted for a total hip arthroplasty under general anesthesia. The client reports that her spouse had a "nasty cold" last week and states she now has a cough and "little tickle" in their throat. The nurse notes mild rhonchi in both bases of the lung fields. Which of the following nursing diagnoses would best explain why the nurse contacted the surgeon and anesthesiologist for a possible postponement of the surgery?

Accepted Answer

A) Risk for pneumonia due to cough and rhonchi in lungs 
B) Risk for infection related to exposure to infection and cough 
C) Risk for noncompliance related to inability to follow instructions 
D) Risk for caregiver role strain due to spouse's acute illness

Question 15

The client tells the nurse, "I'm so nervous. I want to be knocked out for the surgery so that I don't know what is going on." When the nurse communicates with the surgeon and anesthetist, she tells them that the client desires which type of anesthesia?

Accepted Answer

A) Conscious sedation 
B) General anesthesia 
C) Local anesthesia 
D) Regional anesthesia

Question 16

The nurse is preparing client care for several surgical cases. The nurse is aware that knowing the type of surgery helps identify needs to plan client care. Which of the following surgeries would pose a higher risk for infection?

Accepted Answer

A) Repair of a stab wound to the lower leg 
B) Tonsillectomy of a preschool-age client 
C) Cardiac catheterization via the femoral artery 
D) Laparoscopic cholecystectomy

Question 17

In the emergency department (ED), the client is diagnosed with a dislocated humerus. What type of anesthesia would the nurse anticipate will be used to repair the dislocation in the ED?

Accepted Answer

A) General 
B) Epidural 
C) Conscious sedation 
D) Local

Exam 39: Perioperative Care

Which of the following describes the Perioperative Nursing Data Set (PNDS) ? Select all that apply.