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NRSG 327: Peri-Operative Care - Test Questions with Verified Answers, Exams of Nursing

A comprehensive set of test questions and verified answers covering key concepts in peri-operative care. It explores various aspects of pre-operative, intra-operative, and post-operative care, including patient preparation, surgical procedures, anesthesia, and post-operative complications. Valuable for students and professionals seeking to enhance their understanding of peri-operative nursing practices.

Typology: Exams

2024/2025

Available from 03/18/2025

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NRSG 327: PERIOPERATIVE CARE- TEST QUESTIONS WITH
VERIFIED ANSWERS
1) What are the three phases of peri-operative care? -- Answer ✔✔ - Preoperative
- Intraoperative
- Postoperative
2) What are signs of blood loss? -- Answer ✔✔ Increased HR and hypotension
3) What are signs of anaphylaxis? -- Answer ✔✔ - Increased HR
- Hypotension
- Bronchospasm
- Pulmonary edema
- Angioedema
4) What are some drug therapies frequently used preoperatively? -- Answer ✔✔ -
Benzodiazepines
- Narcotics
- Histamine H2- receptor antagonists
- Antacids
- Antiemetics
- Anticholinergics
5) What do benzodiazepines do? -- Answer ✔✔ Reduce anxiety, induce sedation,
induce amnesia
6) What do histamine H2-receptor antagonists do? -- Answer ✔✔ Increase gastric pH,
decrease gastric volume
7) What do anticholinergics do? -- Answer ✔✔ Decrease oral and respiratory
secretions
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NRSG 327: PERIOPERATIVE CARE- TEST QUESTIONS WITH

VERIFIED ANSWERS

  1. What are the three phases of peri-operative care? -- Answer ✔✔ - Preoperative
  • Intraoperative
  • Postoperative
  1. What are signs of blood loss? -- Answer ✔✔ Increased HR and hypotension
  2. What are signs of anaphylaxis? -- Answer ✔✔ - Increased HR
  • Hypotension
  • Bronchospasm
  • Pulmonary edema
  • Angioedema
  1. What are some drug therapies frequently used preoperatively? -- Answer ✔✔ - Benzodiazepines
  • Narcotics
  • Histamine H2- receptor antagonists
  • Antacids
  • Antiemetics
  • Anticholinergics
  1. What do benzodiazepines do? -- Answer ✔✔ Reduce anxiety, induce sedation, induce amnesia
  2. What do histamine H2-receptor antagonists do? -- Answer ✔✔ Increase gastric pH, decrease gastric volume
  3. What do anticholinergics do? -- Answer ✔✔ Decrease oral and respiratory secretions
  1. What does a patient require when they have an oral airway? -- Answer ✔✔ Oxygen
  2. Who is responsible for containing consent? -- Answer ✔✔ Surgeon or physician
  3. What medication is known to cause malignant hyperthermia? -- Answer ✔✔ succinylcholine
  4. What are the S&S of malignant hyperthermia -- Answer ✔✔ - Hyperthermia
  • rigidity or skeletal muscles
  • increased heart and resp rate
  • Increased temperature
  1. What is the treatment for malignant hyperthermia -- Answer ✔✔ Dantrolene
  2. What causes hiccups? -- Answer ✔✔ Intermittent spasms of the diaphragm caused by irritation of the phrenic nerve, which innervates the diaphragm
  3. What is a paralytics ileus? -- Answer ✔✔ A small bowel obstruction that results when peristalsis stops
  4. What is wound dehiscence? -- Answer ✔✔ Separation and disruption of previously joined wound edges
  5. What is wound evisceration? -- Answer ✔✔ profusion of visceral organs through a wound opening
  6. What is emergence delirium? -- Answer ✔✔ Pt's may wake up agitated and be disoriented to place, time and person
  7. What are some contributing factors to emergence delirium? -- Answer ✔✔ - Occurs mainly in paediatric and older populations
  • Inadequate pain control
  • large intraoperative blood loss
  • Hypotension
  1. Who is most vulnerable for hypothermia? -- Answer ✔✔ - The elderly
  • Children younger than 2 years
  • Burn pts
  1. What are the manifestations of surgical site infections? -- Answer ✔✔ - Local redness
  • Swelling
  • Increasing pain and tenderness at site
  • Fever
  • Leukocytosis
  1. Who are predisposed to N/V? -- Answer ✔✔ - Paediatric pt's 6-14 yrs
  • Female Pts
  • Pts with motion sickness
  • Nonsmokers
  • Anxious Pts
  1. Surgical procedures that predispose a Pt to N/V -- Answer ✔✔ - Breast
  • eyes
  • ears
  • nose and throat
  • Cranial
  • gynecological and abdominal scope
  • Laparotomy
  1. What does a pt with a paralytic ileus c/o of? -- Answer ✔✔ - abdominal pain
  • Distention
  • Nausea/vomiting
  • Poor appetite
  1. Before pt is discharged what information must they have -- Answer ✔✔ - Care requirements of wound site and any dressings, including bathing recommendations
  • Action and possible adverse effects of any drugs
  • Activities allowed and prohibited
  • Dietary restrictions or modifications
  • Symptoms to be reported
  • Where and when to return for follow-up care
  • Answer to any individual questions or concerns
  1. Why do we want patients in a side-lying position immediately post-op? -- Answer ✔✔ So if they vomit, they don't aspirate on it
  2. What is an "ectomy" -- Answer ✔✔ Excision/removal
  3. What is a "oscopy" -- Answer ✔✔ Looking into
  4. What is an "ostomy" -- Answer ✔✔ Creation of an opening into
  5. What is an "otomy" -- Answer ✔✔ Cutting into/incision
  6. What is a "plasty" -- Answer ✔✔ Repair/reconstruction
  7. Preoperative anesthesia agents -- Answer ✔✔ - lorazepam
  • midazolam
  1. Induction agents -- Answer ✔✔ - Propofol
  • Ketamine
  1. Gaseous agents -- Answer ✔✔ - Nitrous oxide
  2. Induction: depolarizing muscle relaxant -- Answer ✔✔ - Succinylcholine
  3. Induction: non depolarizing muscle relaxants -- Answer ✔✔ - Atracurium
  • Rocuronium
  • Pancuronium
  1. Reversal anesthetic -- Answer ✔✔ - Neostigmine bromide