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WorksheetsPost Operative Management
Total questions: 64
Worksheet time: 32mins
Name
Class
Date
1.
Post-Anesthesia Care Unit is also known as
a)
Recovery room
b)
Operation theatre
c)
Anesthesia room
d)
Preparation room
2.
In the postoperative period, the care is given:1.In Operation Theatre, 2,In Post Anesthesia Care Unit
a)
Only 1 is correct
b)
Only 2 is correct
c)
Both 1 and 2 are CORRECT
d)
Both 1 and 2 are INCORRECT
3.
Which of the following is NOT true?
a)
Postoperative care may also extend to next few days following surgery.
b)
Postoperative care includes the care during immediate postoperative period.
c)
Postoperative care is NOT done in the & day surgery center.
d)
None of the above
4.
Which of the following is NOT the purpose of postoperative care?
a)
To prevent complications
b)
To promote healing of the surgical incision
c)
Prevention of urinary retention and constipation
d)
To promote infection
5.
Which of the following is NOT the purpose of postoperative care?
a)
To manage airway protection
b)
Pain control
c)
To manage mental status
d)
To increase postoperative immobility
6.
The operated patient is brought from OT to PACU after surgery.
a)
Immediately
b)
12 hours
c)
1 days
d)
2 days
7.
Regarding monitoring of the patients — in PACU, which of the following is correct?
a)
Patients are NOT monitored
b)
Patients are monitored the same way as in OT
c)
Only critical patient is monitored
d)
None of the above
8.
The patient is transferred to the PACU after
a)
Surgical procedure
b)
Anesthesia reversal
c)
Extubation
d)
All of the above
9.
The amount of the time patient spends in PACU depend upon all EXCEPT
a)
Length of the surgery
b)
Status of regional anesthesia
c)
Patient's level of consciousness
d)
Patient's choice
10.
Which of the following is NOT among 1 the first priorities upon admission to the PACU?
a)
Patient's airway patency
b)
Vital signs
c)
Level of consciousness
d)
Blood sugar level
11.
Which if the following is NOT routinely assessed during PACU?
a)
Surgical site
b)
Body temperature
c)
Patency of drainage tube
d)
Clotting time
12.
Which of the following is CORRECT? 1. Level of sensation after regional anesthesia is routinely assessed in PACU. 2. Fasting blood glucose is assessed in every patient in PACU.3. Pain status is assessed in the patients in PACU.
a)
Both 1 and 2 are CORRECT
b)
Both 1 and 2 are INCORRECT
c)
Both 1 and 3 are CORRECT
d)
All are CORRECT
13.
Which of the following is NOT checked in PACU? 1. Patency/rate of intravenous (IV) fluids, 2. Nausea/vomiting
a)
Patency/rate of intravenous (IV) Q4 fluids
b)
Nausea/vomiting
c)
Both 1 and 2
d)
None of the above
14.
For the first eight hours after surgery, ‘the drainage tubes should be monitored every
a)
1 to 2 hours
b)
4 hours
c)
3 hours
d)
20 minutes
15.
Which of the following is CORRECT? 1. During the first 24 hours, postoperatively body temperature must be monitored. 2. This is because the patients are often hypothermic after surgery
a)
Only 1 is correct
b)
Only 2 is correct
c)
Both 1 and 2 are INCORRECT
d)
Both 1 and 2 are CORRECT
16.
Which of the following is CORRECT? 1. Vital signs should be monitored, every one to two hours for at least the first eight hours after surgery. 2. Respiratory status should NOT be assessed for 24 hours after surgery.
a)
Only 1 is CORRECT
b)
Only 2 is CORRECT
c)
Both 1 and 2 are CORRECT
d)
Both 1 and 2 are INCORRECT
17.
The physician should be notified if the patient has not urinated six to eight hours after surgery.
a)
True
b)
False
18.
For the first 24 hours postoperatively: 1. Urine output should be monitored every 8 hours. 2. Fluid intake should be monitored every 12 hours.
a)
Only 1 is correct
b)
Only 2 is CORRECT
c)
Both 1 and 2 are CORRECT
d)
Both 1 and 2 are INCORRECT
19.
After 24 hours of surgery, vital signs
a)
should NOT be monitored
b)
should be monitored every 4-8 hours
c)
should be monitored every 12 hours
d)
Depends upon the patient
20.
Dressing change should be done using technique
a)
Sterile
b)
Non-sterile
c)
Any of the above
21.
Incision and drainage should be monitored to check
a)
Amount of drainage
b)
Signs of infection
c)
Both of the above
d)
None of the above
22.
If dehiscence occurs, sterile saline- soaked dressing packs should be placed on the wound.
a)
True
b)
False
23.
After 24 hours of surgery, the patient should be monitored for:
a)
Leg edema
b)
Shortness of breath
c)
Pain
d)
All of the above
24.
Dehiscence means
a)
Separation of incision
b)
Closure of incision
c)
Suturing of incision
d)
Sterile incision
25.
Patients should not leave the recovery room until they can clear and protect their airway.
a)
True
b)
False
26.
Airway can be blocked due to
a)
Fall of tongue
b)
Unconsciousness
c)
Foreign body in the mouth
d)
All of the above
27.
Aspiration of stomach contents can cause
a)
Asthma
b)
COPD
c)
Bronchospasm
d)
All of the above
28.
Which of the following device is put in the mouth in case of airway obstruction?
a)
ET tube
b)
Denture
c)
Mouth mirror
d)
Mouth gag
29.
In case of obstruction, pull the mandible
a)
Forward and downward
b)
Backward and upward
c)
Forward and upward
d)
Backward and downward
30.
What is the recovery position?
a)
Lateral position with head slightly down
b)
Prone position
c)
Lateral position with head slightly up
d)
Supine position
31.
Opioid analgesics are
a)
Pain killers
b)
Anesthetics
c)
Antihypertensives
d)
Anti-allergics
32.
Which of the following is an example of Opioid analgesics?
a)
Ketamine
b)
Diclofenac
c)
Pethidine
d)
All of the above
33.
Potency of morphine is pethidine
a)
Equal to
b)
Less than
c)
Greater than
d)
None of the above
34.
Morphine is an example of
a)
Opioid anlgesic
b)
NSAID
c)
Anesthetic
d)
None of the above
35.
Q5 Which of the following is NOT an example of NSAID?
a)
Ibuprofen
b)
Diclofenac
c)
Paracetamol
d)
Morphine
36.
Which of the following is an anesthetic?
a)
Ibuprofen
b)
Ketamine
c)
Diclofenac
d)
All of the above
37.
Which of the following is TRUE?
a)
Morphine is NOT recommended in infants less than 3 months
b)
Ketamine is NOT good for pain control
c)
Both A and B
d)
None of the above
38.
Gastric complications include
a)
Post operative sedation
b)
Post operative fever
c)
Postoperative nausea and vomiting a
d)
All of the above
39.
Postoperative nausea and vomiting can be due to:
a)
Morphine
b)
Anesthesia drugs
c)
Surgery of middle ear
d)
All of the above
40.
Regurgitation of stomach contents can cause
a)
Sudden death
b)
Respiratory collapse
c)
Bronchospasm
d)
All of the above
41.
Treatment of gastric complications include: 1. Suction of contents from the mouth
2. Antiemetic drugs
a)
Only 1 is correct
b)
Only 2 is CORRECT
c)
Both 1 and 2 are CORRECT
d)
Both 1 and 2 are INCORRECT
42.
Example of antiemetics are
a)
Ordanseteron
b)
Morphine
c)
Diazepam
d)
Ketamine
43.
Which of the following is NOT an example of antiemetic?
a)
Granisetron
b)
Droperidol
c)
Diclofenac
d)
Promethazine
44.
What is the use of metoclopromide and ranitidine?
a)
To treat post operative bronchospasm
b)
To prevent postoperative nausea and vomiting
c)
To treat airway obstruction
d)
Any of the above
45.
Who is at risk of postoperative delirium?
a)
Infants
b)
Children
c)
Young
d)
Old aged
46.
What is the meaning of dementia?
a)
Loss of thinking ability
b)
Loss of emotions
c)
Loss of memory
d)
All of the above
47.
What should be done if delirium occurs? 1. Oxygenation should be assessed
2. All nonessential drugs should be stopped
a)
Only 1 is correct
b)
Only 2 is CORRECT
c)
Both 1 and 2 are CORRECT
d)
Both 1 and 2 are INCORRECT
48.
What should be done in the case of postoperative delirium?
a)
The patient should be immobilised
b)
Any electrolyte or fluid imbalances should be corrected
c)
Both AandB
d)
None of the above
49.
Sterile dressing placed in the operating room should be
a)
Removed after 6 hours
b)
Should be changed after every 3 hours
c)
Should be left intact for 24 to 48 hrs ©)
d)
None of the above
50.
Which of the following is the sign of infection in the wound?
a)
Erythema
b)
Increasing pain
c)
Drainage
d)
All of the above
51.
After the operative dressing is removed, the site should be checked
a)
Twice daily ©
b)
Once in two days
c)
Once in three days
d)
Every hour
52.
Incase of infection in the wound,
a)
Abscess should be drained
b)
Systemic antibiotics
c)
Both of the above
d)
None of the above
53.
Sutures should be left in place for
a)
1 day only
b)
6 hours only
c)
7 days or longer
d)
None of the above
54.
Face and neck wounds may be superficially healed in
a)
3 days
b)
1 day
c)
3 weeks
d)
15 days
55.
Wounds on the lower extremities may take to heal.
a)
Few hours
b)
Few weeks
c)
Few days
d)
None of the above
56.
Which of the following is NOT a cause of postoperative fever?
a)
Wound infections
b)
Pneumonia
c)
Inflammatory response to an operation
d)
None of the above
57.
Optimal postoperative care decrease therisk of infections
a)
True
b)
False
58.
Which of the following is TRUE? 1. Urinary retention and constipation are NOT common after surgery.
2. Urine output must be monitored after surgery in case of urine retention.
3. Chronic retention is best treated by avoiding causative drugs.
a)
1 and 2
b)
Only 1
c)
2 and 3
d)
1 and3
59.
Causes of constipation include:
a)
Anesthetic drugs
b)
Postoperative immobility
c)
Opioids
d)
All of the above
60.
After surgery: 1. Early mobilization should be encouraged
2. Deep breathing and coughing should be stopped
a)
Only 1 is CORRECT
b)
Only 2 is CORRECT
c)
Both 1 and 2 are CORRECT
d)
Both 1 and 2 are INCORRECT
61.
Which of the following should be encouraged after surgery? 1. Active daily exercise
2. Joint range of motion
3. Muscular strengthening
a)
Only 1
b)
Only 3
c)
Both 1 and 2
d)
All
62.
What precautions should be taken to prevent skin breakdown?
a)
Turn the patient frequently
b)
Keep urine and faeces off the skin
c)
All of the above
d)
None of the above
63.
The recovering patient is fit for the ward when
a)
Awake, opens eyes
b)
Blood pressure and pulse are
c)
satisfactory
d)
Both AandB
64.
Recovering patient is NOT fit for the ward when
a)
Can lift head on command
b)
Extubated
c)
Breathing uncomfortably ©
d)
Pain controlled
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