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NCM 112: QUIZ 1

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.
It is an information on the surgical procedure provided by the physician that includes permission of a client on a certain procedure after explanation of the risks, benefits and alternatives.
a)
Contract
b)
Last will and testament
c)
Informed Concent
d)
Subpoena
2.
A member of perioperative team that setup the sterile tables, preparing sutures and special equipment and assisting the surgeon and the surgical assistants during the procedure by anticipating the instruments that will be required.
a)
Surgeon
b)
Circulating Nurse
c)
Anesthesiologist
d)
Scrubbing Nurse
3.
When does the preoperative phase of perioperative nursing begin?
a)
When the decision to do surgery is made
b)
When the patient is admitted to preanesthesia holding
c)
When the patient is admitted to the floor
d)
 When the patient signs an informed consent
4.
When does the postoperative phase of perioperative nursing end?
a)
When the patient is returned to her room after surgery
b)
When a follow-up evaluation in the clinical setting or home setting is done
c)
When the patient is discharged home
d)
When the family becomes responsible for the patient's care
5.
It is a classification of surgery that refers to procedures that scheduled at the client's convenience.
a)
Optional Surgery
b)
Urgent Surgery
c)
Emergency Surgery
d)
Elective Surgery
6.

Failure to label specimen containers accurately could result in the following EXCEPT

a)

the need for additional procedure.

b)

unable to determine diagnosis.

c)

delay in providing definitive treatment.

d)

the need for cancelling the procedure.

7.

The following are goals of positioning patient in a perioperative setting EXCEPT 

a)

minimising the risk for adverse physiologic effects.

b)

facilitating physiologic monitoring by the anaesthesia team.

c)

giving the surgeon optimum and unobstructed access to the surgery site.

d)

ensuring patient is comfortable throughout surgery.

8.

Which of the following surgeries would be classified as emergent?

a)

Kidney stones

b)

Urethral stones

c)

Fractured skull

d)

Cataract

9.

Which health care provider informs the patient of the benefits and risks of surgery prior to going to surgery?

a)

Registered Nurse

b)

Surgeon

c)

OR administrator

d)

Licensed Physicians Assistant

10.

ASA (aspirin) should be discontinued...

a)

7-10 days before surgery

b)

1-3 days before surgery

c)

At least 30 days before surgery

d)

At least 60 days before surgery

11.

What is the most important part of the intra-op phase during surgery?

a)

patient safety and advocacy

b)

prevention of infection

c)

assist anesthesiologist

d)

counting surgical instruments

12.

How does the nurse prevent medication errors during surgery?

a)

Only the nurse administers the medication

b)

Ensure the 10 rights of medication administration are followed

c)

Wait until after the procedure to administer medication

d)

Follow standard precautions in the OR

13.

What is the priority nursing intervention for a patient during the immediate post operative period?

a)

Observing for haemorrhage

b)

  Maintaining a patent airway

c)

  Recording the intake and output

d)

  Checking the vital signs every 15 minutes

14.

Postoperatively, a client is ordered to do coughing and deep-breathing exercises. What will you do when the client reports that it "hurts too much" and refuses to cooperate?

a)

Allow the client to do the exercises later when he or she is in less pain

b)

Give the client an incentive spirometer to use instead.

c)

Help the client to do the exercise from the supine position.

d)

Support the incision site with a small pillow while doing the exercises.

15.

The most important responsibility a nurse has to a client who has just returned from having surgery is to

a)

be sure the client understands the importance of using the call bell.

b)

have the client cough and deep breath at least every hour.

c)

take and record the client's vital signs often.

d)

report anything unusual about the client's condition immediately to the nurse.

16.

Assisting and encouraging ambulation is part of what phase of surgery?

a)

intra-operative phase

b)

post-operative phase

c)

peri-operative phase

d)

pre-operative phase

17.

The handoff report to the PACU nurse should include which of the following?

a)

Patient Name

b)

Surgical Procedure

c)

Current Medications and Allergies

d)

All Of The Above

18.

What is the PACU nurses priority nursing intervention?

a)

Preventing post operative complications

b)

Positioning the patient

c)

Preventing pain

d)

Keeping the patient warm

19.

An obese patient is admitted for abdominal surgery. The nurse recognizes that this patient is more susceptible to the postoperative complication of:

a)

Anemia

b)

Nausea/vomiting

c)

Protein loss

d)

Dehiscence

20.

The nurse has just finished receiving report for the shift. Which patient should the nurse see first?

a)

A patient who is scheduled for an operative procedure later in the morning who has a temperature of 100.4 degrees F.

.

b)

A patient complaining of constipation.

c)

A patient who is non-compliant with his fluid restriction.

d)

A patient who needs discharge teaching before being discharged