WorksheetsIntroduction and Preoperative Care
Total questions: 20
Worksheet time: 10mins
Which description best defines surgery in clinical practice?
Therapists teach exercises to improve daily functioning
Doctors provide routine checkups to prevent future illness
Doctors fix internal problems when other treatments fail
Nurses administer medications to manage chronic conditions
Where can surgical procedures appropriately take place?
Dedicated surgery centers
Hospital operating rooms
Community clinics
Doctors' offices
Which statement accurately describes the perioperative nurse role?
Provides post-discharge home physical therapy
Manages anesthesia administration without supervision
Performs surgical incisions and closures independently
Cares for patients before, during, and after surgery
Match each purpose of surgery to its correct description.
Palliative—relieve symptoms without cure
Cosmetic—enhance appearance
Reconstructive—restore body part function
Ablative—remove a diseased structure
Diagnostic—identify what is wrong
Which is the best example of an ablative surgery?
Appendectomy to remove inflamed appendix
Facelift to reduce facial wrinkles
Skin graft to cover burn wound
Biopsy to determine tumor type
Which patient factor most likely affects surgical outcomes?
Preferred television programs
Favorite music genre selection
Daily social media engagement
Nutritional status and fluid balance
During preoperative assessment, which data should the nurse collect?
Focused physical examination
Activity and stress levels
Medication and diet patterns
Health history and allergies
Which intervention appropriately reduces preoperative complications?
Skip skin cleaning to preserve microbiome
Allow unrestricted jewelry and prosthetics
Encourage a heavy meal before surgery
Maintain NPO status prior to anesthesia
Which actions are key pre-op interventions for patient readiness?
Skin cleansing before transfer
Teaching to improve understanding
Anxiety reduction strategies
Obtaining informed consent
Which element is essential for valid informed consent?
Verbal agreement without explanation
Consent obtained after sedation starts
Family signs without patient input
Patient understands risks and agrees
Which anesthesia type numbs a small, specific area while the patient remains awake?
General anesthesia with unconsciousness
Regional anesthesia to larger regions
Local anesthesia to one small area
Sedation with partial responsiveness
A preoperative time-out is primarily intended to achieve which goal?
Measure post-op pain scores
Assess anesthesia recovery status
Confirm patient and surgical site
Start antibiotic prophylaxis
Which complications are MOST associated with impaired oxygenation and ventilation after surgery? Select all that apply.
Pneumonia causing infection
Blood clots in deep veins
Hypoxia due to low oxygen
Shock from low blood flow
In the PACU, nurses routinely assess which key domains? Select all that apply.
Breathing and circulation
Pain and consciousness
Surgical site and drains
Long-term diet planning
Early post-op pain management typically transitions from which regimen to which regimen?
NSAIDs only to regional blocks
Oral meds to IV boluses later
IV analgesics to oral meds later
Local infiltration to no analgesia
Match each wound healing type to its description.
Debridement: tissue removal
Tertiary: delayed closure
Secondary: wound left open
Primary: edges approximated
Which finding most strongly indicates a surgical site infection?
Redness, swelling, and fever
Minimal bruising near site
Dry dressing with no odor
Mild itch without redness
Which actions help prevent common postoperative complications? Select all that apply.
Deep breathing with coughing
Early ambulation and leg exercises
Adequate IV and oral fluids
Routine bedrest for two days
A patient recovering from general anesthesia in PACU becomes hypotensive and cool, clammy. Which complication is most likely?
Pneumonia with consolidation
Hypoxia with low oxygen
Superficial wound dehiscence
Shock with low blood flow
Essential discharge teaching should include which components? Select all that apply.
Medication schedule and side effects
Wound care and infection signs
Diet and activity guidance
Long-term research consent
