Perioperative Drills For Review

PERIOPERATIVE
DRILLS
1. Surgery is classified
according to purpose. Which
type of surgery is done to
determine the extent of the
disease condition?
a.Diagnostic
b.Exploratory
c.Curative
d.Palliative
2. A client with a tumor on her

right breast was ordered by
her physician to have a
biopsy. The nurse knows that
this procedure is classified as?
a.Diagnostic
b.Exploratory
c.Palliative
d.Curative
3. Extends from the time the client is

admitted in the surgical unit, to the
time the client is prepared
physically, psychosocially,
spiritually, and legally for the
surgical procedure, until transported
into the operating room.
a.Preoperative phase
b.Intraoperative phase
c.Postoperative phase
d. About phase
4. The nurse is assessing the

clients laboratory result.
Which of the following
laboratory value will postpone
the client upcoming surgery?
a.WBC count=1300/cu.mm
b.Hemoglobin value of 14g/dl
c.FBS=110 mg/dl
d.Serum K+=3.8 mEq/L
5. Which of the following is the

primary purpose of
maintaining NPO for 6 to 8
hours preoperative?
a.To prevent electrolyte
intoxication
b.To prevent malnutrition
c.To prevent aspiration
d.To prevent gastric distention
6. A client with a perforated gastric ulcer is scheduled for

emergency surgery. The client cannot sign the operative
consent form because of sedation from narcotic analgesics
that have been administered. The nurse should take which of
the following most appropriate actions in the care of this
client?
A. Obtain telephone consent from a family member and
have the consent witnessed by two person
B. Obtain a court order
C. Send the client to surgery without the consent being
signed
D. Have the hospital chaplain sign the informed consent
immediately
7. The following are true regarding

informed consent EXCEPT?
A. The nurse explains the procedure,
telling the procedure to be done, risk
and complication that may arise during
the procedure
B. Secured without pressure
C. To protect the hospital from legal
action by a client who claims that an
unauthorized procedure was performed
D. Obtained before preoperative
medication is given
8. In the OR, the indispensable

nursing tandem for every surgery is?
a.Scrub nurse and nurse anesthetist
b.Scrub nurse and circulating nurse
c.Nurse anesthetist, nurse assistant
and nurse technician
d.Surgeon, anesthesiologist, scrub
nurse, circulating nurse
9. While-team effort is needed in the OR

for efficient and quality patient care
delivery, we should limit the number of
people in the room for infection control.
Who comprise this team?
A. Surgeon, anesthesiologist, scrub
nurse, radiologist, orderly
B. Surgeon, assistant surgeon,
anesthesiologist, intern, scrub nurse
C. Surgeon, assistants, scrub nurse,
circulating nurse, anesthesiologist
D. Surgeon, head nurse, scrub nurse,
circulating nurse, anesthesiologist
10. The client has elected to have

epidural anesthesia to relieve labor
pain. If the client experiences
hypotension, the nurse would expect
the doctor will order.
A. Place the client in
trendelenberg position
B. Decrease the rate of IV
infusion
C. Administer oxygen per nasal
cannula
D. Increase the rate of IV infusion
11. Which of the following characterizes

excitement stage of anesthesia?
A. Occurs from the administration of
anesthesia to the loss of
consciousness
B. Extends from loss of
consciousness to the loss of lid reflex,
characterized by struggling and talking
C. From loss of lid reflex to the loss of
most reflexes
D. From loss of most reflexes to
respiratory and circulatory failure
12. Which of the following characterize

the surgical stage of anesthesia?
A. Occurs from the administration of
anesthesia to the loss of
consciousness
B. Extends from loss of consciousness
to the loss of lid reflex, characterized
by struggling and taking
C. From loss of lid reflex to the loss of
most reflexes
D. From loss of most reflexes to
respiratory and circulatory failure
13. The sterile nurse and sterile

personnel touch only sterile
supplies and instrument. When
there is a need for sterile supply
which is not the sterile field, who
hands out these items by opening
its cover?
A. Orderly
B. Scrub nurse
C. Circulating nurse
D. Anesthesiologist
14. Nurse Clara is preparing a client with

suspected liver Ca for liver biopsy. Which
of the following preoperative preparation
by the nurse is inaccurate?
a.Ensure consent is accomplished
b.Instruction that the client will be
positioned on right side lying for easy
access
c.Instruction that the client exhale deeply,
and hold breath during needle insertion
d.Ensure laboratory works such as
coagulation studies is accompanied
15. Nurse Edgar was ordered

by the surgeon to check the
nitrous oxide availability inside
the OR, Edgar knows that the
tank he should look for is a tank
which is colored.
A. Green
B. Blue
C. Yellow
D. Pink
16. In this patient who had

general anesthesia and
therefore was intubated, one of
the signs that may indicate that
the artificial airway can already
be removed is?
A. Gagging
B. Restlessness
C. An increase in pain
D. Clear lungs on auscultation
17. The anesthesiologist elected to have

general anesthesia to a patient who is
about to undergo cholecystectomy the
anesthesiologist will place an
endotracheal tube to maintain airway, the
nurse will anticipate a muscle relaxant
prior to the procedure which is?
A. Anectine (Succinylcholine)
B. Nitrious oxide
C. Salbutamol
D. Forane (Isoflurane)
18. A preoperative client expresses anxiety

to a nurse about upcoming surgery.
Which response by the nurse is most
likely to stimulate further discussion
between the client and the nurse?
a.I will be happy to explain the entire
surgical procedure to you
b.Let me tell you about the care youll
receive after surgery and the amount
of pain you can anticipate
c.If its any help, everyone is nervous
before surgery
d.Can you share with me what youve
been told about your surgery
19. Instruments that do not

touch the patient or have
contact only to intact skin is
classified as:
a. Critical
b. Non Critical
c. Semi Critical
d. Ultra Critical
20. If an instrument is classified

as Semi Critical, an acceptable
method of making the
instrument ready for surgery is
through:
a. Sterilization
b. High level disinfection
c. Decontamination
D. cleaning
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PERIOPERATIVE

2. A client with a tumor on her

3. Extends from the time the client is

4. The nurse is assessing the

5. Which of the following is the

6. A client with a perforated gastric ulcer is scheduled for

7. The following are true regarding

8. In the OR, the indispensable

9. While-team effort is needed in the OR

10. The client has elected to have

11. Which of the following characterizes

12. Which of the following characterize

13. The sterile nurse and sterile

14. Nurse Clara is preparing a client with

15. Nurse Edgar was ordered

16. In this patient who had

17. The anesthesiologist elected to have

18. A preoperative client expresses anxiety

19. Instruments that do not

20. If an instrument is classified

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