Deck 32: The Person Having Surgery

Question 1

Pre-operative care is given

A)Before surgery
B)After surgery
C)In the recovery room
D)During surgery

Answer 1

Before surgery

Question 2

Surgery done at once to save a person's life is

A)Elective surgery
B)Immediate surgery
C)Urgent surgery
D)Emergency surgery

Answer 2

Emergency surgery

Question 3

A person fell and fractured his right hip.He is scheduled for surgery in the morning to repair the fracture.This is

A)Elective surgery
B)Next-day surgery
C)Urgent surgery
D)Emergency surgery

Answer 3

Urgent surgery

Question 4

Pre-operative teaching includes the following except

A)Deep breathing,coughing,and incentive spirometry
B)How to communicate with the health team
C)Leg exercises
D)Any position restrictions

Question 5

A patient does not have a catheter.Which is correct?

A)The person needs to void before the nurse gives pre-operative drugs.
B)The person needs to void after the nurse gives pre-operative drugs.
C)A catheter is inserted before the nurse gives pre-operative drugs.
D)A catheter is inserted after the nurse gives pre-operative drugs.

Question 6

A person has scheduled surgery to replace her left knee joint.This is

A)Elective surgery
B)Scheduled surgery
C)Urgent surgery
D)Emergency surgery

Question 7

You have finished performing a skin prep.You need to report the following except

A)The area prepped
B)Any cuts,nicks,or scrapes
C)Areas of intact skin
D)Bleeding

Question 8

Which statement about skin preparation is incorrect?

A)Be careful not to cut,scratch,or nick the skin.
B)Follow Standard Precautions and the Bloodborne Pathogen Standard.
C)Hold the skin taut.Shave in the direction of hair growth.
D)Shave toward the center using long strokes.

Question 9

A person tells you that he is afraid of surgery because his uncle had a lot of pain after his hip surgery.What should you do?

A)Tell the person not to worry.
B)Change the subject.
C)Call the person's doctor.
D)Report the person's concerns to the nurse.

Question 10

You are assisting with pre-operative care for a person with dentures.After providing denture care,which is correct?

A)Give the dentures to the person's family.
B)Store the dentures according to agency policy.
C)Place the dentures in the bedside stand.
D)Give the dentures to the nurse.

Question 11

A patient is scheduled for surgery at 0800.Which is correct?

A)The person is NPO 6 to 8 hours before surgery.
B)The person can have a light breakfast before surgery.
C)The person is allowed only water after midnight.
D)The person will receive a regular evening meal and a bedtime snack.

Question 12

Pre-operative teaching for children includes the following except

A)Preparing the parents and the child
B)Using play to help the child understand what will happen
C)Introducing the parents and child to the nursing staff who will care for the child
D)Telling the child that everything will be OK

Question 13

The purpose of the pre-operative skin prep is to

A)Reduce the risk of infection
B)Sterilize the skin
C)Make the person more comfortable
D)Provide a smooth surgical site

Question 14

You are assisting with pre-operative care for a 6-year-old child.You must

A)Shampoo and style her hair
B)Check for loose teeth
C)Trim her fingernails
D)Give her a back massage

Question 15

Pre-operative teaching includes the following except

A)The purpose and effects of pre-operative drugs
B)Care given in the post-anesthesia care unit
C)The results of the surgical procedure
D)Pain-relief drugs and how they are given

Question 16

You are assisting with pre-operative care.Which is correct?

A)Check the person for loose teeth.
B)Wigs and hairpins are left on the person.
C)The person is allowed to wear fake nails.
D)Hearing aids are left in place.

Question 17

You are responsible for obtaining the person's written consent for surgery.

Question 18

A bowel prep may be given pre-operatively to

A)Prevent nausea and vomiting
B)Help the person sleep better
C)Cleanse the bowel of feces
D)Decrease post-operative pain

Question 19

Pre-operative teaching is done by

A)A nursing assistant
B)Whoever has time
C)A nurse
D)A social worker

Question 20

The loss of feeling or sensation produced by a drug is

A)Thrombus
B)Anesthesia
C)Pre-operative medication
D)Electrocardiogram

Question 21

There is loss of feeling or sensation in a large area of the body.The person is awake.This is

A)Anesthesiology
B)General anesthesia
C)Regional anesthesia
D)Local anesthesia

Question 22

After surgery,re-positioning is done

A)Every half hour
B)At least every 1 to 2 hours
C)Only when the patient requests a position change
D)At least every 4 hours

Question 23

You are helping to re-position a person after surgery.Which will not promote comfort?

A)Re-position the person as quickly as possible.
B)Use smooth,gentle motions.
C)Use pillows as the nurse directs.
D)Use positioning devices as the nurse directs.

Question 24

After surgery,leg exercises are done

A)At least every 1 to 2 hours while the person is awake
B)Whenever the person has the energy to do them
C)Every 3 to 4 hours and whenever you have time
D)Twice every shift

Question 25

You assist in preparing a patient for transport to the operating room.Which measure promotes safety?

A)The OR staff brings the stretcher to the room.
B)The person is covered with a bath blanket.
C)After the person is transferred to the stretcher,safety straps are secured and side rails are raised.
D)A pillow is placed under the person's head.

Question 26

The loss of consciousness and all feeling or sensation is

A)Anesthesiology
B)General anesthesia
C)Regional anesthesia
D)Local anesthesia

Question 27

A blood clot that travels through the vascular system until it lodges in a distant vessel is

A)Regional anesthesia
B)An embolus
C)A thrombus
D)Spirometry

Question 28

You will assist in preparing the room for a patient's return from surgery.You can do the following except

A)Make a surgical bed
B)Place equipment and supplies in the room
C)Lower the bed to its lowest position
D)Move furniture out of the way for the stretcher

Question 29

A pulmonary embolus can cause

A)A thrombus
B)Pneumonia
C)Urinary tract infection
D)Severe respiratory problems and death

Question 30

A patient was given pre-operative drugs.Which is incorrect?

A)The drugs will help the person relax and feel drowsy.
B)Bed rails are raised.
C)The person is allowed out of bed to void.
D)The person will feel thirsty and have a dry mouth.

Question 31

Report all of the following to the nurse at once except

A)Bleeding from the incision
B)Nausea
C)Irregular,weak pulse
D)Clear,amber urine

Question 32

Which health team member is responsible for obtaining the person's written consent for surgery?

A)The nurse
B)The doctor
C)The nursing assistant
D)The social worker

Question 33

Older persons are at risk for respiratory complications for the following reasons except

A)Respiratory muscles are weaker.
B)Lung tissues are less elastic.
C)They have less strength to cough.
D)They have more pain.

Question 34

If the person has had leg surgery,a doctor's order is needed for leg exercises.

Question 35

The surgical site is marked before surgery to prevent surgery on the wrong body part or area.

Question 36

Deep breathing and coughing exercises help prevent

A)Infection and skin breakdown
B)Muscle and joint pain
C)Incision pain
D)Respiratory complications

Question 37

After surgery,the person is usually positioned for the following except

A)For easy and comfortable breathing
B)For friction and shearing
C)To prevent stress on the incision
D)To prevent aspiration

Question 38

Report the following to the nurse at once

A)Blood pressure drop or rise
B)Pulse rate of 80
C)Regular pulse
D)Respiration rate of 16

Question 39

You assist with pre-operative personal care.Which is correct?

A)Dentures are left in place during surgery.
B)Pajamas are worn to the operating room.
C)Make-up,nail polish,and fake nails are removed before surgery.
D)Wigs and hairpieces are allowed in the operating room.

Question 40

A surgical consent is signed

A)When the person is admitted to the hospital
B)The night before surgery
C)The morning of surgery
D)When the person understands the information given by the doctor

Question 41

Elastic stockings also are called

A)Anti-embolism stockings
B)Support hose
C)Elastic bandages
D)Montgomery bandages

Question 42

A person wears elastic stockings.Which is incorrect?

A)They are applied before the person gets out of bed.
B)They are removed every 8 hours for 30 minutes or according to the care plan.
C)The person sits up in the chair while the stockings are off.
D)Creases or wrinkles can cause skin breakdown.

Question 43

Which health team member measures the person for elastic stockings?

A)You do
B)The nurse
C)The doctor
D)The occupational therapist

Question 44

You must report the time and amount of the first voiding after surgery.

Question 45

After surgery,the person usually walks for the first time

A)The day of surgery
B)2 days after surgery
C)3 days after surgery
D)When the person feels strong enough

Question 46

How soon must the person void after surgery?

A)Within 4 hours
B)Within 8 hours
C)Within 10 hours
D)Within 24 hours

Question 47

A resident has an elastic bandage on her right leg.How often do you need to check the color and temperature of her right leg?

A)Every 15 minutes
B)Every hour
C)Every 2 hours
D)Every 3 hours

Question 48

A sleeve that wraps around the leg and is attached to a pump to promote venous blood flow is known as:

A)Sequential compression device
B)Elastic bandage
C)TED hose
D)Elastic stockings

Question 49

Elastic bandages are applied to

A)The hands
B)The feet
C)The arms and legs
D)The abdomen

Question 50

A complete bed bath is not given for several days after surgery to allow the person to rest.

Question 51

The nurse will decide when you can remove the sequential compression devices post-operatively.

Question 52

A person wears elastic stockings post-operatively to

A)Decrease pain after surgery
B)Help prevent pneumonia
C)Help prevent thrombi
D)Promote wound healing

Question 53

Which is incorrect when applying elastic bandages?

A)Position the part in good alignment.
B)Face the person during the procedure.
C)Start at the top proximal)part of the extremity.
D)Expose fingers or toes if possible.

Question 54

When you removed a person's elastic bandage,you noticed a small open sore on his right ankle.What should you do?

A)Leave the bandage off and tell the nurse at once.
B)Re-apply the bandage and tell the nurse when you finish your work.
C)Leave the bandage off and tell the nurse at the end of your shift.
D)Ask the person if he wants you to re-apply the bandage.

Question 55

A patient has an elastic bandage.Apply it

A)So it is loose
B)Smoothly with firm,even pressure
C)So that 2 fingers can slide under it
D)So that you can slide your hand under it

Question 56

A resident has an elastic bandage.It is loose and wrinkled.What should you do?

A)Apply a new bandage.
B)Re-apply the bandage.
C)Remove it for a period of time.
D)Secure it with tape.