Review Questions
1
.
What anesthesia type induces a state of drowsiness and reduces anxiety without complete unconsciousness?
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general anesthesia
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monitored anesthesia care (MAC)/moderate sedation
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regional anesthesia
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local anesthesia
2
.
A nurse is preparing a patient for a procedure to remove a wart. The wart is not painful and does not affect the patient’s ability to function. How would this surgery be classified?
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expedited
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emergent
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elective
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urgent
3
.
The nursing student is discussing the appropriate use of general anesthesia with their preceptor. What statement should the student make to demonstrate they have an accurate understanding of general anesthesia?
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General anesthesia numbs a small area of the body while allowing the patient to remain conscious.
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General anesthesia may be used with sedation.
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General anesthesia makes patients drowsy while allowing them to breathe on their own during surgery.
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General anesthesia puts patients into a deep sleep and induces amnesia.
4
.
A patient in a rural area is having a hysterectomy performed remotely, in real time, by a doctor who is two hours away in an urban hospital. What type of surgery makes this possible?
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MARVEL
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telesurgery
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minimally invasive surgery
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artificial intelligence
5
.
What new technology offers neurosurgeons improved access to do brain tumor resections in deep and narrow regions of the brain?
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robotic-assisted surgery
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telesurgery
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MARVEL
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artificial intelligence
6
.
What is the purpose of preadmission testing?
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to educate a patient about the purpose of their procedure or surgery
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to ensure the patient’s colon and rectum are clean before a procedure or surgery
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to evaluate a patient’s health status before a procedure or surgery
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to ensure the patient has provided informed consent for the procedure or surgery
7
.
Why is fasting before surgery important?
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Fasting helps clean the patient’s colon and rectum before surgery.
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Fasting helps minimize the risk of aspiration during anesthesia.
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Fasting helps determine if a patient is strong enough to survive surgery.
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Fasting helps minimize the chances of a patient developing an infection after surgery.
8
.
What is the role of the nurse during preoperative preparation?
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Prepare instruments and assist the surgeon while maintaining a safe environment.
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Manage the patient’s pain, monitor vital signs, and treat postoperative complications.
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Provide essential early postoperative care.
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Assess patients, manage anxieties, and confirm informed consent.
9
.
How can distraction methods help with pain management?
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With distraction methods, activities such as listening to music can help divert attention from pain or discomfort.
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With distraction methods, activities such as guided meditation can help manage anxiety and decrease pain.
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With distraction methods, therapies such as cold packs and heating pads can help with inflammation and reduce pain.
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With distraction methods, positioning provides comfort and helps patients be more at ease physically and mentally.
10
.
What are the eight rights of medication administration?
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right patient, right medication, right dose/concentration, right surgeon, right time, right supplements, right reason, and right patient response
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right patient, right medication, right dose/concentration, right dietary requirements, right time, right documentation, right supplements, and right patient response
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right patient, right medication, right dose/concentration, right fluid intake, right dietary requirements, right documentation, right time, and right patient response
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right patient, right medication, right dose/concentration, right route, right time, right documentation, right reason, and right patient response
11
.
Which surgical team member directly supports the surgeon by retracting tissues, providing additional instrumentation, and anticipating needs?
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RN circulator
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anesthesiologist
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Certified Registered Nurse Anesthetist (CRNA)
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Registered Nurse First Assistant (RNFA)
12
.
Which surgical team member has tasks before, during, and after surgery, including acting as a patient advocate, preparing the OR and maintaining sterility, and collaborating with other team members, including the management of “time-outs”?
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RN circulator
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anesthesiologist
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Certified Registered Nurse Anesthetist (CRNA)
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Registered Nurse First Assistant (RNFA)
13
.
In the perioperative suite, what surgical zone includes the preoperative and postanesthesia care units and medication rooms?
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unrestricted
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semirestricted
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restricted
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substerile
14
.
What surgical innovation also poses hazards in the OR, including direct tissue damage, fire hazards, eye injuries, and airborne contaminants?
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lasers
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surgical smoke
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anesthetic gases
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electrosurgery
15
.
Preventing hypoxia is fundamental to safeguard patients in the OR. Why?
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With hypoxia, the body’s core temperature drops below 96.8°F (36°C), which can have devastating consequences.
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With hypoxia, the body experiences a severe allergic reaction, which can have devastating consequences.
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With hypoxia, the body experiences excessive bleeding, which can have devastating consequences.
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With hypoxia, the body’s tissues are deprived of adequate oxygen, which can have devastating consequences.
16
.
During what stage or phase of postoperative care is the focus on wound management, physical therapy, and ongoing pain management?
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stage 1—immediate
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stage 2—intermediate
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stage 3—convalescence
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phase I recovery
17
.
Abnormal blood pressure, heart rate, and oxygen saturation readings plus swelling and redness around a wound are clues of what problem?
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hypotension and shock
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hemodynamic instability
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hemorrhage
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hypertension and arrhythmias
18
.
What are the early signs of unmanaged pain?
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guarding, sighing, clenched fists, furrowed brows
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increased blood pressure and changes in consciousness
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restlessness, agitation, pale skin, tight abdomen
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clammy skin, altered consciousness, difficulty breathing
19
.
What bariatric procedure is complex, creating a small stomach sleeve to bypass most of the small intestine?
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sleeve gastrectomy
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Roux-en-Y gastric bypass
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biliopancreatic diversion with duodenal switch
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adjustable gastric band
20
.
After gastric bypass surgery, food may pass directly from the stomach pouch into the small intestine without being digested. What is this syndrome called, and why is it a problem?
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It is called dumping syndrome, and it is a problem because it can cause nausea, vomiting, abdominal cramping, and diarrhea.
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It is called comorbidity syndrome, and it is a problem because it can cause nausea, vomiting, abdominal cramping, and diarrhea.
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It is called dumping syndrome, and it is a problem because it can cause high blood pressure and dizziness.
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It is called comorbidity syndrome, and it is a problem because it can cause high blood pressure and dizziness.