Review Questions
1
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    What anesthesia type induces a state of drowsiness and reduces anxiety without complete unconsciousness?
  - 
                general anesthesia
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                monitored anesthesia care (MAC)/moderate sedation
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                regional anesthesia
- 
                local anesthesia
2
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    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?
  - 
                expedited
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                emergent
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                elective
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                urgent
3
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    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?
  - 
                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
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    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?
  - 
                MARVEL
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                telesurgery
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                minimally invasive surgery
- 
                artificial intelligence
5
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    What new technology offers neurosurgeons improved access to do brain tumor resections in deep and narrow regions of the brain?
  - 
                robotic-assisted surgery
- 
                telesurgery
- 
                MARVEL
- 
                artificial intelligence
6
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    What is the purpose of preadmission testing?
  - 
                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
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    Why is fasting before surgery important?
  - 
                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
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    What is the role of the nurse during preoperative preparation?
  - 
                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
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    How can distraction methods help with pain management?
  - 
                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
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    What are the eight rights of medication administration?
  - 
                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
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    Which surgical team member directly supports the surgeon by retracting tissues, providing additional instrumentation, and anticipating needs?
  - 
                RN circulator
- 
                anesthesiologist
- 
                Certified Registered Nurse Anesthetist (CRNA)
- 
                Registered Nurse First Assistant (RNFA)
12
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    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”?
  - 
                RN circulator
- 
                anesthesiologist
- 
                Certified Registered Nurse Anesthetist (CRNA)
- 
                Registered Nurse First Assistant (RNFA)
13
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    In the perioperative suite, what surgical zone includes the preoperative and postanesthesia care units and medication rooms?
  - 
                unrestricted
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                semirestricted
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                restricted
- 
                substerile
14
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    What surgical innovation also poses hazards in the OR, including direct tissue damage, fire hazards, eye injuries, and airborne contaminants?
  - 
                lasers
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                surgical smoke
- 
                anesthetic gases
- 
                electrosurgery
15
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    Preventing hypoxia is fundamental to safeguard patients in the OR. Why?
  - 
                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
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    During what stage or phase of postoperative care is the focus on wound management, physical therapy, and ongoing pain management?
  - 
                stage 1—immediate
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                stage 2—intermediate
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                stage 3—convalescence
- 
                phase I recovery
17
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    Abnormal blood pressure, heart rate, and oxygen saturation readings plus swelling and redness around a wound are clues of what problem?
  - 
                hypotension and shock
- 
                hemodynamic instability
- 
                hemorrhage
- 
                hypertension and arrhythmias
18
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    What are the early signs of unmanaged pain?
  - 
                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?
  - 
                sleeve gastrectomy
- 
                Roux-en-Y gastric bypass
- 
                biliopancreatic diversion with duodenal switch
- 
                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?
  - 
                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.
- 
                It is called dumping syndrome, and it is a problem because it can cause high blood pressure and dizziness.
- 
                It is called comorbidity syndrome, and it is a problem because it can cause high blood pressure and dizziness.