Periop

1. Nurse Marky has taught the client to perform deep breathing and coughing exercises. He
determines that Paris Hilton needs more teaching when she is observed doing which of the
following?
a. Sitting upright before performing coughing and deep breathing exercises
b. Taking deep breaths before attempting to cough
c. Placing both hands vertically and lightly on either side of the incision
d. Using a pillow for splinting during coughing

Ans. C. Placing both hands directly on the incision during coughing will diminish the discomfort
associated with with coughing. Each of the other options indicates correct procedure on the part of the
of the client.

2. Jesse Mendiola, a toddler is being prepared for a surgical procedure. This is her first experience
with surgery. The child’s mother expresses concern about the her psychological adaptation to
the surgery. While planning for post operative care, nurse Marky recognizes that which of the
following is likely to be jesses’ greatest concern?
a. Anticipated Pain
b. Body image changes
c. Communication difficulties
d. Separation from parents

3. Sabrina M. is being prepared for surgery. When nurse Marky asks her to remove her wedding
ring, Sabrina refuses. Which of the following would be the most appropriate response by nurse
Marky?
a. Encourage Sabrina to use soapy water to remove the ring if it is tight.
b. Explain that the hospital cannot be responsible for jewelry worn during surgery.
c. Notify the surgeon’s office that the surgeon must see Sabrina in the preop holding area
d. Tape the ring in place before the client is transported to the preop holding area

4. Nurse Marky is caring for pretty clients in the preanesthesia room. The nurse notes one
client,Rica Peralejo, who is an older adult, has an increased surgical risk based on which of the
following factors?
a. Decreased kidney function leading to potential fluid and electrolyte imbalances
b. Increased hunger sensations leading to postoperative complications from hyperacidity
c. Inability to comprehend the seriousness of surgical interventions leading to non compliance
 d. Poor Cardiovascular status leading to decreased pain sensation

5. Angel Locsin who takes numerous medications is being prepared for surgery. Nurse Marky
reviewing the client medication list is most concerned about which medication that increases
surgical risk?
a. An antidysrhytmic
b. A sedative hypnotic
c. A corticosteroid
d. An oral hypoglycemic

6. The following clients are in the preanesthesia holding room. Nurse Marky determines that the
client undergoing which procedure is having the most serious or major surgery?
a. Tonsillectomy
b. Biopsy of the breast
c. Arthroscopy
d. Neprectomy

7. All of the following sexy clients will be having surgery this morning. Nurse Marky concludes that
which client is most likely to be at higher surgical risk?
a. Cristine Reyes who has Dementia
b. Angel Locsin who is culturally different than the medical,personnel
c. Angelika Panganiban who has mild anxiety
d. Maxene Magalona who has had previous surgeries

8. Nurse Marky is preparing Ara Mina for surgery. Prior to completing the skin preparation, the
nurse assesses the surgical site for which of the following?
a. Presence of pustules or abrasions
b. Absence of hair growth
c. Presence of lanugo
d. Absence of pulsation

9. Nurse Marky asks Claudine Barreto about previous surgeries. She asks nurse marky why this
information is important. Nurse Marky would explain that previous surgeries can do which of
the following?