Comprehensive Perioperative Nursing And Gastrointestinal Surgical Care Practice Tests

Question 1

Which of the following medications is typically held 10–14 days prior to surgery to minimize the risk of intra-operative hemorrhage?

Accepted Answer

Clopidogrel (Plavix)

Answer

Lisinopril

Answer

Levothyroxine

Answer

Atorvastatin

Question 2

Informed consent must be obtained from the patient after the administration of pre-operative sedating medications to ensure the patient is relaxed.

Accepted Answer

False

Answer

True

Question 3

Which of the following physiological factors in elderly patients increase their perioperative risk?

Answer

Reduced renal function

Answer

Decreased hepatic metabolism

Answer

Increased skin elasticity

Answer

Reduced physiological reserve

Question 4

Which member of the surgical team is responsible for managing the sterile field, performing counts of sponges and instruments, and acting as the patient's advocate?

Accepted Answer

Circulating RN

Answer

Surgeon

Answer

Surgical Assistant

Answer

Scrub Technician

Question 5

What is the primary purpose of the 'time-out' procedure in the operating room?

Accepted Answer

To verify the correct patient, procedure, and surgical site

Answer

To verify the patient's insurance coverage

Answer

To ensure the surgeon has completed their scrub

Answer

To confirm the anesthesia machine is calibrated

Question 6

What is the specific name for the surgical position where the patient is placed on their back with the head of the bed tilted downward, often used for pelvic or abdominal surgery?

Accepted Answer

Trendelenburg

Question 7

Which area of the surgical suite requires the use of a mask, eye protection, and a 'bunny suit' or scrub attire to maintain a sterile environment?

Accepted Answer

Restricted area

Answer

Unrestricted area

Answer

Semi-restricted area

Answer

Pre-operative holding area

Question 8

Which member of the surgical team is responsible for managing documentation, performing sponge and instrument counts, and acting as the patient advocate?

Accepted Answer

Circulating RN

Answer

Surgeon

Answer

Scrub Nurse

Answer

Anesthesia Provider

Question 9

The 'time-out' procedure must be performed after the incision is made to ensure the surgical site is correct.

Accepted Answer

False

Answer

True

Question 10

Which surgical position is most commonly associated with gynecological or urological procedures and carries a risk of nerve injury to the peroneal nerve if not properly padded?

Accepted Answer

Lithotomy

Answer

Supine

Answer

Prone

Answer

Trendelenburg

Question 11

Which of the following interventions are effective in preventing post-operative respiratory complications such as atelectasis and pneumonia?

Answer

Incentive spirometry

Answer

Early ambulation

Answer

Splinting the incision with a pillow during coughing

Answer

Strict bed rest for 48 hours

Question 12

What is the primary physiological purpose of using positive air pressure and temperature controls (68–75°F) in the operating room?

Accepted Answer

To reduce the risk of surgical site infections by minimizing bacterial growth and contamination.

Question 13

A patient on Post-Operative Day 1 exhibits restlessness, tachycardia, and tachypnea. Which immediate assessment is the highest priority?

Accepted Answer

Airway and respiratory status

Answer

Surgical site dressing integrity

Answer

Pain level assessment

Answer

Fluid intake and output

Question 14

Which position is characterized by the patient lying on the back with the head of the bed elevated, often used to facilitate breathing or for specific facial/neck surgeries?

Accepted Answer

Fowler’s

Answer

Trendelenburg

Answer

Jack-knife

Answer

Lateral

Question 15

Which type of hiatal hernia is characterized by the gastroesophageal junction and a portion of the stomach sliding upward through the esophageal hiatus into the thorax?

Accepted Answer

Sliding Hiatal Hernia

Answer

Rolling Hiatal Hernia

Answer

Paraesophageal Hernia

Answer

Incarcerated Hernia

Question 16

A patient presents with epigastric pain that is relieved by food intake. Which diagnosis is most consistent with this clinical presentation?

Accepted Answer

Duodenal Ulcer

Answer

Gastric Ulcer

Answer

Esophageal Cancer

Answer

Stomatitis

Question 17

When assessing a patient with suspected upper gastrointestinal distress, it is unnecessary to perform an EKG if the patient reports epigastric pain, as GI symptoms are distinct from cardiac symptoms.

Accepted Answer

False

Answer

True

Question 18

Which of the following are considered major risk factors for the development of esophageal cancer?

Answer

Chronic alcohol consumption

Answer

Smoking

Answer

Gastroesophageal reflux disease

Answer

High intake of vitamin C

Question 19

What is the primary nursing intervention regarding patient positioning for a patient diagnosed with a sliding hiatal hernia to prevent reflux?

Accepted Answer

Elevating the head of the bed

Question 20

Which complication of peptic ulcer disease is characterized by a sudden, severe onset of sharp abdominal pain, a rigid 'board-like' abdomen, and signs of shock?

Accepted Answer

Perforation

Answer

Hemorrhage

Answer

Obstruction

Answer

Gastritis

Comprehensive Perioperative Nursing And Gastrointestinal Surgical Care Practice Tests

Practice Tests

Comprehensive Perioperative Nursing and Gastrointestinal Surgical Care

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