AOCNP Surgical Oncology and Perioperative Care 2

Question 1

Which perioperative nursing assessment is most critical before major oncologic surgery involving general anesthesia?

Accepted Answer

Comprehensive assessment of functional status, nutritional state, and comorbidities

Answer

Administering prophylactic antibiotics 48 hours before surgery

Answer

Ensuring the patient has received chemotherapy within 2 weeks preoperatively

Answer

Confirming the patient has fasted for less than 2 hours

Question 2

A patient post-Whipple procedure (pancreaticoduodenectomy) on day 2 develops significant drainage from the drain with amylase level >3× the serum amylase. This indicates which complication?

Accepted Answer

Postoperative pancreatic fistula (POPF)

Answer

Bile leak

Answer

Anastomotic hemorrhage

Answer

Delayed gastric emptying

Question 3

Which complication is most commonly associated with total gastrectomy for gastric cancer and requires lifelong supplementation?

Accepted Answer

Vitamin B12 deficiency due to loss of intrinsic factor

Answer

Iron deficiency requiring IV iron infusion only

Answer

Calcium deficiency causing osteoporosis

Answer

Vitamin D deficiency from malabsorption

Question 4

Dump syndrome following gastric surgery or esophagectomy is characterized by which symptom cluster?

Accepted Answer

Nausea, diarrhea, diaphoresis, palpitations after eating (early) or hypoglycemia (late)

Answer

Constipation, abdominal distension, weight gain

Answer

Severe heartburn and regurgitation

Answer

Obstipation and progressive vomiting

Question 5

Venous thromboembolism (VTE) prophylaxis in cancer surgery patients typically involves which combination?

Accepted Answer

Pharmacologic prophylaxis (LMWH) plus mechanical prophylaxis (sequential compression devices)

Answer

Antiplatelet therapy (aspirin) alone

Answer

Warfarin anticoagulation starting immediately after surgery

Answer

No prophylaxis — VTE risk is the same as general surgical patients

Question 6

Which wound complication is most specifically associated with colorectal resection surgery and manifests as separation of abdominal fascial layers?

Accepted Answer

Wound dehiscence (fascial separation)

Answer

Superficial surgical site infection

Answer

Enterocutaneous fistula formation

Answer

Anastomotic leak