CPNRE Perioperative Nursing Care

Question 1

A client is scheduled for elective surgery in 2 hours. The PN notes the client drank a full glass of water 30 minutes ago. What is the most appropriate action?

Accepted Answer

Notify the surgeon and anesthesiologist immediately

Answer

Document the finding and proceed with pre-op preparation

Answer

Reassure the client that a small amount of water is acceptable

Answer

Administer a prescribed antiemetic to reduce aspiration risk

Question 2

During the pre-operative checklist, the PN confirms the client has signed the surgical consent form. Which of the following best describes the PN's role regarding informed consent?

Accepted Answer

Obtain the signature once the surgeon has explained the procedure

Answer

Witness the signature and document, but do not provide information about surgical risks

Answer

Explain the procedure, risks, and alternatives to ensure understanding

Answer

Ensure the consent is signed at least 24 hours before the procedure

Question 3

A client returns from the operating room following general anesthesia. The PN notes oxygen saturation of 91% and the client is difficult to arouse. What is the priority action?

Accepted Answer

Reposition the client to a semi-Fowler's position and apply supplemental oxygen

Answer

Document findings and notify the charge nurse at the next opportunity

Answer

Administer IV fluids to raise blood pressure

Answer

Wait 10 minutes and reassess as this is expected post-anesthesia

Question 4

Which of the following pre-operative findings should the PN report to the surgeon before the scheduled procedure?

Accepted Answer

Serum potassium of 2.9 mEq/L

Answer

Blood pressure of 138/86 mmHg in a client with a history of hypertension

Answer

Heart rate of 78 beats per minute

Answer

Temperature of 37.1°C

Question 5

A post-operative client reports pain of 8/10 and is prescribed morphine 2–4 mg IV q4h PRN. The PN checks vital signs and finds RR 10/min, SpO2 93%, and BP 110/70 mmHg. What should the PN do?

Accepted Answer

Withhold the morphine, reposition the client, apply oxygen, and notify the physician

Answer

Administer 2 mg morphine as the lowest dose is safest

Answer

Administer 4 mg morphine and monitor closely for the next 15 minutes

Answer

Document the pain score and reassess in 30 minutes

Question 6

Which nursing intervention is the highest priority in preventing post-operative pulmonary complications such as atelectasis and pneumonia?

Accepted Answer

Encouraging early ambulation and deep breathing exercises

Answer

Administering prophylactic antibiotics as prescribed

Answer

Keeping the client on strict bedrest for the first 24 hours

Answer

Providing high-flow supplemental oxygen continuously