NBSTSA Preoperative & Postoperative Patient Care 2

Question 1

Which laboratory value is most important to review preoperatively to assess a patient's oxygenation capacity and anemia risk?

Accepted Answer

Hemoglobin and hematocrit

Answer

Serum creatinine

Answer

Prothrombin time

Answer

Serum potassium

Question 2

The Universal Protocol for preventing wrong-site surgery requires a time-out to be performed at what point?

Accepted Answer

Immediately before the skin incision

Answer

When the patient arrives in preop

Answer

After the patient is positioned

Answer

When the consent form is signed

Question 3

Which patient position is used for procedures involving the lower abdomen and pelvis, placing the patient flat with legs elevated and abducted?

Accepted Answer

Lithotomy position

Answer

Prone position

Answer

Trendelenburg position

Answer

Lateral decubitus position

Question 4

A patient in the PACU is experiencing postoperative nausea and vomiting (PONV). Which factor in the patient's history most increases PONV risk?

Accepted Answer

History of motion sickness

Answer

Male sex

Answer

History of smoking

Answer

Age over 65

Question 5

When positioning a patient in the Trendelenburg position, what is the primary physiological concern the surgical team must monitor?

Accepted Answer

Increased intracranial pressure

Answer

Increased cardiac afterload

Answer

Decreased venous return

Answer

Peripheral nerve compression only

Question 6

Which postoperative complication is characterized by a sudden onset of tachycardia, hypotension, and decreased oxygen saturation, and is associated with immobility after surgery?

Accepted Answer

Pulmonary embolism

Answer

Atelectasis

Answer

Wound dehiscence

Answer

Urinary retention

Question 7

During preoperative checklist completion, the surgical technologist verifies that the operative site has been marked. Who is responsible for marking the surgical site?

Accepted Answer

The licensed practitioner performing the procedure

Answer

The circulating nurse

Answer

The surgical technologist

Answer

The anesthesiologist