1.

Possible sources of contamination during a patient's surgery include:

a) Only the surgeon.
b) Only the circulator.
c) Only instruments used in the wound.
d) All of the above.
2. The phases of the perioperative period, as usually identified, include which of the
following?
a) pre-anesthetic phase, admission phase, perioperative phase
b) pre-operative phase, preliminary work-up phase, healing phase
c) preoperative phase, intraoperative, postoperative phase
d) pre-anesthetic, intraoperative, postoperative phase
3. When assessing the client in the immediate post-anesthetic period, the nurse
will pay special attention to tissue perfusion. This will be best assessed by doing
which of the following things?
a) Looking at lip color and checking capillary refill.
b) Pressing on the skin of a fleshy part of the body.
c) Feeling the feet for warmth.
d) Taking the carotid pulse.
4. The nurse is assigned to a client who has just had an appendectomy. The nurse
inspects the client's dressings and the bedclothes underneath the client. The
nurse is most likely checking the linens under the client for which of the
following things?
a) excessive perspiration
b) wrinkles
c) excessive bleeding
d) any objects left in the bed
5. The family of a client who has just received surgery involving the intestines asks
when oral fluids and food can be given. You should tell the family that the
physician will most likely start fluids at which of the following times?
a) when peristalsis returns
b) four hours after surgery
c) when the client has hunger signs
d) twenty-four hours after surgery
6. The post-surgical client has been NPO this shift; however, the physician orders
clear liquids. Which of the following actions would be best on the part of the
nurse?
a) Push fluids to 200 cc per hour.
b) Encourage client to drink as much as possible.
c) Offer small sips of water initially.
d) Suggest apple juice or orange juice.

7. Whats the rationale of teaching a client some leg exercises in the pre-operative
period?
a) "Leg exercises compress veins and prevent thrombi and emboli."
b) "These exercises will make it easier to get up out of bed later."

c) "The leg exercises will improve the quality of respirations."

d) "Contractures will be prevented by doing these leg exercises."
8. A client asks the nurse, "Why must I do deep-breathing exercises?" How should
the nurse reply?
a) "The doctor has ordered this, and you must do it."
b) All our clients have to do deep breathing after surgery."
c) "Insurance won't pay if you don't do these exercises."
d) "Deep breathing helps prevent pneumonia and atalectasis."
9. Extra supplies for the "sterile" team members are provided by
the________________
a) Scrub.
b) Circulator.
c) Surgeon.
d) Anesthetist.
10.A circulating specialist is passing a sterile area; he should face the sterile area in
order to:
a) Observe whether he has provided all needed items for the set-up.
b) Ensure that he doesn't touch the setup.
c) Facilitate communication with the scrub specialist.
d) See that the scrub has done the draping properly.
11.For which one of the following reasons is a palliative surgical procedure done?
a) Remove a diseased organ.
b) Repair a body part.
c) Cure a disease.
d) Relieve pain.
12.The procedures employed to reduce or eliminate disease-causing organisms or
their action in order to protect against infection are called:
a) Aseptic techniques.
b) Isolation procedures.
c) Sanitary techniques.
d) Zone procedures.
13.An agent that removes disease-causing organisms from the skin is called a/an:
a) Antiseptic agent.
b) Chemical disinfectant.
c) Cleansing agent.
d) Sterilizing agent.
14.Sterile technique is to be used in any procedure involving:
a) An open wound.
b) Entering a sterile body cavity.
c) Cutting or puncturing the skin.
d) All of the above
15.You have created a sterile field using the inside wrapper of a double-wrapped
sterile package. What are the boundaries of the area that is considered to be
sterile?
a) The edge of the sterile wrapper.
b) One inch beyond the edges of the sterile inside wrapper.
c) One inch inside the edges of the sterile inside wrapper.
d) None of the above

1. Define the following terms

a) Perioperative nursing
2mks
b) Surgical conscience
2mks
2. State the goals of administering preoperative medications.
5 mks
3. Discuss the classification of surgeries by purpose.
5mks
4. State the functions of the following members of the theatre team.
a) Anaesthetic nurse
mks
b) Surgeon
5.
6.
7.

8.

4
2

mks
State any three (3) goals of preoperative nursing care of a patient.
3 mks
Outline the zones of operating theatre.
6 mks
Explain any two (2) main improvements in surgery which have led to reduction
of surgery related complications.
6 mks
State any five (5) basic principles of aseptic technique.

5 mks
9. As a nurse, explain how you will use the preoperative patient surgical checklist
to prepare a patient for general surgery
5mks
1. Poor positioning is one of the main causes of intraoperative injury to patients.
a. Outline four (4) factors to consider in positioning
4 mks
b. Explain the techniques used to position patients in the following positions
i)
Lithotomy position
6
ii)

mks
Prone position

mks
c. As an anesthetic nurse how will you ensure patient safety during surgery?

4mks