Q.1 Which phase of perioperative nursing involves the patient being transported to the operating room and prepared for surgery?
Preoperative phase
Intraoperative phase
Postoperative phase
Recovery phase
Explanation - The intraoperative phase includes all activities from the time the patient is transported to the OR until they are transferred to the recovery area.
Correct answer is: Intraoperative phase
Q.2 Which is the primary responsibility of a perioperative nurse during surgery?
Monitoring vital signs in the recovery room
Assisting the surgeon and maintaining sterile field
Educating the patient preoperatively
Providing discharge instructions
Explanation - During surgery, perioperative nurses assist the surgical team, ensure aseptic technique, and maintain patient safety.
Correct answer is: Assisting the surgeon and maintaining sterile field
Q.3 What is the correct order of perioperative phases?
Preoperative, Intraoperative, Postoperative
Postoperative, Preoperative, Intraoperative
Intraoperative, Preoperative, Postoperative
Preoperative, Postoperative, Intraoperative
Explanation - Perioperative care is divided into preoperative, intraoperative, and postoperative phases in that specific order.
Correct answer is: Preoperative, Intraoperative, Postoperative
Q.4 Which preoperative intervention helps reduce the risk of postoperative infection?
Patient teaching about diet
Administering prophylactic antibiotics
Encouraging early ambulation
Providing emotional support
Explanation - Prophylactic antibiotics are given before surgery to minimize the risk of surgical site infections.
Correct answer is: Administering prophylactic antibiotics
Q.5 Which patient factor requires special perioperative assessment to prevent complications?
History of hypertension
Favorite hobbies
Eye color
Occupation
Explanation - A history of hypertension increases the risk of perioperative complications like bleeding and cardiovascular instability.
Correct answer is: History of hypertension
Q.6 What is the primary goal of postoperative nursing care in the PACU?
Preventing infection
Maintaining airway and hemodynamic stability
Providing psychological support
Educating about lifestyle changes
Explanation - The post-anesthesia care unit focuses on monitoring vital functions, managing pain, and ensuring patient stability immediately after surgery.
Correct answer is: Maintaining airway and hemodynamic stability
Q.7 Which surgical position is commonly used for abdominal surgeries?
Supine position
Prone position
Lithotomy position
Trendelenburg position
Explanation - The supine position allows optimal access to abdominal structures and is commonly used for abdominal surgeries.
Correct answer is: Supine position
Q.8 Which is an essential aspect of perioperative patient safety?
Checking the surgical consent
Providing meals preoperatively
Teaching relaxation techniques
Assisting family with paperwork
Explanation - Verifying informed consent ensures legal and ethical compliance and prevents unauthorized procedures.
Correct answer is: Checking the surgical consent
Q.9 Which type of surgical asepsis is required in the operating room?
Medical asepsis
Surgical asepsis
Hand hygiene only
Clean technique
Explanation - Surgical asepsis, including sterile technique, is required to prevent infection during invasive procedures.
Correct answer is: Surgical asepsis
Q.10 Which monitoring device is commonly used intraoperatively to assess oxygenation?
Sphygmomanometer
Pulse oximeter
Thermometer
Glucose meter
Explanation - Pulse oximetry continuously monitors oxygen saturation, which is critical during anesthesia and surgery.
Correct answer is: Pulse oximeter
Q.11 Why is patient positioning important during surgery?
For aesthetic reasons
To reduce pressure injuries and ensure access to surgical site
To relax the patient
To improve post-op appetite
Explanation - Proper positioning prevents nerve and tissue injury while providing optimal exposure for surgery.
Correct answer is: To reduce pressure injuries and ensure access to surgical site
Q.12 Which type of anesthesia allows the patient to remain conscious?
General anesthesia
Local anesthesia
Spinal anesthesia
Epidural anesthesia
Explanation - Local anesthesia numbs a specific area, allowing the patient to remain awake while preventing pain in the operative site.
Correct answer is: Local anesthesia
Q.13 Which is a common postoperative complication the nurse should monitor for?
Hypertension
Wound infection
Diabetes
Allergic rhinitis
Explanation - Postoperative patients are at risk for surgical site infections due to tissue trauma and possible contamination.
Correct answer is: Wound infection
Q.14 During surgery, what is the nurse’s role in instrument handling?
Sterilizing instruments after the procedure
Counting, passing, and tracking surgical instruments
Selecting instruments for the patient
Cleaning the instruments in the ward
Explanation - Perioperative nurses maintain instrument counts to prevent retained surgical items and assist the surgical team efficiently.
Correct answer is: Counting, passing, and tracking surgical instruments
Q.15 Which action reduces the risk of deep vein thrombosis postoperatively?
Early ambulation and leg exercises
Strict bed rest for 48 hours
High-calorie diet
Increasing IV fluids only
Explanation - Mobilization improves circulation, reducing the risk of clot formation after surgery.
Correct answer is: Early ambulation and leg exercises
Q.16 Which preoperative teaching is essential for a patient undergoing abdominal surgery?
Use of incentive spirometer
How to tie shoes
TV preferences in the ward
Favorite food restrictions
Explanation - Teaching incentive spirometer use prevents postoperative pulmonary complications like atelectasis.
Correct answer is: Use of incentive spirometer
Q.17 What is the purpose of a surgical time-out?
To let the team rest before surgery
To verify patient identity, procedure, and site
To check the patient’s appetite
To adjust operating room temperature
Explanation - A surgical time-out is a safety protocol to prevent wrong-site, wrong-procedure, and wrong-patient surgery.
Correct answer is: To verify patient identity, procedure, and site
Q.18 Which is a priority assessment in the immediate postoperative period?
Mental status and airway patency
Dietary preferences
Skin color only
Blood sugar levels only
Explanation - Airway management and neurologic assessment are critical immediately after anesthesia to ensure patient safety.
Correct answer is: Mental status and airway patency
Q.19 Which sterile technique is used when opening a sterile package?
Touch only the outside of the wrapper
Touch the inside of the sterile field
Place the package on a non-sterile surface
Use bare hands to handle instruments
Explanation - Maintaining sterility requires touching only the outside of packaging and using sterile gloves to handle instruments.
Correct answer is: Touch only the outside of the wrapper
Q.20 Why is preoperative assessment important for patients with respiratory disorders?
To prescribe favorite foods
To assess risk of postoperative pulmonary complications
To schedule family visits
To teach new hobbies
Explanation - Patients with preexisting respiratory disorders are at higher risk for complications like atelectasis or pneumonia after surgery.
Correct answer is: To assess risk of postoperative pulmonary complications
Q.21 Which factor is assessed during the preoperative surgical checklist?
Allergies, medications, and vital signs
Favorite color and food preferences
Ward cleanliness
Patient’s height and weight only
Explanation - Preoperative checklists ensure patient safety by confirming allergies, medications, vitals, and consent before surgery.
Correct answer is: Allergies, medications, and vital signs
Q.22 Which nursing intervention prevents hypothermia during surgery?
Using warming blankets and warmed IV fluids
Removing all blankets
Lowering room temperature
Administering cold IV fluids
Explanation - Maintaining normothermia reduces postoperative complications and improves patient recovery.
Correct answer is: Using warming blankets and warmed IV fluids
Q.23 Which action demonstrates proper handling of sharps in the OR?
Recapping needles immediately
Using a designated sharps container
Placing sharps in a tray with instruments
Throwing sharps in a regular trash bin
Explanation - Proper sharps disposal prevents injuries and maintains a safe environment in the operating room.
Correct answer is: Using a designated sharps container
Q.24 Which postoperative intervention helps prevent respiratory complications?
Encouraging coughing and deep breathing exercises
Restricting fluid intake
Limiting movement
Avoiding oxygen therapy
Explanation - Deep breathing and coughing promote lung expansion and help prevent pneumonia and atelectasis postoperatively.
Correct answer is: Encouraging coughing and deep breathing exercises