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PCC EXAM 1 QUESTIONS AND ANSWERS
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PCC EXAM 1 QUESTIONS AND ANSWERS
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PCC EXAM 1QUESTIONS
AND ANSWERS
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic
cholecystectomy at an outpatient surgery setting. The nurse knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a portion of the liver.
d. the patient will need special preparation because of obesity. - Answers -a
The patient tells the nurse in the preoperative setting that she has noticed she has a
reaction when wearing rubber gloves. What is the most appropriate intervention?
a. Notify the surgeon so the case can be cancelled.
b. Ask additional questions to assess for a possible latex allergy.
c. Notify the OR staff immediately so that latex-free supplies can be used.
d. No intervention is needed because the patient's rubber sensitivity has no bearing on
surgery. - Answers -b
A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks
the nurse what to do about her dose the night before surgery. The best response would
be to have her
,a. skip her insulin altogether the night before surgery.
b. take her usual dose at bedtime and eat a light breakfast in the morning.
c. eat a moderate meal before bedtime and then take half her usual insulin dose.
d. get instructions from her surgeon or health care provider on any insulin adjustments. -
Answers -d
Preoperative considerations for older adults include (select all that apply)
a. only using large-print educational materials.
b. speaking louder for patients with hearing aids.
c. recognizing that sensory deficits may be present.
d. providing warm blankets to prevent hypothermia.
e. teaching important information early in the morning. - Answers -c,d
Five minutes after receiving a preoperative sedative medication by IV injection, a patient
asks to get up to go to the bathroom to urinate. What is the most appropriate action for
the nurse to take?
A. Offer the patient to use the urinal/bedpan after explaining the need to maintain
safety.
B. Assist the patient to the bathroom and stay next to the door to assist patient back to
bed when done.
C. Allow the patient to go to the bathroom since the onset of the medication will be more
than 5 minutes.
D. Ask the patient to hold the urine for a short period since a urinary catheter will be
placed in the operating room - Answers -A
What is the primary reason for accurately recording the patient's current medications
during a preoperative assessment?
,A. Some medications may alter the patient's perceptions about surgery.
B. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.
C. Some medications may interact with anesthetics, altering the potency and effect of
the drugs.
D. Routine medications are withheld the day of surgery, requiring dosage and schedule
adjustments after surgery. - Answers -C
Drug interactions may occur between prescribed medications and anesthetic agents
used during surgery. For this reason, it is important to take a careful medication history
and check that they have been communicated to the anesthesia care provider. Routine
medications may or may not be prescribed for use the day of surgery.
While performing preoperative teaching, the patient asks when she needs to stop
drinking water before the surgery. Based on the most recent practice guidelines
established by the American Society of Anesthesiologists, the nurse tells the patient that
A. she must be NPO after breakfast.
B. she needs to be NPO after midnight.
C. she can drink clear liquids up to 2 hours before surgery.
, D. she can drink clear liquids up until she is moved to the OR. - Answers -C
Practice guidelines for preoperative fasting state the minimum fasting period for clear
liquids is 2 hours. Evidence-based practice no longer supports the long-standing
practice of requiring patients to be NPO after midnight.
The nurse is admitting a patient to the same-day surgery unit. The patient tells the nurse
that he was so nervous he had to take kava last evening to help him sleep. Which
nursing action would be most appropriate?
A. Tell the patient that using kava to help sleep is often helpful.
B. Inform the anesthesiologist of the patient's recent use of kava.
C. Tell the patient that the kava should continue to help him relax before surgery.
D. Inform the patient about the dangers of taking herbal medicines without consulting
his health care provider. - Answers -B
Kava may prolong the effects of certain anesthetics. Thus the anesthesiologist needs to
be informed of recent ingestion of this herbal supplement. Patients should not take
anything before surgery without the health care provider's knowledge.
Which preoperative patient has the greatest risk of bleeding as a result of his or her
medication?
A. A woman who takes metoprolol (Lopressor) for the treatment of hypertension
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