Surgical Procedures and Postoperative Care MCQs Nursing

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1. Before any surgical procedure, the nurse’s primary responsibility is to: a) Ensure the patient is NPO (nothing by mouth)
b) Obtain informed consent
c) Administer preoperative medications
d) Prepare the operating room
Answer: b) Obtain informed consent

2. The purpose of a preoperative assessment is to: a) Identify the patient’s medical history and assess readiness for surgery
b) Discuss the surgical procedure in detail
c) Administer anesthesia
d) Perform postoperative wound care
Answer: a) Identify the patient’s medical history and assess readiness for surgery

3. Which of the following is a common complication of surgery that requires immediate attention? a) Postoperative nausea
b) Wound infection
c) Fever
d) Deep vein thrombosis (DVT)
Answer: d) Deep vein thrombosis (DVT)

4. Postoperative pain management typically involves: a) Only administering narcotics
b) Multimodal analgesia including non-opioid medications
c) Avoiding any pain relief medication
d) Ignoring patient’s pain complaints
Answer: b) Multimodal analgesia including non-opioid medications

5. The primary goal of postoperative nursing care is to: a) Ensure the patient’s recovery and prevent complications
b) Discharge the patient as soon as possible
c) Focus solely on pain management
d) Avoid monitoring vital signs
Answer: a) Ensure the patient’s recovery and prevent complications

6. The most common sign of a postoperative infection is: a) Increased appetite
b) Redness, warmth, and swelling at the wound site
c) Elevated blood pressure
d) Decreased urine output
Answer: b) Redness, warmth, and swelling at the wound site

7. To prevent surgical site infections, the nurse should: a) Use sterile techniques during dressing changes
b) Avoid hand hygiene
c) Apply non-sterile dressings
d) Delay wound care
Answer: a) Use sterile techniques during dressing changes

8. The purpose of a surgical drain is to: a) Remove excess fluid and blood from the surgical site
b) Administer medications directly to the wound
c) Provide a route for intravenous fluids
d) Monitor blood glucose levels
Answer: a) Remove excess fluid and blood from the surgical site

9. In the postoperative period, the nurse should monitor for signs of: a) Infection, bleeding, and pain
b) Increased appetite and weight gain
c) Improved sleep patterns
d) Decreased mobility
Answer: a) Infection, bleeding, and pain

10. Which position is commonly used for patients undergoing abdominal surgery? a) Supine
b) Prone
c) Lateral
d) Fowler’s
Answer: a) Supine

11. After a general anesthesia, patients are monitored in the: a) Recovery room
b) Operating room
c) Surgical ward
d) ICU
Answer: a) Recovery room

12. The most effective way to prevent postoperative deep vein thrombosis (DVT) is to: a) Encourage early ambulation and use of compression stockings
b) Limit patient movement
c) Avoid anticoagulant medications
d) Restrict fluid intake
Answer: a) Encourage early ambulation and use of compression stockings

13. The nurse should assess the surgical site for: a) Signs of infection, dehiscence, or evisceration
b) Decreased appetite
c) Increased bowel sounds
d) Elevated blood sugar
Answer: a) Signs of infection, dehiscence, or evisceration

14. When caring for a patient with a postoperative wound, the nurse should: a) Inspect the wound regularly and change dressings as needed
b) Delay wound assessment until discharge
c) Use non-sterile gloves for dressing changes
d) Avoid documenting wound changes
Answer: a) Inspect the wound regularly and change dressings as needed

15. Postoperative patients are at risk for hypovolemia due to: a) Excessive bleeding or fluid loss
b) Increased fluid intake
c) Low dietary intake
d) Decreased urine output
Answer: a) Excessive bleeding or fluid loss

16. The best practice for preventing postoperative respiratory complications is: a) Encouraging deep breathing and coughing exercises
b) Limiting fluid intake
c) Restricting patient mobility
d) Avoiding use of incentive spirometer
Answer: a) Encouraging deep breathing and coughing exercises

17. When monitoring a patient after surgery, the nurse should assess for: a) Changes in vital signs, including temperature and blood pressure
b) Changes in hair color
c) Increase in appetite
d) Decrease in urine output
Answer: a) Changes in vital signs, including temperature and blood pressure

18. The nurse should instruct the postoperative patient to: a) Avoid lifting heavy objects and engaging in strenuous activity
b) Increase physical activity immediately
c) Skip pain medications to prevent addiction
d) Avoid follow-up appointments
Answer: a) Avoid lifting heavy objects and engaging in strenuous activity

19. A common postoperative complication related to the urinary system is: a) Urinary retention
b) Dehydration
c) Hyperglycemia
d) Anemia
Answer: a) Urinary retention

20. To manage postoperative nausea and vomiting, the nurse should: a) Administer antiemetic medications as prescribed
b) Avoid all oral intake
c) Increase the patient’s fluid intake immediately
d) Ignore patient complaints of nausea
Answer: a) Administer antiemetic medications as prescribed

21. When assessing the gastrointestinal system postoperatively, the nurse should: a) Monitor bowel sounds and the presence of flatus
b) Limit patient’s fluid intake
c) Avoid assessing the abdomen
d) Restrict patient’s mobility
Answer: a) Monitor bowel sounds and the presence of flatus

22. Postoperative patients are at risk for constipation due to: a) Reduced physical activity and opioid use
b) Increased fluid intake
c) High fiber diet
d) Frequent ambulation
Answer: a) Reduced physical activity and opioid use

23. The nurse should monitor a patient for signs of postoperative hemorrhage, including: a) Rapid pulse, low blood pressure, and pallor
b) Elevated blood pressure and increased appetite
c) Improved mobility and appetite
d) Decreased urine output only
Answer: a) Rapid pulse, low blood pressure, and pallor

24. After a laparoscopic procedure, the nurse should: a) Monitor for signs of gas pain in the shoulder
b) Restrict the patient’s movement completely
c) Encourage immediate resumption of heavy lifting
d) Disregard patient’s discomfort
Answer: a) Monitor for signs of gas pain in the shoulder

25. The purpose of preoperative teaching is to: a) Prepare the patient for surgery and alleviate anxiety
b) Focus only on postoperative care
c) Avoid discussing the surgical procedure
d) Restrict patient’s knowledge about the procedure
Answer: a) Prepare the patient for surgery and alleviate anxiety

26. To promote wound healing, the nurse should: a) Ensure adequate nutrition and hydration
b) Avoid monitoring wound sites
c) Restrict patient’s dietary intake
d) Use non-sterile techniques for wound care
Answer: a) Ensure adequate nutrition and hydration

27. The nurse should assess for signs of postoperative delirium, including: a) Disorientation, confusion, and agitation
b) Improved concentration and alertness
c) Decreased need for pain medication
d) Increased mobility
Answer: a) Disorientation, confusion, and agitation

28. For a patient with a postoperative drain, the nurse should: a) Measure and document the amount and type of drainage
b) Ignore the drain’s output
c) Remove the drain before consulting with a physician
d) Avoid any assessment of the drain site
Answer: a) Measure and document the amount and type of drainage

29. The nurse should instruct the patient to report which of the following signs immediately? a) Severe pain, swelling, and redness at the surgical site
b) Mild discomfort and fatigue
c) Slight temperature elevation
d) Decreased appetite
Answer: a) Severe pain, swelling, and redness at the surgical site

30. Postoperative monitoring for a patient with a spinal anesthesia should include: a) Checking for motor and sensory function in the lower extremities
b) Limiting fluid intake
c) Restricting movement of the upper body only
d) Avoiding assessment of lower extremities
Answer: a) Checking for motor and sensory function in the lower extremities

31. The primary goal of postoperative positioning is to: a) Promote comfort and prevent complications such as pressure ulcers and respiratory issues
b) Restrict patient movement
c) Focus solely on pain management
d) Avoid any changes in patient position
Answer: a) Promote comfort and prevent complications such as pressure ulcers and respiratory issues

32. The nurse should be aware that postoperative patients are at increased risk for: a) Fluid imbalances and electrolyte disturbances
b) Increased appetite
c) Improved respiratory function
d) Decreased risk of infections
Answer: a) Fluid imbalances and electrolyte disturbances

33. For a patient who has undergone a major surgery, the nurse should: a) Monitor for signs of hypovolemic shock, such as rapid pulse and low blood pressure
b) Ignore changes in vital signs
c) Avoid assessing the surgical site
d) Disregard fluid intake and output
Answer: a) Monitor for signs of hypovolemic shock, such as rapid pulse and low blood pressure

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