WITH COMPLETE 400 QUESTIONS AND
DETAILED ANSWERS
A new employee unknowingly dispensed an
unsterile solution to the sterile field. The
following day, the supervisor learns of the
incident. The supervisor's first action would be
to:
a. Initiate an incident report
b. Instruct the employee on the technique of
reading labels
c. Counsel the employee verbally
d. Notify the surgeon of the break in technique -
answer-d
During a procedure under local anesthesia, the
patient complains of circumoral numbness,
blurred vision, and dizziness. What should be
the immediate action of the perioperative nurse
monitoring this patient?
a. Recheck the dose of local anesthesia given
,b. Ensure an airway
c. Set the IV line to full flow
d. Call for 20% lipid emulsion to be brought to
the room - answer-b
The circulating nurse reports that the needle
count is incorrect. The surgeon continues to
close the wound, stating, "I know it is not in the
wound and I am not going to stop to look for it."
The best plan of action is to:
a. Accept the surgeon's response without
comment and fill out an incident report
b. Inform the surgeon of hospital policy and
document subsequent actions
c. Order X-rays regardless of the surgeon's
wishes
d. Notify the OR supervisor and ask for advice -
answer-b
Due to an emergency, the perioperative nurse is
unable to conduct the sponge, sharps, and
instrument counts. At the conclusion of the
surgery, the nurse should:
,a. Ask the surgeon to sign the count
b. Immediately notify the OR supervisor
c. Document the absence of counts
d. Refuse to sign the sponge count record -
answer-c
The optimum patient position provides:
a. Access and exposure, maintains circulatory
and respiratory functions, and does not
compromise neuromuscular structures.
b. Optimum access and exposure to surgical site,
with no permanent compromise to
neuromuscular structures.
c. Access for the surgeon, does not compromise
the neuromuscular structures, and maintains an
adequate airway for the anesthetist.
d. Sustained circulatory and respiratory
functions, does not compromise neuromuscular
structures, and maintains body alignment. -
answer-a
, A patient who is 8 months pregnant is to
undergo an emergency laparotomy. In planning
nursing care for this patient, the perioperative
nurse should have available a wedge cushion or
pillow to place under the patient's:
a. Knees
b. Left side
c. Right side
d. Shoulders - answer-c
You're loading the sterilizer with trays and
wrapped towels. The correct configuration
would be:
a. The towels are on the bottom shelf and the
trays on the top shelf
b. The towels are on the top shelf and the trays
are on the bottom shelf
c. The trays and towels go on the top shelf and
leave the bottom shelf empty
d. There is no specific configuration when there
is a mixed load of trays and wrapped textiles -
answer-b