DECA MARKETING CLUSTER
VOCAB UPDATED EXAM 2026 2027
COMPLETE MULTIPLE CHOICE
QUESTION BANK VERIFIE
EXAM
1. A perioperative nurse is performing a preoperative
verification. According to the Joint Commission’s Universal
Protocol, which of the following is the final step before
starting the procedure?
A. Marking the operative site
B. Conducting a "Time Out"
C. Completing the preoperative checklist
D. Obtaining informed consent
Answer: B
Rationale: The Universal Protocol consists of three steps: 1)
Preoperative verification (process), 2) Marking the site, and 3) The
"Time Out." The Time Out is performed immediately before the
start of the procedure and involves the entire team verbally
confirming patient identity, site, and procedure.
2. Which of the following is the minimum required level of
personal protective equipment (PPE) when performing
irrigation during a total knee arthroplasty to prevent splash
exposure?
,A. Standard surgical attire only
B. Surgical mask and gloves
C. Face shield or surgical mask with eye protection
D. Double gloving
Answer: C
Rationale: OSHA standards require that if there is a risk of splash,
spray, or splatter of blood or body fluids, the wearer must use a
face shield or a combination of mask and eye protection (goggles)
to protect the mucous membranes of the eyes, nose, and mouth.
3. A patient with a history of malignant hyperthermia (MH) is
scheduled for surgery. Which anesthetic agent must
be avoided?
A. Propofol
B. Succinylcholine
C. Ketamine
D. Midazolam
Answer: B
Rationale: Succinylcholine (a depolarizing muscle relaxant) and
volatile halogenated anesthetics (e.g., sevoflurane, desflurane) are
the primary triggers for Malignant Hyperthermia. Propofol,
Ketamine, and Benzodiazepines (Midazolam) are considered safe
for MH-susceptible patients.
4. Surgical attire should be changed in the perioperative area
if it becomes soiled. When wearing a bouffant cap, which of
the following is true regarding hair coverage?
A. Only long hair must be covered.
B. All hair, including sideburns and nape of the neck, must be
covered.
,C. Facial hair does not require a beard cover if wearing a surgical
mask.
D. Hair must be covered only when entering the restricted zone.
Answer: B
Rationale: AORN guidelines mandate that all head and facial hair
(including sideburns, the nape of the neck, and
beards/mustaches) must be completely covered to prevent
dispersal of microorganisms into the sterile field and environment.
5. A surgical technologist opens a sterile back table setup in
an unoccupied OR. The surgery is delayed by 45 minutes. The
nurse notes that the back table is uncovered. What should the
nurse do?
A. Proceed with the surgery; 45 minutes is within the acceptable
window.
B. Re-gown and re-glove to re-cover the table.
C. Consider the items contaminated and discard or re-sterilize
them.
D. Cover the table with a sterile drape immediately.
Answer: C
Rationale: According to AORN, if a sterile field is set up and left
unattended or uncovered, the sterility cannot be guaranteed
because dust, air contaminants, and unknown traffic patterns
could have compromised it. The items must be considered
contaminated.
6. Which of the following medications is used to treat acute
dystonic reactions (sudden muscle spasms) that may occur in
the PACU following administration of metoclopramide or
droperidol?
, A. Neostigmine
B. Diphenhydramine (Benadryl)
C. Epinephrine
D. Dantrolene
Answer: B
Rationale: Acute dystonic reactions are extrapyramidal side
effects often caused by antiemetics (like metoclopramide) or
antipsychotics. They are treated with anticholinergic agents or
antihistamines such as diphenhydramine (Benadryl).
7. The primary purpose of the "surgical pause" or "Time Out"
is to:
A. Verify that the anesthesia machine is functioning.
B. Ensure the surgeon has reviewed the patient’s labs.
C. Ensure correct patient, procedure, site, and implants.
D. Document the count of sponges and instruments.
Answer: C
Rationale: The Time Out is specifically designed to prevent wrong
site, wrong procedure, and wrong person surgery. It is a verbal,
active confirmation by the entire team.
8. A patient is undergoing a procedure under monitored
anesthesia care (MAC). The patient suddenly becomes
unresponsive and pulseless. The nurse’s first action should be
to:
A. Call a code blue.
B. Begin chest compressions.
C. Check the patient’s blood pressure.
D. Increase the oxygen flow rate.
VOCAB UPDATED EXAM 2026 2027
COMPLETE MULTIPLE CHOICE
QUESTION BANK VERIFIE
EXAM
1. A perioperative nurse is performing a preoperative
verification. According to the Joint Commission’s Universal
Protocol, which of the following is the final step before
starting the procedure?
A. Marking the operative site
B. Conducting a "Time Out"
C. Completing the preoperative checklist
D. Obtaining informed consent
Answer: B
Rationale: The Universal Protocol consists of three steps: 1)
Preoperative verification (process), 2) Marking the site, and 3) The
"Time Out." The Time Out is performed immediately before the
start of the procedure and involves the entire team verbally
confirming patient identity, site, and procedure.
2. Which of the following is the minimum required level of
personal protective equipment (PPE) when performing
irrigation during a total knee arthroplasty to prevent splash
exposure?
,A. Standard surgical attire only
B. Surgical mask and gloves
C. Face shield or surgical mask with eye protection
D. Double gloving
Answer: C
Rationale: OSHA standards require that if there is a risk of splash,
spray, or splatter of blood or body fluids, the wearer must use a
face shield or a combination of mask and eye protection (goggles)
to protect the mucous membranes of the eyes, nose, and mouth.
3. A patient with a history of malignant hyperthermia (MH) is
scheduled for surgery. Which anesthetic agent must
be avoided?
A. Propofol
B. Succinylcholine
C. Ketamine
D. Midazolam
Answer: B
Rationale: Succinylcholine (a depolarizing muscle relaxant) and
volatile halogenated anesthetics (e.g., sevoflurane, desflurane) are
the primary triggers for Malignant Hyperthermia. Propofol,
Ketamine, and Benzodiazepines (Midazolam) are considered safe
for MH-susceptible patients.
4. Surgical attire should be changed in the perioperative area
if it becomes soiled. When wearing a bouffant cap, which of
the following is true regarding hair coverage?
A. Only long hair must be covered.
B. All hair, including sideburns and nape of the neck, must be
covered.
,C. Facial hair does not require a beard cover if wearing a surgical
mask.
D. Hair must be covered only when entering the restricted zone.
Answer: B
Rationale: AORN guidelines mandate that all head and facial hair
(including sideburns, the nape of the neck, and
beards/mustaches) must be completely covered to prevent
dispersal of microorganisms into the sterile field and environment.
5. A surgical technologist opens a sterile back table setup in
an unoccupied OR. The surgery is delayed by 45 minutes. The
nurse notes that the back table is uncovered. What should the
nurse do?
A. Proceed with the surgery; 45 minutes is within the acceptable
window.
B. Re-gown and re-glove to re-cover the table.
C. Consider the items contaminated and discard or re-sterilize
them.
D. Cover the table with a sterile drape immediately.
Answer: C
Rationale: According to AORN, if a sterile field is set up and left
unattended or uncovered, the sterility cannot be guaranteed
because dust, air contaminants, and unknown traffic patterns
could have compromised it. The items must be considered
contaminated.
6. Which of the following medications is used to treat acute
dystonic reactions (sudden muscle spasms) that may occur in
the PACU following administration of metoclopramide or
droperidol?
, A. Neostigmine
B. Diphenhydramine (Benadryl)
C. Epinephrine
D. Dantrolene
Answer: B
Rationale: Acute dystonic reactions are extrapyramidal side
effects often caused by antiemetics (like metoclopramide) or
antipsychotics. They are treated with anticholinergic agents or
antihistamines such as diphenhydramine (Benadryl).
7. The primary purpose of the "surgical pause" or "Time Out"
is to:
A. Verify that the anesthesia machine is functioning.
B. Ensure the surgeon has reviewed the patient’s labs.
C. Ensure correct patient, procedure, site, and implants.
D. Document the count of sponges and instruments.
Answer: C
Rationale: The Time Out is specifically designed to prevent wrong
site, wrong procedure, and wrong person surgery. It is a verbal,
active confirmation by the entire team.
8. A patient is undergoing a procedure under monitored
anesthesia care (MAC). The patient suddenly becomes
unresponsive and pulseless. The nurse’s first action should be
to:
A. Call a code blue.
B. Begin chest compressions.
C. Check the patient’s blood pressure.
D. Increase the oxygen flow rate.
