Intraoperative - Practice Question
Nursing med surg (College of Southern Nevada)
Chapter 15: Care of Intraoperative
Patients Medical-Surgical Nursing,
8th Edition, Ignatavicius MULTIPLE
CHOICE
1. The circulating nurse is plugging in a piece of equipment and notes
that the cord is frayed. What action by the nurse is best?
a. Call maintenance for repair.
b. Check the machine before using.
c. Get another piece of equipment.
d. Notify the charge
nurse. ANS: C
The circulating nurse is responsible for client safety. If an electrical cord
is frayed, the risk of fire or sparking increases. The nurse should obtain a
replacement. The nurse should also tag the original equipment for repair
as per agency policy. Checking the equipment is not important as
the nurse should not even attempt to use it. Calling maintenance or
,requesting maintenance per facility protocol is important, but first
ensure client safety by having a properly working piece of equipment
for the procedure about to take place. The charge nurse probably does
need to know of the need for equipment repair, but ensuring client
safety is the priority. REF: 239
2. The circulating nurse and preoperative nurse are reviewing the chart
of a client scheduled for minimally invasive surgery (MIS). What
information on the chart needs to be reported to the surgeon as a
priority?
a. Allergies noted and allergy band on
b. Consent for MIS procedure only
c. No prior anesthesia exposure
d. NPO status for the last
8 hours ANS: B
All MIS procedures have the potential for becoming open procedures
depending on findings and complications. The client’s consent should
include this possibility. The nurse should report this finding to the
surgeon prior to surgery taking place. Having allergies noted and an
allergy band applied is standard procedure. Not having any prior
, surgical or anesthesia exposure is not the priority. Maintaining NPO
status as prescribed is standard procedure. REF: 250
3. A client is having robotic surgery. The circulating nurse observes the
instruments being inserted, then the surgeon appears to “break scrub”
when going to the console and sitting down. What action by the nurse
is best?
a. Call a “time-out” to discuss sterile procedure and scrub technique.
b. Document the time the robotic portion of the procedure begins.
c. Inform the surgeon that the scrub preparation has been compromised.
d. Report the surgeon’s actions to the charge nurse
and unit manager. ANS: B
Nursing med surg (College of Southern Nevada)
Chapter 15: Care of Intraoperative
Patients Medical-Surgical Nursing,
8th Edition, Ignatavicius MULTIPLE
CHOICE
1. The circulating nurse is plugging in a piece of equipment and notes
that the cord is frayed. What action by the nurse is best?
a. Call maintenance for repair.
b. Check the machine before using.
c. Get another piece of equipment.
d. Notify the charge
nurse. ANS: C
The circulating nurse is responsible for client safety. If an electrical cord
is frayed, the risk of fire or sparking increases. The nurse should obtain a
replacement. The nurse should also tag the original equipment for repair
as per agency policy. Checking the equipment is not important as
the nurse should not even attempt to use it. Calling maintenance or
,requesting maintenance per facility protocol is important, but first
ensure client safety by having a properly working piece of equipment
for the procedure about to take place. The charge nurse probably does
need to know of the need for equipment repair, but ensuring client
safety is the priority. REF: 239
2. The circulating nurse and preoperative nurse are reviewing the chart
of a client scheduled for minimally invasive surgery (MIS). What
information on the chart needs to be reported to the surgeon as a
priority?
a. Allergies noted and allergy band on
b. Consent for MIS procedure only
c. No prior anesthesia exposure
d. NPO status for the last
8 hours ANS: B
All MIS procedures have the potential for becoming open procedures
depending on findings and complications. The client’s consent should
include this possibility. The nurse should report this finding to the
surgeon prior to surgery taking place. Having allergies noted and an
allergy band applied is standard procedure. Not having any prior
, surgical or anesthesia exposure is not the priority. Maintaining NPO
status as prescribed is standard procedure. REF: 250
3. A client is having robotic surgery. The circulating nurse observes the
instruments being inserted, then the surgeon appears to “break scrub”
when going to the console and sitting down. What action by the nurse
is best?
a. Call a “time-out” to discuss sterile procedure and scrub technique.
b. Document the time the robotic portion of the procedure begins.
c. Inform the surgeon that the scrub preparation has been compromised.
d. Report the surgeon’s actions to the charge nurse
and unit manager. ANS: B
