NSG 444 2026 UPDATED EXAM Q&A
GRADED A+
⚫When documenting the use of a pneumatic tourniquet which items may
not be included?
a. Cuff pressure
b. Location where the cuff is placed
C. Name of person who applied cuff
d. Name of person who inflated the cuff
e. Serial number of the unit. Answer: D
⚫The regulatory agency responsible for surveying facilities compliance
with the universal protocol is
a. Institute of medicine
b. TJC
c. National quality forum
d. OSHA. Answer: B
⚫Pt undergoing lap choly, anesthesia notices elevated end tidal CO2.
What immediate action should the nurse take to treat this suspected MH?
a. Call for the MH cart and dantrolene
b. Initiate cooling measures
c. Administer sodium bicarbonate
d. Change the soda lime canister. Answer: A
⚫A precise way of looking at general anesthesia is to divide it into 3
phases
a. Initial admin, maintenance, excitement
b. Initial admin, maintenance, emergence
C. Induction, maintenance, emergence. Answer: C.
⚫During a rapid sequence induction, the periop nurse can assist by
applying
a. 100% oxygen via face mask
b. Cricoid pressure until anesthesia asks to have pressure released
c. Warm blankets to maintain normothermia. Answer: B
⚫During intubation, the pt has chest movement but no air exchange. The
periop nurse's first priority is to
,a. Prepare for re intubation
b. Assure that suction is available
c. Provide racemic epi
D. Provide positive pressure ventilation. Answer: B
⚫In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?
a. Cool pt, restart succinylcholine at lower doses
b. Provide 100% oxygen, use iced saline to cool pt
c. Replace potassium loss, continue with safe anesthetic agents
d. Avoid pt shivering, contact blood bank for platelets. Answer: B
⚫Which is not a local anesthetic drug used for regional?
a. Bupivicaine
b. Lidocaine
c. Fentanyl
d. Tetracaine. Answer: C
⚫Which of the following drugs should be available to treat MH crisis?
A, diazepam
b. Meperidine
c. Dantrolene
d. Sodium bicarbonate. Answer: C
⚫Which professionals are qualified to provide anesthesia care to the pt?
(Hint more than one)
a. Anesthesiologist
b. CRNA
c. Anesthesiologist assistant
d. The operating surgeon. Answer: A, b, c
⚫Fentanyl can be reversed with which fo the following?
a. Neostigmine
b. Sugammadex
c. Naloxone
d. Flumazenil. Answer: C
⚫Every member of the healthcare team has a role to play in cost
containment. Which of the following is an example of how the perioperative
RN can participate in cost containment in the OR?
a) Ask the surgeon to use a less expensive implant
, b) Begin cleaning the OR for the next case before the patient leaves the
room
c) Open all supplies listed on preference card, including "available"
supplies
d) Verify with surgeon before opening suture. Answer: d
⚫An RN who attends continuing nursing education and has verified skills,
knowledge, and attitudes about perioperative nursing is demonstrating
accountability in his/her:
a) Certification requirements for professional achievement in perioperative
nursing
b) Collaboration among team members
c) Professional growth and maintenance of competency
d) Verification of nursing knowledge. Answer: c
⚫Which of the following statements is TRUE concerning use of the AORN
Guidelines for Perioperative Practice?
a) Both medical and nursing licensing boards require health care
institutions to comply with the AORN guidelines
b) The AORN Guidelines legally supersede departmental and institutional
policies
c) The AORN Guidelines reflect scientific evidence of how nurses actually
practice in perioperative settings
d) Work setting and situation variations may determine the extent to which
AORN Guidelines can be applied. Answer: d
⚫What legal standard does the professional nurse need to meet when
providing care?
a) Reasonably prudent care
b) certification standard
c) Reasonably responsible standard
d) There is no legal standard. Answer: a
⚫a professional practice model includes personal accountability and
ethical decision making. Which of the following is not part of personal
accountability?
a) Responsibility to self, patients, and peers
b) Make decisions and accept consequences when necessary
c) Accept performance input from direct and upper level management only
d) Maintain professional engagement. Answer: c
GRADED A+
⚫When documenting the use of a pneumatic tourniquet which items may
not be included?
a. Cuff pressure
b. Location where the cuff is placed
C. Name of person who applied cuff
d. Name of person who inflated the cuff
e. Serial number of the unit. Answer: D
⚫The regulatory agency responsible for surveying facilities compliance
with the universal protocol is
a. Institute of medicine
b. TJC
c. National quality forum
d. OSHA. Answer: B
⚫Pt undergoing lap choly, anesthesia notices elevated end tidal CO2.
What immediate action should the nurse take to treat this suspected MH?
a. Call for the MH cart and dantrolene
b. Initiate cooling measures
c. Administer sodium bicarbonate
d. Change the soda lime canister. Answer: A
⚫A precise way of looking at general anesthesia is to divide it into 3
phases
a. Initial admin, maintenance, excitement
b. Initial admin, maintenance, emergence
C. Induction, maintenance, emergence. Answer: C.
⚫During a rapid sequence induction, the periop nurse can assist by
applying
a. 100% oxygen via face mask
b. Cricoid pressure until anesthesia asks to have pressure released
c. Warm blankets to maintain normothermia. Answer: B
⚫During intubation, the pt has chest movement but no air exchange. The
periop nurse's first priority is to
,a. Prepare for re intubation
b. Assure that suction is available
c. Provide racemic epi
D. Provide positive pressure ventilation. Answer: B
⚫In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?
a. Cool pt, restart succinylcholine at lower doses
b. Provide 100% oxygen, use iced saline to cool pt
c. Replace potassium loss, continue with safe anesthetic agents
d. Avoid pt shivering, contact blood bank for platelets. Answer: B
⚫Which is not a local anesthetic drug used for regional?
a. Bupivicaine
b. Lidocaine
c. Fentanyl
d. Tetracaine. Answer: C
⚫Which of the following drugs should be available to treat MH crisis?
A, diazepam
b. Meperidine
c. Dantrolene
d. Sodium bicarbonate. Answer: C
⚫Which professionals are qualified to provide anesthesia care to the pt?
(Hint more than one)
a. Anesthesiologist
b. CRNA
c. Anesthesiologist assistant
d. The operating surgeon. Answer: A, b, c
⚫Fentanyl can be reversed with which fo the following?
a. Neostigmine
b. Sugammadex
c. Naloxone
d. Flumazenil. Answer: C
⚫Every member of the healthcare team has a role to play in cost
containment. Which of the following is an example of how the perioperative
RN can participate in cost containment in the OR?
a) Ask the surgeon to use a less expensive implant
, b) Begin cleaning the OR for the next case before the patient leaves the
room
c) Open all supplies listed on preference card, including "available"
supplies
d) Verify with surgeon before opening suture. Answer: d
⚫An RN who attends continuing nursing education and has verified skills,
knowledge, and attitudes about perioperative nursing is demonstrating
accountability in his/her:
a) Certification requirements for professional achievement in perioperative
nursing
b) Collaboration among team members
c) Professional growth and maintenance of competency
d) Verification of nursing knowledge. Answer: c
⚫Which of the following statements is TRUE concerning use of the AORN
Guidelines for Perioperative Practice?
a) Both medical and nursing licensing boards require health care
institutions to comply with the AORN guidelines
b) The AORN Guidelines legally supersede departmental and institutional
policies
c) The AORN Guidelines reflect scientific evidence of how nurses actually
practice in perioperative settings
d) Work setting and situation variations may determine the extent to which
AORN Guidelines can be applied. Answer: d
⚫What legal standard does the professional nurse need to meet when
providing care?
a) Reasonably prudent care
b) certification standard
c) Reasonably responsible standard
d) There is no legal standard. Answer: a
⚫a professional practice model includes personal accountability and
ethical decision making. Which of the following is not part of personal
accountability?
a) Responsibility to self, patients, and peers
b) Make decisions and accept consequences when necessary
c) Accept performance input from direct and upper level management only
d) Maintain professional engagement. Answer: c
