NURS 240 2026 EXAM Q&A GUIDE
GRADED A+
⚫One potential source for injury while positioning a pt are shearing forces.
Shearing forces result when
a. 2 surfaces rub against each other
b. Tissue is exposed to excess moisture during surgery
c. Heat and moisture combine with excessive pressure
d. The folding of underlying tissue when the skeletal structure moves and
the skin remains stationary. Answer: D
⚫When positioning a pt's arm on an arm board, it is important to prevent
abduction of the arm at an angle greater than _____ degrees to prevent
injury to the _______
a. 60, ulnar nerve
b. 90, brachial plexus
c. 90, perineal nerve
d. 45, brachial plexus. Answer: B
⚫Pt with history of multiple surgeries which required urinary catheter
insertions is scheduled as second case the next day. The RN circulator
notifies the charge nurse of a latex allergy. What immediate action will the
surgeon do in light of this info?
a. Reschedule pt as the first case the following day
b. Wear latex indicator gloves beneath latex free gloves
c. Does a complete latex work up
D. Invite med students into the room for experience. Answer: A
⚫How many identifiers should be used to verify the correct pt, site, and
procedure?
a. 1
b. 2
c. 3
d. 4. Answer: B
, ⚫While a scalpel blade is being changed during a hemicolectomy, the
blade snaps into several pieces. The scrub nurse is unable to find a small
piece of the blade. Which statement regarding counts is true?
a. The count is considered correct because the blade broke on the back
table
b. The count is considered incorrect unless the entire blade is found
c. The count is considered correct after the room and sterile field is
searched
d. The count is considered incorrect even if the entire blade is found.
Answer: B
⚫Strategies to prevent retained surgical items include: selects all that
apply
a. The surgeon suspending wound closure when there are unaccounted
items
b. Performing an additional count when requested by the scrub
c. The anesthesia provider usin counted items only when this is
communicated to the circ
d. Using a standardized approach for each count. Answer: A, b, d
⚫When transferring a pt to the surgical suite, the staff member should
never
a. Push the gurney head first down the hallway
B. Identify the pt
c. Verify the preoperative order have been followed
d. Gain assistance to transfer the pt from the bed to gurney. Answer: A
⚫TJC Universal protocol consists of (select all)
a. Preoperative verification
b. Surgical site marking
c. Time out
d. Transfer debriefing. Answer: A, b, c
⚫Which type of human factor is responsible for an error that occurs when
a periop nurse is trying to attend to several tasks at once?
a. Device user error
b. Knowledge based
c. Situational
d. Skill based. Answer: C
GRADED A+
⚫One potential source for injury while positioning a pt are shearing forces.
Shearing forces result when
a. 2 surfaces rub against each other
b. Tissue is exposed to excess moisture during surgery
c. Heat and moisture combine with excessive pressure
d. The folding of underlying tissue when the skeletal structure moves and
the skin remains stationary. Answer: D
⚫When positioning a pt's arm on an arm board, it is important to prevent
abduction of the arm at an angle greater than _____ degrees to prevent
injury to the _______
a. 60, ulnar nerve
b. 90, brachial plexus
c. 90, perineal nerve
d. 45, brachial plexus. Answer: B
⚫Pt with history of multiple surgeries which required urinary catheter
insertions is scheduled as second case the next day. The RN circulator
notifies the charge nurse of a latex allergy. What immediate action will the
surgeon do in light of this info?
a. Reschedule pt as the first case the following day
b. Wear latex indicator gloves beneath latex free gloves
c. Does a complete latex work up
D. Invite med students into the room for experience. Answer: A
⚫How many identifiers should be used to verify the correct pt, site, and
procedure?
a. 1
b. 2
c. 3
d. 4. Answer: B
, ⚫While a scalpel blade is being changed during a hemicolectomy, the
blade snaps into several pieces. The scrub nurse is unable to find a small
piece of the blade. Which statement regarding counts is true?
a. The count is considered correct because the blade broke on the back
table
b. The count is considered incorrect unless the entire blade is found
c. The count is considered correct after the room and sterile field is
searched
d. The count is considered incorrect even if the entire blade is found.
Answer: B
⚫Strategies to prevent retained surgical items include: selects all that
apply
a. The surgeon suspending wound closure when there are unaccounted
items
b. Performing an additional count when requested by the scrub
c. The anesthesia provider usin counted items only when this is
communicated to the circ
d. Using a standardized approach for each count. Answer: A, b, d
⚫When transferring a pt to the surgical suite, the staff member should
never
a. Push the gurney head first down the hallway
B. Identify the pt
c. Verify the preoperative order have been followed
d. Gain assistance to transfer the pt from the bed to gurney. Answer: A
⚫TJC Universal protocol consists of (select all)
a. Preoperative verification
b. Surgical site marking
c. Time out
d. Transfer debriefing. Answer: A, b, c
⚫Which type of human factor is responsible for an error that occurs when
a periop nurse is trying to attend to several tasks at once?
a. Device user error
b. Knowledge based
c. Situational
d. Skill based. Answer: C
