NURS 356 2026 EXAM Q&A GUIDE
GRADED A+
⚫According to the universal protocol for preventing wrong site, wrong
procedure and wrong person surgery, what is an acceptable method to
identify a pt?
a. Their room number
b. Pt's name by reviewing consent
c. Ask pt to state name and date of birth
d. Pt's armband for MRN and social. Answer: C
⚫What is the best way to conduct a time out?
a. Perform it in the pre procedure area if all team members are present
b. Perform when the pt enters the room so he can participate
c. The circulating RN leads the time out and documents it on the count
board with in the OR for all to agree
d. It occurs after the pt is prepped and draped, and involves the entire
team. Answer: D
⚫In planning and provision for safer pt care r/t the prevention of positioning
injury, the RN should
a. Depend on the pt's natural defense mechanisms to indicate the need for
positioning alterations
b. Rely on the surgeon and anesthesia assessments to guide positioning
c. Use a consistent method of procedure specific positioning for each pt
d. Use additional precautions as appropriate based on unique pt
considerations. Answer: D
⚫What physiological effect is most likely to result from positioning a pt in
the Otho to my position?
a. Hip dislocation
b. Venous pooling in the legs
C. Damage to brachial nerve
d. Severe hypertension. Answer: A
⚫What is an important consideration r/t transferring a pt who has received
general anesthesia from the OR bed today gurney for transport to PACU?
a. One staff member should routinely be available for pt transfers
, b. Transfer with a minimum of 4 staff members in attendance
c. Pre medicate the pt to make them less anxious during transport
d. Wait until the pt it's fully awake and able to transfer himself. Answer: B
⚫An area of painful skin that is abraded blistered or has shallow craters
would be classified as which stage ulcer?
a. I
b. II
c. III
D. IV. Answer: B
⚫one of the physiological effects of the trendelenburg position is
a. Decreased diaphragmatic movement
b. Even distribution of lung ventilation
c. Increased cardiac output
d. Venous pooling in the lower legs. Answer: A
⚫Which statement correctly describes recommendations for preoperative
pt skin antisepsis?
a. In determining the area to be prepped, expose the smallest area
possible to protect the pt's privacy
b. Prep dirty areas before clean areas
c. Remove hair with a razor
d. The prep should start at the site of the incision and move outwards.
Answer: D
⚫CHG is recommended for
a. The auditory canal
b. The scalp
c. Vaginal preps
d. Topical application. Answer: D
⚫Which of the following is not a goal of the surgical prep?
a. Removal of soil and transient microbes
b. Reduction of resident microbes below a pathogenic level
c. The promotion of rapid rebound growth of microorganisms
d. All options are correct. Answer: C
⚫Antimicrobial agents used for the surgical skin prep need to be fast
acting with a broad spectrum in order to be effective against a wide range
GRADED A+
⚫According to the universal protocol for preventing wrong site, wrong
procedure and wrong person surgery, what is an acceptable method to
identify a pt?
a. Their room number
b. Pt's name by reviewing consent
c. Ask pt to state name and date of birth
d. Pt's armband for MRN and social. Answer: C
⚫What is the best way to conduct a time out?
a. Perform it in the pre procedure area if all team members are present
b. Perform when the pt enters the room so he can participate
c. The circulating RN leads the time out and documents it on the count
board with in the OR for all to agree
d. It occurs after the pt is prepped and draped, and involves the entire
team. Answer: D
⚫In planning and provision for safer pt care r/t the prevention of positioning
injury, the RN should
a. Depend on the pt's natural defense mechanisms to indicate the need for
positioning alterations
b. Rely on the surgeon and anesthesia assessments to guide positioning
c. Use a consistent method of procedure specific positioning for each pt
d. Use additional precautions as appropriate based on unique pt
considerations. Answer: D
⚫What physiological effect is most likely to result from positioning a pt in
the Otho to my position?
a. Hip dislocation
b. Venous pooling in the legs
C. Damage to brachial nerve
d. Severe hypertension. Answer: A
⚫What is an important consideration r/t transferring a pt who has received
general anesthesia from the OR bed today gurney for transport to PACU?
a. One staff member should routinely be available for pt transfers
, b. Transfer with a minimum of 4 staff members in attendance
c. Pre medicate the pt to make them less anxious during transport
d. Wait until the pt it's fully awake and able to transfer himself. Answer: B
⚫An area of painful skin that is abraded blistered or has shallow craters
would be classified as which stage ulcer?
a. I
b. II
c. III
D. IV. Answer: B
⚫one of the physiological effects of the trendelenburg position is
a. Decreased diaphragmatic movement
b. Even distribution of lung ventilation
c. Increased cardiac output
d. Venous pooling in the lower legs. Answer: A
⚫Which statement correctly describes recommendations for preoperative
pt skin antisepsis?
a. In determining the area to be prepped, expose the smallest area
possible to protect the pt's privacy
b. Prep dirty areas before clean areas
c. Remove hair with a razor
d. The prep should start at the site of the incision and move outwards.
Answer: D
⚫CHG is recommended for
a. The auditory canal
b. The scalp
c. Vaginal preps
d. Topical application. Answer: D
⚫Which of the following is not a goal of the surgical prep?
a. Removal of soil and transient microbes
b. Reduction of resident microbes below a pathogenic level
c. The promotion of rapid rebound growth of microorganisms
d. All options are correct. Answer: C
⚫Antimicrobial agents used for the surgical skin prep need to be fast
acting with a broad spectrum in order to be effective against a wide range
