NURS 356 2026 PRACTICE EXAM Q&A
GRADED A+
⚫Positioning the patient has critical safety implications. What must the RN
circulator and periop team do to ensure that the pt does not suffer an injury
or permanent damage?
a. Use positioning devices that are sized for all pt types
b. Positions the geriatric pt according to the preference card
c. Repositions extremities when possible during long surgeries
d. Places arms on a non padded arm boards to reduce pt profile. Answer:
C
⚫63 yr old female pt who has just had a total knee. The RN circulator and
anesthesia provider transport her to the PACU. Which of the following is
included in the hand off communication to the PACU RN?
A. Estimated blood loss
b. Urine output
c. Pt's family/support group info
d. All of the above. Answer: D
⚫EMI can be harmful to the pt with an implantable electronic device. What
does EMI mean?
a. Electromagnetic interference
b. Equated monthly installment
c. Electromagnetic induction. Answer: 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
GRADED A+
⚫Positioning the patient has critical safety implications. What must the RN
circulator and periop team do to ensure that the pt does not suffer an injury
or permanent damage?
a. Use positioning devices that are sized for all pt types
b. Positions the geriatric pt according to the preference card
c. Repositions extremities when possible during long surgeries
d. Places arms on a non padded arm boards to reduce pt profile. Answer:
C
⚫63 yr old female pt who has just had a total knee. The RN circulator and
anesthesia provider transport her to the PACU. Which of the following is
included in the hand off communication to the PACU RN?
A. Estimated blood loss
b. Urine output
c. Pt's family/support group info
d. All of the above. Answer: D
⚫EMI can be harmful to the pt with an implantable electronic device. What
does EMI mean?
a. Electromagnetic interference
b. Equated monthly installment
c. Electromagnetic induction. Answer: 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
