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1. For a patient with a history of serum cholinesterase deficiency, which of the following
anesthetic agents should be avoided?
A. Succinylcholine
B. Atracurium
C. Desflurane
D. Nitrous Oxide - Correct Answer: A. Succinylcholine
2. Patients with a possible injuring within the cranium should not be placed in a
________________ position.
A. Trendelenburg
B. Reverse Trendelenburg
C. Prone
D. Supine - Correct Answer: A. Trendelenburg
3. A potential complication of epidural anesthesia caused by a/an
_____________________ is complete paralysis requiring intubation and systemic
support until the block is resolved.
A. knowledge deficit of the provider
B. subarachnoid injection
C. inadvertent dural puncture
D. vascular injection - Correct Answer: B. subarachnoid injection
,4. When stocking medication in the perioperative suite, it is important to stock single-dose
vials instead of multi-dose vials whenever possible because...
A. the preference card is easier to maintain
B. there is less risk of using a contaminated medication
C. it is a cost-saving measure
D. the pharmacy prefers single dose vials - Correct Answer: B. there is less risk
of using a contaminated medication
5. When transporting instruments after a procedure, the _________________ require that
the instruments are put in a closed container of closed cart.
A. OSHA regulations
B. CDC Guidelines
C. AORN Guidelines for Perioperative Practice
D. TJC regulations - Correct Answer: A. OSHA regulations
6. As part of the nursing process, a postoperative follow-up phone call should be made 24
to 48 hours after discharge. During the call the nurse is able to assess the achievement
of...
A. patient comfort
B. expected outcomes
C. patient satisfaction
D. surgical success - Correct Answer: B. expected outcomes
7. Techniques used to enhance effective communication with patients who have impaired
communication due to stroke include decreasing environmental stimuli, presenting one
idea at a time, treated the patient as an adult, and...
A. assisting by trying to complete the statements
B. asking simple questions
C. avoiding physical contact
D. using open-ended questions - Correct Answer: B. asking simple questions
8. In the absence of a sterile transfer device when dispensing medication to the sterile
field, the best option is to...
A. have the scrub person draw up the medication in a syringe
, B. ask the educator for direction
C. have the RN circulator draw up the medication in a syringe and transfer
D. use a bottle opener to remove the stopper and pour - Correct Answer: C.
have the RN circulator draw up the medication in a syringe and transfer
9. Utilization and documentation of the nursing process when transferring care of the
perioperative patient demonstrate use of...
A. electronic medical record keeping
B. technical skills
C. critical thinking skills
D. clinical skills - Correct Answer: C. critical thinking skills
10. The primary goal for moderate sedation/analgesia is for the patient to exhibit a
depressed level of consciousness while...
A. being unresponsive to verbal commands
B. scoring pain at 0/10 on a numeric pain score
C. maintaining a patient airway with assistance
D. being aroused with tactile stimulation - Correct Answer: D. being aroused
with tactile simulation
11. During patient handoffs, providing the postanesthesia care unit (PACU) nurse with the
amount and type of local anesthetic used for regional field block is an example of which
component of SBAR communication?
A. Situation
B. Background
C. Assessment
D. Recommendation - Correct Answer: C. Assessment
12. Which of the following housekeeping duties must be completed prior to the first case of
the day?
A. mop floors prior to opening any suppliers
B. Dry-dust the overhead operating lights, articulated arms, furniture, flat surfaces,
and all portable and mounted equipment
, C. Damp-dust the overhead operating lights, articulated arms, furniture, flat
surfaces, and all portable and mounted equipment
D. Arrange all unnecessary equipment to ensure it is out of the traffic pattern -
Correct Answer: C. Damp-dust the overhead operating lights, articulated arms,
furniture, flat surfaces, and all portable and mounted equipment
13. The normal hematocrit for a patient aged 10 years ranges from...
A. 34% to 40%
B. 42% to 48%
C. 40% to 44%
D. 28% to 33% - Correct Answer: A. 34% to 40%
14. A child is at risk of blunt intestinal trauma from...
A. a seatbelt in a motor vehicle accident
B. falling into a pool
C. wrestling
D. getting hit with a baseball - Correct Answer: A. a seatbelt in a motor vehicle
accident
15. The FDA requires manufacturers to track implants throughout the chain of distribution
from the purchaser to the...
A. implanting physician
B. explanting physicians
C. patients
D. materials managers - Correct Answer: C. patients
16. Passive drains like a Penrose provide...
A. continuous drainage
B. drainage independent of the effect of gravity
C. drainage based on pressure differential
D. a path of resistance from inside a cavity to outside the body - Correct
Answer: C. drainage based on pressure differential