Prophecy- Core Mandatory (Nursing) Exam 2022.
What type of support would you place to alleviate pressure on the brachial plexus nerve when a
patient is in a side-lying position
Correct Answer- Axillary Roll
You are the circulating nurse confirming consent with a patient scheduled for an exploratory
laparotomy with colostomy. The patient states they do not want a colostomy. What should you
do?
Correct Answer- Do not take the patient to the operating room and consult the surgeon
immediately
What equipment is most important for a patient undergoing an emergency trauma surgery who
declines a donated blood transfusion
Correct Answer- Cell Saver
You have been asked to take a specimen from an OR during a bronchoscopy and immediately
take it to the lab. What must you do first
Correct Answer- Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op interview with your patient. Which of
the following assessment findings would support this suspicion
Correct Answer- nasal irritation and frequent sniffing, needle tracks on arms, and burns on
fingers and lips
After applying an alcohol-based skin preparations for a laser procedure, what should you do next
Correct Answer- assess for pooling or moisture from the prep
What medication should be administered to a patient who has received moderate sedation with
midazolam who has unexpected respiratory depression
Correct Answer- romazicon (flumazenil)
After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a
temperature increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you
should do
Correct Answer- Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile field
Correct Answer- 12 inches
, You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the
back table Correct Answer- malleable
Which of the following medications is contraindicated for a patient with a family history of
malignant hyperthermia
Correct Answer- Quelicin (succinylcholine)
You are caring for a patient who is infected with Methicillin- Resistant Staphylococcus Aureus
(MRSA). What infection control practice must you implement after transferring the patient
Correct Answer- Clean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing. What
should you do?
Correct Answer- Remove and replace the major tray
As a circulator, where do you stand during induction
Correct Answer- at the head of the bed
You are the perioperative nurse who is doing the preoperative skin preparation on a clean
abdominal case. Where should you start the skin preparation
Correct Answer- site of incision and move to the periphery
A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous
oxide, and oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m.
Soon the patient's end tital carbon dioxide concentration was increased from 35 to 65 mmHg.
Also, the patient's oral temperature increased to 38.9 within 5 minutes after induction. What is
the patient experiencing
Correct Answer- Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side
Correct Answer- From the left side open the drape over the patient
Shake the drape open as your assistant places the drape
Reach over the patient to place the drape
Walk around the operating room table
What is the safest location for sharps during a surgical procedure
Correct Answer- in knife holder/needle board on back table
You review the patient's chart and discover that the patient has an allergy to penicillin. What
medication order should you be worried about
Correct Answer- Ancef
What type of support would you place to alleviate pressure on the brachial plexus nerve when a
patient is in a side-lying position
Correct Answer- Axillary Roll
You are the circulating nurse confirming consent with a patient scheduled for an exploratory
laparotomy with colostomy. The patient states they do not want a colostomy. What should you
do?
Correct Answer- Do not take the patient to the operating room and consult the surgeon
immediately
What equipment is most important for a patient undergoing an emergency trauma surgery who
declines a donated blood transfusion
Correct Answer- Cell Saver
You have been asked to take a specimen from an OR during a bronchoscopy and immediately
take it to the lab. What must you do first
Correct Answer- Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op interview with your patient. Which of
the following assessment findings would support this suspicion
Correct Answer- nasal irritation and frequent sniffing, needle tracks on arms, and burns on
fingers and lips
After applying an alcohol-based skin preparations for a laser procedure, what should you do next
Correct Answer- assess for pooling or moisture from the prep
What medication should be administered to a patient who has received moderate sedation with
midazolam who has unexpected respiratory depression
Correct Answer- romazicon (flumazenil)
After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a
temperature increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you
should do
Correct Answer- Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile field
Correct Answer- 12 inches
, You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the
back table Correct Answer- malleable
Which of the following medications is contraindicated for a patient with a family history of
malignant hyperthermia
Correct Answer- Quelicin (succinylcholine)
You are caring for a patient who is infected with Methicillin- Resistant Staphylococcus Aureus
(MRSA). What infection control practice must you implement after transferring the patient
Correct Answer- Clean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing. What
should you do?
Correct Answer- Remove and replace the major tray
As a circulator, where do you stand during induction
Correct Answer- at the head of the bed
You are the perioperative nurse who is doing the preoperative skin preparation on a clean
abdominal case. Where should you start the skin preparation
Correct Answer- site of incision and move to the periphery
A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous
oxide, and oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m.
Soon the patient's end tital carbon dioxide concentration was increased from 35 to 65 mmHg.
Also, the patient's oral temperature increased to 38.9 within 5 minutes after induction. What is
the patient experiencing
Correct Answer- Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side
Correct Answer- From the left side open the drape over the patient
Shake the drape open as your assistant places the drape
Reach over the patient to place the drape
Walk around the operating room table
What is the safest location for sharps during a surgical procedure
Correct Answer- in knife holder/needle board on back table
You review the patient's chart and discover that the patient has an allergy to penicillin. What
medication order should you be worried about
Correct Answer- Ancef
