RN A v2: 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 ans: 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? ans: 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 ans: 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 ans: 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 ans: 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 ans:
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 ans: 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
ans: Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile field ans: 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back
table ans: malleable
Which of the following medications is contraindicated for a patient with a family history of malignant
hyperthermia ans: 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 ans: Clean and
disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing. What should you
do? ans: Remove and replace the major tray
As a circulator, where do you stand during induction ans: 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 ans: 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
ans: Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side ans: 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 ans: 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 ans: Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first action ans:
Apply positive pressure ventilation
When should a surgical "Time Out" be performed ans: When all team members are in the room, the
patient is prepped and draped and prior to initial incision
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of transmission based
precaution is needed ans: Airborne
The scrub tech is preparing to count for a laparoscopic cholecystectomy and notices that the lap sponges
on the back table have no visible x-ray detectable strip. What should the circulator do ans: Remove the
lap sponges from the OR and open a new package of sponges
In the preoperative holding area, the patient's preoperative lab values are K+2.9, Hgb 14.3, Hct 42.0 and
glucose 89. What should you do? ans: Notify Anesthesia provider
A patient is scheduled to have a total knee arthroplasty. What lab value should you be most concerned
about and need to inform the surgeon? ans: WBC 12.5 K/UL
What type of medication might be used during ophthalmic surgery for severe allergic condition ans:
Corticosteroids
When prepping a patient for general surgery with laparoscopy, in what order should you drape them?
ans: Lap sheet, sterile towels, impervious drape
impervious drape, sterile towel, lap sheet
sterile towel, impervious drape, lap sheet
***impervious drape, lap sheet, sterile towel***wrong
What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient
is in a side-lying position ans: 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? ans: 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 ans: 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 ans: 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 ans: 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 ans:
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 ans: 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
ans: Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile field ans: 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back
table ans: malleable
Which of the following medications is contraindicated for a patient with a family history of malignant
hyperthermia ans: 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 ans: Clean and
disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing. What should you
do? ans: Remove and replace the major tray
As a circulator, where do you stand during induction ans: 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 ans: 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
ans: Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side ans: 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 ans: 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 ans: Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first action ans:
Apply positive pressure ventilation
When should a surgical "Time Out" be performed ans: When all team members are in the room, the
patient is prepped and draped and prior to initial incision
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of transmission based
precaution is needed ans: Airborne
The scrub tech is preparing to count for a laparoscopic cholecystectomy and notices that the lap sponges
on the back table have no visible x-ray detectable strip. What should the circulator do ans: Remove the
lap sponges from the OR and open a new package of sponges
In the preoperative holding area, the patient's preoperative lab values are K+2.9, Hgb 14.3, Hct 42.0 and
glucose 89. What should you do? ans: Notify Anesthesia provider
A patient is scheduled to have a total knee arthroplasty. What lab value should you be most concerned
about and need to inform the surgeon? ans: WBC 12.5 K/UL
What type of medication might be used during ophthalmic surgery for severe allergic condition ans:
Corticosteroids
When prepping a patient for general surgery with laparoscopy, in what order should you drape them?
ans: Lap sheet, sterile towels, impervious drape
impervious drape, sterile towel, lap sheet
sterile towel, impervious drape, lap sheet
***impervious drape, lap sheet, sterile towel***wrong
