Prophecy OR
What type of support would you place to alleviate pressure on the brachial plexus nerve
when a patient is in a side-lying position - 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? - 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 - 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 - 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 - 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 - 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 - 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 - Answer Stop the transfusion and notify the
surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile
field - Answer 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing
on the back table - Answer malleable
Which of the following medications is contraindicated for a patient with a family history
of malignant hyperthermia - 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 - 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? - Answer Remove and replace the major tray
, Prophecy OR
As a circulator, where do you stand during induction - 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 - 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 - Answer Malignant
Hyperthermia
After draping the left side of the patient, how should you drape the right side - 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 - 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 - Answer Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first
action - Answer Apply positive pressure ventilation
When should a surgical "Time Out" be performed - Answer 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 - Answer 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 - Answer 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? - Answer 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? - Answer WBC 12.5 K/UL
What type of support would you place to alleviate pressure on the brachial plexus nerve
when a patient is in a side-lying position - 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? - 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 - 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 - 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 - 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 - 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 - 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 - Answer Stop the transfusion and notify the
surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile
field - Answer 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing
on the back table - Answer malleable
Which of the following medications is contraindicated for a patient with a family history
of malignant hyperthermia - 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 - 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? - Answer Remove and replace the major tray
, Prophecy OR
As a circulator, where do you stand during induction - 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 - 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 - Answer Malignant
Hyperthermia
After draping the left side of the patient, how should you drape the right side - 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 - 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 - Answer Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first
action - Answer Apply positive pressure ventilation
When should a surgical "Time Out" be performed - Answer 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 - Answer 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 - Answer 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? - Answer 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? - Answer WBC 12.5 K/UL
