Prophecy OR Questions and Answers
2024
What type of support would you place to alleviate pressure on the brachial plexus nerve
when a patient is in a side-lying position - answerAxillary 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? - answerDo 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 - answerCell 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 - answerConfirm 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 - answernasal
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 - answerassess 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 -
answerromazicon (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 - answerStop the transfusion and notify the
surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile
field - answer12 inches
, You are preparing a patient for a laparotomy. What instrument do you anticipate seeing
on the back table - answermalleable
Which of the following medications is contraindicated for a patient with a family history
of malignant hyperthermia - answerQuelicin (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 - answerClean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing.
What should you do? - answerRemove and replace the major tray
As a circulator, where do you stand during induction - answerat 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 - answersite 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 - answerMalignant
Hyperthermia
After draping the left side of the patient, how should you drape the right side -
answerFrom 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 - answerin 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 - answerAncef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first
action - answerApply positive pressure ventilation
When should a surgical "Time Out" be performed - answerWhen all team members are
in the room, the patient is prepped and draped and prior to initial incision
2024
What type of support would you place to alleviate pressure on the brachial plexus nerve
when a patient is in a side-lying position - answerAxillary 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? - answerDo 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 - answerCell 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 - answerConfirm 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 - answernasal
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 - answerassess 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 -
answerromazicon (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 - answerStop the transfusion and notify the
surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile
field - answer12 inches
, You are preparing a patient for a laparotomy. What instrument do you anticipate seeing
on the back table - answermalleable
Which of the following medications is contraindicated for a patient with a family history
of malignant hyperthermia - answerQuelicin (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 - answerClean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing.
What should you do? - answerRemove and replace the major tray
As a circulator, where do you stand during induction - answerat 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 - answersite 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 - answerMalignant
Hyperthermia
After draping the left side of the patient, how should you drape the right side -
answerFrom 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 - answerin 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 - answerAncef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first
action - answerApply positive pressure ventilation
When should a surgical "Time Out" be performed - answerWhen all team members are
in the room, the patient is prepped and draped and prior to initial incision
