Zander Practice Questions
A 26-year-old female is coming to surgery for an appendectomy. She is 7 months pregnant.
What position will this patient be placed for the procedure? - correct answer-left lateral
decubitas
The enlarged pregnant uterus can cause pressure on the vena cava decreasing venous
return. By placing the patient with the left side down the uterus will roll away from the vena
cava. This positioning is often a tilt rather than completely side lying position.
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is
functioning properly uses which kind of spore? - correct answer-Steam Sterilizers use the
Geobacillus Stearothermophilus. The only two spores used to test sterilization efficacy are
Geobacillus Stearothermophilus and Bacillus atropheus. The most common is the
Geobacillus which is used for all types of sterilization other than Ethylene Oxide and Dry
Heat.
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is
functioning properly uses which kind of spore? - correct answer-Steam Sterilizers use the
Geobacillus Stearothermophilus. The only two spores used to test sterilization efficacy are
Geobacillus Stearothermophilus and Bacillus atropheus. The most common is the
Geobacillus which is used for all types of sterilization other than Ethylene Oxide and Dry
Heat.
A disadvantage of hydrogen peroxide gas plasma sterilization is which of the following? -
correct answer-Long narrow lumens such as tubing may not be completely penetrated.
Hydrogen peroxide gas plasma sterilization is Sterrad. A limitation is long narrow channeled
devices like endoscopes. There are accessories to use with the machine to force sterilant
into the lumen that must be used for these devices according to manufacturer's instructions.
A patient with Creutzfeldt Jacob disease as just left the OR. How should the room be
cleaned? - correct answer-Surfaces should be cleaned with a detergent and then
decontaminated with a solution of either Sodium hypochlorite (bleach) or Sodium hydroxide
(Lye) depending on the surface compatibility. Ortho-Phthalaldehyde or Ethanol is used to
clean after Adenovirus.
A true latex allergy is classified as Type 1 allergic response. This is an allergy to what? -
correct answer-This is an allergy to water soluble natural rubber latex proteins. True latex
allergies are usually seen within minutes of contact with the proteins.
According to the AORN Guidelines, how should endoscopes be stored? - correct answer-In
the storage area inside a positive pressure drying cabinet
After surgery the patient is extubated in preparation for transfer to the recovery area. The
patient's respirations are stridorous. The patient is experiencing supraclavicular retractions.
What is the first action taken to correct the patient's condition? - correct answer-The first
,thing done for a partial spasm (patient still moving air) is to hyperextend the next, give 100%
O2 and suction the airway to remove the irritation. If it persists, positive pressure ventilation
and racemic epinephrine is given. Only in a complete spasm lasting longer than a full minute
would re-intubation be considered. An oral airway does not help since the obstruction is in
the larynx.
After the esophageal dilation the bougies used are cleaned. According to the Spaulding
Classification System what category would the bougies fall under? - correct answer-semi
critical - require high level disinfection
An 11-year-old having female trauma patient is having an emergent exploratory laparotomy.
The mother left to be with another injured child without signing consent for the 11-year-old.
How should the surgical team proceed? - correct answer-Because this is an emergent
procedure there is implied consent. A signed consent form is not required. There
An 8-year-old post spinal fusion patient is recovering in the pediatric PACU. He is snoring
with spontaneous respirations and has a nasal canula at 1.5 L. The patient has an epidural
bupivacaine drip and received Fentanyl for pain control. His O2 saturation is 95%. The
patient's arterial blood gas shows a pH of 7.34, a CO2 of 46 and an HCO3 of 26. The PACU
nurse's next action would be to? - correct answer-Give Narcan and reposition the patient's
head to elevate the chin and tilt the head back
The patient has a slight respiratory acidosis. He is snoring but breathing. We are not ready
for intubation, but he does need to breath faster to correct the respiratory acidosis. Narcan
(narcotic reversal agent) and repositioning are most appropriate.
Atropine is given to the patient just before induction in surgery. Atropine will help prevent
bradycardia during induction. In what other way does atropine benefit the surgical patient? -
correct answer-inhibits oral secretions
Albuterol or glycopyrrolate may be used to control secretions
Before case carts, supplies and equipment are brought to the OR, what should the
perioperative nurse do first? - correct answer-Dust is known to contain human skin and hair,
fabric fibers, pollens, mold, fungi, insect parts, glove powder and paper fibers among other
components. Damp dusting should be performed methodically from top to bottom first when
opening an OR suite for patient use.
Before case carts, supplies and equipment are brought to the OR, what should the
perioperative nurse do first? - correct answer-Dust is known to contain human skin and hair,
fabric fibers, pollens, mold, fungi, insect parts, glove powder and paper fibers among other
components. Damp dusting should be performed methodically from top to bottom first when
opening an OR suite for patient use.
Before transferring the patient to the OR for a femoropopliteal bypass what study should the
perioperative nurse have available? - correct answer-You'll need the angiogram + reports.
The surgeon will need to see where the narrowing of the artery is and where the most patent
part is so he or she can determine where to place the graft. If there is doubt about the
, patency of the popliteal artery or distal arterial tree, additional arteriograms might be
performed after the exploration of the popliteal artery during the procedure.
c-section incision? - correct answer-pfannestial
Care is taken prior to aeration when working with Ethylene Oxide Sterilizers Exposure to
Ethylene Oxide is limited to... - correct answer-Because EO is a known human carcinogen
exposure is limited to 1 ppm in an 8-hour period
does propofol contain egg albumin? - correct answer-no it does not contain egg albumin
During a bowel resection for malignancy the circulating nurse anticipates... - correct
answer-Instruments used for a bowel resection are kept separate from the rest of the sterile
back table. After wound irrigation the entire surgical team dons fresh gowns and gloves and
switches to the closure set up of clean instruments to prevent cross contamination of the
abdomen with bowel organisms
During a bowel resection for malignancy the circulating nurse anticipates... - correct
answer-Instruments used for a bowel resection are kept separate from the rest of the sterile
back table. After wound irrigation the entire surgical team dons fresh gowns and gloves and
switches to the closure set up of clean instruments to prevent cross contamination of the
abdomen with bowel organisms
During a carpal tunnel release the patient begins complaining of pain under the double
tourniquet. The patient has received a Beir Block for the procedure. What can the
perioperative nurse do to alleviate the patient's discomfort. - correct answer-The purpose of
Beir Block is pain control. The dual cuff allows you to put the pressure of the cuff on numbed
part of the arm. The peripheral anesthetic numbs the arm up to the proximal cuff. You can
inflate the distal on the numbed part of the arm then deflate the proximal. This maintains
occlusion of blood flow and provides comfort.
During bronchoscopy, which structure is visible? - correct answer-A bronchoscopy is direct
visualization of the tracheobronchial tree through a bronchoscope.
During the first couple of days after surgery the wound is red, edematous and tender as
phagocytosis occurs and the leukocytes increase in number. What phase of wound healing
is this? - correct answer-During the inflammatory phase an exudate containing blood, lymph,
and fibrin begins to clot and loosely bind the cut together to prevent fluid loss and bacterial
invasion. Phagocytosis occurs. The Leukocytes come and engulf the microcontaminates and
dead tissue. The wound edges can appear slightly red and swollen. This is a very normal
and important part of wound healing.
During the laparoscopic cholecystectomy the perioperative nurse keeps the CO2 at less than
15 mmHg because increased CO2 pressures cause... - correct answer-Over pressurization
can force CO2 to diffuse into the blood resulting in Hypercarbia. End tidal CO2 monitoring is
crucial. Excess pressure also increases diaphragmatic pressure and reduced intrathoracic
space and thus tidal volume.
A 26-year-old female is coming to surgery for an appendectomy. She is 7 months pregnant.
What position will this patient be placed for the procedure? - correct answer-left lateral
decubitas
The enlarged pregnant uterus can cause pressure on the vena cava decreasing venous
return. By placing the patient with the left side down the uterus will roll away from the vena
cava. This positioning is often a tilt rather than completely side lying position.
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is
functioning properly uses which kind of spore? - correct answer-Steam Sterilizers use the
Geobacillus Stearothermophilus. The only two spores used to test sterilization efficacy are
Geobacillus Stearothermophilus and Bacillus atropheus. The most common is the
Geobacillus which is used for all types of sterilization other than Ethylene Oxide and Dry
Heat.
A biological indicator used to confirm that the Steam Gravity Displacement Sterilizer is
functioning properly uses which kind of spore? - correct answer-Steam Sterilizers use the
Geobacillus Stearothermophilus. The only two spores used to test sterilization efficacy are
Geobacillus Stearothermophilus and Bacillus atropheus. The most common is the
Geobacillus which is used for all types of sterilization other than Ethylene Oxide and Dry
Heat.
A disadvantage of hydrogen peroxide gas plasma sterilization is which of the following? -
correct answer-Long narrow lumens such as tubing may not be completely penetrated.
Hydrogen peroxide gas plasma sterilization is Sterrad. A limitation is long narrow channeled
devices like endoscopes. There are accessories to use with the machine to force sterilant
into the lumen that must be used for these devices according to manufacturer's instructions.
A patient with Creutzfeldt Jacob disease as just left the OR. How should the room be
cleaned? - correct answer-Surfaces should be cleaned with a detergent and then
decontaminated with a solution of either Sodium hypochlorite (bleach) or Sodium hydroxide
(Lye) depending on the surface compatibility. Ortho-Phthalaldehyde or Ethanol is used to
clean after Adenovirus.
A true latex allergy is classified as Type 1 allergic response. This is an allergy to what? -
correct answer-This is an allergy to water soluble natural rubber latex proteins. True latex
allergies are usually seen within minutes of contact with the proteins.
According to the AORN Guidelines, how should endoscopes be stored? - correct answer-In
the storage area inside a positive pressure drying cabinet
After surgery the patient is extubated in preparation for transfer to the recovery area. The
patient's respirations are stridorous. The patient is experiencing supraclavicular retractions.
What is the first action taken to correct the patient's condition? - correct answer-The first
,thing done for a partial spasm (patient still moving air) is to hyperextend the next, give 100%
O2 and suction the airway to remove the irritation. If it persists, positive pressure ventilation
and racemic epinephrine is given. Only in a complete spasm lasting longer than a full minute
would re-intubation be considered. An oral airway does not help since the obstruction is in
the larynx.
After the esophageal dilation the bougies used are cleaned. According to the Spaulding
Classification System what category would the bougies fall under? - correct answer-semi
critical - require high level disinfection
An 11-year-old having female trauma patient is having an emergent exploratory laparotomy.
The mother left to be with another injured child without signing consent for the 11-year-old.
How should the surgical team proceed? - correct answer-Because this is an emergent
procedure there is implied consent. A signed consent form is not required. There
An 8-year-old post spinal fusion patient is recovering in the pediatric PACU. He is snoring
with spontaneous respirations and has a nasal canula at 1.5 L. The patient has an epidural
bupivacaine drip and received Fentanyl for pain control. His O2 saturation is 95%. The
patient's arterial blood gas shows a pH of 7.34, a CO2 of 46 and an HCO3 of 26. The PACU
nurse's next action would be to? - correct answer-Give Narcan and reposition the patient's
head to elevate the chin and tilt the head back
The patient has a slight respiratory acidosis. He is snoring but breathing. We are not ready
for intubation, but he does need to breath faster to correct the respiratory acidosis. Narcan
(narcotic reversal agent) and repositioning are most appropriate.
Atropine is given to the patient just before induction in surgery. Atropine will help prevent
bradycardia during induction. In what other way does atropine benefit the surgical patient? -
correct answer-inhibits oral secretions
Albuterol or glycopyrrolate may be used to control secretions
Before case carts, supplies and equipment are brought to the OR, what should the
perioperative nurse do first? - correct answer-Dust is known to contain human skin and hair,
fabric fibers, pollens, mold, fungi, insect parts, glove powder and paper fibers among other
components. Damp dusting should be performed methodically from top to bottom first when
opening an OR suite for patient use.
Before case carts, supplies and equipment are brought to the OR, what should the
perioperative nurse do first? - correct answer-Dust is known to contain human skin and hair,
fabric fibers, pollens, mold, fungi, insect parts, glove powder and paper fibers among other
components. Damp dusting should be performed methodically from top to bottom first when
opening an OR suite for patient use.
Before transferring the patient to the OR for a femoropopliteal bypass what study should the
perioperative nurse have available? - correct answer-You'll need the angiogram + reports.
The surgeon will need to see where the narrowing of the artery is and where the most patent
part is so he or she can determine where to place the graft. If there is doubt about the
, patency of the popliteal artery or distal arterial tree, additional arteriograms might be
performed after the exploration of the popliteal artery during the procedure.
c-section incision? - correct answer-pfannestial
Care is taken prior to aeration when working with Ethylene Oxide Sterilizers Exposure to
Ethylene Oxide is limited to... - correct answer-Because EO is a known human carcinogen
exposure is limited to 1 ppm in an 8-hour period
does propofol contain egg albumin? - correct answer-no it does not contain egg albumin
During a bowel resection for malignancy the circulating nurse anticipates... - correct
answer-Instruments used for a bowel resection are kept separate from the rest of the sterile
back table. After wound irrigation the entire surgical team dons fresh gowns and gloves and
switches to the closure set up of clean instruments to prevent cross contamination of the
abdomen with bowel organisms
During a bowel resection for malignancy the circulating nurse anticipates... - correct
answer-Instruments used for a bowel resection are kept separate from the rest of the sterile
back table. After wound irrigation the entire surgical team dons fresh gowns and gloves and
switches to the closure set up of clean instruments to prevent cross contamination of the
abdomen with bowel organisms
During a carpal tunnel release the patient begins complaining of pain under the double
tourniquet. The patient has received a Beir Block for the procedure. What can the
perioperative nurse do to alleviate the patient's discomfort. - correct answer-The purpose of
Beir Block is pain control. The dual cuff allows you to put the pressure of the cuff on numbed
part of the arm. The peripheral anesthetic numbs the arm up to the proximal cuff. You can
inflate the distal on the numbed part of the arm then deflate the proximal. This maintains
occlusion of blood flow and provides comfort.
During bronchoscopy, which structure is visible? - correct answer-A bronchoscopy is direct
visualization of the tracheobronchial tree through a bronchoscope.
During the first couple of days after surgery the wound is red, edematous and tender as
phagocytosis occurs and the leukocytes increase in number. What phase of wound healing
is this? - correct answer-During the inflammatory phase an exudate containing blood, lymph,
and fibrin begins to clot and loosely bind the cut together to prevent fluid loss and bacterial
invasion. Phagocytosis occurs. The Leukocytes come and engulf the microcontaminates and
dead tissue. The wound edges can appear slightly red and swollen. This is a very normal
and important part of wound healing.
During the laparoscopic cholecystectomy the perioperative nurse keeps the CO2 at less than
15 mmHg because increased CO2 pressures cause... - correct answer-Over pressurization
can force CO2 to diffuse into the blood resulting in Hypercarbia. End tidal CO2 monitoring is
crucial. Excess pressure also increases diaphragmatic pressure and reduced intrathoracic
space and thus tidal volume.
