Intraoperative Nursing Management Test Questions
,Intraoperative Nursing Management Test Questions
1.
The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a procedure
to be performed under general anesthetic. For which adverse effect should the nurse most closely
monitor the patient?
A)
Hypothermia
B)
Pulmonary edema
C)
Cerebral ischemia
D)
Arthritis
Ans:
A
Feedback:
Inadvertent hypothermia may occur as a result of a low temperature in the OR, infusion of cold fluids,
inhalation of cold gases, open body wounds or cavities, decreased muscle activity, advanced age, or the
pharmaceutical agents used (e.g., vasodilators, phenothiazines, general anesthetics). The anesthetist
monitors for pulmonary edema and cerebral ischemia. Arthritis is not an adverse effect of surgical
anesthesia.
2.
The OR nurse acts in the circulating role during a patients scheduled cesarean section. For what task is
this nurse solely responsible?
A)
Performing documentation
B)
Estimating the patients blood loss
C)
, Intraoperative Nursing Management Test Questions
Setting up the sterile tables
D)
Keeping track of drains and sponges
Ans:
A
Feedback:
Main responsibilities of the circulating nurse include verifying consent; coordinating the team; and
ensuring cleanliness, proper temperature and humidity, lighting, safe function of equipment, and the
availability of supplies and materials. The circulating nurse monitors aseptic practices to avoid breaks in
technique while coordinating the movement of related personnel as well as implementing fire safety
precautions. The circulating nurse also monitors the patient and documents specific activities
throughout the operation to ensure the patients safety and well-being. Estimating the patients blood
loss is the surgeons responsibility; setting up the sterile tables is the responsibility of the first scrub; and
keeping track of the drains and sponges is the joint responsibility of the circulating nurse and the scrub
nurse.
3.
A 21-year-old patient is positioned on the OR bed prior to knee surgery to correct a sports-related injury.
The anesthesiologist administers the appropriate anesthetic. The OR nurse should anticipate which of
the following events as the teams next step in the care of this patient?
A)
Grounding
B)
Making the first incision
C)
Giving blood
D)
Intubating
Ans:
D
,Intraoperative Nursing Management Test Questions
1.
The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a procedure
to be performed under general anesthetic. For which adverse effect should the nurse most closely
monitor the patient?
A)
Hypothermia
B)
Pulmonary edema
C)
Cerebral ischemia
D)
Arthritis
Ans:
A
Feedback:
Inadvertent hypothermia may occur as a result of a low temperature in the OR, infusion of cold fluids,
inhalation of cold gases, open body wounds or cavities, decreased muscle activity, advanced age, or the
pharmaceutical agents used (e.g., vasodilators, phenothiazines, general anesthetics). The anesthetist
monitors for pulmonary edema and cerebral ischemia. Arthritis is not an adverse effect of surgical
anesthesia.
2.
The OR nurse acts in the circulating role during a patients scheduled cesarean section. For what task is
this nurse solely responsible?
A)
Performing documentation
B)
Estimating the patients blood loss
C)
, Intraoperative Nursing Management Test Questions
Setting up the sterile tables
D)
Keeping track of drains and sponges
Ans:
A
Feedback:
Main responsibilities of the circulating nurse include verifying consent; coordinating the team; and
ensuring cleanliness, proper temperature and humidity, lighting, safe function of equipment, and the
availability of supplies and materials. The circulating nurse monitors aseptic practices to avoid breaks in
technique while coordinating the movement of related personnel as well as implementing fire safety
precautions. The circulating nurse also monitors the patient and documents specific activities
throughout the operation to ensure the patients safety and well-being. Estimating the patients blood
loss is the surgeons responsibility; setting up the sterile tables is the responsibility of the first scrub; and
keeping track of the drains and sponges is the joint responsibility of the circulating nurse and the scrub
nurse.
3.
A 21-year-old patient is positioned on the OR bed prior to knee surgery to correct a sports-related injury.
The anesthesiologist administers the appropriate anesthetic. The OR nurse should anticipate which of
the following events as the teams next step in the care of this patient?
A)
Grounding
B)
Making the first incision
C)
Giving blood
D)
Intubating
Ans:
D
