Prophecy OR
A patient is allergic to shellfish and is scheduled for an exploratory laparotomy. What is the
solution of choice for prepping the abdomen considering the patient's allergy -
ANS-Chlorahexadine gluconate
\A patient is extubated after surgery and is receiving 6l O2 via mask. Upon arrival to the
PACU the nurse notices a decrease in SaO2 to 89% from 99% and snoring. What is the first
action to take - ANS-check for airway obstruction
\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
\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
\A patient with allergy to penicillin receives a test dose of cefazolin and starts to develop
hives. What medication would you consider giving - ANS-prednisone
\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
\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
\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
\As a circulator, where do you stand during induction - ANS-at the head of the bed
\As you prepare the room for an open exploratory laparotomy, what pieces of basic
equipment should you prepare to setup - ANS-ESU, suction set up, major abdominal
instrument set
\Before a case, what reference should you use to understand how the surgical team wants
their instruments and equipment to be positioned - ANS-preference card
\If a patient reports a family history of malignant hyperthermia, you should be prepared to
administer which medication should such an emergency arise - ANS-dantrolene
\Immediately after surgery, your patient is exhibiting symptoms of dizzyness, cyanosis,
shivering, and disoriented. These findings most likely indicate what condition -
ANS-hypothermia
\Immediately upon bringing a medication to the sterile field, the circulator and scrub
technologist should ensure that it is labeled, at the minimum, with medication name and
what two other pieces of information - ANS-volume and concentration
expiration date and volume
expiration date and concentration
***dosage and concentration*** wrong
A patient is allergic to shellfish and is scheduled for an exploratory laparotomy. What is the
solution of choice for prepping the abdomen considering the patient's allergy -
ANS-Chlorahexadine gluconate
\A patient is extubated after surgery and is receiving 6l O2 via mask. Upon arrival to the
PACU the nurse notices a decrease in SaO2 to 89% from 99% and snoring. What is the first
action to take - ANS-check for airway obstruction
\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
\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
\A patient with allergy to penicillin receives a test dose of cefazolin and starts to develop
hives. What medication would you consider giving - ANS-prednisone
\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
\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
\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
\As a circulator, where do you stand during induction - ANS-at the head of the bed
\As you prepare the room for an open exploratory laparotomy, what pieces of basic
equipment should you prepare to setup - ANS-ESU, suction set up, major abdominal
instrument set
\Before a case, what reference should you use to understand how the surgical team wants
their instruments and equipment to be positioned - ANS-preference card
\If a patient reports a family history of malignant hyperthermia, you should be prepared to
administer which medication should such an emergency arise - ANS-dantrolene
\Immediately after surgery, your patient is exhibiting symptoms of dizzyness, cyanosis,
shivering, and disoriented. These findings most likely indicate what condition -
ANS-hypothermia
\Immediately upon bringing a medication to the sterile field, the circulator and scrub
technologist should ensure that it is labeled, at the minimum, with medication name and
what two other pieces of information - ANS-volume and concentration
expiration date and volume
expiration date and concentration
***dosage and concentration*** wrong
