Operating Room RN A v2
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-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-expiration date and concentration
\in the preoperative holding area the patient's vital signs reveal a heart rate of 45 bpm and
blood pressure of 171/95 mmHg. What is your priority action - ANS-contact the anesthesia
provider
\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? - ANS-Notify Anesthesia provider
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-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-expiration date and concentration
\in the preoperative holding area the patient's vital signs reveal a heart rate of 45 bpm and
blood pressure of 171/95 mmHg. What is your priority action - ANS-contact the anesthesia
provider
\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? - ANS-Notify Anesthesia provider
