k k k k k k
OM) LATEST COMPLETE EXAM WITH ACTUAL QUESTIONS
k k k k k k
AND WELL ELABORATED ANSWERS (CORRECT VERIFIED
k k k k k k k
ANSWERS) A NEW UPDATED VERSION |ALREADY GRADE
k k k k k k
D A+ (BRAND NEW!!)
k k k
Duringkakprocedurekunderklocalkanesthesia,kthekpatientkcomplainskofkcircumoralknumb
ness,kblurredkvision,kandkdizziness.kWhatkshouldkbekthekimmediatekactionkofkthekperiop
erativeknursekmonitoringkthiskpatient?
a.kRecheckkthekdosekofklocalkanesthesiakgiven
b.kEnsurekankairway
c.kSetkthekIVklinektokfullkflow
d.kCallkfork20%klipidkemulsionktokbekbroughtktokthekroomk-kANSWER:kb
Thekcirculatingknursekreportskthatkthekneedlekcountkiskincorrect.kTheksurgeonkcontinue
sktokclosekthekwound,kstating,k"IkknowkitkisknotkinkthekwoundkandkIkamknotkgoingktokstopk
toklookkforkit."kThekbestkplankofkactionkiskto:
a.kAcceptktheksurgeon'skresponsekwithoutkcommentkandkfillkoutkankincidentkreport
b.kInformktheksurgeonkofkhospitalkpolicykandkdocumentksubsequentkactions
c.kOrderkX-rayskregardlesskofktheksurgeon'skwishes
d.kNotifykthekORksupervisorkandkaskkforkadvicek-kANSWER:kb
Aknewkemployeekunknowinglykdispensedkankunsterileksolutionktoktheksterilekfield.kThekf
ollowingkday,ktheksupervisorklearnskofkthekincident.kTheksupervisor'skfirstkactionkwouldk
bekto:
a.kInitiatekankincidentkreport
b.kInstructkthekemployeekonkthektechniquekofkreadingklabels
c.kCounselkthekemployeekverbally
d.kNotifyktheksurgeonkofkthekbreakkinktechniquek-kANSWER:kd
Duektokankemergency,kthekperioperativeknursekiskunablektokconductktheksponge,ksharp
s,kandkinstrumentkcounts.kAtkthekconclusionkofktheksurgery,ktheknursekshould:
a.kAskktheksurgeonktoksignkthekcount
b.kImmediatelyknotifykthekORksupervisor
c.kDocumentkthekabsencekofkcounts
d.kRefusektoksignkthekspongekcountkrecordk-kANSWER:kc
Thekoptimumkpatientkpositionkprovides:
,a.kAccesskandkexposure,kmaintainskcirculatorykandkrespiratorykfunctions,kandkdoesknotk
compromisekneuromuscularkstructures.
b.kOptimumkaccesskandkexposurektoksurgicalksite,kwithknokpermanentkcompromisektokn
euromuscularkstructures.
c.kAccesskforktheksurgeon,kdoesknotkcompromisekthekneuromuscularkstructures,kandkm
aintainskankadequatekairwaykforkthekanesthetist.
d.kSustainedkcirculatorykandkrespiratorykfunctions,kdoesknotkcompromisekneuromuscul
arkstructures,kandkmaintainskbodykalignment.k-kANSWER:ka
Akpatientkwhokisk8kmonthskpregnantkisktokundergokankemergencyklaparotomy.kInkplanni
ngknursingkcarekforkthiskpatient,kthekperioperativeknursekshouldkhavekavailablekakwedg
ekcushionkorkpillowktokplacekunderkthekpatient's:
a.kKnees
b.kLeftkside
c.kRightkside
d.kShouldersk-kANSWER:kc
You'rekloadingktheksterilizerkwithktrayskandkwrappedktowels.kThekcorrectkconfigurationk
wouldkbe:
a.kThektowelskarekonkthekbottomkshelfkandkthektrayskonkthektopkshelf
b.kThektowelskarekonkthektopkshelfkandkthektrayskarekonkthekbottomkshelf
c.kThektrayskandktowelskgokonkthektopkshelfkandkleavekthekbottomkshelfkempty
d.kTherekisknokspecifickconfigurationkwhenktherekiskakmixedkloadkofktrayskandkwrappedkt
extilesk-kANSWER:kb
Duringkthekinductionkofkanesthesia,kthekperioperativeknursekmayknoticekfasciculationka
skakresponsektokwhichkofkthekfollowingkdepolarizingkmusclekrelaxants?
a.kTubocurarinekchloridek(curare)
b.kSuccinylcholinekchloridek(Anectine)
c.kAtracuriumkbesylatek(Tracrium)
d.kPancuroniumkbromidek(Pavulon)k-kANSWER:kb
ThekERknotifieskyoukthatkitkhaskank18-yr-
oldkpatientkwhokwaskinkaksleddingkaccidentkandkwhokiskaccompaniedkbykhiskparents.kTh
ekpatientkiskalert,koriented,kinkpain,khaskakbloodkpressurekofk80/60,kpulsekofk120,kandkRR
kofk24.kThekabdomenkiskdistendedkandktender.kAfterkbeingktransferredktokthekORkbed,kt
hekpatientkiskverykapprehensivekandkcomplainskofkbeingkcold.kTheknursekshouldkconfir
mkthekpatient'skname,kallergies,kandkoperativekprocedurekby:
a.kSpeakingkwithkthekpatientkandkreadingkthekpatient'skchart
b.kTelephonekconversationkwithkthekERknurse
c.kUsekofkthekERkrecordkprovided
d.kTelephonekconversationkwithkakparentkofkthekpatientk-kANSWER:ka
,Akcriticallykinjuredkpatientkrequireskimmediateksurgery,kbutkallkunassignedkpersonnelkh
aveklimitedkORkexperience.kInkthisksituation,kthekchargeknursekshould:
a.kAssistkthekavailablekpersonnelkinkcaringkforkthekpatient
b.kReassignkexperiencedkpersonnelktokthekemergencykprocedure
c.kPersonallykassumekcarekforkthekcriticallykinjuredkpatient
d.kCallkinkadditionalkpersonnelktokhandlekthekemergencyk-kANSWER:kb
Theknurse'skinitialkresponsektokakpatientkwhokdevelopsksignskofkcyanosiskduringkthekpre
operativekassessmentkiskto:
a.kAdministerkO2kandkstartkankIVkline
b.kBeginkCPR
c.kReadkthekhistorykandkphysicalktokdeterminekhealthkstatus
d.kAssesskforkbreathksoundskandkairwaykobstructionk-kANSWER:kd
*SPAULDINGkCLASSIFICATIONkSYSTEM*
Critical,ksemi-critical,korknon-critical?
-Mustkbeksterile
-Willkenterksterilektissuekorkthekvascularksystemk-kANSWER:kcritical
*SPAULDINGkCLASSIFICATIONkSYSTEM*
Critical,ksemi-critical,korknon-critical?
-Instruments
-Cuttingkendoscopickaccessorieskandkendoscopesk(ex.kBIOPSYkFORCEPS)
-
Cardiackandkurinarykcathetersk(stillkfallkintokthiskcategorykevenkthoughkitkdoesknotkmeet
kthekTRUEkdefinition)k-kANSWER:kcritical
*SPAULDINGkCLASSIFICATIONkSYSTEM*
Critical,ksemi-critical,korknon-critical?
-SHOULDkbeksterile,kbutkhigh-
levelkdisinfectionk(killskeverythingkEXCEPTkSPORES)kacceptablekifkmanufacturers'kinstru
ctionskrequirek(goingktokbeksterilizedkunlesskmanufacturerkspecificallyksaysknotkto)
-Contactskbrokenkskinkorkmucouskmembranek-kANSWER:ksemi-critical
*SPAULDINGkCLASSIFICATIONkSYSTEM*
Critical,ksemi-critical,korknon-critical?
-Respiratoryktherapy
-Anesthesiakequipment
-Bronchoscopes
-GIkendoscopesk-kANSWER:ksemi-critical
, *SPAULDINGkCLASSIFICATIONkSYSTEM*
Critical,ksemi-critical,korknon-critical?
-Intermediatekorklow-levelkdisinfectionkorkcleaning
-Willkcomekinkcontactkwithkskin
-Ex.kwashingkwithksoapkandkwater/wipingkequipmentkdown/laundryk-kANSWER:knon-
critical
*SPAULDINGkCLASSIFICATIONkSYSTEM*
Critical,ksemi-critical,korknon-critical?
-ORkbed
-Linens
-EKGkleads
-BPkcuffs
-Tourniquetsk-kANSWER:knon-critical
TRUEkORkFALSE
Therekneedsktokbekakphysicalkseparationk(orkakwall)kbetweenkakdecontaminationkareaka
ndkprocessingkareakwherekinstrumentskarekprocessedk-kANSWER:ktrue
*SterilekProcessing*
Decontaminationkareakorkprocessingkarea?
-Haskakhighkbioburden
-NEGATIVEkairflow
-LOWERktemperaturek-kANSWER:kdecontamination
*SterilekProcessing*
Decontaminationkareakorkprocessingkarea?
-POSITIVEkairflow
-HIGHERktemperaturek-kANSWER:kprocessing
Truekorkfalse
Youkcankskipkthekdecontaminationkprocesskinksterilekprocessingk-kANSWER:kfalse
Cankyoukwalkkthroughkakdecontaminationkareakwithksterileksupplieskinkyourkhand?k-
kANSWER:kno
Cankyoukwalkkthroughkakplacekwithkautoclaveskwithksoiledkinstrumentskinkyourkhand?k-
kANSWER:kno