QUESTIONS WITH CORRECT ANSWERS AND EXPERT EXPLANATIONS
Who is responsible for documenting the operative time out - CORRECT ANSWERS-OR nurse
The room has already been set up with latex gloves when your patient reports a mild rash on contact
with latex. What should you do first - CORRECT ANSWERS-Notify the surgical team and
discard sterile field set up
What is proper surgical attire for non sterile scrubbed personnel - CORRECT ANSWERS-a long
sleeved scrub jacket closed in front
What is the primary purpose of slowly lowering a patient's legs from the lithotomy position -
CORRECT ANSWERS-reduces the risk of hypotension
The surgeon is preparing to clamp bleeding vessels. What type of instrument should you prepare for the
surgeon - CORRECT ANSWERS-hemostats
You are preparing the OR for a total knee replacement. What supply do you anticipate needing -
CORRECT ANSWERS-stockinette
What type of gloves should be worn when transporting endoscopes to and from storage cabinets -
CORRECT ANSWERS-clean
What medication should be administered to a patient who has received moderate sedation with
midazolam who has unexpected respiratory depression - CORRECT ANSWERS-romazicon
(flumazenil)
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
- CORRECT ANSWERS-Stop the transfusion and notify the surgeon
, What is the minimum distance unscrubbed personnel should remain from the sterile field -
CORRECT ANSWERS-12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back
table - CORRECT ANSWERS-malleable
Which of the following medications is contraindicated for a patient with a family history of malignant
hyperthermia - CORRECT ANSWERS-Quelicin (succinylcholine)
You are caring for a patient who is infected with Methicillin- Resistant Staphylococcus Aureus (MRSA).
What infection control practice must you implement after transferring the patient - CORRECT
ANSWERS-Clean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing. What should you
do? - CORRECT ANSWERS-Remove and replace the major tray
As a circulator, where do you stand during induction - CORRECT ANSWERS-at the head of the
bed
You are the perioperative nurse who is doing the preoperative skin preparation on a clean abdominal
case. Where should you start the skin preparation - CORRECT ANSWERS-site of incision and
move to the periphery
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 -
CORRECT ANSWERS-Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side - CORRECT
ANSWERS-Reach over the patient to place the drape
Walk around the operating room table