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Prophecy OR Questions and Correct Answers
What type of support would you place to alleviate pressure on the
brachial plexus nerve when a patient is in a side-lying position
Ans: — Axillary Roll
You are the circulating nurse confirming consent with a patient
scheduled for an exploratory laparotomy with colostomy. The
patient states they do not want a colostomy. What should you do?
Ans: — Do not take the patient to the operating room and consult
the surgeon immediately
What equipment is most important for a patient undergoing an
emergency trauma surgery who declines a donated blood
transfusion Ans: — Cell Saver
You have been asked to take a specimen from an OR during a
bronchoscopy and immediately take it to the lab. What must you
do first Ans: — Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op
interview with your patient. Which of the following assessment
findings would support this suspicion Ans: — nasal irritation and
frequent sniffing, needle tracks on arms, and burns on fingers and
lips
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
What medication should be administered to a patient who has
received moderate sedation with midazolam who has unexpected
respiratory depression Ans: — romazicon (flumazenil)
After starting a blood transfusion, you observe that a patient
undergoing moderate sedation has a temperature increase from
© 2025 All rights reserved
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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
What is the minimum distance unscrubbed personnel should
remain from the sterile field Ans: — 12 inches
You are preparing a patient for a laparotomy. What instrument do
you anticipate seeing on the back table Ans: — malleable
Which of the following medications is contraindicated for a patient
with a family history of malignant hyperthermia Ans: — 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 Ans: —
Clean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical
indicators are missing. What should you do? Ans: — Remove and
replace the major tray
As a circulator, where do you stand during induction Ans: — 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 Ans: — 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 Ans: — Malignant Hyperthermia
© 2025 All rights reserved
Prophecy OR Questions and Correct Answers
What type of support would you place to alleviate pressure on the
brachial plexus nerve when a patient is in a side-lying position
Ans: — Axillary Roll
You are the circulating nurse confirming consent with a patient
scheduled for an exploratory laparotomy with colostomy. The
patient states they do not want a colostomy. What should you do?
Ans: — Do not take the patient to the operating room and consult
the surgeon immediately
What equipment is most important for a patient undergoing an
emergency trauma surgery who declines a donated blood
transfusion Ans: — Cell Saver
You have been asked to take a specimen from an OR during a
bronchoscopy and immediately take it to the lab. What must you
do first Ans: — Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op
interview with your patient. Which of the following assessment
findings would support this suspicion Ans: — nasal irritation and
frequent sniffing, needle tracks on arms, and burns on fingers and
lips
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
What medication should be administered to a patient who has
received moderate sedation with midazolam who has unexpected
respiratory depression Ans: — romazicon (flumazenil)
After starting a blood transfusion, you observe that a patient
undergoing moderate sedation has a temperature increase from
© 2025 All rights reserved
, 2 | Page
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
What is the minimum distance unscrubbed personnel should
remain from the sterile field Ans: — 12 inches
You are preparing a patient for a laparotomy. What instrument do
you anticipate seeing on the back table Ans: — malleable
Which of the following medications is contraindicated for a patient
with a family history of malignant hyperthermia Ans: — 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 Ans: —
Clean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical
indicators are missing. What should you do? Ans: — Remove and
replace the major tray
As a circulator, where do you stand during induction Ans: — 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 Ans: — 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 Ans: — Malignant Hyperthermia
© 2025 All rights reserved
