Question 1

What is the normal range of central venous pressure when measured with a transducer?

Accepted Answer

A) 2 to 6 mmHg 
B) 7 to 10 mmHg 
C) 12 to 20 mmHg 
D) 25 to 50 mmHg 
A) 2 to 6 mmHg 
B) 7 to 10 mmHg 
C) 12 to 20 mmHg 
D) 25 to 50 mmHg A

Question 2

Which of the following interventions are important for the nurse to perform to prevent hypothermia in the intraoperative period?

Accepted Answer

A) Immediately hang intravenous fluids after they have arrived from the pharmacy. 
B) Increase the thermostat in the operating room. 
C) Check the patient's body temperature once every two hours. 
D) Give the patient a warm blanket once he has completed the recovery period. 
A) Immediately hang intravenous fluids after they have arrived from the pharmacy. 
B) Increase the thermostat in the operating room. 
C) Check the patient's body temperature once every two hours. 
D) Give the patient a warm blanket once he has completed the recovery period. B

Question 3

What is the normal level of ammonia in the body for an adult patient?

Accepted Answer

A) 1-12 mg/dl 
B) 15-110 mg/dl 
C) 65-280 mg/dl 
D) 300-450 mg/dl 
A) 1-12 mg/dl 
B) 15-110 mg/dl 
C) 65-280 mg/dl 
D) 300-450 mg/dl B

Question 4

What can the nurse do to prevent injury to a patient's ulnar nerve during surgery?

Accepted Answer

A) Secure the patient's arms to his sides. 
B) Fold the patient's arms across his chest. 
C) Raise the patient's arms above his head. 
D) Dangle the patient's arms off the table. 
A) Secure the patient's arms to his sides. 
B) Fold the patient's arms across his chest. 
C) Raise the patient's arms above his head. 
D) Dangle the patient's arms off the table.

Question 5

When a nurse is preparing a patient for neurosurgery, when is the best time to remove hair on the head?

Accepted Answer

A) After admission, following the preoperative teaching period 
B) In the holding area, once all other preoperative therapeutic measures are complete 
C) On the operating table, once the patient has been anesthetized 
D) On the operating table, just before the surgeon needs to cut 
A) After admission, following the preoperative teaching period 
B) In the holding area, once all other preoperative therapeutic measures are complete 
C) On the operating table, once the patient has been anesthetized 
D) On the operating table, just before the surgeon needs to cut

Question 6

Which of the following must the nurse remember when administering oxytocin to a patient during a cesarean section?

Accepted Answer

A) Oxytocin is administered after the birth of the baby but before the placenta. 
B) Oxytocin may cause decreased urine output. 
C) Oxytocin will cause an immediate increase in bleeding, followed by a reduction in bleeding. 
D) Oxytocin may have side effects that cause constipation and abdominal pain. 
A) Oxytocin is administered after the birth of the baby but before the placenta. 
B) Oxytocin may cause decreased urine output. 
C) Oxytocin will cause an immediate increase in bleeding, followed by a reduction in bleeding. 
D) Oxytocin may have side effects that cause constipation and abdominal pain.

Question 7

The nurse is performing the skin prep before the surgery. Which of the following is most important for the nurse to maintain aseptic technique?

Accepted Answer

A) Marking the skin in the areas where the prep must be performed. 
B) Applying the skin prep solution in a back and forth manner across the incision site. 
C) Starting at the site of the incision and working outward toward the border. 
D) Performing the skin prep and then going back over the site in case any areas were missed. 
A) Marking the skin in the areas where the prep must be performed. 
B) Applying the skin prep solution in a back and forth manner across the incision site. 
C) Starting at the site of the incision and working outward toward the border. 
D) Performing the skin prep and then going back over the site in case any areas were missed.

Question 8

A central venous pressure catheter directly measures the pressure of which portion of the heart?

Accepted Answer

A) Right atrium 
B) Right ventricle 
C) Left atrium 
D) Left ventricle 
A) Right atrium 
B) Right ventricle 
C) Left atrium 
D) Left ventricle

Question 9

Which of the following interventions can the nurse provide to manage awareness of the surgical procedure for the patient under anesthesia?

Accepted Answer

A) Determine if the patient has a history of this occurring in the past. 
B) Routinely test patient response during the procedure by lightly touching the skin of the face. 
C) Monitor the patient through the Bispectral Index System to indicate changes in status. 
D) Both A and C 
A) Determine if the patient has a history of this occurring in the past. 
B) Routinely test patient response during the procedure by lightly touching the skin of the face. 
C) Monitor the patient through the Bispectral Index System to indicate changes in status. 
D) Both A and C

Question 10

When assisting the anesthesiologist with an intubation, which of the following is essential when applying cricoid pressure to the patient's neck?

Accepted Answer

A) Use the palm of the hand to exert downward pressure on the cartilage. 
B) Apply cricoid pressure just prior to tube placement. 
C) Do not release cricoid pressure until the tube is in place and secured. 
D) Applying cricoid pressure is out of the nurse's scope of practice. 
A) Use the palm of the hand to exert downward pressure on the cartilage. 
B) Apply cricoid pressure just prior to tube placement. 
C) Do not release cricoid pressure until the tube is in place and secured. 
D) Applying cricoid pressure is out of the nurse's scope of practice.

Question 11

The light source on the end of an endoscope radiates heat in such a way as to reduce tissue damage at the tip of the scope. This type of light source is called:

Accepted Answer

A) Cold light 
B) Distal lens 
C) Light connection 
D) Cold end 
A) Cold light 
B) Distal lens 
C) Light connection 
D) Cold end

Question 12

Which of the following conditions would most likely require use of a flotation mattress during the procedure?

Accepted Answer

A) A patient who is having a coronary artery bypass graft 
B) A patient who is having a vasectomy 
C) A patient who is having a cesarean section 
D) A patient who is having eye surgery 
A) A patient who is having a coronary artery bypass graft 
B) A patient who is having a vasectomy 
C) A patient who is having a cesarean section 
D) A patient who is having eye surgery

Question 13

The surgeon is preparing to close the skin at the end of the procedure and the nurse retrieves needles to use. Which of the following needle types would most likely be used for skin closure?

Accepted Answer

A) Taper point needle 
B) Spatula side cutting needle 
C) Inverted lancet 
D) Reverse cutting needle 
A) Taper point needle 
B) Spatula side cutting needle 
C) Inverted lancet 
D) Reverse cutting needle

Question 14

What are the most important goals of proper positioning of the patient during a surgical procedure?

Accepted Answer

A) Patient comfort 
B) Access to the surgical site 
C) Patient privacy 
D) Success of anesthesia 
A) Patient comfort 
B) Access to the surgical site 
C) Patient privacy 
D) Success of anesthesia

Question 15

Which of the following statements is true regarding sharps counts during the operating procedure?

Accepted Answer

A) Packages of suture should all be opened onto the sterile field for counting. 
B) The scrub nurse should document how many needles are contained within a package at the time of counting. 
C) Needles should be counted once at the beginning of the procedure and once at the end. 
D) A broken needle should be counted as two sharps because of having two sharp ends. 
A) Packages of suture should all be opened onto the sterile field for counting. 
B) The scrub nurse should document how many needles are contained within a package at the time of counting. 
C) Needles should be counted once at the beginning of the procedure and once at the end. 
D) A broken needle should be counted as two sharps because of having two sharp ends.

Question 16

When preparing a table for instruments, the nurse spreads a sterile drape over the table and begins placing sterile instruments on top. What is considered the sterile area in this situation?

Accepted Answer

A) The table top and the instruments 
B) The table top and two inches extending down the sides, and the instruments 
C) The table top, the length of the drape down the sides, and the instruments 
D) The instruments only 
A) The table top and the instruments 
B) The table top and two inches extending down the sides, and the instruments 
C) The table top, the length of the drape down the sides, and the instruments 
D) The instruments only

Question 17

Which of the following is an advantage of using nitrous oxide as part of anesthesia for surgery?

Accepted Answer

A) It does not cause nausea or vomiting postoperatively. 
B) Its induction and effects are slow and long-lasting. 
C) It can be combined with other agents. 
D) It also works as an analgesic. 
A) It does not cause nausea or vomiting postoperatively. 
B) Its induction and effects are slow and long-lasting. 
C) It can be combined with other agents. 
D) It also works as an analgesic.

Question 18

A patient is on the operating table before the procedure. What should the nurse keep in mind when draping the patient?

Accepted Answer

A) Open the package, unfold the drape and carry it over to place on the patient. 
B) Carry sterile drapes above the head to avoid contact with the floor. 
C) Discard a drape that has become contaminated and replace it with a sterile one. 
D) Once drapes are on the patient, shift them slightly to ensure they are in the right place. 
A) Open the package, unfold the drape and carry it over to place on the patient. 
B) Carry sterile drapes above the head to avoid contact with the floor. 
C) Discard a drape that has become contaminated and replace it with a sterile one. 
D) Once drapes are on the patient, shift them slightly to ensure they are in the right place.

Question 19

Which of the following incision types would be used for pancreatic surgery?

Accepted Answer

A) Inguinal 
B) Left lower paramedian 
C) Right upper paramedian 
D) Horizontal flank 
A) Inguinal 
B) Left lower paramedian 
C) Right upper paramedian 
D) Horizontal flank

Question 20

What effect does temperature control have on the patient's cardiac and respiratory systems during a surgical procedure?

Accepted Answer

A) The hypothermic patient may begin to shiver, causing increased respiratory effort. 
B) The method of heat regulation is depressed, causing increased oxygen consumption. 
C) The blood vessels dilate, caused a disrupted acid-base balance. 
D) Both B and C 
A) The hypothermic patient may begin to shiver, causing increased respiratory effort. 
B) The method of heat regulation is depressed, causing increased oxygen consumption. 
C) The blood vessels dilate, caused a disrupted acid-base balance. 
D) Both B and C

What is the normal range of central venous pressure when measured with a transducer?

Which of the following interventions are important for the nurse to perform to prevent hypothermia in the intraoperative period?

What is the normal level of ammonia in the body for an adult patient?

What can the nurse do to prevent injury to a patient's ulnar nerve during surgery?

When a nurse is preparing a patient for neurosurgery, when is the best time to remove hair on the head?

Which of the following must the nurse remember when administering oxytocin to a patient during a cesarean section?

The nurse is performing the skin prep before the surgery. Which of the following is most important for the nurse to maintain aseptic technique?

A central venous pressure catheter directly measures the pressure of which portion of the heart?

Which of the following interventions can the nurse provide to manage awareness of the surgical procedure for the patient under anesthesia?

When assisting the anesthesiologist with an intubation, which of the following is essential when applying cricoid pressure to the patient's neck?

The light source on the end of an endoscope radiates heat in such a way as to reduce tissue damage at the tip of the scope. This type of light source is called:

Which of the following conditions would most likely require use of a flotation mattress during the procedure?

The surgeon is preparing to close the skin at the end of the procedure and the nurse retrieves needles to use. Which of the following needle types would most likely be used for skin closure?

What are the most important goals of proper positioning of the patient during a surgical procedure?

Which of the following statements is true regarding sharps counts during the operating procedure?

When preparing a table for instruments, the nurse spreads a sterile drape over the table and begins placing sterile instruments on top. What is considered the sterile area in this situation?

Which of the following is an advantage of using nitrous oxide as part of anesthesia for surgery?

A patient is on the operating table before the procedure. What should the nurse keep in mind when draping the patient?

Which of the following incision types would be used for pancreatic surgery?

What effect does temperature control have on the patient's cardiac and respiratory systems during a surgical procedure?

Accountability

Communication

Disinfection

Emergencies

IPC Outcomes

Management

Preop

Transfer

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Exam 5: Intraoperative

What is the normal range of central venous pressure when measured with a transducer?

Which of the following interventions are important for the nurse to perform to prevent hypothermia in the intraoperative period?

What is the normal level of ammonia in the body for an adult patient?

What can the nurse do to prevent injury to a patient's ulnar nerve during surgery?

When a nurse is preparing a patient for neurosurgery, when is the best time to remove hair on the head?

Which of the following must the nurse remember when administering oxytocin to a patient during a cesarean section?

The nurse is performing the skin prep before the surgery. Which of the following is most important for the nurse to maintain aseptic technique?

A central venous pressure catheter directly measures the pressure of which portion of the heart?

Which of the following interventions can the nurse provide to manage awareness of the surgical procedure for the patient under anesthesia?

When assisting the anesthesiologist with an intubation, which of the following is essential when applying cricoid pressure to the patient's neck?

The light source on the end of an endoscope radiates heat in such a way as to reduce tissue damage at the tip of the scope. This type of light source is called:

Which of the following conditions would most likely require use of a flotation mattress during the procedure?

The surgeon is preparing to close the skin at the end of the procedure and the nurse retrieves needles to use. Which of the following needle types would most likely be used for skin closure?

What are the most important goals of proper positioning of the patient during a surgical procedure?

Which of the following statements is true regarding sharps counts during the operating procedure?

When preparing a table for instruments, the nurse spreads a sterile drape over the table and begins placing sterile instruments on top. What is considered the sterile area in this situation?

Which of the following is an advantage of using nitrous oxide as part of anesthesia for surgery?

A patient is on the operating table before the procedure. What should the nurse keep in mind when draping the patient?

Which of the following incision types would be used for pancreatic surgery?

What effect does temperature control have on the patient's cardiac and respiratory systems during a surgical procedure?

Accountability

Communication

Disinfection

Emergencies

IPC Outcomes

Management

Preop

Transfer

Filters