Question 1

What types of nursing interventions should the nurse perform for the patient who develops hypovolemia during the surgical procedure?

Accepted Answer

A) Add NaCl to the patient's intravenous solution. 
B) Obtain an order and administer a dose of furosemide. 
C) Insert a central venous pressure line to avoid overloading the circulatory system while replacing fluids. 
D) Both A and C 
A) Add NaCl to the patient's intravenous solution. 
B) Obtain an order and administer a dose of furosemide. 
C) Insert a central venous pressure line to avoid overloading the circulatory system while replacing fluids. 
D) Both A and C

Question 2

Which of the following patients would have contraindications for having a laparoscopic cholecystectomy?

Accepted Answer

A) An obese patient 
B) A patient who cannot tolerate an open cholecystectomy 
C) A patient with gall stones in the common bile duct 
D) Both A and B 
A) An obese patient 
B) A patient who cannot tolerate an open cholecystectomy 
C) A patient with gall stones in the common bile duct 
D) Both A and B

Question 3

Which of the following nursing interventions are appropriate when caring for a patient under conscious sedation?

Accepted Answer

A) Providing continuous respiratory support through bag-mask ventilation. 
B) Assisting with intubation procedures by applying cricoid pressure. 
C) Monitoring the patient and providing supplemental oxygen if necessary. 
D) Frequently stimulating the patient to ensure they do not fall asleep during the procedure. 
A) Providing continuous respiratory support through bag-mask ventilation. 
B) Assisting with intubation procedures by applying cricoid pressure. 
C) Monitoring the patient and providing supplemental oxygen if necessary. 
D) Frequently stimulating the patient to ensure they do not fall asleep during the procedure.

Question 4

A patient is being prepped for surgery on the cervical spine. At what level will the nurse most likely need to shave the head?

Accepted Answer

A) The back of the neck only 
B) The back of the neck and up into the hairline to the level of the ears 
C) The back of the neck and up into the hairline to the top of the head 
D) The entire head must be shaved. 
A) The back of the neck only 
B) The back of the neck and up into the hairline to the level of the ears 
C) The back of the neck and up into the hairline to the top of the head 
D) The entire head must be shaved.

Question 5

For which of the following procedures might a surgeon perform a Pfannenstiel incision?

Accepted Answer

A) Appendectomy 
B) Bowel resection 
C) Nephrectomy 
D) Hysterectomy 
A) Appendectomy 
B) Bowel resection 
C) Nephrectomy 
D) Hysterectomy

Question 6

Which of the following situations may require more anesthesia to produce the necessary effects?

Accepted Answer

A) A patient who is very anxious 
B) A patient who has anorexia 
C) A patient who has gone into shock 
D) Both A and B 
A) A patient who is very anxious 
B) A patient who has anorexia 
C) A patient who has gone into shock 
D) Both A and B

Question 7

What is the rationale for using a low-pressure cuff on a tracheostomy tube?

Accepted Answer

A) To provide less pressure on the vocal cords, thereby allowing the patient to talk. 
B) To place less pressure on the tracheal structure, reducing the incidence of ulceration. 
C) To provide a seal against air leaks during ventilation. 
D) Both B and C 
A) To provide less pressure on the vocal cords, thereby allowing the patient to talk. 
B) To place less pressure on the tracheal structure, reducing the incidence of ulceration. 
C) To provide a seal against air leaks during ventilation. 
D) Both B and C

Question 8

What important points must the nurse remember when performing a surgical skin prep on a patient before the procedure?

Accepted Answer

A) Avoid allowing the prep solution to collect underneath the patient in large amounts. 
B) Perform the scrub for one full minute. 
C) Prepare the area by applying the skin prep to extend six inches from where the incision will be. 
D) Both A and B. 
A) Avoid allowing the prep solution to collect underneath the patient in large amounts. 
B) Perform the scrub for one full minute. 
C) Prepare the area by applying the skin prep to extend six inches from where the incision will be. 
D) Both A and B.

Question 9

The surgeon is making a midline abdominal incision and starts by cutting through the skin and subcutaneous fat. What is the next layer below the subcutaneous fat that he will cut through?

Accepted Answer

A) Muscle 
B) Fascia 
C) Dermis 
D) Bone 
A) Muscle 
B) Fascia 
C) Dermis 
D) Bone

Question 10

During a surgical procedure, the nurse is unwrapping a set of sterile instruments to use for the surgery and notes a water stain on the outside of the package. What is the next intervention?

Accepted Answer

A) Continue to unwrap the set and use the instruments as indicated. 
B) Open the pack and try to determine which instruments are usable. 
C) Stop the procedure and notify infection control about a potential breach in policy. 
D) Discard the instrument pack and obtain another; the first set is contaminated. 
A) Continue to unwrap the set and use the instruments as indicated. 
B) Open the pack and try to determine which instruments are usable. 
C) Stop the procedure and notify infection control about a potential breach in policy. 
D) Discard the instrument pack and obtain another; the first set is contaminated.

Question 11

Which signs or symptoms might be seen in a patient who has entered an alkalotic state?

Accepted Answer

A) Convulsions 
B) Nausea 
C) Headache 
D) Disorientation 
A) Convulsions 
B) Nausea 
C) Headache 
D) Disorientation

Question 12

What types of signs and symptoms might the nurse see if a patient suddenly develops cardiac tamponade?

Accepted Answer

A) A loud systolic murmur and chest pain 
B) Dyspnea and postural hypotension 
C) Blue appearance in the neck and pulsus paradoxus 
D) Clammy skin and distended neck veins 
A) A loud systolic murmur and chest pain 
B) Dyspnea and postural hypotension 
C) Blue appearance in the neck and pulsus paradoxus 
D) Clammy skin and distended neck veins

Question 13

When pouring a substance in a sterile field, which of the following measures are necessary to avoid contamination?

Accepted Answer

A) Pour the substance quickly to reduce the time spent in the sterile field. 
B) Stand three feet away from the container to avoid contaminating the sterile field. 
C) Pour the solution into a container on a sterile table or held by another person in sterile attire. 
D) Place the used container in a trash receptacle on the other side of the sterile table. 
A) Pour the substance quickly to reduce the time spent in the sterile field. 
B) Stand three feet away from the container to avoid contaminating the sterile field. 
C) Pour the solution into a container on a sterile table or held by another person in sterile attire. 
D) Place the used container in a trash receptacle on the other side of the sterile table.

Question 14

Which of the following might be a cause of a large difference in blood pressure between the arterial pressure on the cardiac monitor and the cuff pressure?

Accepted Answer

A) The arterial catheter is clotted or positioned incorrectly. 
B) The transducer has not been calibrated. 
C) The transducer is at the level of the atria. 
D) Both A and B 
A) The arterial catheter is clotted or positioned incorrectly. 
B) The transducer has not been calibrated. 
C) The transducer is at the level of the atria. 
D) Both A and B

Question 15

When preparing for surgery, a patient is on the table in the lithotomy position and the nurse is applying the drapes. In what order should the nurse drape this patient to prepare the sterile field?

Accepted Answer

A) Drape the abdomen first, then the legs, and end with a drape under the buttocks. 
B) Drape the legs first, then the abdomen, and end with a drape under the buttocks. 
C) Place a drape under the buttocks first, then the legs, and end with a drape on the abdomen. 
D) Drape the legs first, then apply a drape under the buttocks, and end with a drape on the abdomen. 
A) Drape the abdomen first, then the legs, and end with a drape under the buttocks. 
B) Drape the legs first, then the abdomen, and end with a drape under the buttocks. 
C) Place a drape under the buttocks first, then the legs, and end with a drape on the abdomen. 
D) Drape the legs first, then apply a drape under the buttocks, and end with a drape on the abdomen.

Question 16

During a heart catheterization procedure, the patient exclaims, "I feel like my heart is pounding!" What is the most appropriate response from the nurse?

Accepted Answer

A) "Take a deep breath and hold it for five seconds. I'll count for you." 
B) "You are probably experiencing anxiety. Tell me more about how you are feeling." 
C) "Take a breath and cough. This might make that feeling go away." 
D) "I don't usually have patients who get that feeling. How long has it been going on?" 
A) "Take a deep breath and hold it for five seconds. I'll count for you." 
B) "You are probably experiencing anxiety. Tell me more about how you are feeling." 
C) "Take a breath and cough. This might make that feeling go away." 
D) "I don't usually have patients who get that feeling. How long has it been going on?"

Question 17

The patient on the operating table has started bleeding from several different orifices, including their mucous membranes and intravenous lines. What type of medication should the nurse administer in this situation?

Accepted Answer

A) Erythropoietin 
B) Benazepril 
C) Lactulose 
D) Heparin 
A) Erythropoietin 
B) Benazepril 
C) Lactulose 
D) Heparin

Question 18

The perioperative nurse is preparing to open a sterile instrument pack before a procedure. While carrying the closed pack over to the table, they accidentally drop it on the floor. What is their next action in order to maintain asepsis for the procedure?

Accepted Answer

A) Discard the closed pack; it is contaminated. 
B) Pick it up and set it aside in case some of the instruments can still be used. 
C) Return the pack to the storage area and retrieve another one. 
D) Pick it up, open it, and use it anyway. 
A) Discard the closed pack; it is contaminated. 
B) Pick it up and set it aside in case some of the instruments can still be used. 
C) Return the pack to the storage area and retrieve another one. 
D) Pick it up, open it, and use it anyway.

Question 19

Which statement is a requirement when managing exposure to blood borne pathogens?

Accepted Answer

A) Nurses should receive training in handling occupational exposure if there is a risk of coming in contact with blood borne pathogens. 
B) Food and drink should be kept on a separate table in the operating suite, away from the patient. 
C) A contaminated needle should be carefully recapped before placing it in a biohazard container. 
D) Employers are required to provide measures for hand hygiene practices. 
A) Nurses should receive training in handling occupational exposure if there is a risk of coming in contact with blood borne pathogens. 
B) Food and drink should be kept on a separate table in the operating suite, away from the patient. 
C) A contaminated needle should be carefully recapped before placing it in a biohazard container. 
D) Employers are required to provide measures for hand hygiene practices.

Question 20

Which of the following is necessary for the nurse to have in the room during a femoral-popliteal bypass?

Accepted Answer

A) Hand-held Doppler 
B) Cell-saver 
C) Surgical stapler 
D) Both A and C 
A) Hand-held Doppler 
B) Cell-saver 
C) Surgical stapler 
D) Both A and C

What types of nursing interventions should the nurse perform for the patient who develops hypovolemia during the surgical procedure?

Which of the following patients would have contraindications for having a laparoscopic cholecystectomy?

Which of the following nursing interventions are appropriate when caring for a patient under conscious sedation?

A patient is being prepped for surgery on the cervical spine. At what level will the nurse most likely need to shave the head?

For which of the following procedures might a surgeon perform a Pfannenstiel incision?

Which of the following situations may require more anesthesia to produce the necessary effects?

What is the rationale for using a low-pressure cuff on a tracheostomy tube?

What important points must the nurse remember when performing a surgical skin prep on a patient before the procedure?

The surgeon is making a midline abdominal incision and starts by cutting through the skin and subcutaneous fat. What is the next layer below the subcutaneous fat that he will cut through?

During a surgical procedure, the nurse is unwrapping a set of sterile instruments to use for the surgery and notes a water stain on the outside of the package. What is the next intervention?

Which signs or symptoms might be seen in a patient who has entered an alkalotic state?

What types of signs and symptoms might the nurse see if a patient suddenly develops cardiac tamponade?

When pouring a substance in a sterile field, which of the following measures are necessary to avoid contamination?

Which of the following might be a cause of a large difference in blood pressure between the arterial pressure on the cardiac monitor and the cuff pressure?

When preparing for surgery, a patient is on the table in the lithotomy position and the nurse is applying the drapes. In what order should the nurse drape this patient to prepare the sterile field?

During a heart catheterization procedure, the patient exclaims, "I feel like my heart is pounding!" What is the most appropriate response from the nurse?

The patient on the operating table has started bleeding from several different orifices, including their mucous membranes and intravenous lines. What type of medication should the nurse administer in this situation?

The perioperative nurse is preparing to open a sterile instrument pack before a procedure. While carrying the closed pack over to the table, they accidentally drop it on the floor. What is their next action in order to maintain asepsis for the procedure?

Which statement is a requirement when managing exposure to blood borne pathogens?

Which of the following is necessary for the nurse to have in the room during a femoral-popliteal bypass?

Accountability

Communication

Disinfection

Emergencies

IPC Outcomes

Management

Preop

Transfer

Filters

Exam 5: Intraoperative

What types of nursing interventions should the nurse perform for the patient who develops hypovolemia during the surgical procedure?

Which of the following patients would have contraindications for having a laparoscopic cholecystectomy?

Which of the following nursing interventions are appropriate when caring for a patient under conscious sedation?

A patient is being prepped for surgery on the cervical spine. At what level will the nurse most likely need to shave the head?

For which of the following procedures might a surgeon perform a Pfannenstiel incision?

Which of the following situations may require more anesthesia to produce the necessary effects?

What is the rationale for using a low-pressure cuff on a tracheostomy tube?

What important points must the nurse remember when performing a surgical skin prep on a patient before the procedure?

The surgeon is making a midline abdominal incision and starts by cutting through the skin and subcutaneous fat. What is the next layer below the subcutaneous fat that he will cut through?

During a surgical procedure, the nurse is unwrapping a set of sterile instruments to use for the surgery and notes a water stain on the outside of the package. What is the next intervention?

Which signs or symptoms might be seen in a patient who has entered an alkalotic state?

What types of signs and symptoms might the nurse see if a patient suddenly develops cardiac tamponade?

When pouring a substance in a sterile field, which of the following measures are necessary to avoid contamination?

Which of the following might be a cause of a large difference in blood pressure between the arterial pressure on the cardiac monitor and the cuff pressure?

When preparing for surgery, a patient is on the table in the lithotomy position and the nurse is applying the drapes. In what order should the nurse drape this patient to prepare the sterile field?

During a heart catheterization procedure, the patient exclaims, "I feel like my heart is pounding!" What is the most appropriate response from the nurse?

The patient on the operating table has started bleeding from several different orifices, including their mucous membranes and intravenous lines. What type of medication should the nurse administer in this situation?

The perioperative nurse is preparing to open a sterile instrument pack before a procedure. While carrying the closed pack over to the table, they accidentally drop it on the floor. What is their next action in order to maintain asepsis for the procedure?

Which statement is a requirement when managing exposure to blood borne pathogens?

Which of the following is necessary for the nurse to have in the room during a femoral-popliteal bypass?

Accountability

Communication

Disinfection

Emergencies

IPC Outcomes

Management

Preop

Transfer

Filters