Question 1

Which of the following actions should the nurse consider for the patient who has just been extubated at the end of the surgical procedure?

Accepted Answer

A) Monitoring urine output and potential blood loss. 
B) Providing respiratory support through bag-mask ventilation. 
C) Staying with the patient for safety if they awaken in a combative state. 
D) Teaching the patient about postoperative wound care. 
A) Monitoring urine output and potential blood loss. 
B) Providing respiratory support through bag-mask ventilation. 
C) Staying with the patient for safety if they awaken in a combative state. 
D) Teaching the patient about postoperative wound care.

Question 2

How can the nurse reduce the risk of pressure injuries to a patient during a surgical procedure?

Accepted Answer

A) Limit the length of the procedure. 
B) Perform range of motion exercises on the patient during the procedure. 
C) Avoid placing equipment or body weight against the patient for extended periods of time. 
D) Turn the patient from side to side every hour. 
A) Limit the length of the procedure. 
B) Perform range of motion exercises on the patient during the procedure. 
C) Avoid placing equipment or body weight against the patient for extended periods of time. 
D) Turn the patient from side to side every hour.

Question 3

Which of the following is considered a disadvantage of using skin staples to close a surgical wound?

Accepted Answer

A) The skin stapler is difficult to load and to use. 
B) Staples leave large scars at the incision site. 
C) Staples must be removed after approximately one week. 
D) Using the skin stapler requires advanced certification. 
A) The skin stapler is difficult to load and to use. 
B) Staples leave large scars at the incision site. 
C) Staples must be removed after approximately one week. 
D) Using the skin stapler requires advanced certification.

Question 4

Which of the following manifestations is more likely to be seen in a pediatric surgical patient?

Accepted Answer

A) Increased concentration of fluids and electrolytes through the kidneys. 
B) Larger blood volume per kg of body weight 
C) Greater cardiac output due to higher pulse rate 
D) Decreased chest wall compliance 
A) Increased concentration of fluids and electrolytes through the kidneys. 
B) Larger blood volume per kg of body weight 
C) Greater cardiac output due to higher pulse rate 
D) Decreased chest wall compliance

Question 5

Which of the following is an example of a flexible endoscope?

Accepted Answer

A) Laparoscope 
B) Ureteroscope 
C) Angioscope 
D) Arthroscope 
A) Laparoscope 
B) Ureteroscope 
C) Angioscope 
D) Arthroscope

Question 6

Which of the following processes will help to prevent an allergic reaction to latex during the surgical procedure?

Accepted Answer

A) Taking a full history to determine patient risk factors. 
B) Providing latex-free surgical supplies for any patient who has an allergy. 
C) Administering a histamine blocker prophylactically. 
D) Both A and B 
A) Taking a full history to determine patient risk factors. 
B) Providing latex-free surgical supplies for any patient who has an allergy. 
C) Administering a histamine blocker prophylactically. 
D) Both A and B

Question 7

Which of the following is not an acceptable practice when managing a Jackson-Pratt drain?

Accepted Answer

A) Pinning the drain in an upward position so that it rests above the patient's wound. 
B) Fully collapsing the drain so that it will draw fluid out of the wound. 
C) Milking the drain tubing to clear particles that are clogging the opening. 
D) Emptying the drain when it becomes half full. 
A) Pinning the drain in an upward position so that it rests above the patient's wound. 
B) Fully collapsing the drain so that it will draw fluid out of the wound. 
C) Milking the drain tubing to clear particles that are clogging the opening. 
D) Emptying the drain when it becomes half full.

Question 8

Which of the following are activities of the circulating nurse in the operating room during the surgical procedure?

Accepted Answer

A) Maintaining cleanliness and proper temperature in the operating suite. 
B) Assisting the surgeon during the procedure. 
C) Predicting the need for and providing certain types of sponges or instruments for the surgeon. 
D) Counting needles and sponges following wound closure. 
A) Maintaining cleanliness and proper temperature in the operating suite. 
B) Assisting the surgeon during the procedure. 
C) Predicting the need for and providing certain types of sponges or instruments for the surgeon. 
D) Counting needles and sponges following wound closure.

Question 9

The process of putting on sterile gloves by turning the inside of the glove outward and touching only the interior when putting it on is called the:

Accepted Answer

A) Closed-glove technique 
B) Open-glove technique 
C) Assisted-glove technique 
D) Individual-glove technique 
A) Closed-glove technique 
B) Open-glove technique 
C) Assisted-glove technique 
D) Individual-glove technique

Question 10

According to the Braden Scale for assessing the risk of pressure sores, which of the following patients would be at highest risk for developing a pressure injury during a surgical procedure?

Accepted Answer

A) A patient who is alert and responsive and who can walk with assistance. 
B) A patient who is responsive to commands and has dry skin. 
C) A patient who moves around with assistance and eats ½ of their meals. 
D) A patient who can make position changes and who eats three meals a day with snacks. 
A) A patient who is alert and responsive and who can walk with assistance. 
B) A patient who is responsive to commands and has dry skin. 
C) A patient who moves around with assistance and eats ½ of their meals. 
D) A patient who can make position changes and who eats three meals a day with snacks.

Question 11

What is the purpose of the footboard on the operating room table?

Accepted Answer

A) To provide an extra length of table on which the patient can rest their feet. 
B) To serve as a cushion to prevent pressure injuries. 
C) To secure the patient's legs to the table. 
D) To act as a place for the surgeon to rest their feet when they are tired. 
A) To provide an extra length of table on which the patient can rest their feet. 
B) To serve as a cushion to prevent pressure injuries. 
C) To secure the patient's legs to the table. 
D) To act as a place for the surgeon to rest their feet when they are tired.

Question 12

What is the outer border for a skin prep performed on the breast area?

Accepted Answer

A) Across the chest at the level of the clavicle 
B) Two inches below the level of the breast tissue 
C) Upper portion of the arm, down to the elbow 
D) Above the neck, extending up to the chin 
A) Across the chest at the level of the clavicle 
B) Two inches below the level of the breast tissue 
C) Upper portion of the arm, down to the elbow 
D) Above the neck, extending up to the chin

Question 13

A patient who is suffering from pain due to an ulcer is getting ready to undergo a vagotomy. In what method does this procedure relieve ulcer pain?

Accepted Answer

A) By removing part of the stomach and intestine 
B) By inserting a drain that will release excess stomach acid outside of the body 
C) By removing the ulcer and closing the area to allow it to heal 
D) By severing the nerves to the stomach that promote acid secretion 
A) By removing part of the stomach and intestine 
B) By inserting a drain that will release excess stomach acid outside of the body 
C) By removing the ulcer and closing the area to allow it to heal 
D) By severing the nerves to the stomach that promote acid secretion

Question 14

The nurse is prepping a woman who is getting ready for a double mastectomy and who asks, "Will I be able to have another surgery to fix my appearance after this?" What factors affect whether a woman is able to have breast reconstruction surgery?

Accepted Answer

A) The availability of breast tissue after the mastectomy 
B) The patient undergoing radiation therapy 
C) The patient's recent mastectomy procedure 
D) Metastasis that has spread to the liver 
A) The availability of breast tissue after the mastectomy 
B) The patient undergoing radiation therapy 
C) The patient's recent mastectomy procedure 
D) Metastasis that has spread to the liver

Question 15

Which of the following is a nursing intervention performed during an upper gastrointestinal fiberoscopy?

Accepted Answer

A) Positioning the patient in the supine position for ease of access. 
B) Administering corticosteroids to relax the smooth muscles of the intestinal tract. 
C) Administering atropine to reduce secretions in the gastrointestinal tract. 
D) Assisting with intubation of the patient for controlled ventilation during the procedure. 
A) Positioning the patient in the supine position for ease of access. 
B) Administering corticosteroids to relax the smooth muscles of the intestinal tract. 
C) Administering atropine to reduce secretions in the gastrointestinal tract. 
D) Assisting with intubation of the patient for controlled ventilation during the procedure.

Question 16

Which of the following is a true statement regarding trochar and cannula use during a surgical procedure?

Accepted Answer

A) A trochar and cannula are used to create an opening for the procedure. 
B) A reusable trochar must be sharpened on a routine basis. 
C) After entry into the body cavity, the trochar is left in place and the cannula is removed. 
D) Both A and B 
A) A trochar and cannula are used to create an opening for the procedure. 
B) A reusable trochar must be sharpened on a routine basis. 
C) After entry into the body cavity, the trochar is left in place and the cannula is removed. 
D) Both A and B

Question 17

Which of the following is necessary when performing a circumferential skin preparation on a patient's arm?

Accepted Answer

A) Prop the limb up onto a table in order to reach all sides. 
B) Use an assistant who is in sterile clothing to hold the arm while another nurse performs the prep. 
C) Cleanse one side of the arm and allow it to dry; then return and cleanse the other side. 
D) Start at the top of the arm while cleaning, holding with one hand and moving down the arm. 
A) Prop the limb up onto a table in order to reach all sides. 
B) Use an assistant who is in sterile clothing to hold the arm while another nurse performs the prep. 
C) Cleanse one side of the arm and allow it to dry; then return and cleanse the other side. 
D) Start at the top of the arm while cleaning, holding with one hand and moving down the arm.

Question 18

What additional pieces may be added to a basic plastics instrument set for a woman undergoing reduction mammoplasty?

Accepted Answer

A) Specimen scale 
B) Areola marker 
C) Doppler probe 
D) Both A and B 
A) Specimen scale 
B) Areola marker 
C) Doppler probe 
D) Both A and B

Question 19

Which of the following surgical areas is considered dirty and should be cleaned last when preparing a patient for surgery?

Accepted Answer

A) Eyes 
B) Genitalia 
C) Popliteal region 
D) Feet 
A) Eyes 
B) Genitalia 
C) Popliteal region 
D) Feet

Which of the following actions should the nurse consider for the patient who has just been extubated at the end of the surgical procedure?

How can the nurse reduce the risk of pressure injuries to a patient during a surgical procedure?

Which of the following is considered a disadvantage of using skin staples to close a surgical wound?

Which of the following manifestations is more likely to be seen in a pediatric surgical patient?

Which of the following is an example of a flexible endoscope?

Which of the following processes will help to prevent an allergic reaction to latex during the surgical procedure?

Which of the following is not an acceptable practice when managing a Jackson-Pratt drain?

Which of the following are activities of the circulating nurse in the operating room during the surgical procedure?

The process of putting on sterile gloves by turning the inside of the glove outward and touching only the interior when putting it on is called the:

According to the Braden Scale for assessing the risk of pressure sores, which of the following patients would be at highest risk for developing a pressure injury during a surgical procedure?

What is the purpose of the footboard on the operating room table?

What is the outer border for a skin prep performed on the breast area?

A patient who is suffering from pain due to an ulcer is getting ready to undergo a vagotomy. In what method does this procedure relieve ulcer pain?

The nurse is prepping a woman who is getting ready for a double mastectomy and who asks, "Will I be able to have another surgery to fix my appearance after this?" What factors affect whether a woman is able to have breast reconstruction surgery?

Which of the following is a nursing intervention performed during an upper gastrointestinal fiberoscopy?

Which of the following is a true statement regarding trochar and cannula use during a surgical procedure?

Which of the following is necessary when performing a circumferential skin preparation on a patient's arm?

What additional pieces may be added to a basic plastics instrument set for a woman undergoing reduction mammoplasty?

Which of the following surgical areas is considered dirty and should be cleaned last when preparing a patient for surgery?

Accountability

Communication

Disinfection

Emergencies

IPC Outcomes

Management

Preop

Transfer

Filters

Exam 5: Intraoperative

Which of the following actions should the nurse consider for the patient who has just been extubated at the end of the surgical procedure?

How can the nurse reduce the risk of pressure injuries to a patient during a surgical procedure?

Which of the following is considered a disadvantage of using skin staples to close a surgical wound?

Which of the following manifestations is more likely to be seen in a pediatric surgical patient?

Which of the following is an example of a flexible endoscope?

Which of the following processes will help to prevent an allergic reaction to latex during the surgical procedure?

Which of the following is not an acceptable practice when managing a Jackson-Pratt drain?

Which of the following are activities of the circulating nurse in the operating room during the surgical procedure?

The process of putting on sterile gloves by turning the inside of the glove outward and touching only the interior when putting it on is called the:

According to the Braden Scale for assessing the risk of pressure sores, which of the following patients would be at highest risk for developing a pressure injury during a surgical procedure?

What is the purpose of the footboard on the operating room table?

What is the outer border for a skin prep performed on the breast area?

A patient who is suffering from pain due to an ulcer is getting ready to undergo a vagotomy. In what method does this procedure relieve ulcer pain?

The nurse is prepping a woman who is getting ready for a double mastectomy and who asks, "Will I be able to have another surgery to fix my appearance after this?" What factors affect whether a woman is able to have breast reconstruction surgery?

Which of the following is a nursing intervention performed during an upper gastrointestinal fiberoscopy?

Which of the following is a true statement regarding trochar and cannula use during a surgical procedure?

Which of the following is necessary when performing a circumferential skin preparation on a patient's arm?

What additional pieces may be added to a basic plastics instrument set for a woman undergoing reduction mammoplasty?

Which of the following surgical areas is considered dirty and should be cleaned last when preparing a patient for surgery?

Accountability

Communication

Disinfection

Emergencies

IPC Outcomes

Management

Preop

Transfer

Filters