Question 1

When one prepares to enter the operating room, which technique demonstrates the safest outcome?

Accepted Answer

A) Keeping the hands below the elbows 
B) Applying surgical gloves before the scrub 
C) Scrubbing for at least 3 to 5 minutes with an antimicrobial 
D) Drying the hands and arms, starting at the elbow and moving toward the fingers 
A) Keeping the hands below the elbows 
B) Applying surgical gloves before the scrub 
C) Scrubbing for at least 3 to 5 minutes with an antimicrobial 
D) Drying the hands and arms, starting at the elbow and moving toward the fingers C

Question 2

The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?

Accepted Answer

A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Certified surgical technologist (CST) 
D) Licensed nursing assistant 
A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Certified surgical technologist (CST) 
D) Licensed nursing assistant A

Question 3

The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies, disposes of soiled sponges, and accounts for sponges, sharps, and instruments in the surgical field.

Accepted Answer

scrub nurse/technician
The scrub nurse/technician is a "sterile" team member who provides the surgeon with instruments and supplies, disposes of soiled sponges, and accounts for sponges, sharps, and instruments in the surgical field.

Question 4

Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply.)

Accepted Answer

A) RN 
B) LPN 
C) CST 
D) Licensed nursing assistant 
E) Medical transcriptionist 
A) RN 
B) LPN 
C) CST 
D) Licensed nursing assistant 
E) Medical transcriptionist

Question 5

The nurse recognizes that evidence-based care is appropriate when the nurse witnesses the surgeon take which step?

Accepted Answer

A) Washing hands for a minimum of 15 minutes with soap and water 
B) Using alcohol hand scrub for 15 minutes 
C) Using alcohol combined with chlorhexidine gluconate hand scrubs 
D) Using a combination of soap and alcohol as a scrub 
A) Washing hands for a minimum of 15 minutes with soap and water 
B) Using alcohol hand scrub for 15 minutes 
C) Using alcohol combined with chlorhexidine gluconate hand scrubs 
D) Using a combination of soap and alcohol as a scrub

Question 6

The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).

Accepted Answer

intraoperative
The intraoperat

Question 7

The charge nurse is assigning members of the surgical team; the nurse recognizes that which member is responsible for ensuring preoperative and postoperative patient management in collaboration with other health care providers?

Accepted Answer

A) RN 
B) LPN 
C) Circulating RN 
D) RNFA 
A) RN 
B) LPN 
C) Circulating RN 
D) RNFA

Question 8

Which of the following are principles of sterile procedure? (Select all that apply.)

Accepted Answer

A) Gowns are sterile from the chest and shoulder to table level. 
B) Sterile persons must keep hands in view and above the waist and below the neck. 
C) Sterile persons must fold arms across chest with hands tucked into the axillary region. 
D) Unscrubbed persons must stay at least 6 inches away from the sterile field. 
E) Sterile persons may position themselves with their back to the sterile field. 
A) Gowns are sterile from the chest and shoulder to table level. 
B) Sterile persons must keep hands in view and above the waist and below the neck. 
C) Sterile persons must fold arms across chest with hands tucked into the axillary region. 
D) Unscrubbed persons must stay at least 6 inches away from the sterile field. 
E) Sterile persons may position themselves with their back to the sterile field.

Question 9

While supervising the surgical team, the charge nurse notices that a team member's nails are long and chipped.Which action should the nurse take next?

Accepted Answer

A) Allow the team member to complete the task. 
B) Remove the team member to have the nails cut. 
C) Turn the team member in to the RNFA. 
D) Ask the team member why the nails are long and chipped. 
A) Allow the team member to complete the task. 
B) Remove the team member to have the nails cut. 
C) Turn the team member in to the RNFA. 
D) Ask the team member why the nails are long and chipped.

Question 10

Which of the following is true about the circulating nurse's primary responsibility?

Accepted Answer

A) She is a "sterile" member of the surgical team. 
B) She provides the surgeon with instruments. 
C) She is a "nonsterile" member of the surgical team. 
D) She performs delegated medical functions or skills. 
A) She is a "sterile" member of the surgical team. 
B) She provides the surgeon with instruments. 
C) She is a "nonsterile" member of the surgical team. 
D) She performs delegated medical functions or skills.

Question 11

Which of the following are sources of contamination in the operating room? (Select all that apply.)

Accepted Answer

A) A wristwatch 
B) Chipped nail polish 
C) Artificial fingernails 
D) Abrasions on the hands 
E) Tattoos to the arms 
A) A wristwatch 
B) Chipped nail polish 
C) Artificial fingernails 
D) Abrasions on the hands 
E) Tattoos to the arms

Question 12

When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving, it is most important for the nurse to assess for which outcome?

Accepted Answer

A) Opening the sterile gown pack on a sterile surface 
B) Holding the gown close to the body before applying 
C) Having the circulating nurse tie the gown at the hip 
D) Keeping the hands inside the sleeves of the gown until the gloves are applied 
A) Opening the sterile gown pack on a sterile surface 
B) Holding the gown close to the body before applying 
C) Having the circulating nurse tie the gown at the hip 
D) Keeping the hands inside the sleeves of the gown until the gloves are applied

Question 13

Through the use of an antimicrobial agent and sterile brushes or sponges, which of the following occurs? (Select all that apply.)

Accepted Answer

A) Debris and transient microorganisms are removed from the nails, hands, and forearms. 
B) The resident microbial count is reduced to a minimum. 
C) The skin is sterilized. 
D) Rapid/rebound growth of microorganisms is inhibited. 
E) The need to wash between patients is reduced. 
A) Debris and transient microorganisms are removed from the nails, hands, and forearms. 
B) The resident microbial count is reduced to a minimum. 
C) The skin is sterilized. 
D) Rapid/rebound growth of microorganisms is inhibited. 
E) The need to wash between patients is reduced.

Question 14

The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure, performing a combination of nursing and delegated medical functions and/or skills.

Accepted Answer

registered nurse first assistant (RNFA)

Question 15

While the patient is in the OR and the OR team is gowned and gloved, the nurse recommends completion of a safety checklist.The nurse understands that the checklist verifies which of the following? (Select all that apply.)

Accepted Answer

A) Patient identity 
B) Patient allergies 
C) Accurate marking of surgical site 
D) Patient cultural preferences 
E) Questions posed by the patient 
A) Patient identity 
B) Patient allergies 
C) Accurate marking of surgical site 
D) Patient cultural preferences 
E) Questions posed by the patient

Question 16

When planning care for a surgical patient, the nurse implements which technique to maintain sterility in the operating room?

Accepted Answer

A) Keeps the hands below the waist 
B) Tucks the hands under the axilla 
C) Uses sterile gloved hands to move a sterile drape under a table 
D) Has anyone who is unscrubbed stay at least 1 foot away from the sterile field 
A) Keeps the hands below the waist 
B) Tucks the hands under the axilla 
C) Uses sterile gloved hands to move a sterile drape under a table 
D) Has anyone who is unscrubbed stay at least 1 foot away from the sterile field

Question 17

When planning care for a surgical patient, which nursing diagnosis has the highest priority?

Accepted Answer

A) Risk for infection 
B) Risk for constipation 
C) Risk for falls 
D) Risk for knowledge deficit 
A) Risk for infection 
B) Risk for constipation 
C) Risk for falls 
D) Risk for knowledge deficit

Question 18

The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task? (Select all that apply.)

Accepted Answer

A) Scrub nurse 
B) Registered nurse first assistant 
C) Circulating nurse 
D) Certified registered nurse anesthetist 
E) Surgical technician 
A) Scrub nurse 
B) Registered nurse first assistant 
C) Circulating nurse 
D) Certified registered nurse anesthetist 
E) Surgical technician

Question 19

The scrub nurse's hands are being washed in preparation for a surgical procedure.As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand.Which action should the nurse take next?

Accepted Answer

A) Apply sterile gloves. 
B) Apply a sterile gown. 
C) Apply a sterile mask. 
D) Wash her hands. 
A) Apply sterile gloves. 
B) Apply a sterile gown. 
C) Apply a sterile mask. 
D) Wash her hands.

Question 20

The consequences of double gloving during surgery include which of the following? (Select all that apply.)

Accepted Answer

A) Decreased need for handwashing 
B) Decreased risk for exposure to bloodborne pathogens 
C) Increased perforations to the innermost glove 
D) Decreased risk for surgical wound infection 
E) Increased patient cost 
A) Decreased need for handwashing 
B) Decreased risk for exposure to bloodborne pathogens 
C) Increased perforations to the innermost glove 
D) Decreased risk for surgical wound infection 
E) Increased patient cost

Exam 37: Intraoperative Care

When one prepares to enter the operating room, which technique demonstrates the safest outcome?

The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?

The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies, disposes of soiled sponges, and accounts for sponges, sharps, and instruments in the surgical field.

Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply.)

The nurse recognizes that evidence-based care is appropriate when the nurse witnesses the surgeon take which step?

The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).

The charge nurse is assigning members of the surgical team; the nurse recognizes that which member is responsible for ensuring preoperative and postoperative patient management in collaboration with other health care providers?

Which of the following are principles of sterile procedure? (Select all that apply.)

While supervising the surgical team, the charge nurse notices that a team member's nails are long and chipped.Which action should the nurse take next?

Which of the following is true about the circulating nurse's primary responsibility?

Which of the following are sources of contamination in the operating room? (Select all that apply.)

When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving, it is most important for the nurse to assess for which outcome?

Through the use of an antimicrobial agent and sterile brushes or sponges, which of the following occurs? (Select all that apply.)

The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure, performing a combination of nursing and delegated medical functions and/or skills.

While the patient is in the OR and the OR team is gowned and gloved, the nurse recommends completion of a safety checklist.The nurse understands that the checklist verifies which of the following? (Select all that apply.)

When planning care for a surgical patient, the nurse implements which technique to maintain sterility in the operating room?

When planning care for a surgical patient, which nursing diagnosis has the highest priority?

The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task? (Select all that apply.)

The scrub nurse's hands are being washed in preparation for a surgical procedure.As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand.Which action should the nurse take next?

The consequences of double gloving during surgery include which of the following? (Select all that apply.)

Using Evidence in Nursing Practice

Admitting, Transfer, and Discharge

Communication

Documentation and Informatics

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety and Quality Improvement

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bed Making

Pressure Ulcer Care

Care of the Eye and Ear

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

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