Question 1

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. D

Question 2

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

Accepted Answer

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

Question 3

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)
registered nurse first assistant
The RNFA 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.

Question 4

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 5

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 6

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

Accepted Answer

A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Circulating RN 
D) Registered nurse first assistant (RNF
A)  
A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Circulating RN 
D) Registered nurse first assistant (RNF
A)

Question 7

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

Accepted Answer

A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Certified surgical technician (CST) 
D) Nursing assistive personnel (NAP) 
E) Medical transcriptionist 
A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Certified surgical technician (CST) 
D) Nursing assistive personnel (NAP) 
E) Medical transcriptionist

Question 8

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 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

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 11

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) Certified Registered Nurse Anesthetist (CRN
A)  
A) Registered nurse (RN) 
B) Licensed practical nurse (LPN) 
C) Certified surgical technologist (CST) 
D) Certified Registered Nurse Anesthetist (CRN
A)

Question 12

While the patient is in the operating room (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 13

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
scrub nurse
techn

Question 14

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

Question 15

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 16

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

Question 17

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.

Exam 38: Intraoperative Care

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

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

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.

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

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

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

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

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

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?

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?

While the patient is in the operating room (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. )

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.

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

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

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

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

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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