Deck 16: Priorities for the Intraoperative Patient

Question 1

The registered nurse first assistant (RNFA) scrubs with a long-acting, powerful antimicrobial sponge for before the surgical procedure. What is the required time frame for this surgical scrub?
1)1 to 3 minutes
2)3 to 5 minutes
3)5 to 7 minutes
4)7 to 10 minutes

Answer 1

2

Question 2

A patient in the operating room develops malignant hyperthermia. The nurse prepares which medication for administration to treat this medical emergency?
1)Atropine
2)Dantrolene
3)Diazepam
4)Propofol

Answer 2

2

Question 3

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is not expected to survive without the planned surgical procedure?
1)3
2)4
3)5
4)6

Answer 3

3

Question 4

Which member of the intraoperative nursing team is considered sterile?
1)Nurse anesthetist
2)Circulating nurse
3)Registered nurse first assistant (RNFA)
4)Certified registered nurse anesthetist (CRNA)

Question 5

Which action does the circulating nurse anticipate during the emergence phase of general anesthesia?
1)Securing the patient's airway
2)Administering oxygen to the patient by face mask
3)Maintaining the patient using balanced anesthesia
4)Suctioning the patient to decrease incidence of aspiration

Question 6

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease?
1)2
2)3
3)4
4)5

Question 7

Which action does the circulating nurse anticipate during the induction of general anesthesia?
1)Securing the patient's airway
2)Administering oxygen to the patient by face mask
3)Maintaining the patient using balanced anesthesia
4)Suctioning the patient to decrease incidence of aspiration

Question 8

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of succinylcholine, which terminology does the nurse use?
1)A narcotic analgesic
2)An intravenous anesthetic
3)A depolarizing muscle relaxant
4)A nondepolarizing muscle relaxant

Question 9

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of propofol, which terminology does the nurse use?
1)A narcotic analgesic
2)An intravenous anesthetic
3)A depolarizing muscle relaxant
4)A nondepolarizing muscle relaxant

Question 10

The nurse is caring for a patient who had a total hip replacement today. In reviewing the operating record, the nurse correlates which medication administered for its amnestic effects?
1)Diazepam (Valium)
2)Fentanyl (Sublimaze)
3)Succinylcholine (Anectine)
4)Vecuronium (Norcuron)

Question 11

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?
1)2
2)3
3)4
4)5

Question 12

In caring for a patient scheduled for a hip replacement surgical procedure, the nurse recognizes this procedure is an example of which surgical category?
1)Curative
2)Diagnostic
3)Palliative
4)Restorative

Question 13

The patient is transferred to the operating table. Which dimension of the operative period is the patient currently experiencing?
1)Postoperative period
2)Preoperative period
3)Perioperative period
4)Intraoperative period

Question 14

The post-anesthesia care unit (PACU) nurse is caring for a patient who just arrived from the operating room after a colon resection. The patient is complaining of severe pain and becoming increasingly restless and tachycardic. Who does the nurse consult regarding this patient's condition?
1)Anesthesiologist
2)Circulating nurse
3)Surgical first assistant
4)Surgeon

Question 15

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of cisatracurium, which terminology does the nurse use?
1)A narcotic analgesic
2)An intravenous anesthetic
3)A depolarizing muscle relaxant
4)A nondepolarizing muscle relaxant

Question 16

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a mild systemic disease?
1)2
2)3
3)4
4)5

Question 17

Which task is inappropriate for the nurse to delegate to the unlicensed assistive personnel (UAP) during the intraoperative period of care?
1)Identifying the patient before the procedure
2)Positioning the patient on the operating table
3)Transporting the patient to the operating room
4)Delivering patient specimens to the laboratory

Question 18

Which drug does the nurse prepare for the anesthesiologist to reverse the effects of cisatracurium during a surgical procedure?
1)Fentanyl
2)Atropine
3)Neostigmine
4)Glycopyrrolate

Question 19

Which action does the circulating nurse anticipate when the patient is intubated with the administration of general anesthesia?
1)Securing the patient's airway
2)Administering oxygen to the patient by face mask
3)Maintaining the patient using balanced anesthesia
4)Suctioning the patient to decrease incidence of aspiration

Question 20

Which American Society of Anesthesiologists' classification does the circulating nurse document for a patient who has been declared brain-dead and whose organs are being procured for donation?
1)3
2)4
3)5
4)6

Question 21

The nurse monitors for which potential complications in the patient who is receiving spinal anesthesia? Select all the apply.
1)Headache
2)Hematuria
3)Hypotension
4)Hyperthermia
5)Hyperventilation

Question 22

During preoperative teaching, the nurse explains to the patient and family that which of the following staff will take part in providing care during the intraoperative period of the surgical process? Select all that apply.
1)Surgeon
2)Post-anesthesia care unit nurse
3)Circulating nurse
4)Anesthesiologist
5)Respiratory therapist

Question 23

The nurse is auscultating breath sounds on the patient during intubation with an endotracheal tube (ETT). Which findings correlate with a right main-stem bronchus intubation?
1)Increased breath sounds on the right
2)Decreased breath sounds on the right
3)Increased breath sounds in the abdominal region
4)Absence of breath sounds

Question 24

Which is included in the scope of practice for the circulating registered nurse (RN)? Select all that apply.
1)Obtaining informed consent
2)Conducting the initial assessment in the operating room
3)Assisting the certified RN anesthetist with patient monitoring
4)Labeling patient samples and sending for analysis
5)Documenting information pertinent to the surgical procedure

Question 25

A patient is undergoing a surgical procedure. Based on the figure, which intraoperative position does this represent?

1)Fowler's
2)Low lithotomy
3)Supine
4)Trendelenburg

Question 26

The surgical services nurse educator is preparing a class about the roles of staff in the operating room. In describing surgical assistants, the nurse includes which staff who have received specialty training for this role? Select all the apply.
1)Certified registered nurse anesthetist (CRNA)
2)Physician assistant (PA)
3)Registered nurse first assistant (RNFA)
4)Surgical first assistant (SFA)
5)Surgical technologist

Question 27

The nurse monitors for which clinical manifestations in the patient diagnosed with malignant hyperthermia? Select all that apply.
1)pH 7.32
2)PaCO₂ 48 mm Hg
3)Pulse 54
4)Dark brown urine
5)Flaccid muscles

Question 28

The nurse correlates increased risk of deep vein thrombosis formation in patients placed in which position during a surgical procedure? Select all that apply.
1)Fowler's
2)Jackknife
3)Lateral
4)Prone
5)Reverse Trendelenburg

Question 29

Which members of the surgical team are considered sterile? Select all that apply.
1)Surgeon
2)Scrub nurse
3)Anesthesiologist
4)Circulating nurse
5)Surgical assistant

Question 30

A patient is undergoing a surgical procedure. Based on the figure, which intraoperative position does this represent?

1)Fowler's
2)Jackknife
3)Reverse Trendelenburg
4)Trendelenburg