Question 1

What symptoms might a nurse encounter in a patient who develops hyperkalemia during a surgical procedure?

Accepted Answer

A) ECG changes and decreased urine output 
B) Restlessness and agitation 
C) Depressed respirations and fever 
D) Rapid breathing and rigid muscles

Question 2

Which of the following is a perioperative nurse intervention that is important during the induction phase of anesthesia?

Accepted Answer

A) Monitoring urinary output 
B) Ensuring that suction devices are working properly 
C) Positioning the patient on the table 
D) Keeping the atmosphere quiet

Question 3

Which of the following is a true statement regarding asepsis in the surgical environment?

Accepted Answer

A) The front of the surgical gown, from top to bottom is considered sterile, but not the back. 
B) A break in the sterile field renders the associated object contaminated. 
C) Tables are sterile at the level of the tabletop and descending to three inches below. 
D) All items should be considered sterile unless clearly contaminated.

Question 4

What is the preferred positioning of a patient who is undergoing a hemorrhoidectomy?

Accepted Answer

A) Lithotomy 
B) Lateral recumbent 
C) Kraske 
D) Both A and C

Question 5

Which of the following steps should the nurse perform when removing surgical attire in order to avoid contamination?

Accepted Answer

A) Before removing gloves, wipe them clean with a sterile towel. 
B) Grasp the front of the gown and pull forward to untie it and pull it off. 
C) To remove a mask, pull the front of the mask forward from the face and then down. 
D) Remove sterile gloves after all other scrub attire has been removed.

Question 6

What types of actions must the perioperative nurse consider when assisting with a flexible bronchoscopy?

Accepted Answer

A) Limit talking during the procedure. 
B) Place the patient in the reverse Trendelenburg position. 
C) Obtain copies of chest x-rays to have for easy access during the procedure. 
D) Both B and C

Question 7

What is the purpose of the mass spectrometer during the surgical procedure?

Accepted Answer

A) To determine the patient's level of consciousness. 
B) To verify the amount of the patient's pain during the procedure. 
C) To compare the patient's blood pressure changes throughout the procedure. 
D) To reveal how much anesthetic remains in the patient's body following the procedure.

Question 8

Which of the following complications must the perioperative nurse consider when caring for a patient who is positioned prone for a surgical procedure?

Accepted Answer

A) Increased right atrial pressure 
B) Increased pressure in the eyes 
C) Tachycardia 
D) Both A and B

Question 9

Which of the following is considered to be a disadvantage of using intravenous anesthesia?

Accepted Answer

A) Increased risk of nausea and vomiting 
B) Laryngospasm may occur with use 
C) Dizziness typically occurs during onset 
D) Both A and C

Question 10

During a surgical procedure, a patient begins bleeding profusely. The surgeon tells the nurse to administer a blood transfusion. What solution is most appropriate to hang with blood?

Accepted Answer

A) D10W 
B) D5LR 
C) 0.9% NS 
D) Ringer's lactate

Question 11

Which of the following conditions may be treated through a splenectomy?

Accepted Answer

A) Multiple myeloma 
B) Disseminated intravascular coagulopathy 
C) Von Willebrand's disease 
D) Autoimmune hemolytic anemia

Question 12

Which of the following is not an indication for performing a C- section?

Accepted Answer

A) Shoulder dystocia 
B) Active herpes infection 
C) Previous C-section 
D) Breech presentation

Question 13

A physician has ordered Valium for a patient who is extremely anxious in the time surrounding the surgical procedure. In which of the following situations should this drug be avoided?

Accepted Answer

A) In a patient with a history of diabetes mellitus 
B) In a patient with a respiratory rate of 24/minute 
C) In a patient with a history of narrow-angle glaucoma 
D) In a patient with a heart rate of 86 bpm

Question 14

During a laser procedure in the operating suite, which of the following precautions are essential for the safety of the entire healthcare team?

Accepted Answer

A) A sign should be posted at the entry warning others of the use of laser technology inside. 
B) Everyone in the room should wear eye protection at all times. 
C) The patient's face should be covered with a towel during the procedure to protect from the laser. 
D) Both A and B

Question 15

Which of the following measures does the nurse perform for a patient who is undergoing an appendectomy?

Accepted Answer

A) Administer antibiotics to reduce infection. 
B) Administer an enema before surgery. 
C) Insert a nasogastric tube. 
D) Both A and C

Question 16

In what order should the nurse open a package of sterile instruments?

Accepted Answer

A) Top flap opens toward the nurse, side flaps; inside flap opens away from the nurse. 
B) Top flap opens away from the nurse, side flaps; inside flap opens toward the nurse. 
C) Top flap opens away from the nurse, inside flap, side flaps. 
D) Top flap opens toward the nurse, inside flap, side flaps.

Question 17

Which of the following are potential nursing diagnoses related to patient positioning during the surgical procedure?

Accepted Answer

A) Body image disturbance 
B) Impaired gas exchange 
C) Alteration in nutrition, less than bodily requirements 
D) Alteration in comfort

Question 18

Which of the following measures can the nurse take to ensure adequate respiratory status and proper ventilation for the patient during the surgical procedure?

Accepted Answer

A) Place the patient's arms folded across their chest. 
B) Ensure that straps across the chest are secure but not overly tight. 
C) Place the patient in the lateral recumbent position. 
D) Both A and B

Question 19

Which of the following is a duty of the perioperative nurse when handling patient specimens?

Accepted Answer

A) Labeling the specimen with patient name and the source of the specimen. 
B) Removing the specimen from the patient to give to the surgical technician. 
C) Transporting the specimen to the laboratory for analysis. 
D) Handling patient specimens is beyond the nurse's scope of practice.

Question 20

Which of the following measures will help to reduce the risk of infection in the operating room?

Accepted Answer

A) Limiting the number of people allowed in the peripheral corridor, nursing station, and holding room. 
B) Wearing masks and gloves at all times when in the surgical suite, hallways, and post-anesthesia care unit. 
C) Scrubbing the hands with an antimicrobial soap and donning sterile gloves before performing any operative techniques. 
D) Keeping the scrub top tucked in and a long-sleeved closed jacket on during the surgical preparation.

Exam 5: Intraoperative