Question 1

Which of the following symptoms are characteristic of the overdosage stage of anesthesia?

Accepted Answer

A) The patient is unconscious with a regular pulse rate. 
B) The patient may have uncontrollable movements. 
C) The patient experiences feelings of disconnectedness from the body. 
D) The patient develops shallow respirations and dilated pupils.

Question 2

Which of these factors contribute to the development of patient hypothermia during a surgical procedure?

Accepted Answer

A) Anesthesia use 
B) Greater body mass due to obesity 
C) Supine positioning 
D) Bacterial sepsis

Question 3

Which of the following measures must be considered when working with a patient specimen in formaldehyde?

Accepted Answer

A) Keeping the specimen in enclosed quarters. 
B) Wearing gloves at all times when working with the substance. 
C) Monitoring formaldehyde exposure once per year. 
D) Both A and B

Question 4

Which of the following are changes associated with aging that put the elderly patient at higher risk during surgery?

Accepted Answer

A) Slow infusion of intravenous anesthesia may lead to pulmonary edema. 
B) More anesthesia is needed and it wears off more quickly. 
C) Decreased cough reflex increases risk of pneumonia. 
D) Poor kidney function results in larger amounts of urine output.

Question 5

When classifying instruments used during surgery, a Straight Mayo would be considered what type of instrument?

Accepted Answer

A) Clamp 
B) Scissors 
C) Retractor 
D) Forceps

Question 6

Which of the following is a disadvantage of using morphine as an anesthetic during the surgical process?

Accepted Answer

A) It does not produce amnesia. 
B) It may cause nausea and vomiting. 
C) It may lead to hallucinations. 
D) It should not be used in children.

Question 7

What is the purpose of the kick bucket during the surgical procedure?

Accepted Answer

A) It is used to collect sponges that have become soiled during surgery. 
B) It is used to collect excess fluid from suctioning during surgery. 
C) It is an extra place to put used instruments during surgery. 
D) It is kept by the patient's head in case they vomit during surgery.

Question 8

Which of the following solutions are used to control both gram-positive and gram-negative bacteria as part of the surgical skin prep?

Accepted Answer

A) Ethylene alcohol 
B) Chlorhexidine gluconate 
C) Hydrogen peroxide 
D) Both A and B

Question 9

Which of the following is an example of a hemostatic agent?

Accepted Answer

A) Oxidized cellulose 
B) Cystografin 
C) Heparin 
D) Cefazolin

Question 10

Which of the following effects would the nurse expect to see in a patient who has been given pentothal for anesthesia?

Accepted Answer

A) Drowsiness 
B) Euphoria 
C) Flaccid paralysis 
D) Agitation

Question 11

The perioperative nurse is planning to administer fluids and electrolytes to a patient who has just undergone surgery for removal of the appendix. What potential complication does this intervention prevent?

Accepted Answer

A) Paralytic ileus 
B) Pelvic abscess 
C) Constipation 
D) Postoperative pain

Question 12

Which of the following is a true statement about surgical attire that the nurse must don before working in the operating suite?

Accepted Answer

A) The nurse should put on the scrub suit first, followed by the scrub cap. 
B) If the nurse needs to leave the operating suite, they should untie the mask to leave it around the neck before leaving. 
C) At the end of the day, the nurse should take their scrub suit home to wash and wear again at their next shift. 
D) When moving between procedures, the nurse should put on a different mask before working with the next patient.

Question 13

The perioperative nurse is assisting the surgeon during a procedure when the surgeon hands them a set of clamps covered in blood for disposal. What is the nurse's next action?

Accepted Answer

A) Inspect the clamps to ensure they have not been damaged during the procedure. 
B) Place the clamps back on the table with the other surgical instruments. 
C) Put the clamps in a bowl containing saline solution to clean before disposal. 
D) Both A and C.

Question 14

The nurse observes that the patient has developed a small pressure ulcer on the back of their right arm. It appears as a blister that seems to include the superficial layers of skin. What stage of pressure ulcer would this wound be classified as?

Accepted Answer

A) Stage I 
B) Stage II 
C) Stage III 
D) Stage IV

Question 15

The perioperative nurse is setting up the operating suite before the procedure. Which of the following is part of the process of preparing the room?

Accepted Answer

A) Set up the instrument table with a drape and supplies and push it against the wall to stay out of the way. 
B) Position the operating table approximately three feet from the overhead light to avoid glare, and lock it into place. 
C) Drape the ring stand and move it next to the instrument table to be available during the procedure. 
D) Cover the Mayo stand and move it so that it stays clear of the sterile field during surgery.

Question 16

At what point during the surgical procedure should the sponge count be performed?

Accepted Answer

A) When opening the surgical pack at the beginning of the procedure 
B) After the skin preparation is complete 
C) Before the physician closes the wound 
D) Both A and C

Question 17

A patient's ventilator continues to alarm of increased peak airway pressure. What nursing interventions are most appropriate in this situation?

Accepted Answer

A) Notify the physician immediately. 
B) Suction the endotracheal tube. 
C) Prepare the patient for insertion of a chest tube. 
D) Call the respiratory therapist to change out the ventilator.

Question 18

Which of the following is a potential complication associated with positioning the patient in the reverse Trendelenburg position?

Accepted Answer

A) Shearing of the skin 
B) Increased intracranial pressure 
C) Decreased movement of the diaphragm 
D) Poor venous return

Question 19

After giving a dose of an antibiotic, the nurse notices the patient is developing a rash and their blood pressure is dropping. What is the most likely reason for this reaction?

Accepted Answer

A) The patient is in pain. 
B) The patient is allergic to the medication. 
C) The patient has awareness while under anesthesia. 
D) Both A and C.

Question 20

What is a potential complication associated with placing the patient in the lithotomy position?

Accepted Answer

A) Hip dislocation 
B) Nasal drainage 
C) Decreased movement of the diaphragm 
D) Low blood pressure

Exam 5: Intraoperative