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1. How should a patient weighing more that 157 pounds be transferred to the
OR bed - Correct Answer: Mechanical lifting device by 3 caregivers plus
anesthesia
2. When placing the patient in steep Trendelenberg, where should the
patients knees be on the bed - Correct Answer: over the distal break to
allow for bending the knees and to secure the pt, and to protect from
undue shear during the procedure
3. When performing preoperative skin antisepsis, the perioperative RN should
A. Shave the area to be prepped immediately before applying the
antiseptic
B. Apply the antiseptic in concentric circles moving from the outer
perimeter toward the incision site.
C. Clean the area to be prepped with 70% isopropyl alcohol before
applying the antiseptic.
D. Allow the antiseptic solution to dry for the full time recommended in
the manufacturers instructions for use before the surgical drapes are
, applied - Correct Answer: D. Allow the antiseptic solution to dry
for the full time recommended in the manufacturers instructions for
use before the surgical drapes are applied
4. A ________ must be used to remove waste anesthesia gases from the
operating room
A. Ventilation system
B. anesthesia delivery system
C. Scavenging system
D. Air sampling system - Correct Answer: C. Scavenging system
5. Local anesthetic systemic toxicity is treated by administering
A. 10% lipid emulsion
B. 15% hetastarch
C. 20% lipid emulsion
D. 25% hetastarch - Correct Answer: C. 20% lipid emulsion
6. Placing the patient on the OR bed in the supine position with arms
extended on armboards at greater that 90 degrees may cause injury to the
A. Axillary Nerve
B. Brachial Nerve
C. Median Nerve
D. Radial Nerve - Correct Answer: B. Brachial Nerve
7. The correct time to label containers designated for medications or solutions
is
A. When setting up the sterile field but before the medications are
delivered to the field
, B. When there are more than two medications being used on the sterile
field
C. At the time the medication is delivered to the sterile field
D. Just before using the medication on the patient - Correct Answer:
C. At the time the medication is delivered to the sterile field
8. A periop nurse is preparing to perform a skin prep for a patient scheduled
for a right breast biopsy with needle localization. When the nurse removes
the patients gown, she discovers a wire inserted into the left breast. What is
the appropriate action
A. Leave the wire in place and prep the left breast
B. Remove the wire and prep the right breast
C. Call the radiologist and tell him of the error
D. Postpone prepping until the discrepancy is resolved - Correct
Answer: D. Postpone prepping until the discrepancy is resolved
9. Potential harm from the use of povidone-iodine antiseptics include
A. deafness
B. thyroid dysfunction
C. neurotoxicity
D. allergic response to iodine - Correct Answer: B. thyroid
dysfunction
10.A specific directive, written by a physician, about end of life decisions is
a/an
A. DNR order
B. AND order
C. Advance Directive
D. Required reconsideration - Correct Answer: B. AND order
, 11.When performing preop patient skin antisepsis, the RN should
A. Perform a surgical hand scrub and wear a sterile gown
B. Perform a surgical hand scrub and wear short sleeved scrub attire
C. Perform hand hygiene and wear a sterile gown
D. perform hand hygiene and wear long sleeved scrub attire -
Correct Answer: D. perform hand hygiene and wear long sleeved
scrub attire
12.Patients placed in the steep trendelenberg position may be at risk for
A. increased tidal volume
B. decreased tidal volume
C. decreased intracranial pressure
D. increased stroke volume - Correct Answer: B. decreased tidal
volume
due to the pressure of abdominal contents against the diaphragm
13.What type of extinguisher should be used in an electrical fire - Correct
Answer: Halon because it will not leave a residue on the equipment
14.When risk for exposure to blood and body fluids exists, the following types
of PPE should be worn - Correct Answer: gloves, surgical masks, fluid
resistant gown, eye protection
15.What airflow pressures and total air exchanges per hour is the most
appropriate for sterile storage areas - Correct Answer: positive airflow
pressure with a min of 4 total air exchanges per hour