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1. Which one of the following surgical skin-preparation agents acts by oxidation?
A. Isopropyl alcohol
B. Chlorhexadine
C. Povidone-Iodine
D. Hexidine - Correct Answer: C. Povidone-Iodine
2. Which of the following is caused by preformed anti-donor antibodies?
A. Acute rejection
B. Hyperactue rejection
C. Chronic rejection
D. Non-adherence rejection - Correct Answer: B. Hyperacute rejection
3. Breastfeeding infants must not breastfeed or receive breast milk for:
A. 8 hours before surgery
B. 6 hours before surgery
C. 4 hours before surgery
D. 2 hours before surgery - Correct Answer: C. 4 hours before surgery
4. A preanesthesia evaluation and assessment may not be required for:
, A. Minor surgical procedures
B. Patients with recent history of anesthesia
C. Patients receiving local anesthesia
D. Outpatient surgical procedures - Correct Answer: C. Patients receiving local
anesthesia.
5. Metochlopramide may be given as a preoperative medication in order to:
A. Relieve apprehension
B. Reduce risk of aspiration
C. Relieve discomfort
D. To control secretions - Correct Answer: B. Reduce risk of aspiration
6. The following skin changes in older adults increases the risk of developing pressure
ulcers:
A. Hypodermis thins
B. Sweat glands decrease
C. Epidermal-dermal junction flattens
D. Langerhans cells decrease in number - Correct Answer: A. Hypodermis thins
7. With Perioperative Nursing Data Set (PNDS) coding, the letter X stands for:
A. Outcome
B. Intervention
C. Diagnosis
D. Domain - Correct Answer: C. Diagnosis
8. During x-ray studies of the hips and femur, x-ray shielding should be applied:
, A. To protect the thyroid
B. To protect the ovaries and testes
C. To protect the other leg
D. No shielding is necessary - Correct Answer: B. To protect the ovaries and
testes
9. The position that places the eyes most at risk for injury is:
A. Prone
B. Reverse trendelenburg
C. Supine
D. Left lateral decubitus - Correct Answer: A. Prone
10. Reasons to count sponges, sharps, and instruments include all of the following EXCEPT:
A. Items left in a patient's body cause harm and the need for additional surgery.
B. Items lost in trash or linen may cause harm to other personnel.
C. Items lost from inventory result in high, replacement costs.
D. Staff must be accountable for instruments. - Correct Answer: D. Staff must be
accountable for instruments.
11. On arrival to the post-anesthesia care unit, you obtain your pediatric patient's
temperature to determine the effectiveness of warming procedures used in the OR to
maintain the patient's temperature. Which part of the nursing process does your action
represent?
A. Implementation
B. Planning
C. Assessment
D. Evaluation - Correct Answer: D. Evaluation
, 12. Your diabetic patient is scheduled for a below-the-knee amputation of his right leg. The
patient states, "I'm really going to miss having two legs." What nursing diagnosis might
be appropriate in this situation?
A. Fear
B. Anxiety
C. Anticipatory grieving
D. Ineffective coping - Correct Answer: C. Anticipatory grieving
13. A patient, Mrs. Anna Jones, has arrived in the holding area. You are the circulator on
duty. You should identify the patient by:
A. Reading the patient's name off the paper label at the end of the bed, and
comparing it to the patient's identification bracelet and chart.
B. Asking the patient to give her name and one other identifier, such as birthday,
and comparing this information to the patient's identification bracelet and chart.
C. Asking the patient, "Are you Anna Jones?" and comparing the answer to her
identification bracelet and chart.
D. Reading the name and age on the patient's identification bracelet and chart. -
Correct Answer: B.
14. You are caring for a patient who is on a heparin drip to treat a pulmonary embolism. The
patient begins to bleed from his nose, his IV site, and from previous puncture sites. What
is the FIRST step you take to control the patient's bleeding?
A. Stop the heparin drip and notify the physician immediately.
B. Apply pressure dressings to the bleeding sites and apply direct pressure to the
patient's nose.
C. Increase the patient's IV rate to compensate for the bleeding.
D. Insert a nasal tampon. - Correct Answer: A. Stop the heparin drip and notify
they physician immediately.