NUR 340 Exam 1 – Study Guide, Practice Questions & Nursing Exam
Review
surgical suite - correct answer ✔✔designed to minimize spread of infection
controlled environment
unrestricted areas - correct answer ✔✔-personnel in street clothes interact with those in scrubs
-holding area
-locker room
-information areas (nursing station, control desk)
semirestricted areas - correct answer ✔✔Peripheral support areas and corridors with only
authorized staff
Must wear surgical attire and cover all head and facial hair
restricted areas - correct answer ✔✔Operating rooms
Scrub sink areas
Clean core
Surgical attire, head covers, and MASK required
holding area - correct answer ✔✔Waiting area inside or adjacent to surgical suite
Final identification and assessment
Friends/family allowed
Surgical care improvement project (SCIP) - correct answer ✔✔implemented in holding area
pt waiting
,prophylactic antibiotic administered 1 hour before and D/C within 24 hours after- typically 3
doses Q8hr
application of sequential compression devices to prevent DVT and blood clots
Operating rooms - correct answer ✔✔restricted inflow and outflow of personnel. controlled
airflow (positive pressure), UV lighting cold, made to prevent spread of infection, final time out
before anesthesia (right person, surgery, and site)
perioperative nurse - correct answer ✔✔Prepares room with team
Patient advocate throughout surgical experience
pt safety
circulating nurse - correct answer ✔✔Not scrubbed, gowned, or gloved
Remains in unsterile field
Documents
labels
supplies equipment
scrub nurse - correct answer ✔✔Follows designated scrub procedure
Gowned and gloved in sterile attire
Remains in sterile field
lays out everything for surgeon
LPN or surgical technician - correct answer ✔✔Performs scrubbed or circulating function
Passes instruments and implements other technical functions during procedure
Supervised by RN
OFTEN A SCRUB NURSE
, Surgeon - correct answer ✔✔responsible for: preoperative medical Hx. physical assessment,
patient safety, post-op management, consent.
anesthesia care provider - correct answer ✔✔one who administers anesthesia and can be an
anesthesiologist or a nurse anesthetist
monitors cardiac and respiratory status, vital signs throughout procedure
determines: airway, Rx factors, apnea test/obstructive
Nursing management - correct answer ✔✔promotes safety, part of global safety initiative from
WHO, surgical timeout, center of sterile field is surgical incision, call out if sterility was broken.
Sterile from waste to 2 inches above elbow
post-op period - correct answer ✔✔-begins immediately after surgery
-nursing care= protecting the patient, preventing complications with the body
post-op assessment - correct answer ✔✔1. assess breathing, airway patency, & res function
2. Have suction ready
3. Monitor Vital Signs Q15
4. assess LOC, orientation, neuro checks
5. assess surgical site, hemorrhage and drains
6. assess pain level, when was last pain med given?
7. position properly, prepared to turn in N&V
8. Assess IV flow rate, IV site.
9. Assess urine output, color, and clarity
10. Deep breathing/ coughing
11. Have emesis basin nearby
Review
surgical suite - correct answer ✔✔designed to minimize spread of infection
controlled environment
unrestricted areas - correct answer ✔✔-personnel in street clothes interact with those in scrubs
-holding area
-locker room
-information areas (nursing station, control desk)
semirestricted areas - correct answer ✔✔Peripheral support areas and corridors with only
authorized staff
Must wear surgical attire and cover all head and facial hair
restricted areas - correct answer ✔✔Operating rooms
Scrub sink areas
Clean core
Surgical attire, head covers, and MASK required
holding area - correct answer ✔✔Waiting area inside or adjacent to surgical suite
Final identification and assessment
Friends/family allowed
Surgical care improvement project (SCIP) - correct answer ✔✔implemented in holding area
pt waiting
,prophylactic antibiotic administered 1 hour before and D/C within 24 hours after- typically 3
doses Q8hr
application of sequential compression devices to prevent DVT and blood clots
Operating rooms - correct answer ✔✔restricted inflow and outflow of personnel. controlled
airflow (positive pressure), UV lighting cold, made to prevent spread of infection, final time out
before anesthesia (right person, surgery, and site)
perioperative nurse - correct answer ✔✔Prepares room with team
Patient advocate throughout surgical experience
pt safety
circulating nurse - correct answer ✔✔Not scrubbed, gowned, or gloved
Remains in unsterile field
Documents
labels
supplies equipment
scrub nurse - correct answer ✔✔Follows designated scrub procedure
Gowned and gloved in sterile attire
Remains in sterile field
lays out everything for surgeon
LPN or surgical technician - correct answer ✔✔Performs scrubbed or circulating function
Passes instruments and implements other technical functions during procedure
Supervised by RN
OFTEN A SCRUB NURSE
, Surgeon - correct answer ✔✔responsible for: preoperative medical Hx. physical assessment,
patient safety, post-op management, consent.
anesthesia care provider - correct answer ✔✔one who administers anesthesia and can be an
anesthesiologist or a nurse anesthetist
monitors cardiac and respiratory status, vital signs throughout procedure
determines: airway, Rx factors, apnea test/obstructive
Nursing management - correct answer ✔✔promotes safety, part of global safety initiative from
WHO, surgical timeout, center of sterile field is surgical incision, call out if sterility was broken.
Sterile from waste to 2 inches above elbow
post-op period - correct answer ✔✔-begins immediately after surgery
-nursing care= protecting the patient, preventing complications with the body
post-op assessment - correct answer ✔✔1. assess breathing, airway patency, & res function
2. Have suction ready
3. Monitor Vital Signs Q15
4. assess LOC, orientation, neuro checks
5. assess surgical site, hemorrhage and drains
6. assess pain level, when was last pain med given?
7. position properly, prepared to turn in N&V
8. Assess IV flow rate, IV site.
9. Assess urine output, color, and clarity
10. Deep breathing/ coughing
11. Have emesis basin nearby
