NSG 430 EXAM 1 - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: Which information in the preoperative patients
medication history is most important to communicate to the health
care provider?
A. The patient uses acetaminophen (Tylenol) occasionally for aches
and pains
B. The patient takes garlic capsules daily but did not take any on the
surgical day
C. The patient has a history of cocaine use but quit using the drug
over 10 years ago
D. The patient took a sedative medication the previous night to assist
in falling asleep
Answer:
B. The patient takes garlic capsules daily but did not take any on the
surgical day
Rationale: Chronic use of garlic may predispose to intraoperative and
postoperative bleeding. The use of a sedative the previous night,
occasional acetaminophen use, and a distant history of cocaine use will
not usually affect the surgical outcome.
Question 2: A patient who takes a diuretic and a b-blocker to
control blood pressure is scheduled for breast reconstruction
surgery. Which patient information is most important to
communicate to the health care provider before surgery?
A. Hematocrit 36%
B. Blood pressure 144/82
C. Pulse rate 58 beats/minute
, D. Serum potassium 3.2 mEq/L
Answer:
D. Serum potassium 3.2 mEq/L
Rationale: The low potassium level may increase the risk for
intraoperative complications such as dysrhythmias.
Question 3: When caring for a preoperative patient on the day of
surgery, which actions included in the plan of care can the nurse
delegate to unlicensed assistive personnel (UAP)? (Select all that
apply.)
A. Teach incentive spirometer use
B. Explain preoperative routine care
C. Obtain and document baseline vital signs
D. Remove nail polish and apply pulse oximeter
E. Transport the patient by stretcher to the operating room
Answer:
C. Obtain and document baseline vital signs
D. Remove nail polish and apply pulse oximeter
E. Transport the patient by stretcher to the operating room
Rationale: Obtaining vital signs, removing nail polish, pulse oximeter
placement, and transport of the patient are routine skills that are
appropriate to delegate. Teaching patients about the preoperative routine
and incentive spirometer use require critical thinking and should be done
by the registered nurse.
Question 4: The nurse educator facilitates student clinical
experiences in the surgical suite. Which action, if performed by a
student, would require the nurse educator to intervene?
A. The student wears a mask at the sink area
, B. The student wears street clothes in the unrestricted area
C. The student wears surgical scrubs in the semirestricted area
D. The student covers head and facial hair in the semirestricted area
Answer:
C. The student wears surgical scrubs in the semirestricted area
Rationale: The surgical suite is divided into three distinct areas:
unrestricted staff and others in street clothes can interact with those in
surgical attire; semirestricted staff must wear surgical attire and cover all
head and facial hair;r estricted includes the operating room, the sink area,
and clean core where masks are required in addition to surgical attire.
Question 5: Which statement, if made by a new circulating nurse, is
appropriate?
A. "I will assist in preparing the operating room for the patient."
B. "I will remain gloved while performing activities in the sterile field."
C. "I will assist with suturing of incisions and maintaining hemostasis
as needed."
D. "I must don full surgical attire and sterile gloves while obtaining
items from the unsterile field."
Answer:
A. "I will assist in preparing the operating room for the patient."
Rationale: Preparing the operating room for the patient describes the role
of a circulating nurse.
Question 6: Which action best describes the role of the certified
registered nurse anesthetist (CRNA) on the surgical care team?
A. Performs the same responsibilities as the anesthesiologist
B. Releases or discharges patients from the postanesthesia care area
, C. Administers intraoperative anesthetics ordered by the
anesthesiologist
D. Manages a patients airway under the direct supervision of the
anesthesiologist
Answer:
B. Releases or discharges patients from the postanesthesia care area
Question 7: Which action best describes how the scrub nurse
maintains aseptic technique during surgery?
A. Uses waterproof shoe covers
B. Wears personal protective equipment
C. Insists that all operating room (OR) staff perform a surgical scrub
D. Changes gloves after touching the upper arm of the surgeons
gown
Answer:
D. Changes gloves after touching the upper arm of the surgeons gown
Rationale: The sleeves of a sterile surgical gown are considered sterile
only to 2 inches above the elbows, so touching the surgeons upper arm
would contaminate the nurses gloves.
Question 8: Which action most effectively demonstrates that a new
staff member understands the role of scrub nurse?
A. Documents all patient care accurately
B. Labels all specimens to send to the lab
C. Keeps both hands above the operating table level
D. Takes the patient to the postanesthesia recovery area
Answer:
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: Which information in the preoperative patients
medication history is most important to communicate to the health
care provider?
A. The patient uses acetaminophen (Tylenol) occasionally for aches
and pains
B. The patient takes garlic capsules daily but did not take any on the
surgical day
C. The patient has a history of cocaine use but quit using the drug
over 10 years ago
D. The patient took a sedative medication the previous night to assist
in falling asleep
Answer:
B. The patient takes garlic capsules daily but did not take any on the
surgical day
Rationale: Chronic use of garlic may predispose to intraoperative and
postoperative bleeding. The use of a sedative the previous night,
occasional acetaminophen use, and a distant history of cocaine use will
not usually affect the surgical outcome.
Question 2: A patient who takes a diuretic and a b-blocker to
control blood pressure is scheduled for breast reconstruction
surgery. Which patient information is most important to
communicate to the health care provider before surgery?
A. Hematocrit 36%
B. Blood pressure 144/82
C. Pulse rate 58 beats/minute
, D. Serum potassium 3.2 mEq/L
Answer:
D. Serum potassium 3.2 mEq/L
Rationale: The low potassium level may increase the risk for
intraoperative complications such as dysrhythmias.
Question 3: When caring for a preoperative patient on the day of
surgery, which actions included in the plan of care can the nurse
delegate to unlicensed assistive personnel (UAP)? (Select all that
apply.)
A. Teach incentive spirometer use
B. Explain preoperative routine care
C. Obtain and document baseline vital signs
D. Remove nail polish and apply pulse oximeter
E. Transport the patient by stretcher to the operating room
Answer:
C. Obtain and document baseline vital signs
D. Remove nail polish and apply pulse oximeter
E. Transport the patient by stretcher to the operating room
Rationale: Obtaining vital signs, removing nail polish, pulse oximeter
placement, and transport of the patient are routine skills that are
appropriate to delegate. Teaching patients about the preoperative routine
and incentive spirometer use require critical thinking and should be done
by the registered nurse.
Question 4: The nurse educator facilitates student clinical
experiences in the surgical suite. Which action, if performed by a
student, would require the nurse educator to intervene?
A. The student wears a mask at the sink area
, B. The student wears street clothes in the unrestricted area
C. The student wears surgical scrubs in the semirestricted area
D. The student covers head and facial hair in the semirestricted area
Answer:
C. The student wears surgical scrubs in the semirestricted area
Rationale: The surgical suite is divided into three distinct areas:
unrestricted staff and others in street clothes can interact with those in
surgical attire; semirestricted staff must wear surgical attire and cover all
head and facial hair;r estricted includes the operating room, the sink area,
and clean core where masks are required in addition to surgical attire.
Question 5: Which statement, if made by a new circulating nurse, is
appropriate?
A. "I will assist in preparing the operating room for the patient."
B. "I will remain gloved while performing activities in the sterile field."
C. "I will assist with suturing of incisions and maintaining hemostasis
as needed."
D. "I must don full surgical attire and sterile gloves while obtaining
items from the unsterile field."
Answer:
A. "I will assist in preparing the operating room for the patient."
Rationale: Preparing the operating room for the patient describes the role
of a circulating nurse.
Question 6: Which action best describes the role of the certified
registered nurse anesthetist (CRNA) on the surgical care team?
A. Performs the same responsibilities as the anesthesiologist
B. Releases or discharges patients from the postanesthesia care area
, C. Administers intraoperative anesthetics ordered by the
anesthesiologist
D. Manages a patients airway under the direct supervision of the
anesthesiologist
Answer:
B. Releases or discharges patients from the postanesthesia care area
Question 7: Which action best describes how the scrub nurse
maintains aseptic technique during surgery?
A. Uses waterproof shoe covers
B. Wears personal protective equipment
C. Insists that all operating room (OR) staff perform a surgical scrub
D. Changes gloves after touching the upper arm of the surgeons
gown
Answer:
D. Changes gloves after touching the upper arm of the surgeons gown
Rationale: The sleeves of a sterile surgical gown are considered sterile
only to 2 inches above the elbows, so touching the surgeons upper arm
would contaminate the nurses gloves.
Question 8: Which action most effectively demonstrates that a new
staff member understands the role of scrub nurse?
A. Documents all patient care accurately
B. Labels all specimens to send to the lab
C. Keeps both hands above the operating table level
D. Takes the patient to the postanesthesia recovery area
Answer:
