REVIEWED QUESTIONS AND
ANSWERS
During preoperative verification the nurse notes the patient has
an implantable cardioverter-defibrillator (ICD). The nurse
ensures the device is turned off prior to the planned procedure
because the _______________________ can deprogram the
device and cause it to trigger during the procedure.
A. wavelength
B. audible length
C. electrical component
D. volume - CORRECT ANSWER-A. wavelength
Which of the following actions demonstrates a key physical
attribute of the RN circulator?
A. quickly anticipating the needs of the team
B. Using eye-hand coordination
C. Remaining calm
D. Concentrating during long procedure - CORRECT
ANSWER-B. Using eye-hand coordination
A patient scheduled for an emergency hip arthroplasty has a
preoperative prothrombin result of 12 seconds. The best action
of the RN circulator is to:
A. inform the surgical team and transport the patient to the OR
suite
B. inform the anesthesiologist
C. cancel the case
D. inform the surgeon - CORRECT ANSWER-A. inform the
surgical team and transport the patient to the OR suite
,Specimens should be transferred from the sterile field to the
appropriate container using ____________________
precautions.
A. droplet
B. contact
C. standard
D. universal - CORRECT ANSWER-C. standard
The perioperative nurse can expert the
wound/ostomy/continence nurse to mark the site for the stoma
for a colostomy at:
A. the patient's belt line
B. skin fold
C. a crease in the abdomen
D. the rectus muscle - CORRECT ANSWER-D. the rectus
muscle
What is the shelf life of red blood cells when refrigerated?
A. 40 days
B. 46 days
C. 42 days
D. 44 days - CORRECT ANSWER-C. 42 days
During a postoperative follow-up phone call, a patient
recovering from a right lumpectomy states that she is
experiencing numbness to the ring (fourth) and little (fifth)
fingers of her right hand. The perioperative nurse suspects
possible damage to the:
A. median nerve
B. radial nerve
C. axillary nerve
D. ulnar nerve - CORRECT ANSWER-D. ulnar nerve
The time between traumatic injury and effective treatment that
directly influences patient outcomes is referred to as the:
A. hour of decision
B. transitional hour
,C. golden hour
D. trauma hour - CORRECT ANSWER-C. golden hour
Most medication errors in pediatric care occur because this
patient population varies dramatically in:
A. height
B. age
C. allergic reactions
D. weight - CORRECT ANSWER-D. weight
Solutions used for manually cleaning flexible endoscopes
should be discarded...
A. after they become cloudy
B. after there are visible particulates
C. at the end of the shift
D. after every use - CORRECT ANSWER-D. after every use
The perioperative RN notes that the patient is taking garlic as a
prophylactic cold remedy. This information is reported to which
of the following health care providers?
A. The anesthesia care provider, as the herb can prolong
bleeding
B. The Registered Nurse First Assistant (RNFA), as there will
be less need for electrocautery
C. The AM admit nurse, since it is not necessary to hang an IV
prophylactic antibiotic
D. - CORRECT ANSWER-A. The anesthesia care provider, as
the herb can prolong bleeding
During a local procedure, the nurse notices that the patient is
exhibiting a sense of uneasiness, agitation, coughing, and
wheezing. The nurse should suspect a/an:
A. toxic reaction to the local anesthesia
B. allergic reaction to the local anesthesia
C. series of side effects to local anesthesia
D. normal reaction to the local anesthesia - CORRECT
ANSWER-B. allergic reaction to the local anesthesia
, The _________________ lithotomy position is most often
associated with compartment syndrome.
A. frog-leg
B. standard
C. high
D. low - CORRECT ANSWER-C. high
Which of the following should be considered regarding the
integrity of packaging materials?
A. storage area should have air temperature below 75 degrees
F
B. steam sterilized items should be placed onto storage shelves
to cool at room temperature
C. open-shelving storage units are preferable to closed
cupboards
D. storage areas do not need to be secure - CORRECT
ANSWER-A. storage area should have air temperature below
75 degrees F
Radiation seeds have been removed along with prostatic tissue
during a transurethral resection of the prostate. How should the
tissue be handled?
A. kept on the sterile field until the end of the case to prevent
exposure to other perioperative team member
B. Placed at the specimen pickup station for routine transport to
pathology
C. Direct transfer to the specimen container
D. Placed in a specimen container using forceps - CORRECT
ANSWER-B. Placed at the specimen pickup station for routine
transport to pathology
The most effective process for transferring information related
to perioperative nursing care includes which of the following?
A. Telephone call and review of electronic medical record
B. Face-to-face report and a checklist
C. Verbal report by transporter to perioperative nurse