Registered Nurse- RN Final Exam
Questions with Answers – Graded A+
1. A client is scheduled for a below-the-knee amputation. The circulating nurse ensures the proper side
is marked prior to the start of surgery. What action by the nurse is most appropriate?
a. Facilitate marking the site with the client and surgeon.
b. Have the client mark the operative site.
c. Mark the operative site with a waterproof marker.
d. Tell the surgeon it is time to mark the surgical site.
a. Facilitate marking the site with the client and surgeon.
2. A client has received intravenous anesthesia during an operation. What action by the post
anesthesia care nurse is most important?
a. Assist with administering muscle relaxants to the client.
b. Place the client on a cardiac monitor and pulse oximeter.
c. Prepare to administer intravenous antiemetics to the client.
d. Prevent the client from experiencing postoperative shivering.
b. Place the client on a cardiac monitor and pulse oximeter.
3. A circulating nurse has transferred an older client to the operating room. What action by the nurse is
most important for this client?
,a. Allow the client to keep hearing aids in until anesthesia begins.
b. Pad the table as appropriate for the surgical procedure.
c. Position the client for maximum visualization of the site.
d. Stay with the client, providing emotional comfort and support.
a. Allow the client to keep hearing aids in until anesthesia begins.
4. A circulating nurse wishes to provide emotional support to a client who was just transferred to the
operating room. What action by the nurse would be best?
a. Administer anxiolytics.
b. Give the client warm blankets.
c. Introduce the surgical staff.
d. Remain with the client.
d. Remain with the client.
5. A client in the operating room has developed malignant hyperthermia. The client’s potassium is 6.5
mEq/L. What action by the nurse takes priority?
a. Administer 10 units of regular insulin.
b. Administer nifedipine (Procardia).
c. Assess urine for myoglobin or blood.
d. Monitor the client for dysrhythmias.
a. Administer 10 units of regular insulin
6. A student nurse observing in the operating room notes that the functions of the Certified Registered
Nurse First Assistant (CRNFA) include which activities? (Select all that apply.)
,a. Dressing the surgical wound
b. Grafting new or synthetic skin
c. Reattaching severed nerves
d. Suctioning the surgical site
e. Suturing the surgical wound
ANS: A, D, E
a. Dressing the surgical wound
d. Suctioning the surgical site
e. Suturing the surgical wound
7. The nursing student observing in the perioperative area notes the unique functions of the circulating
nurse, which include which roles? (Select all that apply.)
a. Ensuring the clients safety
b. Accounting for all sharps
c. Documenting all care given
d. Maintaining the sterile field
e. Monitoring traffic in the room
ANS: A, E
a. Ensuring the clients safety
e. Monitoring traffic in the room
8. The circulating nurse reviews the days schedule and notes clients who are at higher risk of
anesthetic overdose and other anesthesia-related complications. Which clients does this include?
(Select all that apply.)
, a. A 75-year-old client scheduled for an elective procedure
b. Client who drinks a 6-pack of beer each day
c. Client with a serum creatinine of 3.8 mg/dL
d. Client who is taking birth control pills
e. Young male client with a RYR1 gene mutation
ANS: A, B, C, E
a. A 75-year-old client scheduled for an elective procedure
b. Client who drinks a 6-pack of beer each day
c. Client with a serum creatinine of 3.8 mg/dL
e. Young male client with a RYR1 gene mutation
9. A client is having shoulder surgery with regional anesthesia. What actions by the nurse are most
important to enhance client safety related to this anesthesia? (Select all that apply.)
a. Assessing distal circulation to the operative arm after positioning
b. Keeping the client warm during the operative procedure
c. Padding the client’s shoulder and arm on the operating table
d. Preparing to suction the client’s airway if the client vomits
e. Speaking in a low, quiet voice as anesthesia is administered
ANS: A, C
a. Assessing distal circulation to the operative arm after positioning
c. Padding the client’s shoulder and arm on the operating table
Questions with Answers – Graded A+
1. A client is scheduled for a below-the-knee amputation. The circulating nurse ensures the proper side
is marked prior to the start of surgery. What action by the nurse is most appropriate?
a. Facilitate marking the site with the client and surgeon.
b. Have the client mark the operative site.
c. Mark the operative site with a waterproof marker.
d. Tell the surgeon it is time to mark the surgical site.
a. Facilitate marking the site with the client and surgeon.
2. A client has received intravenous anesthesia during an operation. What action by the post
anesthesia care nurse is most important?
a. Assist with administering muscle relaxants to the client.
b. Place the client on a cardiac monitor and pulse oximeter.
c. Prepare to administer intravenous antiemetics to the client.
d. Prevent the client from experiencing postoperative shivering.
b. Place the client on a cardiac monitor and pulse oximeter.
3. A circulating nurse has transferred an older client to the operating room. What action by the nurse is
most important for this client?
,a. Allow the client to keep hearing aids in until anesthesia begins.
b. Pad the table as appropriate for the surgical procedure.
c. Position the client for maximum visualization of the site.
d. Stay with the client, providing emotional comfort and support.
a. Allow the client to keep hearing aids in until anesthesia begins.
4. A circulating nurse wishes to provide emotional support to a client who was just transferred to the
operating room. What action by the nurse would be best?
a. Administer anxiolytics.
b. Give the client warm blankets.
c. Introduce the surgical staff.
d. Remain with the client.
d. Remain with the client.
5. A client in the operating room has developed malignant hyperthermia. The client’s potassium is 6.5
mEq/L. What action by the nurse takes priority?
a. Administer 10 units of regular insulin.
b. Administer nifedipine (Procardia).
c. Assess urine for myoglobin or blood.
d. Monitor the client for dysrhythmias.
a. Administer 10 units of regular insulin
6. A student nurse observing in the operating room notes that the functions of the Certified Registered
Nurse First Assistant (CRNFA) include which activities? (Select all that apply.)
,a. Dressing the surgical wound
b. Grafting new or synthetic skin
c. Reattaching severed nerves
d. Suctioning the surgical site
e. Suturing the surgical wound
ANS: A, D, E
a. Dressing the surgical wound
d. Suctioning the surgical site
e. Suturing the surgical wound
7. The nursing student observing in the perioperative area notes the unique functions of the circulating
nurse, which include which roles? (Select all that apply.)
a. Ensuring the clients safety
b. Accounting for all sharps
c. Documenting all care given
d. Maintaining the sterile field
e. Monitoring traffic in the room
ANS: A, E
a. Ensuring the clients safety
e. Monitoring traffic in the room
8. The circulating nurse reviews the days schedule and notes clients who are at higher risk of
anesthetic overdose and other anesthesia-related complications. Which clients does this include?
(Select all that apply.)
, a. A 75-year-old client scheduled for an elective procedure
b. Client who drinks a 6-pack of beer each day
c. Client with a serum creatinine of 3.8 mg/dL
d. Client who is taking birth control pills
e. Young male client with a RYR1 gene mutation
ANS: A, B, C, E
a. A 75-year-old client scheduled for an elective procedure
b. Client who drinks a 6-pack of beer each day
c. Client with a serum creatinine of 3.8 mg/dL
e. Young male client with a RYR1 gene mutation
9. A client is having shoulder surgery with regional anesthesia. What actions by the nurse are most
important to enhance client safety related to this anesthesia? (Select all that apply.)
a. Assessing distal circulation to the operative arm after positioning
b. Keeping the client warm during the operative procedure
c. Padding the client’s shoulder and arm on the operating table
d. Preparing to suction the client’s airway if the client vomits
e. Speaking in a low, quiet voice as anesthesia is administered
ANS: A, C
a. Assessing distal circulation to the operative arm after positioning
c. Padding the client’s shoulder and arm on the operating table
