Operating Room RN A v2 Verified questions
and correct answers.
What type of support would you place to alleviate pressure on the brachial plexus ne
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rve when a patient is in a side-lying position - (correct answer) - Axillary Roll
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You are the circulating nurse confirming consent with a patient scheduled for an expl
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oratory laparotomy with colostomy. The patient states they do not want a colostomy.
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What should you do? - (correct answer) -
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Do not take the patient to the operating room and consult the surgeon immediately
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What equipment is most important for a patient undergoing an emergency trauma s
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urgery who declines a donated blood transfusion - (correct answer) - Cell Saver
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You have been asked to take a specimen from an OR during a bronchoscopy and im
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
mediately take it to the lab. What must you do first - (correct answer) -
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Confirm the specimen label and patient name
gtgt gt gt gt gt gt gt
You suspect long-term substance abuse during the pre-
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op interview with your patient. Which of the following assessment findings would sup
gt gt gt gt gt gt gt gt gt gt gt gt
port this suspicion - (correct answer) -
gt gt gt gt gt gt
nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers an
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d lips gt
After applying an alcohol- gt gt gt
based skin preparations for a laser procedure, what should you do next -
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(correct answer) - assess for pooling or moisture from the prep
gt gt gt gtgt gt gt gt gt gt gt gt
What medication should be administered to a patient who has received moderate se
gt gt gt gt gt gt gt gt gt gt gt gt
dation with midazolam who has unexpected respiratory depression -
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(correct answer) - romazicon (flumazenil)
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After starting a blood transfusion, you observe that a patient undergoing moderate s
gt gt gt gt gt gt gt gt gt gt gt gt
edation has a temperature increase from 98.2 to 101.3 and coarse breath sounds. W
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hat is the first thing you should do - (correct answer) -
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Stop the transfusion and notify the surgeon
gtgt gt gt gt gt gt gt
What is the minimum distance unscrubbed personnel should remain from the sterile
gt gt gt gt gt gt gt gt gt gt gt gt
field - (correct answer) - 12 inches
gt gt gt gt gtgt gt
You are preparing a patient for a laparotomy. What instrument do you anticipate seei
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ng on the back table - (correct answer) - malleable
gt gt gt gt gt gt gt gt gtgt
Which of the following medications is contraindicated for a patient with a family histo
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ry of malignant hyperthermia - (correct answer) - Quelicin (succinylcholine)
gt gt gt gt gt gt gt gtgt gt
, You are caring for a patient who is infected with Methicillin-
gt gt gt gt gt gt gt gt gt gt
Resistant Staphylococcus Aureus (MRSA). What infection control practice must you i
gt gt gt gt gt gt gt gt gt gt gt
mplement after transferring the patient - (correct answer) - gt gt gt gt gt gt gt gt
Clean and disinfect all patient care equipment
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Upon opening a sterile major tray, you discover the chemical indicators are missing.
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What should you do? - (correct answer) - Remove and replace the major tray
gt gt gt gt gt gt gt gtgt gt gt gt gt gt
As a circulator, where do you stand during induction - (correct answer) -
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at the head of the bed
gtgt gt gt gt gt gt
You are the perioperative nurse who is doing the preoperative skin preparation on a
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
clean abdominal case. Where should you start the skin preparation -
gt gt gt gt gt gt gt gt gt gt
(correct answer) - site of incision and move to the periphery
gt gt gt gtgt gt gt gt gt gt gt gt
A patient was prepared for intubation by mask ventilation with a mixture of sevoflura
gt gt gt gt gt gt gt gt gt gt gt gt gt
ne, nitrous oxide, and oxygen. One minute after intubation their heart rate increased
gt gt gt gt gt gt gt gt gt gt gt gt g
from 160 to 195 b/
t gt gt gt gt
m. Soon the patient's end tital carbon dioxide concentration was increased from 35 t
gt gt gt gt gt gt gt gt gt gt gt gt gt
o 65 mmHg. Also, the patient's oral temperature increased to 38.9 within 5 minutes
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
after induction. What is the patient experiencing - (correct answer) -
gt gt gt gt gt gt gt gt gt gt
Malignant Hyperthermia
gtgt gt
After draping the left side of the patient, how should you drape the right side -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) - Reach over the patient to place the drape
gt gt gt gtgt gt gt gt gt gt gt gt
Walk around the operating room table gt gt gt gt gt
What is the safest location for sharps during a surgical procedure - (correct answer) -
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in knife holder/needle board on back table
gtgt gt gt gt gt gt gt
You review the patient's chart and discover that the patient has an allergy to penicilli
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
n. What medication order should you be worried about - (correct answer) - Ancef
gt gt gt gt gt gt gt gt gt gt gt gt gtgt
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the fi
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rst action - (correct answer) - Apply positive pressure ventilation
gt gt gt gt gt gtgt gt gt gt
When should a surgical "Time Out" be performed - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt
When all team members are in the room, the patient is prepped and draped and pri
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
or to initial incision
gt gt gt
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of t
gt gt gt gt gt gt gt gt gt gt gt gt gt
ransmission based precaution is needed - (correct answer) - Airborne gt gt gt gt gt gt gt gt gtgt
The scrub tech is preparing to count for a laparoscopic cholecystectomy and notices
gt gt gt gt gt gt gt gt gt gt gt gt gt
that the lap sponges on the back table have no visible x-
gt gt gt gt gt gt gt gt gt gt gt
ray detectable strip. What should the circulator do - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt
Remove the lap sponges from the OR and open a new package of sponges
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
In the preoperative holding area, the patient's preoperative lab values are K+2.9, Hg
gt gt gt gt gt gt gt gt gt gt gt gt
b 14.3, Hct 42.0 and glucose 89. What should you do? - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
Notify Anesthesia provider
gtgt gt gt
and correct answers.
What type of support would you place to alleviate pressure on the brachial plexus ne
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rve when a patient is in a side-lying position - (correct answer) - Axillary Roll
gt gt gt gt gt gt gt gt gt gt gt gt gtgt gt
You are the circulating nurse confirming consent with a patient scheduled for an expl
gt gt gt gt gt gt gt gt gt gt gt gt gt
oratory laparotomy with colostomy. The patient states they do not want a colostomy.
gt gt gt gt gt gt gt gt gt gt gt gt
What should you do? - (correct answer) -
gt gt gt gt gt gt gt gt
Do not take the patient to the operating room and consult the surgeon immediately
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
What equipment is most important for a patient undergoing an emergency trauma s
gt gt gt gt gt gt gt gt gt gt gt gt
urgery who declines a donated blood transfusion - (correct answer) - Cell Saver
gt gt gt gt gt gt gt gt gt gt gtgt gt
You have been asked to take a specimen from an OR during a bronchoscopy and im
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
mediately take it to the lab. What must you do first - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
Confirm the specimen label and patient name
gtgt gt gt gt gt gt gt
You suspect long-term substance abuse during the pre-
gt gt gt gt gt gt gt
op interview with your patient. Which of the following assessment findings would sup
gt gt gt gt gt gt gt gt gt gt gt gt
port this suspicion - (correct answer) -
gt gt gt gt gt gt
nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers an
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
d lips gt
After applying an alcohol- gt gt gt
based skin preparations for a laser procedure, what should you do next -
gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) - assess for pooling or moisture from the prep
gt gt gt gtgt gt gt gt gt gt gt gt
What medication should be administered to a patient who has received moderate se
gt gt gt gt gt gt gt gt gt gt gt gt
dation with midazolam who has unexpected respiratory depression -
gt gt gt gt gt gt gt gt
(correct answer) - romazicon (flumazenil)
gt gt gt gtgt gt
After starting a blood transfusion, you observe that a patient undergoing moderate s
gt gt gt gt gt gt gt gt gt gt gt gt
edation has a temperature increase from 98.2 to 101.3 and coarse breath sounds. W
gt gt gt gt gt gt gt gt gt gt gt gt gt
hat is the first thing you should do - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt
Stop the transfusion and notify the surgeon
gtgt gt gt gt gt gt gt
What is the minimum distance unscrubbed personnel should remain from the sterile
gt gt gt gt gt gt gt gt gt gt gt gt
field - (correct answer) - 12 inches
gt gt gt gt gtgt gt
You are preparing a patient for a laparotomy. What instrument do you anticipate seei
gt gt gt gt gt gt gt gt gt gt gt gt gt
ng on the back table - (correct answer) - malleable
gt gt gt gt gt gt gt gt gtgt
Which of the following medications is contraindicated for a patient with a family histo
gt gt gt gt gt gt gt gt gt gt gt gt gt
ry of malignant hyperthermia - (correct answer) - Quelicin (succinylcholine)
gt gt gt gt gt gt gt gtgt gt
, You are caring for a patient who is infected with Methicillin-
gt gt gt gt gt gt gt gt gt gt
Resistant Staphylococcus Aureus (MRSA). What infection control practice must you i
gt gt gt gt gt gt gt gt gt gt gt
mplement after transferring the patient - (correct answer) - gt gt gt gt gt gt gt gt
Clean and disinfect all patient care equipment
gtgt gt gt gt gt gt gt
Upon opening a sterile major tray, you discover the chemical indicators are missing.
gt gt gt gt gt gt gt gt gt gt gt gt gt
What should you do? - (correct answer) - Remove and replace the major tray
gt gt gt gt gt gt gt gtgt gt gt gt gt gt
As a circulator, where do you stand during induction - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt
at the head of the bed
gtgt gt gt gt gt gt
You are the perioperative nurse who is doing the preoperative skin preparation on a
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
clean abdominal case. Where should you start the skin preparation -
gt gt gt gt gt gt gt gt gt gt
(correct answer) - site of incision and move to the periphery
gt gt gt gtgt gt gt gt gt gt gt gt
A patient was prepared for intubation by mask ventilation with a mixture of sevoflura
gt gt gt gt gt gt gt gt gt gt gt gt gt
ne, nitrous oxide, and oxygen. One minute after intubation their heart rate increased
gt gt gt gt gt gt gt gt gt gt gt gt g
from 160 to 195 b/
t gt gt gt gt
m. Soon the patient's end tital carbon dioxide concentration was increased from 35 t
gt gt gt gt gt gt gt gt gt gt gt gt gt
o 65 mmHg. Also, the patient's oral temperature increased to 38.9 within 5 minutes
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
after induction. What is the patient experiencing - (correct answer) -
gt gt gt gt gt gt gt gt gt gt
Malignant Hyperthermia
gtgt gt
After draping the left side of the patient, how should you drape the right side -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) - Reach over the patient to place the drape
gt gt gt gtgt gt gt gt gt gt gt gt
Walk around the operating room table gt gt gt gt gt
What is the safest location for sharps during a surgical procedure - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
in knife holder/needle board on back table
gtgt gt gt gt gt gt gt
You review the patient's chart and discover that the patient has an allergy to penicilli
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
n. What medication order should you be worried about - (correct answer) - Ancef
gt gt gt gt gt gt gt gt gt gt gt gt gtgt
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the fi
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rst action - (correct answer) - Apply positive pressure ventilation
gt gt gt gt gt gtgt gt gt gt
When should a surgical "Time Out" be performed - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt
When all team members are in the room, the patient is prepped and draped and pri
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
or to initial incision
gt gt gt
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of t
gt gt gt gt gt gt gt gt gt gt gt gt gt
ransmission based precaution is needed - (correct answer) - Airborne gt gt gt gt gt gt gt gt gtgt
The scrub tech is preparing to count for a laparoscopic cholecystectomy and notices
gt gt gt gt gt gt gt gt gt gt gt gt gt
that the lap sponges on the back table have no visible x-
gt gt gt gt gt gt gt gt gt gt gt
ray detectable strip. What should the circulator do - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt
Remove the lap sponges from the OR and open a new package of sponges
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
In the preoperative holding area, the patient's preoperative lab values are K+2.9, Hg
gt gt gt gt gt gt gt gt gt gt gt gt
b 14.3, Hct 42.0 and glucose 89. What should you do? - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
Notify Anesthesia provider
gtgt gt gt
