Prophecy Questions and Answers
A patient is allergic to shellfish and is scheduled for an exploratory laparotomy. What is the solution of choice
for prepping the abdomen considering the patient's allergy - ansChlorahexadine gluconate
A patient is extubated after surgery and is receiving 6l O2 via mask. Upon arrival to the PACU the nurse notices
a decrease in SaO2 to 89% from 99% and snoring. What is the first action to take - anscheck for airway
obstruction
A patient is scheduled to have a total knee arthroplasty. What lab value should you be most concerned about
and need to inform the surgeon? - ansWBC 12.5 K/UL
A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous oxide, and
oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m. Soon the patient's end
tital carbon dioxide concentration was increased from 35 to 65 mmHg. Also, the patient's oral temperature
increased to 38.9 within 5 minutes after induction. What is the patient experiencing - ansMalignant
Hyperthermia
A patient with allergy to penicillin receives a test dose of cefazolin and starts to develop hives. What
medication would you consider giving - ansprednisone
After applying an alcohol-based skin preparations for a laser procedure, what should you do next - ansassess
for pooling or moisture from the prep
After draping the left side of the patient, how should you drape the right side - ansFrom the left side open the
drape over the patient
Shake the drape open as your assistant places the drape
Reach over the patient to place the drape
Walk around the operating room table
After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a temperature
increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you should do - ansStop the
transfusion and notify the surgeon
, As a circulator, where do you stand during induction - ansat the head of the bed
As you prepare the room for an open exploratory laparotomy, what pieces of basic equipment should you
prepare to setup - ansESU, suction set up, major abdominal instrument set
Before a case, what reference should you use to understand how the surgical team wants their instruments
and equipment to be positioned - anspreference card
If a patient reports a family history of malignant hyperthermia, you should be prepared to administer which
medication should such an emergency arise - ansdantrolene
Immediately after surgery, your patient is exhibiting symptoms of dizzyness, cyanosis, shivering, and
disoriented. These findings most likely indicate what condition - anshypothermia
Immediately upon bringing a medication to the sterile field, the circulator and scrub technologist should ensure
that it is labeled, at the minimum, with medication name and what two other pieces of information -
ansvolume and concentration
expiration date and volume
expiration date and concentration
***dosage and concentration*** wrong
in the preoperative holding area the patient's vital signs reveal a heart rate of 45 bpm and blood pressure of
171/95 mmHg. What is your priority action - anscontact the anesthesia provider
In the preoperative holding area, the patient's preoperative lab values are K+2.9, Hgb 14.3, Hct 42.0 and
glucose 89. What should you do? - ansNotify Anesthesia provider
In what order should you apply a sterile drape - ansfrom sterile area to unsterile, draping nearest first
A patient is allergic to shellfish and is scheduled for an exploratory laparotomy. What is the solution of choice
for prepping the abdomen considering the patient's allergy - ansChlorahexadine gluconate
A patient is extubated after surgery and is receiving 6l O2 via mask. Upon arrival to the PACU the nurse notices
a decrease in SaO2 to 89% from 99% and snoring. What is the first action to take - anscheck for airway
obstruction
A patient is scheduled to have a total knee arthroplasty. What lab value should you be most concerned about
and need to inform the surgeon? - ansWBC 12.5 K/UL
A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous oxide, and
oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m. Soon the patient's end
tital carbon dioxide concentration was increased from 35 to 65 mmHg. Also, the patient's oral temperature
increased to 38.9 within 5 minutes after induction. What is the patient experiencing - ansMalignant
Hyperthermia
A patient with allergy to penicillin receives a test dose of cefazolin and starts to develop hives. What
medication would you consider giving - ansprednisone
After applying an alcohol-based skin preparations for a laser procedure, what should you do next - ansassess
for pooling or moisture from the prep
After draping the left side of the patient, how should you drape the right side - ansFrom the left side open the
drape over the patient
Shake the drape open as your assistant places the drape
Reach over the patient to place the drape
Walk around the operating room table
After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a temperature
increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you should do - ansStop the
transfusion and notify the surgeon
, As a circulator, where do you stand during induction - ansat the head of the bed
As you prepare the room for an open exploratory laparotomy, what pieces of basic equipment should you
prepare to setup - ansESU, suction set up, major abdominal instrument set
Before a case, what reference should you use to understand how the surgical team wants their instruments
and equipment to be positioned - anspreference card
If a patient reports a family history of malignant hyperthermia, you should be prepared to administer which
medication should such an emergency arise - ansdantrolene
Immediately after surgery, your patient is exhibiting symptoms of dizzyness, cyanosis, shivering, and
disoriented. These findings most likely indicate what condition - anshypothermia
Immediately upon bringing a medication to the sterile field, the circulator and scrub technologist should ensure
that it is labeled, at the minimum, with medication name and what two other pieces of information -
ansvolume and concentration
expiration date and volume
expiration date and concentration
***dosage and concentration*** wrong
in the preoperative holding area the patient's vital signs reveal a heart rate of 45 bpm and blood pressure of
171/95 mmHg. What is your priority action - anscontact the anesthesia provider
In the preoperative holding area, the patient's preoperative lab values are K+2.9, Hgb 14.3, Hct 42.0 and
glucose 89. What should you do? - ansNotify Anesthesia provider
In what order should you apply a sterile drape - ansfrom sterile area to unsterile, draping nearest first
