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QUESTIONS AND VERIFIED
CORRECT ANSWERS
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In addition to giving Dantrolene, which of the following treatment options for malignant
hyperthermia should the nurse anticipate and prepare for? - CORRECT ANSWER-B. Provide
100% oxygen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical procedures is that
MIS: - CORRECT ANSWER-A. Can be performed through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of
systemic toxicity related to which of the following patient complaints? Select all that apply. -
CORRECT ANSWER-B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following practices is
indicated? - CORRECT ANSWER-B. Position knees over the break in the procedure bed to allow
for knee flexion.
,The first step in the sterilization process of surgical instruments that have been used in case is: -
CORRECT ANSWER-A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. - CORRECT ANSWER-C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the following
primary goals EXCEPT? - CORRECT ANSWER-A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? - CORRECT ANSWER-A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - CORRECT
ANSWER-A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
Which of the following statements about the immediate use steam sterilization is the
recommended practice? - CORRECT ANSWER-D. Instruments may be immediate use steam
sterilized only when there is insufficient time tot process by the preferred wrapped or container
method.
Which of the following practices is recommended when transferring from gurney to the OR
bed? Select all that apply. - CORRECT ANSWER-A. Ensure that wheels are locked on both the OR
bed and gurney prior to beginning transfer.
D. Secure lines and catheters prior to the move and dislodging.
,Which of the following statements about regional anesthesia is correct? - CORRECT ANSWER-B.
Continuous nerve stimulation helps ensure proper needle placement during peripheral nerve
blocks.
What are the perioperative nurses responsibilities for the informed consent process? Select all
that apply. - CORRECT ANSWER-B. Act as a witness attesting to the authenticity of the patient's
signature; the voluntary nature of the patient's consent, and that the patient is competent to
give consent.
D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with
the patient and the patient has signed the consent.
Which PNDS outcome is the most important when draping the surgical patient? - CORRECT
ANSWER-A. The patient is free from signs and symptoms of infection
Which of the following components should be included in documentation of intraoperative
patient position? Select all that apply. - CORRECT ANSWER-A. Identification of specific
positioning devices used
B. Names of personnel assisting with positioning
C. Placement of arms
D. Position that the patient is placed in for the procedure
The preoperative nurse's documentation of the skin prep procedure should include: Select all
that apply. - CORRECT ANSWER-A. The body area prepped
B. Name of the person performing the prep
C. Preoperative assessment of the skin at the operative site.
D. Skin prep agent used.
Which of the following statements about proper attire of surgical team members are true?
Select all that apply. - CORRECT ANSWER-C. Sterile gowns should resist fluid strike-through
D. The scrub top must be secured at the waist or tucked into the pants
, Preoperative safety concerns that should be considered when caring fro a patient with an
implanted electrical device (IED) include which of the following? Select all that apply. - CORRECT
ANSWER-A. Bipolar surgery should be used whenever possible
B. The active electrode and dispersive electrode are close together but as far away from the IED
as possible.
D. The patient should be monitored closely for signs of complications and IED malfunction
A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which
of the following skin prep agents is contraindicated for use in this case? - CORRECT ANSWER-C.
Chlorhexidine gluconate
A __________ is a designated area on the sterile field where the scrub person and the surgeon
place all sharp instruments. - CORRECT ANSWER-A. Neutral zone
Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with
general anesthesia may include which of the following? Select all that apply - CORRECT
ANSWER-A. Applying cricoid pressure during intubation if necessary
B. Double checking blood if administered
D. Obtaining warming blankets and emergency equipment as necessary
E. Assessing the patient throughout the operative procedure
Which of the following nursing tools does not reflect critical thinking and clinical reasoning? -
CORRECT ANSWER-A. A single procedure list used for all patients scheduled for that procedure.
Your manager has asked you to provide an in-service to team members regarding hand hygiene.
Important information for you to include is: - CORRECT ANSWER-D. Skin is a major source of
contamination in the surgical environment