PROPHECY RN OPERATING ROOM (OR)
EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR
JUST RELEASED
Exam Coverage Summary
1. Preoperative Nursing Care – Patient identification, surgical consent, history, allergies,
medications, NPO status, site verification, and preoperative assessment.
2. Surgical Safety – Universal Protocol, time-out procedures, correct patient/procedure/site
verification, surgical counts, and prevention of wrong-site surgery.
3. Aseptic and Sterile Technique – Sterile field principles, surgical attire, hand preparation, sterile
gowning and gloving, contamination prevention, and traffic control.
4. Intraoperative Nursing Responsibilities – Scrub and circulating nurse roles, specimen handling,
documentation, positioning, equipment management, and communication.
5. Anesthesia and Airway Management – General, regional, and local anesthesia, airway
monitoring, anesthesia complications, and perioperative safety.
6. Patient Positioning – Supine, prone, lateral, lithotomy, Trendelenburg, and reverse
Trendelenburg positioning with prevention of pressure and nerve injuries.
7. Surgical Instruments and Equipment – Common instruments, electrosurgical units, suction,
surgical lasers, stapling devices, tourniquets, and equipment safety.
8. Intraoperative Complications and Emergencies – Hemorrhage, malignant hyperthermia,
anaphylaxis, cardiac arrest, fire, hypothermia, and positioning-related complications.
9. Postoperative and PACU Care – Airway, breathing, circulation, pain, nausea, wound assessment,
drains, bleeding, recovery criteria, and handoff communication.
10.Professional Practice and Infection Prevention – Surgical-site infection prevention,
documentation, specimen management, medication safety, teamwork, ethical practice, and
evidence-based perioperative care.
.
1. During the preoperative assessment, which finding should the operating-
room nurse recognize as requiring immediate clarification before the patient
proceeds to surgery?
,A. The patient reports mild anxiety about the procedure.
B. The patient has been fasting according to prescribed instructions.
C. The patient states that the surgical site marked by the surgeon is not where
expected.
D. The patient reports having previously undergone an uncomplicated general
anesthetic.
Answer: C
Rationale: A discrepancy regarding the surgical site must be immediately
investigated before surgery proceeds. Preventing wrong-site surgery is a
fundamental perioperative safety responsibility.
2. Before transferring a patient into the operating room, which nursing action is
most important for preventing an incorrect patient or procedure from reaching
the surgical suite?
A. Confirming the patient's preferred postoperative meal.
B. Verifying the patient's identity, procedure, consent, and surgical site according
to policy.
C. Asking the family whether the patient appeared nervous earlier.
D. Ensuring the patient's personal belongings are stored in a secure location.
Answer: B
Rationale: Correct patient identification and verification of the planned
procedure and site are essential components of surgical safety and wrong-site
surgery prevention.
3. A circulating nurse observes that a sterile surgical glove has touched an
unsterile surface. What is the most appropriate immediate action by the nurse?
A. Continue working because the glove appears visually clean.
B. Wipe the glove with an antiseptic solution and continue.
,C. Replace the contaminated glove using appropriate sterile technique.
D. Cover the contaminated glove with another sterile glove.
Answer: C
Rationale: Once a sterile glove becomes contaminated, it must be replaced.
Cleaning or covering contamination does not restore sterility.
4. Which statement by a newly assigned operating-room nurse demonstrates
correct understanding of the sterile field?
A. Sterile objects remain sterile regardless of whether they are above or below
waist level.
B. A sterile field should be considered contaminated if it falls below the level of
the sterile field.
C. Sterile supplies may be placed on any clean surface if they remain packaged.
D. The sterile field can be left unattended briefly if the circulating nurse remains
nearby.
Answer: B
Rationale: Areas below waist level and outside the visual field are considered
contaminated. Sterile fields must also be continuously monitored and should
never be left unattended.
5. When performing a surgical hand scrub or hand preparation, which principle
should the perioperative nurse follow most consistently?
A. Keep hands below elbows throughout the entire procedure.
B. Touch the sink and faucet after completing the scrub.
C. Keep hands elevated above the elbows during rinsing when using a traditional
surgical scrub.
D. Dry the hands by wiping from the elbows toward the fingertips.
Answer: C
, Rationale: With traditional surgical hand antisepsis, water should flow from the
cleaner hands toward the less-clean elbows, helping prevent contamination of the
hands.
6. The circulating nurse is preparing for a surgical procedure when the scrub
nurse reports that the initial instrument count is incorrect. What should happen
next?
A. The procedure should begin because the count can be corrected later.
B. The surgeon should be informed, and the discrepancy should be resolved
before incision.
C. The circulating nurse should document the discrepancy after surgery only.
D. The scrub nurse should estimate which instruments are missing.
Answer: B
Rationale: An incorrect initial count must be resolved before the procedure
begins whenever possible. Accurate counts help prevent retained surgical items.
7. During a surgical time-out, which information should the entire surgical team
actively verify before the procedure begins?
A. The patient's preferred discharge transportation.
B. The surgeon's estimated postoperative billing code.
C. The correct patient, procedure, site, and relevant anticipated concerns.
D. The patient's preferred hospital meal.
Answer: C
Rationale: The time-out provides a final opportunity for the entire team to
confirm critical surgical safety information and discuss anticipated risks.
EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR
JUST RELEASED
Exam Coverage Summary
1. Preoperative Nursing Care – Patient identification, surgical consent, history, allergies,
medications, NPO status, site verification, and preoperative assessment.
2. Surgical Safety – Universal Protocol, time-out procedures, correct patient/procedure/site
verification, surgical counts, and prevention of wrong-site surgery.
3. Aseptic and Sterile Technique – Sterile field principles, surgical attire, hand preparation, sterile
gowning and gloving, contamination prevention, and traffic control.
4. Intraoperative Nursing Responsibilities – Scrub and circulating nurse roles, specimen handling,
documentation, positioning, equipment management, and communication.
5. Anesthesia and Airway Management – General, regional, and local anesthesia, airway
monitoring, anesthesia complications, and perioperative safety.
6. Patient Positioning – Supine, prone, lateral, lithotomy, Trendelenburg, and reverse
Trendelenburg positioning with prevention of pressure and nerve injuries.
7. Surgical Instruments and Equipment – Common instruments, electrosurgical units, suction,
surgical lasers, stapling devices, tourniquets, and equipment safety.
8. Intraoperative Complications and Emergencies – Hemorrhage, malignant hyperthermia,
anaphylaxis, cardiac arrest, fire, hypothermia, and positioning-related complications.
9. Postoperative and PACU Care – Airway, breathing, circulation, pain, nausea, wound assessment,
drains, bleeding, recovery criteria, and handoff communication.
10.Professional Practice and Infection Prevention – Surgical-site infection prevention,
documentation, specimen management, medication safety, teamwork, ethical practice, and
evidence-based perioperative care.
.
1. During the preoperative assessment, which finding should the operating-
room nurse recognize as requiring immediate clarification before the patient
proceeds to surgery?
,A. The patient reports mild anxiety about the procedure.
B. The patient has been fasting according to prescribed instructions.
C. The patient states that the surgical site marked by the surgeon is not where
expected.
D. The patient reports having previously undergone an uncomplicated general
anesthetic.
Answer: C
Rationale: A discrepancy regarding the surgical site must be immediately
investigated before surgery proceeds. Preventing wrong-site surgery is a
fundamental perioperative safety responsibility.
2. Before transferring a patient into the operating room, which nursing action is
most important for preventing an incorrect patient or procedure from reaching
the surgical suite?
A. Confirming the patient's preferred postoperative meal.
B. Verifying the patient's identity, procedure, consent, and surgical site according
to policy.
C. Asking the family whether the patient appeared nervous earlier.
D. Ensuring the patient's personal belongings are stored in a secure location.
Answer: B
Rationale: Correct patient identification and verification of the planned
procedure and site are essential components of surgical safety and wrong-site
surgery prevention.
3. A circulating nurse observes that a sterile surgical glove has touched an
unsterile surface. What is the most appropriate immediate action by the nurse?
A. Continue working because the glove appears visually clean.
B. Wipe the glove with an antiseptic solution and continue.
,C. Replace the contaminated glove using appropriate sterile technique.
D. Cover the contaminated glove with another sterile glove.
Answer: C
Rationale: Once a sterile glove becomes contaminated, it must be replaced.
Cleaning or covering contamination does not restore sterility.
4. Which statement by a newly assigned operating-room nurse demonstrates
correct understanding of the sterile field?
A. Sterile objects remain sterile regardless of whether they are above or below
waist level.
B. A sterile field should be considered contaminated if it falls below the level of
the sterile field.
C. Sterile supplies may be placed on any clean surface if they remain packaged.
D. The sterile field can be left unattended briefly if the circulating nurse remains
nearby.
Answer: B
Rationale: Areas below waist level and outside the visual field are considered
contaminated. Sterile fields must also be continuously monitored and should
never be left unattended.
5. When performing a surgical hand scrub or hand preparation, which principle
should the perioperative nurse follow most consistently?
A. Keep hands below elbows throughout the entire procedure.
B. Touch the sink and faucet after completing the scrub.
C. Keep hands elevated above the elbows during rinsing when using a traditional
surgical scrub.
D. Dry the hands by wiping from the elbows toward the fingertips.
Answer: C
, Rationale: With traditional surgical hand antisepsis, water should flow from the
cleaner hands toward the less-clean elbows, helping prevent contamination of the
hands.
6. The circulating nurse is preparing for a surgical procedure when the scrub
nurse reports that the initial instrument count is incorrect. What should happen
next?
A. The procedure should begin because the count can be corrected later.
B. The surgeon should be informed, and the discrepancy should be resolved
before incision.
C. The circulating nurse should document the discrepancy after surgery only.
D. The scrub nurse should estimate which instruments are missing.
Answer: B
Rationale: An incorrect initial count must be resolved before the procedure
begins whenever possible. Accurate counts help prevent retained surgical items.
7. During a surgical time-out, which information should the entire surgical team
actively verify before the procedure begins?
A. The patient's preferred discharge transportation.
B. The surgeon's estimated postoperative billing code.
C. The correct patient, procedure, site, and relevant anticipated concerns.
D. The patient's preferred hospital meal.
Answer: C
Rationale: The time-out provides a final opportunity for the entire team to
confirm critical surgical safety information and discuss anticipated risks.
