PROPHECY OR RN A V2 ACTUAL EXAM
TEST QUESTIONS AND SOLUTIONS GRADED
⩥ You are the circulating nurse confirming consent with a patient
scheduled for an exploratory laparotomy with colostomy. The patient
states they do not want a colostomy. What should you do?. Answer: Do
not take the patient to the operating room and consult the surgeon
immediately
⩥ What equipment is most important for a patient undergoing an
emergency trauma surgery who declines a donated blood transfusion.
Answer: Cell Saver
⩥ You have been asked to take a specimen from an OR during a
bronchoscopy and immediately take it to the lab. What must you do first.
Answer: Confirm the specimen label and patient name
⩥ You suspect long-term substance abuse during the pre-op interview
with your patient. Which of the following assessment findings would
support this suspicion. Answer: nasal irritation and frequent sniffing,
needle tracks on arms, and burns on fingers and lips
,⩥ After applying an alcohol-based skin preparations for a laser
procedure, what should you do next. Answer: assess for pooling or
moisture from the prep
⩥ What medication should be administered to a patient who has received
moderate sedation with midazolam who has unexpected respiratory
depression. Answer: romazicon (flumazenil)
⩥ 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.
Answer: Stop the transfusion and notify the surgeon
⩥ What is the minimum distance unscrubbed personnel should remain
from the sterile field. Answer: 12 inches
⩥ You are preparing a patient for a laparotomy. What instrument do you
anticipate seeing on the back table. Answer: malleable
⩥ Which of the following medications is contraindicated for a patient
with a family history of malignant hyperthermia. Answer: Quelicin
(succinylcholine)
⩥ You are caring for a patient who is infected with Methicillin- Resistant
Staphylococcus Aureus (MRSA). What infection control practice must
, you implement after transferring the patient. Answer: Clean and
disinfect all patient care equipment
⩥ Upon opening a sterile major tray, you discover the chemical
indicators are missing. What should you do?. Answer: Remove and
replace the major tray
⩥ As a circulator, where do you stand during induction. Answer: at the
head of the bed
⩥ You are the perioperative nurse who is doing the preoperative skin
preparation on a clean abdominal case. Where should you start the skin
preparation. Answer: site of incision and move to the periphery
⩥ 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. Answer:
Malignant Hyperthermia
⩥ After draping the left side of the patient, how should you drape the
right side. Answer: From the left side open the drape over the patient
Shake the drape open as your assistant places the drape
TEST QUESTIONS AND SOLUTIONS GRADED
⩥ You are the circulating nurse confirming consent with a patient
scheduled for an exploratory laparotomy with colostomy. The patient
states they do not want a colostomy. What should you do?. Answer: Do
not take the patient to the operating room and consult the surgeon
immediately
⩥ What equipment is most important for a patient undergoing an
emergency trauma surgery who declines a donated blood transfusion.
Answer: Cell Saver
⩥ You have been asked to take a specimen from an OR during a
bronchoscopy and immediately take it to the lab. What must you do first.
Answer: Confirm the specimen label and patient name
⩥ You suspect long-term substance abuse during the pre-op interview
with your patient. Which of the following assessment findings would
support this suspicion. Answer: nasal irritation and frequent sniffing,
needle tracks on arms, and burns on fingers and lips
,⩥ After applying an alcohol-based skin preparations for a laser
procedure, what should you do next. Answer: assess for pooling or
moisture from the prep
⩥ What medication should be administered to a patient who has received
moderate sedation with midazolam who has unexpected respiratory
depression. Answer: romazicon (flumazenil)
⩥ 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.
Answer: Stop the transfusion and notify the surgeon
⩥ What is the minimum distance unscrubbed personnel should remain
from the sterile field. Answer: 12 inches
⩥ You are preparing a patient for a laparotomy. What instrument do you
anticipate seeing on the back table. Answer: malleable
⩥ Which of the following medications is contraindicated for a patient
with a family history of malignant hyperthermia. Answer: Quelicin
(succinylcholine)
⩥ You are caring for a patient who is infected with Methicillin- Resistant
Staphylococcus Aureus (MRSA). What infection control practice must
, you implement after transferring the patient. Answer: Clean and
disinfect all patient care equipment
⩥ Upon opening a sterile major tray, you discover the chemical
indicators are missing. What should you do?. Answer: Remove and
replace the major tray
⩥ As a circulator, where do you stand during induction. Answer: at the
head of the bed
⩥ You are the perioperative nurse who is doing the preoperative skin
preparation on a clean abdominal case. Where should you start the skin
preparation. Answer: site of incision and move to the periphery
⩥ 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. Answer:
Malignant Hyperthermia
⩥ After draping the left side of the patient, how should you drape the
right side. Answer: From the left side open the drape over the patient
Shake the drape open as your assistant places the drape
