reported?
a. Before closing the subcutaneous
NURSING PRACTICE IV layer
b. Before peritoneum is closed
Situation: After an abdominal surgery, c. Before closing the skin
the circulating and scrub nurses have d. Before the fascia is sutured
critical responsibility about sponge and
instrument count. 4. Like any nursing interventions, counts
should be documented. To whom does
1. Counting is performed thrice: During the scrub nurse report any discrepancy
the preincision phase, the operative of counts so that immediate and
phase and closing phase. Who counts appropriate action is instituted?
the sponges, needles and a. Anaesthesiologists
instruments? b. Surgeon
a. The scrub nurse only c. OR nurse supervisor
b. The circulating nurse only d. Circulating nurse
c. The surgeon and the assistant
surgeon 5. Which of the following are 2
d. The scrub nurse and the interventions of the surgical team when
circulating nurse an instrument was confirmed missing?
a. MRI and Incidence report
2. The layer of the abdomen is divided b. CT Scan, MRI, Incidence report
into 5. Arrange the following from c. X-RAY and Incidence report
the first layer going to the deepest
layer:
1. Fascia
2. Muscle
3. Peritoneum
4. Subcutaneous/Fat
5. Skin
a. 5,4,3,2,1
b. 5,4,1,3,2
c. 5,4,2,1,3
d. 5,4,1,2,3
3. When is the first
sponge/instrument count
36
, d. CT Scan and Incidence report c. Save sputum for two days in
covered container
Situation: An entry level nurse should be d. After respiratory treatment,
able to apply theoretical knowledge in expectorate into a container
the performance of the basic nursing
skills. 8. The best time for collecting
the sputum specimen for
6. A client has an indwelling urinary culture and sensitivity is:
catheter and she is suspected of a. Before retiring at night
having urinary infection. How should b. Anytime of the day
you collect a urine specimen for c. Upon waking up in the morning
culture and sensitivity? d. Before meals
a. clamp tubing for 60 minutes
and insert a sterile needle into 9. When suctioning the endotracheal
the tubing above the clamp to tube, the nurse should:
aspirate urine a. Explain procedure to
b. drain urine from the patient; insert catheter
drainage bag into the sterile gently applying suction.
container Withdrawn using twisting motion
c. disconnect the tubing from b. Insert catheter until
the urinary catheter and let resistance is met, and then
urine flow into a sterile withdraw slightly, applying
container suction intermittently as
d. wipe the self-sealing catheter is withdrawn
aspiration port with c. Hyperoxygenate client insert
antiseptic solution and catheter using back and forth
insert a sterile needle into motion
the self-sealing port d. Insert suction catheter four
inches into the tube, suction
7. To obtain specimen for sputum 30 seconds using
culture and sensitivity, which of
the following instruction is best?
a. Upon waking up, cough
deeply and expectorate
into container
b. Cough after pursed lip
breathing
,
a. Before closing the subcutaneous
NURSING PRACTICE IV layer
b. Before peritoneum is closed
Situation: After an abdominal surgery, c. Before closing the skin
the circulating and scrub nurses have d. Before the fascia is sutured
critical responsibility about sponge and
instrument count. 4. Like any nursing interventions, counts
should be documented. To whom does
1. Counting is performed thrice: During the scrub nurse report any discrepancy
the preincision phase, the operative of counts so that immediate and
phase and closing phase. Who counts appropriate action is instituted?
the sponges, needles and a. Anaesthesiologists
instruments? b. Surgeon
a. The scrub nurse only c. OR nurse supervisor
b. The circulating nurse only d. Circulating nurse
c. The surgeon and the assistant
surgeon 5. Which of the following are 2
d. The scrub nurse and the interventions of the surgical team when
circulating nurse an instrument was confirmed missing?
a. MRI and Incidence report
2. The layer of the abdomen is divided b. CT Scan, MRI, Incidence report
into 5. Arrange the following from c. X-RAY and Incidence report
the first layer going to the deepest
layer:
1. Fascia
2. Muscle
3. Peritoneum
4. Subcutaneous/Fat
5. Skin
a. 5,4,3,2,1
b. 5,4,1,3,2
c. 5,4,2,1,3
d. 5,4,1,2,3
3. When is the first
sponge/instrument count
36
, d. CT Scan and Incidence report c. Save sputum for two days in
covered container
Situation: An entry level nurse should be d. After respiratory treatment,
able to apply theoretical knowledge in expectorate into a container
the performance of the basic nursing
skills. 8. The best time for collecting
the sputum specimen for
6. A client has an indwelling urinary culture and sensitivity is:
catheter and she is suspected of a. Before retiring at night
having urinary infection. How should b. Anytime of the day
you collect a urine specimen for c. Upon waking up in the morning
culture and sensitivity? d. Before meals
a. clamp tubing for 60 minutes
and insert a sterile needle into 9. When suctioning the endotracheal
the tubing above the clamp to tube, the nurse should:
aspirate urine a. Explain procedure to
b. drain urine from the patient; insert catheter
drainage bag into the sterile gently applying suction.
container Withdrawn using twisting motion
c. disconnect the tubing from b. Insert catheter until
the urinary catheter and let resistance is met, and then
urine flow into a sterile withdraw slightly, applying
container suction intermittently as
d. wipe the self-sealing catheter is withdrawn
aspiration port with c. Hyperoxygenate client insert
antiseptic solution and catheter using back and forth
insert a sterile needle into motion
the self-sealing port d. Insert suction catheter four
inches into the tube, suction
7. To obtain specimen for sputum 30 seconds using
culture and sensitivity, which of
the following instruction is best?
a. Upon waking up, cough
deeply and expectorate
into container
b. Cough after pursed lip
breathing
,
