Operating Room RN A v2
What type of support would you place to alleviate pressure on the brachial plexus nerve when a
patient is in a side-lying position - correct answer Axillary Roll
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? - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct answer Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile field -
correct answer 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the
back table - correct answer malleable
Which of the following medications is contraindicated for a patient with a family history of
malignant hyperthermia - correct 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 -
correct 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? - correct answer Remove and replace the major tray
As a circulator, where do you stand during induction - correct answer at the head of the bed
, Operating Room RN A v2
You are the perioperative nurse who is doing the preoperative skin preparation on a clean
abdominal case. Where should you start the skin preparation - correct 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 - correct answer Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side - correct answer
Reach over the patient to place the drape
Walk around the operating room table
What is the safest location for sharps during a surgical procedure - correct answer in knife
holder/needle board on back table
You review the patient's chart and discover that the patient has an allergy to penicillin. What
medication order should you be worried about - correct answer Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first action -
correct answer Apply positive pressure ventilation
When should a surgical "Time Out" be performed - correct answer When all team members
are in the room, the patient is prepped and draped and prior to initial incision
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of
transmission based precaution is needed - correct answer Airborne
The scrub tech is preparing to count for a laparoscopic cholecystectomy and notices that the lap
sponges on the back table have no visible x-ray detectable strip. What should the circulator do -
correct answer Remove the lap sponges from the OR and open a new package of sponges
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? - correct answer Notify Anesthesia provider
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? - correct answer WBC 12.5 K/UL
What type of medication might be used during ophthalmic surgery for severe allergic condition
- correct answer Corticosteroids
When prepping a patient for general surgery with laparoscopy, in what order should you drape
them? - correct answer sterile towel, impervious drape, lap sheet
What type of support would you place to alleviate pressure on the brachial plexus nerve when a
patient is in a side-lying position - correct answer Axillary Roll
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? - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct answer Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile field -
correct answer 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the
back table - correct answer malleable
Which of the following medications is contraindicated for a patient with a family history of
malignant hyperthermia - correct 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 -
correct 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? - correct answer Remove and replace the major tray
As a circulator, where do you stand during induction - correct answer at the head of the bed
, Operating Room RN A v2
You are the perioperative nurse who is doing the preoperative skin preparation on a clean
abdominal case. Where should you start the skin preparation - correct 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 - correct answer Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side - correct answer
Reach over the patient to place the drape
Walk around the operating room table
What is the safest location for sharps during a surgical procedure - correct answer in knife
holder/needle board on back table
You review the patient's chart and discover that the patient has an allergy to penicillin. What
medication order should you be worried about - correct answer Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first action -
correct answer Apply positive pressure ventilation
When should a surgical "Time Out" be performed - correct answer When all team members
are in the room, the patient is prepped and draped and prior to initial incision
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of
transmission based precaution is needed - correct answer Airborne
The scrub tech is preparing to count for a laparoscopic cholecystectomy and notices that the lap
sponges on the back table have no visible x-ray detectable strip. What should the circulator do -
correct answer Remove the lap sponges from the OR and open a new package of sponges
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? - correct answer Notify Anesthesia provider
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? - correct answer WBC 12.5 K/UL
What type of medication might be used during ophthalmic surgery for severe allergic condition
- correct answer Corticosteroids
When prepping a patient for general surgery with laparoscopy, in what order should you drape
them? - correct answer sterile towel, impervious drape, lap sheet
