NCRA CTR FINAL EXAM LATEST ACTUAL EXAM
WITH 180 QUESTIONS AND CORRECT VERIFIED
ANSWERS | WELL GRADED A+
A female patient with end-stage pancreatic cancer was admitted from hospice for a
celiac plexus block to treat intractable pain. She had a Whipple procedure 18 months
earlier and enjoyed a good quality of life until 3 weeks ago. She wanted to be able to
complete "getting her things in order" and saying good-bye to her friends and family
while enjoying her last days pain-free. The patient insisted that her Do Not Resuscitate
(DNR) status NOT be rescinded. She was conscious and competent and knew what
was best for herself. The patient was taking full advantage of what provision for her
care? - CORRECT ANSWERS-PSDA and advance directives
A patient was presented with the prepared informed consent form during the discussion
with her surgeon concerning her scheduled vaginal-assisted laparoscopic hysterectomy.
She demonstrated and verbalized that she understood all of the tenets of the procedure,
risks, expected outcome, complications, and procedural process. Before she signed the
consent form, she informed the surgeon that she did not want any medical students or
surgical residents performing any parts of the procedure other than assisting and did not
want any photographs of her body taken. The surgeon agreed, and she crossed out
those portions of the form and initialed them before she signed. The patient was
exercising her: - CORRECT ANSWERS-right to informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured
abdominal aortic aneurysm, the circulating nurse was unable to account for 2 lap
sponges. He had meticulously maintained accountability for all sponges and
instruments discarded from the sterile field and bagged each sponge carefully. He
immediately turned and addressed the entire team in a clear voice. Select the
appropriate communication that the circulating nurse must employ during this count
discrepancy. - CORRECT ANSWERS-"We have a count discrepancy. We started with
70 sponges and find only 68. We are missing 2 lap sponges. Everyone, please check
your areas.
The OR is a danger-prone area for both patients and staff. Providing a safe environment
of care for the patient involves identifying, mitigating, and managing the hazards
inherent in surgical care. Choose the answer below that completes the blanks in this
sentence: The risk of the surgical hazard of _________________ can be mitigated
through _______________________. - CORRECT ANSWERS-wrong patient, wrong
site, and wrong side surgery; site marking and presurgical checklists
A patient was transferred to the post anesthesia care unit (PACU) by the anesthesia
provider and perioperative nurse. A hand-off report was given, using situation,
background, assessment, recommendation (SBAR) format, to the accepting PACU
nurse. The first element of information that should be presented in the hand-off report is:
- CORRECT ANSWERS-patient identification and procedure performed.
, If a staff person receives a needlestick injury, what is the first corrective action? -
CORRECT ANSWERS-Wash wound with soap and water; flush mucous membranes.
Contact with infected patients or infectious material places healthcare workers at risk for
occupational-acquired infection. Which communicable disease are healthcare workers
at risk for acquiring or transmitting? - CORRECT ANSWERS-Seasonal influenza
Select the appropriate nursing action that supports hands-free instrument passing and
sharps safety. - CORRECT ANSWERS-Create a neutral hands-free area between the
scrub person and surgeon with a basin or magnetic mat.
Select the guideline that complements the design of the culture of safety model. -
CORRECT ANSWERS-Incorporate safe practices into your daily work when handling
sharps.
A neutral zone is a predetermined location on the surgical field where sharps are placed
for retrieval by the surgeon. Which of the following is a best practice for the use of the
neutral zone? - CORRECT ANSWERS-Announce the transfer of each sharp before
placing it in the neutral zone.
Which of the following may be a consequence of high-dose or full-body radiation? -
CORRECT ANSWERS-Nausea, vomiting, and diarrhea
Exposure to blood-borne pathogens occurs during all phases of the perioperative
process. Observing safety precautions during all phases of surgery, from setup to
cleanup, reduces the number of injuries and exposures for all OR personnel. For the
prevention of sharps injuries in the pre-procedure and post-procedure phases, which
safe handling practices reflect appropriate nursing actions? - CORRECT ANSWERS-
Use standardized sterile field setups throughout the surgical service department.
Transport reusable sharps in a safe, closed container to the decontamination cleanup
area.
Do not place hands or fingers into a container to dispose of a device.
Inspect the sharps container for overfilling before discarding disposable sharps in it.
Which list of medications best reflects medications indicated for latex sensitivity
therapeutic management? - CORRECT ANSWERS-Epinephrine, prednisone, and a
beta-agonist inhaler
While antibiotics have been credited with saving lives, misuse of antibiotics has
contributed to the evolution of multidrug-resistant organisms (MDROs). Select the
antibiotic application that has evident to support it as a best practice and not, potentially,
WITH 180 QUESTIONS AND CORRECT VERIFIED
ANSWERS | WELL GRADED A+
A female patient with end-stage pancreatic cancer was admitted from hospice for a
celiac plexus block to treat intractable pain. She had a Whipple procedure 18 months
earlier and enjoyed a good quality of life until 3 weeks ago. She wanted to be able to
complete "getting her things in order" and saying good-bye to her friends and family
while enjoying her last days pain-free. The patient insisted that her Do Not Resuscitate
(DNR) status NOT be rescinded. She was conscious and competent and knew what
was best for herself. The patient was taking full advantage of what provision for her
care? - CORRECT ANSWERS-PSDA and advance directives
A patient was presented with the prepared informed consent form during the discussion
with her surgeon concerning her scheduled vaginal-assisted laparoscopic hysterectomy.
She demonstrated and verbalized that she understood all of the tenets of the procedure,
risks, expected outcome, complications, and procedural process. Before she signed the
consent form, she informed the surgeon that she did not want any medical students or
surgical residents performing any parts of the procedure other than assisting and did not
want any photographs of her body taken. The surgeon agreed, and she crossed out
those portions of the form and initialed them before she signed. The patient was
exercising her: - CORRECT ANSWERS-right to informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured
abdominal aortic aneurysm, the circulating nurse was unable to account for 2 lap
sponges. He had meticulously maintained accountability for all sponges and
instruments discarded from the sterile field and bagged each sponge carefully. He
immediately turned and addressed the entire team in a clear voice. Select the
appropriate communication that the circulating nurse must employ during this count
discrepancy. - CORRECT ANSWERS-"We have a count discrepancy. We started with
70 sponges and find only 68. We are missing 2 lap sponges. Everyone, please check
your areas.
The OR is a danger-prone area for both patients and staff. Providing a safe environment
of care for the patient involves identifying, mitigating, and managing the hazards
inherent in surgical care. Choose the answer below that completes the blanks in this
sentence: The risk of the surgical hazard of _________________ can be mitigated
through _______________________. - CORRECT ANSWERS-wrong patient, wrong
site, and wrong side surgery; site marking and presurgical checklists
A patient was transferred to the post anesthesia care unit (PACU) by the anesthesia
provider and perioperative nurse. A hand-off report was given, using situation,
background, assessment, recommendation (SBAR) format, to the accepting PACU
nurse. The first element of information that should be presented in the hand-off report is:
- CORRECT ANSWERS-patient identification and procedure performed.
, If a staff person receives a needlestick injury, what is the first corrective action? -
CORRECT ANSWERS-Wash wound with soap and water; flush mucous membranes.
Contact with infected patients or infectious material places healthcare workers at risk for
occupational-acquired infection. Which communicable disease are healthcare workers
at risk for acquiring or transmitting? - CORRECT ANSWERS-Seasonal influenza
Select the appropriate nursing action that supports hands-free instrument passing and
sharps safety. - CORRECT ANSWERS-Create a neutral hands-free area between the
scrub person and surgeon with a basin or magnetic mat.
Select the guideline that complements the design of the culture of safety model. -
CORRECT ANSWERS-Incorporate safe practices into your daily work when handling
sharps.
A neutral zone is a predetermined location on the surgical field where sharps are placed
for retrieval by the surgeon. Which of the following is a best practice for the use of the
neutral zone? - CORRECT ANSWERS-Announce the transfer of each sharp before
placing it in the neutral zone.
Which of the following may be a consequence of high-dose or full-body radiation? -
CORRECT ANSWERS-Nausea, vomiting, and diarrhea
Exposure to blood-borne pathogens occurs during all phases of the perioperative
process. Observing safety precautions during all phases of surgery, from setup to
cleanup, reduces the number of injuries and exposures for all OR personnel. For the
prevention of sharps injuries in the pre-procedure and post-procedure phases, which
safe handling practices reflect appropriate nursing actions? - CORRECT ANSWERS-
Use standardized sterile field setups throughout the surgical service department.
Transport reusable sharps in a safe, closed container to the decontamination cleanup
area.
Do not place hands or fingers into a container to dispose of a device.
Inspect the sharps container for overfilling before discarding disposable sharps in it.
Which list of medications best reflects medications indicated for latex sensitivity
therapeutic management? - CORRECT ANSWERS-Epinephrine, prednisone, and a
beta-agonist inhaler
While antibiotics have been credited with saving lives, misuse of antibiotics has
contributed to the evolution of multidrug-resistant organisms (MDROs). Select the
antibiotic application that has evident to support it as a best practice and not, potentially,
