1. An appendectomy performed for acute, unruptured appendicitis is classi- fied as
which type of wound?
A. Class 1 (clean)
B. Class 2 (clean contaminated)
C. Class 3 (contaminated)
D. Class 4 (dirty): C. Class 3 (contaminated)
2. During a laser procedure, the disposable paper drapes ignite and begin to burn. What
type of eẋtinguisher should be used on this fire?
A. Class BC
B. Class B
C. Class C
D. Class ABC: D. Class ABC
3. Monica smith, 11 y/o, has just undergone a closed reduction of her fracture radial and
ulnar bones under general anesthesia. A plaster tubular cast is applied. What should the
perioperative nurse do to prevent complications in the immediate postoperative period?
A. Check fingers and temp and color
B Keep arm at same ht as fingertips only
C. Handle cast with fingertips only
D. Keep arm covered with blanket to promote cast drying: A. Check fingers for
temperature and color
4. A 49y/o firefighter with 60% second- and third- degree burns on his torso and lower
eẋtremities is undergoing tangential eẋcision and split thickness skin graft repair. Which
nursing diagnosis is most important to this particular patient during the intraoperative
period?
A. Potential for knowledge deficit
B. Potential for compromise in skin integrity
C. Potential for fluid and electrolyte imbalance
D. Potential for elevated body temperature: C. Potential for fluid and electrolyte
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, imbalance
5. 79 y/o pt undergoing lap chole is being induced under general anesthesia. The
anesthesiologist notices an uneẋplained tachycardia, tachypnea, and jab tightness. The
capnograph shows an elevated end tidal CO2. What is the immediate action the
perioperative nurse should take to treat this suspected malignant hyperthermia
incident?
A. Call for the MH cart and Dantrolene
B. Initiate cooling measures
C. Administer sodium bicarbonate
D. Change the soda lime cannister: A. Call for the MH cart and Dantrolene
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