Relias / Prophecy OR Exams
Med contraindicated for pt with family history of MH - ANS-succinylcholine
immediately upon bringing a med to the sterile field, the circulator and scrub should ensure that
it is labeled with, at a minimum, the med name and (2 other things) - ANS-expiration date and
concentration
most important action for the circulator to do to prevent post-orthopedic surg infection -
ANS-place a no traffic sign on the door
you are preparing a patient for a laparotomy. what instrument do you anticipate seeing on the
back table - ANS-malleable
patient is allergic to shellfish and is scheduled for an ex lap. what prep solution do you use? -
ANS-CHG
upon arrival to PACU you notice your patient is having a laryngospasm. what is your first action?
- ANS-apply positive pressure ventilation
in the preop holding area, the patient's lab values are K+ 2.9, Hgb 14.3, Hct 42.0, glucose 89.
what should you do? - ANS-notify anesthesia provider
when should a surgical time out be performed - ANS-when all team members are in the room,
the patient is prepped and draped, and prior to initial incision
you are the scrub nurse on a case in which a vendor is present. the vendor has a packaged
product they would like to hand to the surgeon. what should you do? - ANS-ask the vendor to
hand the product to the circulating nurse
what is the minimum distance unscrubbed personnel should remain from the sterile field -
ANS-12 inches
You are the circulating nurse and have received 2 units of packed red blood cells that are to be
transfused immediately. Present in the room are the surgeon, surgical tech, CRNA and
radiology technician. Who should you ask to assist with checking the blood before the
transfusion - ANS-CRNA
You are taking a patient to PACU who just had a fractured mandible repaired. What supply do
you need to transport with your patient? - ANS-wire cutters
, 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? - ANS-confirm the specimen label and patient name
A patient was prepared for intubation by mask ventilation with a mix of sevo, nitrous oxide, and
oxygen. one minute after intubation, their heart rate increased from 160 to 195 bpm. soon the
patient's end tidal co2 was increased from 35 to 65 mmHg. also, the patient's oral temp
increased to 38.9 c within 5 min after induction. what is the patient experiencing? - ANS-MH
what nerve is most likely to be affected when the patient has a loss of sensation in the lateral
portion of a hand and an inability to abduct or oppose the fifth finger (claw hand)? - ANS-ulnar
what med should be administered to a patient who has received moderate sedation with
midazolam who has an unexpected respiratory depression? - ANS-flumazenil / romazicon
the first patient in the OR was closed at 0650 and left the OR for PACU at 0700. The surgeon
left the room at 0655. the next patient arrived into the OR at 0718. what is the turnover time in
this situation? - ANS-18 min
what type of med might be used during ophthalmic surgery for severe allergic conditions? -
ANS-corticosteroids
what type of support would you place to alleviate pressure on the brachial plexus nerve when a
patient is in a side-lying position? - ANS-axillary roll
the scrub nurse has asked you for a heavy sterile instrument that is wrapped. after opening the
package, how should you give them the instrument? - ANS-let the scrub nurse grasp it out of
the package
the surgeon has asked you to hand them a piece of equipment. how should you use closed loop
communication to respond? - ANS-state the name of the equipment in your response
what is the surgical start time based on the following events: first incision was made at 0631 -
ANS-0631
the anesthesiologist informs you that the next patient is a difficult intubation. which equipment
will you expect to have in the room? - ANS-glidescope
you are the periop nurse who is doing the prep on a clean abdominal case. where should you
start the prep? - ANS-site of incision and move to the periphery
you are scrubbed in during the middle of a procedure when you see a blood-soaked sponge on
the floor 2 feet from the sterile field. what should you do? - ANS-tell the other team members
about it and ask the circulating nurse to remove it without touching the sterile field
Med contraindicated for pt with family history of MH - ANS-succinylcholine
immediately upon bringing a med to the sterile field, the circulator and scrub should ensure that
it is labeled with, at a minimum, the med name and (2 other things) - ANS-expiration date and
concentration
most important action for the circulator to do to prevent post-orthopedic surg infection -
ANS-place a no traffic sign on the door
you are preparing a patient for a laparotomy. what instrument do you anticipate seeing on the
back table - ANS-malleable
patient is allergic to shellfish and is scheduled for an ex lap. what prep solution do you use? -
ANS-CHG
upon arrival to PACU you notice your patient is having a laryngospasm. what is your first action?
- ANS-apply positive pressure ventilation
in the preop holding area, the patient's lab values are K+ 2.9, Hgb 14.3, Hct 42.0, glucose 89.
what should you do? - ANS-notify anesthesia provider
when should a surgical time out be performed - ANS-when all team members are in the room,
the patient is prepped and draped, and prior to initial incision
you are the scrub nurse on a case in which a vendor is present. the vendor has a packaged
product they would like to hand to the surgeon. what should you do? - ANS-ask the vendor to
hand the product to the circulating nurse
what is the minimum distance unscrubbed personnel should remain from the sterile field -
ANS-12 inches
You are the circulating nurse and have received 2 units of packed red blood cells that are to be
transfused immediately. Present in the room are the surgeon, surgical tech, CRNA and
radiology technician. Who should you ask to assist with checking the blood before the
transfusion - ANS-CRNA
You are taking a patient to PACU who just had a fractured mandible repaired. What supply do
you need to transport with your patient? - ANS-wire cutters
, 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? - ANS-confirm the specimen label and patient name
A patient was prepared for intubation by mask ventilation with a mix of sevo, nitrous oxide, and
oxygen. one minute after intubation, their heart rate increased from 160 to 195 bpm. soon the
patient's end tidal co2 was increased from 35 to 65 mmHg. also, the patient's oral temp
increased to 38.9 c within 5 min after induction. what is the patient experiencing? - ANS-MH
what nerve is most likely to be affected when the patient has a loss of sensation in the lateral
portion of a hand and an inability to abduct or oppose the fifth finger (claw hand)? - ANS-ulnar
what med should be administered to a patient who has received moderate sedation with
midazolam who has an unexpected respiratory depression? - ANS-flumazenil / romazicon
the first patient in the OR was closed at 0650 and left the OR for PACU at 0700. The surgeon
left the room at 0655. the next patient arrived into the OR at 0718. what is the turnover time in
this situation? - ANS-18 min
what type of med might be used during ophthalmic surgery for severe allergic conditions? -
ANS-corticosteroids
what type of support would you place to alleviate pressure on the brachial plexus nerve when a
patient is in a side-lying position? - ANS-axillary roll
the scrub nurse has asked you for a heavy sterile instrument that is wrapped. after opening the
package, how should you give them the instrument? - ANS-let the scrub nurse grasp it out of
the package
the surgeon has asked you to hand them a piece of equipment. how should you use closed loop
communication to respond? - ANS-state the name of the equipment in your response
what is the surgical start time based on the following events: first incision was made at 0631 -
ANS-0631
the anesthesiologist informs you that the next patient is a difficult intubation. which equipment
will you expect to have in the room? - ANS-glidescope
you are the periop nurse who is doing the prep on a clean abdominal case. where should you
start the prep? - ANS-site of incision and move to the periphery
you are scrubbed in during the middle of a procedure when you see a blood-soaked sponge on
the floor 2 feet from the sterile field. what should you do? - ANS-tell the other team members
about it and ask the circulating nurse to remove it without touching the sterile field
