Nurse Examination | Updated Questions
and Correct Answers | Graded A+ | Just
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During the procedure the perioperative RN should maintain the integrity of the
operative suite. Which of the following are appropriate actions taken by the
circulating nurse?
a. The non-scrubbed team member should always face away from the sterile field
b. Only move within the laminar airflow for short periods of time
c. Walk between two sterile fields if there is adequate distance to pass without
accidental contamination.
d. Remain as far as possible from the field and scrubbed team members ---------
CORRECT ANSWER-----------------d
All personnel moving within or around a sterile field should do so with the goal of
maintaining the sterile field. To best meet this goal, it is preferable that...
a. The scrub person stays close to the sterile field
b. Open the double doors infrequently during the procedure
c. All unscrubbed team members maintain a 12-inch distance from the sterile field
and pass facing away from it.
d. All unscrubbed team members maintain a 6-inch distance from the sterile field
and pass facing the sterile field. ---------CORRECT ANSWER-----------------a
,During the procedure the circulating nurse notices a bead of sweat drop onto the
sterile field? The nurse should:
a. Include this information as part of the debriefing so the surgeon can order
prophylactic antibiotics for the patient
b. Interrupt the procedure to alert the team of the observed contamination
c. Ask the surgeon to lean back so you can mop his or her brow
d. It's too late to do anything. The contamination has already occurred. Complete
an occurrence report. ---------CORRECT ANSWER-----------------b
During a procedure under local anesthesia, the patient complains of circumoral
numbness, blurred vision, and dizziness. What should be the immediate action of
the perioperative nurse monitoring this patient?
a. Recheck the dose of local anesthesia given
b. Ensure an airway
c. Set the IV line to full flow
d. Call for 20% lipid emulsion to be brought to the room ---------CORRECT
ANSWER-----------------b
The circulating nurse reports that the needle count is incorrect. The surgeon
continues to close the wound, stating, "I know it is not in the wound and I am not
going to stop to look for it." The best plan of action is to:
,a. Accept the surgeon's response without comment and fill out an incident report
b. Inform the surgeon of hospital policy and document subsequent actions
c. Order X-rays regardless of the surgeon's wishes
d. Notify the OR supervisor and ask for advice ---------CORRECT ANSWER--------------
---b
A new employee unknowingly dispensed an unsterile solution to the sterile field.
The following day, the supervisor learns of the incident. The supervisor's first
action would be to:
a. Initiate an incident report
b. Instruct the employee on the technique of reading labels
c. Counsel the employee verbally
d. Notify the surgeon of the break in technique ---------CORRECT ANSWER------------
-----d
Due to an emergency, the perioperative nurse is unable to conduct the sponge,
sharps, and instrument counts. At the conclusion of the surgery, the nurse should:
a. Ask the surgeon to sign the count
b. Immediately notify the OR supervisor
c. Document the absence of counts
d. Refuse to sign the sponge count record ---------CORRECT ANSWER-----------------c
, Which one of the following perioperative nursing interventions would most
effectively reduce the possibility of contamination of the sterile field?
a. Consider the gown cuff to be sterile during surgical cases.
b. The surgical field should be covered during times of high activity in the OR.
c. Gown and glove from a sectioned off portion of the back table
d. Use open-glove method to change a contaminated glove during surgery. ---------
CORRECT ANSWER-----------------b
How often is it recommended to change surgical gloves during an invasive surgical
procedure?
a. Every 60 minutes
b. Midway through the procedure
c. Every 90 - 150 minutes
d. It is not necessary to change gloves during the procedure unless they become
contaminated. ---------CORRECT ANSWER-----------------c
After the sterile field is set up there is a delay in the operative procedure. Which
of the following is false?
a. Team members should observe for contamination.