Relias Operating Room Rn A V2 Final Exam Study Guide 2025/2026 Complete Questions Bank And Correct Detailed Answers With Rationales || 100% Guaranteed Pass Recent Version

Relias Operating Room RN A V2 FINAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS BANK AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS RECENT VERSION 1. What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position - ANSWER Axillary Roll 2. 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? - ANSWER Do not take the patient to the operating room and consult the surgeon immediately 3. What equipment is most important for a patient undergoing an emergency trauma surgery who declines a donated blood transfusion - ANSWER Cell Saver 4. 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 - ANSWER Confirm the specimen label and patient name 5. You suspect long-term substance abuse during the pre-op interview with your patient. Which of the following assessment findings would support this suspicion - ANSWER nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers and lips 6. After applying an alcohol-based skin preparations for a laser procedure, what should you do next - ANSWER assess for pooling or moisture from the prep 7. When should you and surgical team members perform a surgical count for an open thoracotomy? - ANSWER Prior to skin incision, at the beginning of closure of body cavity or first tissue layer, and during skin closure 8. You are the scrub nurse on a case in which a vendor is present. The vendor has a packaged product that they would like to hand to the surgeon. What should you do? - ANSWER Ask the vendor to hand the product to the circulating nurse 9. 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 - ANSWER CRNA 10. The anesthesiologist informs you that the next patient is a difficult intubation. Which equipment will you expect to have in the room? - ANSWER Glidescope 11. You are near the entrance to the operating room department when a vendor approaches you and asks where to go. What should you do first? - ANSWER walk them to the area designated by facility policy 12. What is an important step for the prevention of biofilm developing on a flexible endoscope - ANSWER Prompt initiation of device processing 13. You are the circulating nurse. What class of surgical wound would you document for a patient with preoperative fever who underwent tonsillectomy in the presence of a large amount of purulent drainage for which the surgeon has ordered intravenous antibiotics - ANSWER Class IV 14. The scub nurse has asked you for a heavy sterile instrument that is wrapped. After opening the package, how should you give them the instrument - ANSWER let the scub nurse grasp it out of the package 15. You are scubbed 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 - ANSWER tell the other team members about it and ask the circulating nurse to remove it without touching the sterile field 16. Which of the following assignments can a circulator delegate to a non licensed surgical associate - ANSWER retrieving sterile trays 17. Immediately after surgery, your patient is exhibiting symptoms of dizzyness, cyanosis, shivering, and disoriented. These findings most likely indicate what condition - ANSWER hypothermia 18. When does the preoperative phase begin? - ANSWER begins when the decision to proceed with surgical intervention is made and ends with the transfer of the patient onto the operating room (OR) bed 19. When does the intraoperative phase begin? - ANSWER begins when the patient is transferred onto the OR bed and ends with admission to the PACU 20. When does the postoperative phase begin? - ANSWER begins with the admission of the patient to the PACU and ends with a follow-up evaluation in the clinical setting or home 21. What is a diagnostic surgery? - ANSWER focuses on removing a sample of tissue 22. What is curative surgery? - ANSWER removing an entire tumor 23. What is reparative surgery? - ANSWER restore tissue to as close to original state 24. What is cosmetic surgery? - ANSWER for appearance 25. What is palliative surgery? - ANSWER relieving or preventing pain/suffering 26. What is emergent surgery? - ANSWER patient requires immediate attention; disorder may be life threatening; without delay 27. What is urgent surgery? - ANSWER patient requires prompt attention within 24-30 hours 28. What is required surgery? - ANSWER patient needs to have surgery; plan within a few weeks or months 29. What is elective surgery? - ANSWER patient should have surgery; failure to have surgery not catastrophic 30. What is optional surgery? - ANSWER decision rests with patient; personal preference 31. What is informed consent? - ANSWER the patient's autonomous decision about whether to undergo a surgical procedure; voluntary and written informed consent from the patient is necessary before nonemergent surgery can be performed to protect the patient from unsanctioned surgery; voluntary, adequate disclosure, in writing, before any psychoactive pre-meds 32. What should informed consent include? - ANSWER explanation of procedure/risks, description of benefits/alternatives, statement informing patient if protocol differs from customary procedure 33. What is voluntary consent? - ANSWER valid consent must be freely given, without coercion; consent must be obtained by physician; patient's signature must be witnessed by professional staff member; patient must be at least 18 years old or an emancipated minor 34. What is the only thing that can over write consent? - ANSWER a true medical emergency 35. Who is considered an incompetent patient? - ANSWER individual who is not autonomous; cannot give or withhold consent, cognitively impaired, mentally ill, neurological incapactitated 36. which type of endoscope should you have present for use during a low anterior colon resection - ANSWER proctoscope 37. Who is responsible for documenting the operative time out - ANSWER OR nurse 38. The room has already been set up with latex gloves when your patient reports a mild rash on contact with latex. What should you do first - ANSWER Notify the surgical team and discard sterile field set up 39. Who does not have right to practice unsupervised medicine? - ANSWER Students/ Interns 40. Which team consist of the operating surgeon in assistance that are a combination of one or more surgical assistance, scrub nurse, and/or surgical technologist - ANSWER Sterole team 41. Which department checks and approved all mechanical, electrical, or electronic equipment prior to use on a patient - ANSWER Biomedical 42. In the absence of another medical doctor, the __ May function in the role of the first assistant to the surgeon in a broader scope in the regular surgical technician - ANSWER Certified surgical technologist first assistant 43. Who is the member of the non-sterile team and has overall responsibility for the interpretative patient care activity - ANSWER Circulating RN 44. Perioperative refers to the three phases of surgical care known as - ANSWER Preoperative, intraoperative, postoperative 45. What service line or division of a healthcare facility provides the comprehensive care for a patient undergoing a surgical procedure - ANSWER Surgical services 46. What department controls and/or coordinates ordering, contractual arrangements, receiving, storage, maintaining, distribution, and transportation of all supplies and equipment - ANSWER Materials management/logistics 47. T/F: The company representative may be allowed to be present during a patient procedure, provided appropriate permission from physician, hospital administration, and/or management has been obtained - ANSWER True 48. Sally, A company representative has an appointment with Dr. Stagner to demonstrate her company's newest product Sally has also been trying to meet with Dr. Taylor but it's been unsuccessful in contacting him by phone after her meeting with Dr. Stagner Sally decides to use this opportunity to visit with Dr. Taylor as well. is this acceptable? - ANSWER No 49. True or false representatives must follow all policies of the approving institution because failure to follow protocols or conduct business ethically can result in a verbal or written warning - ANSWER True 50. While visiting the OR Marcus a company representative has the opportunity to view the entire OR daily schedule from the information that Mark is viewed on the schedule he realized and opportunity to make further sales can Marcus use this information to pursue a sale? - ANSWER No 51. T/F: When requested by a physician a company representative should actively participate in patient care but only after scrubbing it - ANSWER False 52. Who is responsible for ensuring that a company representative receives hazard information - ANSWER The institution/healthcare facility 53. Upon her arrival at the hospital, Christine checks in and registers the purpose of her visit at the materials management department she's directed to the OR where she feels out the visitors log since she will be entering a patient care setting what will Christine be required to do next - ANSWER Disclose any exposure to infectious/contagious diseases within the last 21 days 54. What should company representatives do when first entering a hospital - ANSWER Checkin and register the purpose of the visit 55. When should a company representative arrive for an OR visit? - ANSWER At least 30 minutes 56. Stephen a company representative is trying to arrange an appointment with Dr. Carter to demonstrate his companies new products Steven phones in advance to make an appointment with Dr. Carter why was it valuable for Stephen to do this - ANSWER Time is very important to all and will be used to most efficiently if appointments are pre-arrange 57. True or false failure to comply with the facilities check in policy as well as not conducting business as declared could result in restricting or banning the individual or even the company from further business with the institution - ANSWER True 58. The area immediately surrounding the patient is considered an - ANSWER Sterile field 59. Which zone consists of the actual OR and requires a mask to be worn - ANSWER Restricted 60. Scrub sinks are usually located in which soon - ANSWER Semi restricted 61. You should secure the surgical mess to your face and a manner that __ - ANSWER Does not leave gaps for unfiltered air to be exhaled into the restricted environment 62. The surgical sweetest divided into three zones these are - ANSWER Unrestricted, semi restricted, restricted 63. The room temperature in the operating room (OR) should be - ANSWER Between 68°F and 76°F 64. The most effective protection from the radiation of x-rays is a - ANSWER lead apron 65. It is considered good technique to - ANSWER handle the mask only by the strings 66. Electrical cord should be - ANSWER Remove from pathways so equipment is not rolled over them