NURS 327 EXAM 1 2025-2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTION|ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|GUARANTEED PASS
A nurse is working as part of the surgical team in the semi-restricted area. Which of the
following would be appropriate to wear? Select all that apply.
Scrub clothes
Caps
A client receiving moderate sedation for a minor surgical procedure begins to vomit. What
should the nurse do first?
Roll the client onto his or her side.
A client at risk for malignant hyperthermia returns to the surgical unit. For what time period will
the nurse monitor the client for development of malignant hyperthermia?
The client can develop malignant hyperthermia up to 24 hours after surgery.
Which stage of surgical anesthesia is also known as excitement?
2
Which nursing diagnosis should the nurse plan to address first in the client upon arrival in the
intraoperative setting?
Anxiety related to ineffective coping with surgical concerns
As a circulating nurse, what task are you solely responsible for?
Keeping records.
A nurse is working as a registered nurse first assistant as defined by the state's nurse practice
act. This nurse practices under the direct supervision of which surgical team member?
1|Page
,Surgeon
A perioperative nurse is conducting an in-service education program about maintaining surgical
asepsis during the intraoperative period. Which of the following would the nurse emphasize?
The edges of a sterile package, once opened, are considered unsterile.
A patient is scheduled to have a heart valve replacement with a porcine valve. Which patient
does the nurse understand may refuse the use of any porcine-based product?
A patient of Jewish faith
An OR nurse needs to assist a patient to the Trendelenburg position. Which of the following is
the correct position?
On his back, with his head lowered, so that the plane of his body meets the horizontal on an
angle
After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse
determines that the patient has understood the teaching based on which of the following
statements?
"I'll be sleepy but able to respond to your questions."
During a procedure, a client's temperature begins to rise rapidly. This is likely the result of which
complication?
malignant hyperthermia
The anesthesiologist administered a transsacral conduction block. Which documentation by the
nurse is consistent with the anesthesia being administered?
Denies sensation to perineum and lower abdomen
What is the priority action when the circulating nurse is completing a second verification of the
surgical procedure and surgical site?
Obtain the attention of all members of the surgical team.
The physician requests lidocaine 2% with epinephrine for use in local infiltration anesthesia.
What does the nurse understand is the purpose of adding epinephrine to the lidocaine? (Select
all that apply.)
The epinephrine causes vasoconstriction.
The epinephrine prevents rapid absorption of the anesthetic drug.
The epinephrine prolongs the local action of the anesthetic agent.
2|Page
,The 5 P's of sexual history
Prevention, practice, protection, partners, and past history
During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a
temperature of 103°F. The nurse should prepare to administer:
dantrolene sodium (Dantrium)
The circulating nurse must be vigilant in monitoring the surgical environment. Which of the
following actions by the nurse is inappropriate?
Allow unnecessary personnel to enter the OR environment.
Nursing students are reviewing information about agents used for anesthesia. The students
demonstrate understanding when they identify which of the following as an inhalation
anesthetic?
Halothane
A client who is scheduled for knee surgery is anxious about the procedure, saying, "You hear
stories on the news all the time about doctors working on the wrong body part. What if that
happens to me?" What is the nurse's best response? Select all that apply.
"The client can be involved in marking the knee, the site for the surgery."
"The surgical team performs a 'time-out' prior to surgery to conduct a final verification."
"The client will be involved in the verification process prior to surgery."
A scrub nurse is diagnosed with a skin infection to the right forearm. What is the priority action
by the nurse?
Report the infection to an immediate supervisor.
A student nurse is scheduled to observe a surgical procedure. The nurse provides the student
nurse with education on the dress policy and provides all attire needed to enter a restricted
surgical zone. Which observation by the nurse requires immediate intervention?
Mask is placed over nose and extends to bottom lip.
The nurse recognizes the client has reached stage III of general anesthesia when the client:
lies quietly on the table
Which of the following techniques least exhibits surgical asepsis?
Suctioning the nasopharyngeal cavity of a client
3|Page
, Which of the following medications would the nurse expect to be used to facilitate intubation of
the client?
atracurium (Tracrium)
A client is brought to the operating room for an elective surgery. What is the priority action by
the circulating nurse?
Verify consent.
What is the most important postoperative instruction a nurse must give to a client who has just
returned from the operating room after receiving a subarachnoid block?
"Remain supine for the time specified by the physician."
Which of the following actions by the nurse is appropriate?
Discarding an object that comes in contact with the 1-inch border
A client asks the nurse about possible ill effects from general anesthesia. What is the best
response by the nurse?
"Some possible negative effects include difficulty waking up and slow heart rate."
A 55-year-old patient arrives at the operating room. The nurse is reviewing the medical record
and notes that the patient has a history of osteoporosis in her lower back and hips. The patient
is scheduled to receive epidural anesthesia. Which of the following nursing diagnoses would be
a priority for this patient?
Risk for perioperative positioning injury related to operative position
A 78-year-old client is undergoing surgery to repair a right hip fracture. What nursing action is
appropriate during the intraoperative phase?
Appropriately position the client using adequate padding and support.
What is the priority action by the scrub nurse when the surgeon begins to close the surgical
wound?
Count the sponges.
A client asks the nurse how an inhalant general anesthetic is expelled by the body. What is the
best response by the nurse?
"The lungs primarily eliminate the anesthesia."
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTION|ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!|GUARANTEED PASS
A nurse is working as part of the surgical team in the semi-restricted area. Which of the
following would be appropriate to wear? Select all that apply.
Scrub clothes
Caps
A client receiving moderate sedation for a minor surgical procedure begins to vomit. What
should the nurse do first?
Roll the client onto his or her side.
A client at risk for malignant hyperthermia returns to the surgical unit. For what time period will
the nurse monitor the client for development of malignant hyperthermia?
The client can develop malignant hyperthermia up to 24 hours after surgery.
Which stage of surgical anesthesia is also known as excitement?
2
Which nursing diagnosis should the nurse plan to address first in the client upon arrival in the
intraoperative setting?
Anxiety related to ineffective coping with surgical concerns
As a circulating nurse, what task are you solely responsible for?
Keeping records.
A nurse is working as a registered nurse first assistant as defined by the state's nurse practice
act. This nurse practices under the direct supervision of which surgical team member?
1|Page
,Surgeon
A perioperative nurse is conducting an in-service education program about maintaining surgical
asepsis during the intraoperative period. Which of the following would the nurse emphasize?
The edges of a sterile package, once opened, are considered unsterile.
A patient is scheduled to have a heart valve replacement with a porcine valve. Which patient
does the nurse understand may refuse the use of any porcine-based product?
A patient of Jewish faith
An OR nurse needs to assist a patient to the Trendelenburg position. Which of the following is
the correct position?
On his back, with his head lowered, so that the plane of his body meets the horizontal on an
angle
After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse
determines that the patient has understood the teaching based on which of the following
statements?
"I'll be sleepy but able to respond to your questions."
During a procedure, a client's temperature begins to rise rapidly. This is likely the result of which
complication?
malignant hyperthermia
The anesthesiologist administered a transsacral conduction block. Which documentation by the
nurse is consistent with the anesthesia being administered?
Denies sensation to perineum and lower abdomen
What is the priority action when the circulating nurse is completing a second verification of the
surgical procedure and surgical site?
Obtain the attention of all members of the surgical team.
The physician requests lidocaine 2% with epinephrine for use in local infiltration anesthesia.
What does the nurse understand is the purpose of adding epinephrine to the lidocaine? (Select
all that apply.)
The epinephrine causes vasoconstriction.
The epinephrine prevents rapid absorption of the anesthetic drug.
The epinephrine prolongs the local action of the anesthetic agent.
2|Page
,The 5 P's of sexual history
Prevention, practice, protection, partners, and past history
During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a
temperature of 103°F. The nurse should prepare to administer:
dantrolene sodium (Dantrium)
The circulating nurse must be vigilant in monitoring the surgical environment. Which of the
following actions by the nurse is inappropriate?
Allow unnecessary personnel to enter the OR environment.
Nursing students are reviewing information about agents used for anesthesia. The students
demonstrate understanding when they identify which of the following as an inhalation
anesthetic?
Halothane
A client who is scheduled for knee surgery is anxious about the procedure, saying, "You hear
stories on the news all the time about doctors working on the wrong body part. What if that
happens to me?" What is the nurse's best response? Select all that apply.
"The client can be involved in marking the knee, the site for the surgery."
"The surgical team performs a 'time-out' prior to surgery to conduct a final verification."
"The client will be involved in the verification process prior to surgery."
A scrub nurse is diagnosed with a skin infection to the right forearm. What is the priority action
by the nurse?
Report the infection to an immediate supervisor.
A student nurse is scheduled to observe a surgical procedure. The nurse provides the student
nurse with education on the dress policy and provides all attire needed to enter a restricted
surgical zone. Which observation by the nurse requires immediate intervention?
Mask is placed over nose and extends to bottom lip.
The nurse recognizes the client has reached stage III of general anesthesia when the client:
lies quietly on the table
Which of the following techniques least exhibits surgical asepsis?
Suctioning the nasopharyngeal cavity of a client
3|Page
, Which of the following medications would the nurse expect to be used to facilitate intubation of
the client?
atracurium (Tracrium)
A client is brought to the operating room for an elective surgery. What is the priority action by
the circulating nurse?
Verify consent.
What is the most important postoperative instruction a nurse must give to a client who has just
returned from the operating room after receiving a subarachnoid block?
"Remain supine for the time specified by the physician."
Which of the following actions by the nurse is appropriate?
Discarding an object that comes in contact with the 1-inch border
A client asks the nurse about possible ill effects from general anesthesia. What is the best
response by the nurse?
"Some possible negative effects include difficulty waking up and slow heart rate."
A 55-year-old patient arrives at the operating room. The nurse is reviewing the medical record
and notes that the patient has a history of osteoporosis in her lower back and hips. The patient
is scheduled to receive epidural anesthesia. Which of the following nursing diagnoses would be
a priority for this patient?
Risk for perioperative positioning injury related to operative position
A 78-year-old client is undergoing surgery to repair a right hip fracture. What nursing action is
appropriate during the intraoperative phase?
Appropriately position the client using adequate padding and support.
What is the priority action by the scrub nurse when the surgeon begins to close the surgical
wound?
Count the sponges.
A client asks the nurse how an inhalant general anesthetic is expelled by the body. What is the
best response by the nurse?
"The lungs primarily eliminate the anesthesia."
4|Page
