SBAR 2026 PRACTICE EXAM Q&A
GRADED A+
⚫Pt with history of multiple surgeries which required urinary catheter
insertions is scheduled as second case the next day. The RN circulator
notifies the charge nurse of a latex allergy. What immediate action will the
surgeon do in light of this info?
a. Reschedule pt as the first case the following day
b. Wear latex indicator gloves beneath latex free gloves
c. Does a complete latex work up
D. Invite med students into the room for experience. Answer: A
⚫How many identifiers should be used to verify the correct pt, site, and
procedure?
a. 1
b. 2
c. 3
d. 4. Answer: B
⚫While a scalpel blade is being changed during a hemicolectomy, the
blade snaps into several pieces. The scrub nurse is unable to find a small
piece of the blade. Which statement regarding counts is true?
a. The count is considered correct because the blade broke on the back
table
b. The count is considered incorrect unless the entire blade is found
c. The count is considered correct after the room and sterile field is
searched
d. The count is considered incorrect even if the entire blade is found.
Answer: B
⚫Strategies to prevent retained surgical items include: selects all that
apply
a. The surgeon suspending wound closure when there are unaccounted
items
b. Performing an additional count when requested by the scrub
c. The anesthesia provider usin counted items only when this is
communicated to the circ
,d. Using a standardized approach for each count. Answer: A, b, d
⚫When transferring a pt to the surgical suite, the staff member should
never
a. Push the gurney head first down the hallway
B. Identify the pt
c. Verify the preoperative order have been followed
d. Gain assistance to transfer the pt from the bed to gurney. Answer: A
⚫TJC Universal protocol consists of (select all)
a. Preoperative verification
b. Surgical site marking
c. Time out
d. Transfer debriefing. Answer: A, b, c
⚫Which type of human factor is responsible for an error that occurs when
a periop nurse is trying to attend to several tasks at once?
a. Device user error
b. Knowledge based
c. Situational
d. Skill based. Answer: C
⚫The primary reason for documenting sharp, sponge and instrument
counts is
a. To prevent injury to the pt from a retained foreign object
b. To maintain an inventory for the sterile processing department
c. To provide accurate item charge for the pt
d. To track instruments that might be needed for the next procedure.
Answer: A
⚫According to the AORN guidelines, what is the correct documentation for
this med?
a. M.S. 2.0 mg
b. MS 2 mg
c. Morphine Sulfate 2 mg
d. Morphine Sulfate 2.0 mg. Answer: C
⚫When documenting the use of a pneumatic tourniquet which items may
not be included?
a. Cuff pressure
b. Location where the cuff is placed
C. Name of person who applied cuff
, d. Name of person who inflated the cuff
e. Serial number of the unit. Answer: D
⚫The regulatory agency responsible for surveying facilities compliance
with the universal protocol is
a. Institute of medicine
b. TJC
c. National quality forum
d. OSHA. Answer: B
⚫Pt undergoing lap choly, anesthesia notices elevated end tidal CO2.
What immediate action should the nurse take to treat this suspected MH?
a. Call for the MH cart and dantrolene
b. Initiate cooling measures
c. Administer sodium bicarbonate
d. Change the soda lime canister. Answer: A
⚫A precise way of looking at general anesthesia is to divide it into 3
phases
a. Initial admin, maintenance, excitement
b. Initial admin, maintenance, emergence
C. Induction, maintenance, emergence. Answer: C.
⚫During a rapid sequence induction, the periop nurse can assist by
applying
a. 100% oxygen via face mask
b. Cricoid pressure until anesthesia asks to have pressure released
c. Warm blankets to maintain normothermia. Answer: B
⚫During intubation, the pt has chest movement but no air exchange. The
periop nurse's first priority is to
a. Prepare for re intubation
b. Assure that suction is available
c. Provide racemic epi
D. Provide positive pressure ventilation. Answer: B
⚫In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?
a. Cool pt, restart succinylcholine at lower doses
b. Provide 100% oxygen, use iced saline to cool pt
c. Replace potassium loss, continue with safe anesthetic agents
d. Avoid pt shivering, contact blood bank for platelets. Answer: B
GRADED A+
⚫Pt with history of multiple surgeries which required urinary catheter
insertions is scheduled as second case the next day. The RN circulator
notifies the charge nurse of a latex allergy. What immediate action will the
surgeon do in light of this info?
a. Reschedule pt as the first case the following day
b. Wear latex indicator gloves beneath latex free gloves
c. Does a complete latex work up
D. Invite med students into the room for experience. Answer: A
⚫How many identifiers should be used to verify the correct pt, site, and
procedure?
a. 1
b. 2
c. 3
d. 4. Answer: B
⚫While a scalpel blade is being changed during a hemicolectomy, the
blade snaps into several pieces. The scrub nurse is unable to find a small
piece of the blade. Which statement regarding counts is true?
a. The count is considered correct because the blade broke on the back
table
b. The count is considered incorrect unless the entire blade is found
c. The count is considered correct after the room and sterile field is
searched
d. The count is considered incorrect even if the entire blade is found.
Answer: B
⚫Strategies to prevent retained surgical items include: selects all that
apply
a. The surgeon suspending wound closure when there are unaccounted
items
b. Performing an additional count when requested by the scrub
c. The anesthesia provider usin counted items only when this is
communicated to the circ
,d. Using a standardized approach for each count. Answer: A, b, d
⚫When transferring a pt to the surgical suite, the staff member should
never
a. Push the gurney head first down the hallway
B. Identify the pt
c. Verify the preoperative order have been followed
d. Gain assistance to transfer the pt from the bed to gurney. Answer: A
⚫TJC Universal protocol consists of (select all)
a. Preoperative verification
b. Surgical site marking
c. Time out
d. Transfer debriefing. Answer: A, b, c
⚫Which type of human factor is responsible for an error that occurs when
a periop nurse is trying to attend to several tasks at once?
a. Device user error
b. Knowledge based
c. Situational
d. Skill based. Answer: C
⚫The primary reason for documenting sharp, sponge and instrument
counts is
a. To prevent injury to the pt from a retained foreign object
b. To maintain an inventory for the sterile processing department
c. To provide accurate item charge for the pt
d. To track instruments that might be needed for the next procedure.
Answer: A
⚫According to the AORN guidelines, what is the correct documentation for
this med?
a. M.S. 2.0 mg
b. MS 2 mg
c. Morphine Sulfate 2 mg
d. Morphine Sulfate 2.0 mg. Answer: C
⚫When documenting the use of a pneumatic tourniquet which items may
not be included?
a. Cuff pressure
b. Location where the cuff is placed
C. Name of person who applied cuff
, d. Name of person who inflated the cuff
e. Serial number of the unit. Answer: D
⚫The regulatory agency responsible for surveying facilities compliance
with the universal protocol is
a. Institute of medicine
b. TJC
c. National quality forum
d. OSHA. Answer: B
⚫Pt undergoing lap choly, anesthesia notices elevated end tidal CO2.
What immediate action should the nurse take to treat this suspected MH?
a. Call for the MH cart and dantrolene
b. Initiate cooling measures
c. Administer sodium bicarbonate
d. Change the soda lime canister. Answer: A
⚫A precise way of looking at general anesthesia is to divide it into 3
phases
a. Initial admin, maintenance, excitement
b. Initial admin, maintenance, emergence
C. Induction, maintenance, emergence. Answer: C.
⚫During a rapid sequence induction, the periop nurse can assist by
applying
a. 100% oxygen via face mask
b. Cricoid pressure until anesthesia asks to have pressure released
c. Warm blankets to maintain normothermia. Answer: B
⚫During intubation, the pt has chest movement but no air exchange. The
periop nurse's first priority is to
a. Prepare for re intubation
b. Assure that suction is available
c. Provide racemic epi
D. Provide positive pressure ventilation. Answer: B
⚫In addition to giving Dantrolene, which of the following treatment options
for malignant hyperthermia should the nurse anticipate and prepare for?
a. Cool pt, restart succinylcholine at lower doses
b. Provide 100% oxygen, use iced saline to cool pt
c. Replace potassium loss, continue with safe anesthetic agents
d. Avoid pt shivering, contact blood bank for platelets. Answer: B
