SURGICAL FIRST LATEST
ASSIST TEST 5
Q. Pharmacies are an integral part of facilities and pharmacists support
nurses and surgeons by preparing all admixtures and conveying
information. Who is usually responsible for mixing medications in the
pre-operative holding area, OR, PACU, or SICU? - ANSWERS-A.
Registered nurses
While the pharmacist prepares all admixtures, it is typically the nurse
who mixes medications in the pre-operative holding area, OR, PACU, or
SICU. The pharmacy technician usually is not part of the perioperative
team. Nursing attendants do not administer or mix medications.
Q. Your patient has just had gallbladder surgery. You would monitor
this patient's vital signs on which of the following schedules? -
ANSWERS-A. every 1 to 2 hours for 4 to 8 hours and then every 4
hours to detect fluid imbalances, hemorrhage, or shock
You would monitor vital signs every 1 to 2 hours for 4 to 8 hours and
then every 4 hours to detect fluid imbalances, hemorrhage, or shock.
You would monitor bowel sounds every 4 hours and bowel output to
determine return of GI functions.
END OF
PAGE
1
, SURGICAL FIRST LATEST
ASSIST TEST 5
Q.During a hysterectomy procedure, which of the following scissors are
most often used? - ANSWERS-A. Jorgenson
The scissors that are most often preferred for use in a hysterectomy
procedure would be Jorgenson.
Some types of scissors are:
Metzenbaum
Mayo
Stevens
Castroviejo
Q.What is common difference in patient reaction to epidural blocks and
spinal anesthesia? - ANSWERS-A. Patients lose less motor function
with a epidural block than spinal block
Epidural and spinal blocks are both injected into the spine. Epidural
blocks can be a single dose or given in repeated doses. Epidural blocks
produce fewer headaches than spinal blocks. Patients lose less motor
function with an epidural block than the spinal block.
END OF
PAGE
2
, SURGICAL FIRST LATEST
ASSIST TEST 5
Q.If the concentration of bupicacaine is 0.25%, which of the following
would be considered the maximum dose for a patient that weighs 192
pounds? - ANSWERS-A. 174.55 mg
First convert the pounds to kg. 192 divided by 2.2 = 87.27 kg.
The maximum dose for bupivacaine is up to 2 mg/kg.
Then multiply the 87.27 kg x 2= 174.55 mg.
The maximum dose for this particular patient would be 174.55 mg.
Q.The nursing interventions should be chosen based on _____. -
ANSWERS-A. Condition and needs of the patient
The NIC is used to assist in interventions. The interventions, however,
will vary with condition of each patient. For example, not all patient at
risk of aspiration have artificial airways. The individual conditions and
needs must be considered
Q. The following terms are associated with professional patient care.
Which of the following is a professional method used for evaluating and
recognizing INDIVIDUALS to ensure they meet education, practice,
and national standard guidelines? - ANSWERS-A. Certification
END OF
PAGE
3
, SURGICAL FIRST LATEST
ASSIST TEST 5
Certification is a professional method used for evaluating and
recognizing INDIVIDUALS to ensure they meet education, practice,
and national standard guidelines. Nurses can obtain certification in a
variety of specialties, such as perioperative patient care. The other
answer choices are also related to healthcare practice and
professionalism but have different meanings.
Q. What antibiotic is a commonly used to soak prosthetic devices? -
ANSWERS-A. Polymyxin B
Prostheses such as breast and orthopedic implants must be soaked in
antibiotics before they are implanted. A nurse will prepare a soaking
medication and deliver it to the sterile field. Polymyxin B, gentamicin,
and bacitracin are commonly added to an isotonic solution to soak
prosthetic devices.
Q. You have a patient who is being treated for an exacerbation of
systemic lupus erythematosus (SLE). This patient begins to experience
hallucinations. You understand that this psychosis may indicate which of
the following? - ANSWERS-A. central nervous system disease
END OF
PAGE
4
ASSIST TEST 5
Q. Pharmacies are an integral part of facilities and pharmacists support
nurses and surgeons by preparing all admixtures and conveying
information. Who is usually responsible for mixing medications in the
pre-operative holding area, OR, PACU, or SICU? - ANSWERS-A.
Registered nurses
While the pharmacist prepares all admixtures, it is typically the nurse
who mixes medications in the pre-operative holding area, OR, PACU, or
SICU. The pharmacy technician usually is not part of the perioperative
team. Nursing attendants do not administer or mix medications.
Q. Your patient has just had gallbladder surgery. You would monitor
this patient's vital signs on which of the following schedules? -
ANSWERS-A. every 1 to 2 hours for 4 to 8 hours and then every 4
hours to detect fluid imbalances, hemorrhage, or shock
You would monitor vital signs every 1 to 2 hours for 4 to 8 hours and
then every 4 hours to detect fluid imbalances, hemorrhage, or shock.
You would monitor bowel sounds every 4 hours and bowel output to
determine return of GI functions.
END OF
PAGE
1
, SURGICAL FIRST LATEST
ASSIST TEST 5
Q.During a hysterectomy procedure, which of the following scissors are
most often used? - ANSWERS-A. Jorgenson
The scissors that are most often preferred for use in a hysterectomy
procedure would be Jorgenson.
Some types of scissors are:
Metzenbaum
Mayo
Stevens
Castroviejo
Q.What is common difference in patient reaction to epidural blocks and
spinal anesthesia? - ANSWERS-A. Patients lose less motor function
with a epidural block than spinal block
Epidural and spinal blocks are both injected into the spine. Epidural
blocks can be a single dose or given in repeated doses. Epidural blocks
produce fewer headaches than spinal blocks. Patients lose less motor
function with an epidural block than the spinal block.
END OF
PAGE
2
, SURGICAL FIRST LATEST
ASSIST TEST 5
Q.If the concentration of bupicacaine is 0.25%, which of the following
would be considered the maximum dose for a patient that weighs 192
pounds? - ANSWERS-A. 174.55 mg
First convert the pounds to kg. 192 divided by 2.2 = 87.27 kg.
The maximum dose for bupivacaine is up to 2 mg/kg.
Then multiply the 87.27 kg x 2= 174.55 mg.
The maximum dose for this particular patient would be 174.55 mg.
Q.The nursing interventions should be chosen based on _____. -
ANSWERS-A. Condition and needs of the patient
The NIC is used to assist in interventions. The interventions, however,
will vary with condition of each patient. For example, not all patient at
risk of aspiration have artificial airways. The individual conditions and
needs must be considered
Q. The following terms are associated with professional patient care.
Which of the following is a professional method used for evaluating and
recognizing INDIVIDUALS to ensure they meet education, practice,
and national standard guidelines? - ANSWERS-A. Certification
END OF
PAGE
3
, SURGICAL FIRST LATEST
ASSIST TEST 5
Certification is a professional method used for evaluating and
recognizing INDIVIDUALS to ensure they meet education, practice,
and national standard guidelines. Nurses can obtain certification in a
variety of specialties, such as perioperative patient care. The other
answer choices are also related to healthcare practice and
professionalism but have different meanings.
Q. What antibiotic is a commonly used to soak prosthetic devices? -
ANSWERS-A. Polymyxin B
Prostheses such as breast and orthopedic implants must be soaked in
antibiotics before they are implanted. A nurse will prepare a soaking
medication and deliver it to the sterile field. Polymyxin B, gentamicin,
and bacitracin are commonly added to an isotonic solution to soak
prosthetic devices.
Q. You have a patient who is being treated for an exacerbation of
systemic lupus erythematosus (SLE). This patient begins to experience
hallucinations. You understand that this psychosis may indicate which of
the following? - ANSWERS-A. central nervous system disease
END OF
PAGE
4
