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Relias Operating Room RN A v2 Questions
with Detailed Verified Answers
What type of support would you place to alleviate pressure on the
brachial plexus nerve when a patient is in a side-lying position Ans:
Axillary Roll
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? Ans: Do not take the
patient to the operating room and consult the surgeon immediately
What equipment is most important for a patient undergoing an
emergency trauma surgery who declines a donated blood transfusion
Ans: Cell Saver
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
Ans: Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op interview with
your patient. Which of the following assessment findings would support
this suspicion Ans: nasal irritation and frequent sniffing, needle tracks
on arms, and burns on fingers and lips
After applying an alcohol-based skin preparations for a laser procedure,
what should you do next Ans: assess for pooling or moisture from the
prep
What medication should be administered to a patient who has received
moderate sedation with midazolam who has unexpected respiratory
depression Ans: romazicon (flumazenil)
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After starting a blood transfusion, you observe that a patient undergoing
moderate sedation has a temperature increase from 98.2 to 101.3 and
coarse breath sounds. What is the first thing you should do Ans: Stop
the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from
the sterile field Ans: 12 inches
You are preparing a patient for a laparotomy. What instrument do you
anticipate seeing on the back table Ans: malleable
Which of the following medications is contraindicated for a patient with a
family history of malignant hyperthermia Ans: Quelicin (succinylcholine)
You are caring for a patient who is infected with Methicillin- Resistant
Staphylococcus Aureus (MRSA). What infection control practice must you
implement after transferring the patient Ans: Clean and disinfect all
patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators
are missing. What should you do? Ans: Remove and replace the major
tray
As a circulator, where do you stand during induction Ans: at the head of
the bed
You are the perioperative nurse who is doing the preoperative skin
preparation on a clean abdominal case. Where should you start the skin
preparation Ans: site of incision and move to the periphery
A patient was prepared for intubation by mask ventilation with a mixture
of sevoflurane, nitrous oxide, and oxygen. One minute after intubation
their heart rate increased from 160 to 195 b/m. Soon the patient's end
tital carbon dioxide concentration was increased from 35 to 65 mmHg.
Also, the patient's oral temperature increased to 38.9 within 5 minutes
after induction. What is the patient experiencing Ans: Malignant
Hyperthermia
Relias Operating Room RN A v2 Questions
with Detailed Verified Answers
What type of support would you place to alleviate pressure on the
brachial plexus nerve when a patient is in a side-lying position Ans:
Axillary Roll
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? Ans: Do not take the
patient to the operating room and consult the surgeon immediately
What equipment is most important for a patient undergoing an
emergency trauma surgery who declines a donated blood transfusion
Ans: Cell Saver
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
Ans: Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op interview with
your patient. Which of the following assessment findings would support
this suspicion Ans: nasal irritation and frequent sniffing, needle tracks
on arms, and burns on fingers and lips
After applying an alcohol-based skin preparations for a laser procedure,
what should you do next Ans: assess for pooling or moisture from the
prep
What medication should be administered to a patient who has received
moderate sedation with midazolam who has unexpected respiratory
depression Ans: romazicon (flumazenil)
, Page | 2
After starting a blood transfusion, you observe that a patient undergoing
moderate sedation has a temperature increase from 98.2 to 101.3 and
coarse breath sounds. What is the first thing you should do Ans: Stop
the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from
the sterile field Ans: 12 inches
You are preparing a patient for a laparotomy. What instrument do you
anticipate seeing on the back table Ans: malleable
Which of the following medications is contraindicated for a patient with a
family history of malignant hyperthermia Ans: Quelicin (succinylcholine)
You are caring for a patient who is infected with Methicillin- Resistant
Staphylococcus Aureus (MRSA). What infection control practice must you
implement after transferring the patient Ans: Clean and disinfect all
patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators
are missing. What should you do? Ans: Remove and replace the major
tray
As a circulator, where do you stand during induction Ans: at the head of
the bed
You are the perioperative nurse who is doing the preoperative skin
preparation on a clean abdominal case. Where should you start the skin
preparation Ans: site of incision and move to the periphery
A patient was prepared for intubation by mask ventilation with a mixture
of sevoflurane, nitrous oxide, and oxygen. One minute after intubation
their heart rate increased from 160 to 195 b/m. Soon the patient's end
tital carbon dioxide concentration was increased from 35 to 65 mmHg.
Also, the patient's oral temperature increased to 38.9 within 5 minutes
after induction. What is the patient experiencing Ans: Malignant
Hyperthermia
