Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical NursingPractice Set 37
NursingSurgical NursingMedical Surgical NursingPractice Set 37Nursing Management Intraoperative Care
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Questions Bank
- Introduction to Medical-Surgical Nursing Practice in CanadaCultural Competence and Health Equity in Nursing CareHealth History and Physical ExaminationPatient and Caregiver TeachingChronic IllnessCommunity-Based Nursing and Home CareOlder AdultsStress and Stress ManagementSleep and Sleep DisordersPainSubstance UseComplementary and Alternative TherapiesPalliative Care at the End of LifeInflammation and Wound HealingGeneticsAltered Immune Response and TransplantationInfection and Human Immunodeficiency Virus InfectionCancerFluidNursing Management Preoperative CareNursing Management Intraoperative CareNursing Management Postoperative CareNursing Assessment Visual and Auditory SystemsNursing Management Visual and Auditory ProblemsNursing Assessment Integumentary SystemNursing Management Integumentary ProblemsNursing Management BurnsNursing Assessment Respiratory SystemNursing Management Upper Respiratory ProblemsNursing Management Lower Respiratory ProblemsNursing Management Obstructive Pulmonary DiseasesNursing Assessment Hematological SystemNursing Management Hematological ProblemsNursing Assessment Cardiovascular SystemNursing Management HypertensionNursing Management Coronary Artery Disease and Acute Coronary SyndromeNursing Management Heart FailureNursing Management DysrhythmiasNursing Management Inflammatory and Structural Heart DisordersNursing Management Vascular DisordersNursing Assessment Gastro-intestinal SystemNursing Management Nutritional ProblemsNursing Management ObesityNursing Management Upper Gastro-intestinal ProblemsNursing Management Lower Gastro-intestinal ProblemsNursing Management LiverNursing Assessment Urinary SystemNursing Management Renal and Urologic ProblemsNursing Management Acute Kidney Injury and Chronic Kidney DiseaseNursing Assessment Endocrine SystemNursing Management Endocrine ProblemsNursing Management Diabetes MellitusNursing Assessment Reproductive SystemNursing Management Breast DisordersNursing Management Sexually Transmitted InfectionsNursing Management Female Reproductive ProblemsNursing Management Male Reproductive ProblemsNursing Assessment Nervous SystemNursing Management Acute Intracranial ProblemsNursing Management StrokeNursing Management Chronic Neurological ProblemsNursing Management DeliriumNursing Management Peripheral Nerve and Spinal Cord ProblemsNursing Assessment Musculo-skeletal SystemNursing Management Musculo-skeletal Trauma and Orthopedic SurgeryNursing Management Musculo-skeletal ProblemsNursing Management Arthritis and Connective Tissue DiseasesNursing Management Critical Care EnvironmentNursing Management ShockNursing Management Respiratory Failure and Acute Respiratory Distress SyndromeNursing Management Emergency Care SituationsEmergency Management and Disaster Planning
Question 1
Free
Multiple Choice
The perioperative nurse is encouraging a family member to remain with a client in the preoperative holding area until the client is taken into the operating room. Which of the following reasons is the primary reason for this encouragement?
Choose correct answer/s
Ensure proper identification of the client before surgery.
Protect client from cross-contamination with other clients.
Assist perioperative nurse to obtain a complete client history.
Help relieve the stress of surgery for the client and family member.
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Question 2
Free
Multiple Choice
Which of the following descriptions best define the role of the nurse anaesthetist as a member of the surgical team?
Choose correct answer/s
Is able to administer anaesthetics
Has the same credentials and responsibilities as an anaesthesiologist
Is responsible for intraoperative administration of anaesthetics ordered by the anaesthesiologist
Does not require supervision by the anaesthesiologist while administering anaesthesia to a client
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Question 3
Free
Multiple Choice
Which of the following outcome measures is best for the operating room (OR) nurse manager to use in determining the effectiveness of the physical environment and traffic control measures in the operating room?
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Smooth functioning of the OR team
Effective protection of client privacy
Rapid completion of surgical procedure
Low incidence of perioperative infection
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Question 4
Free
Multiple Choice
Which of the following actions should the scrub nurse use to maintain aseptic technique during surgery?
Choose correct answer/s
Use waterproof shoe covers.
Wear personal protective equipment.
Insist that all operating room (OR) staff perform a surgical scrub.
Change gloves after touching the thigh of a surgeon's sterile gown.
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Question 5
Free
Multiple Choice
After orienting a new staff member to the scrub nurse role, the nurse preceptor will know that the teaching was effective if the new staff member implements which of the following actions?
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Documents all client care accurately.
Labels all specimens to send to the laboratory.
Keeps both hands above the operating table level.
Takes the client to the postanaesthesia recovery area.
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Question 6
Multiple Choice
Data that were obtained during the perioperative nurse is assessing a client in the preoperative holding area. Which of the following findings would indicate a need for special protection techniques during surgery?
Choose correct answer/s
A stated allergy to cats and dogs
A history of spinal and hip arthritis
Verbalization of anxiety by the client
Having a sip of water 2 hours previously
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Question 7
Multiple Choice
The nurse from the general surgical unit is asked to bring the client's hearing aid to the surgical suite. The nurse will take the hearing aid to which one of the following areas?
Choose correct answer/s
Clean core
Scrub sink area
Nursing station or communication centre
Corridors of the operating room area
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Question 8
Multiple Choice
The nurse is caring for a preoperative adult client who is scheduled for a routine surgery and is in the holding area. The client asks the nurse, "Will the doctor put me to sleep with a mask over my face?" Which of the following responses is most appropriate?
Choose correct answer/s
"A drug will be given to you through your IV line, which will cause you to go to sleep almost immediately."
"Only your surgeon can tell you for sure what method of anaesthesia will be used. Should I ask your surgeon?"
"General anaesthesia is now given by injecting medication into your veins, so you will not need a mask over your face."
"Masks are not used anymore for anaesthesia. A tube will be inserted into your throat to deliver a gas that will put you to sleep."
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Question 9
Multiple Choice
Asurgical client received a volatile liquid as an inhalation anaesthetic during surgery. Which of the following symptoms should the nurse monitor for in the immediate postoperative period?
Choose correct answer/s
Tachypnea
Myoclonia
Hypertension
Incisional pain
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Question 10
Multiple Choice
The nurse is caring for a client before surgery who has a question about the preoperative medication. Which of the following people will the nurse communicate this information to?
Choose correct answer/s
Scrub nurse
Anaesthesiologist
Circulating nurse
Registered nurse first assistant (RNFA)
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Question 11
Multiple Choice
The nurse is preparing a client with a dislocated shoulder for a closed, manual reduction of the dislocation with procedural sedation. Which of the following medications should the nurse anticipate administering for this procedure?
Choose correct answer/s
IV midazolam
Inhaled desflurane
Epidural lidocaine
Eutectic mixture of local anaesthetics (EMLA)
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Question 12
Multiple Choice
Which of the following actions should the nurse include in the plan of care immediately after surgery for a client who received ketamine as an anaesthetic agent?
Choose correct answer/s
Administer larger doses of analgesic agents.
Monitor for severe slowing of the heart rate.
Provide a quiet environment in the postanaesthesia care unit.
Avoid the use of benzodiazepines in the postoperative period.
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Question 13
Multiple Choice
A client's family history reveals that the client may be at risk for malignant hyperthermia (MH) during anaesthesia. Which of the following information should the nurse include when providing preoperative client teaching?
Choose correct answer/s
Anaesthesia can be administered with minimal risks with the use of appropriate precautions and medications.
As long as succinylcholine is not administered as a muscle relaxant, the reaction should not occur.
Surgery must be performed under local anaesthetic to prevent development of a sudden, extreme increase in body temperature.
Surgery will be delayed until the client is genetically tested to determine susceptibility to malignant hyperthermia.
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Question 14
Multiple Choice
A client in surgery receives a neuro-muscular blocking agent as an adjunct to general anaesthesia. At completion of the surgery, it is most important that the nurse monitor the client for which of the following adverse effects?
Choose correct answer/s
Nausea
Confusion
Bronchospasm
Weak chest-wall movement
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Question 15
Multiple Choice
Which of the following actions by a member of the surgical team requires rapid intervention by the charge nurse?
Choose correct answer/s
Wearing street clothes into the nursing station
Wearing a surgical mask into the holding room
Walking into the hallway outside an operating room without the hair covered
Putting on a surgical mask, cap, and scrubs before entering the operating room
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Question 16
Multiple Choice
Which of the following nursing actions should the preoperative nurse perform to prepare a client for cranial surgery that requires hair removal?
Choose correct answer/s
Consult with the surgeon to consider cancellation of the surgery.
Use a depilatory agent to remove hair from the surgical area.
Shave the scalp surgical area with a 1 cm border.
No special preoperative action is required.
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Question 17
Multiple Choice
The nurse is positioning a client in the operating room for a transurethral resection of the prostate. Which of the following client positions should the nurse place this client in?
Choose correct answer/s
Prone
Supine
Trendelenburg
Lithotomy
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Question 18
Multiple Choice
The nurse is completing an inventory of medications on the unit. Which of the following anaesthesia medications should the nurse expect to observe under refrigeration? (Select all that apply.)
Choose correct answer/s
Atracurium
Pancuronium
Rocuronium
Neostigmine bromide
Succinylcholine
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