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some question I dont know

I dont know

Which medication abbreviation is correct a) Morphine Sulfate 2mg b) MS 2.0mg c) Morphine Sulfate 2.0mg d) MSO4 2mg

a) Morphine Sulfate 2mg

Choose the option that does NOT accurately depict concepts of immediate use steam sterilization a) an instrument for IUSS should be cleaned in the scrub sink b) a rigid, enclosed container is used for the IUSS cycle c) a biological indicator is run with any implant load d) items are not stored for future procedures

a) an instrument for IUSS should be cleaned in the scrub sink

Which statement related to biological indicator testing is TRUE? a) an unprocessed BI vial should produce a positive test result after incubation b) both BI test vials are placed in the sterilizer together c) sterilizer quality test is performed at least every six months d) any BI type can be used for any sterilization method

a) an unprocessed BI vial should produce a positive test result after incubation

Which of the following is NOT a laser safety precaution? a) appropriate wavelength eyewear is placed at the rooms entrance B) the laser is kept in the active mode throughout the procedure c) windows are covered prior to laser use d) the laser is tested before use

a) appropriate wavelength eyewear is placed at the rooms entrance

The surgical site marking process must a) be consistent throughout the organization b) be completed by the patient or guardian c) occur within 2 hours of the planned procedure d) be performed in the operating room

a) be consistent throughout the organization

ERA protocols typically begin a) before surgery b) on the day of surgery c) intraoperatively d) postoperatively

a) before surgery

A potential complication of gas insufflation is increased a) blood pressure b) blood flow to the kidneys c) cardiac output d) urine output

a) blood pressure

Which option describes a critical patient safety step that the scrub nurse takes prior to laparoscopic surgery? a) checks the surface of insulated instruments for tears and cracks b) identifies laparoscopic instruments by looking at the instrument tips c) measures the width of laparoscopic instruments d) determines the length of each trocar

a) checks the surface of insulated instruments for tears and cracks

Two elements of economic stability within the framework of the social determinants of health include: a) employment and enrollment in higher education b) housing instability and civic participation c) food security and employment d) poverty and access to health care

a) employment and enrollment in higher education

Which of the following statements is incorrect about hazardous chemical agents in the perioperative setting? a) eyewash stations must be easily accessible within 20 seconds of use and storage locations b) agents include anesthetic gases and cleaning agents c) formaldehyde is a carcinogenic agents d) all hazardous agents should be handled according to manufactures instructions

a) eyewash stations must be easily accessible within 20 seconds of use and storage locations

Which of the following is associated with perioperative hypothermia? a) female sex b) higher than normal body weight c) hyperthyroidism d) hypertension

a) female sex

Paper documentation corrections include a) follow the facilities policy and procedure b) black out the incorrect entry c) be documented in an occurence report d) include the managers signature

a) follow the facilities policy and procedure

The preoperative interview enable the nurse to a) identify any additional patient care needs prior to surgery b) determine the length of the procedure and needed supplies c) introduce the patient to the surgical team d) provide information necessary for discharge

a) identify any additional patient care needs prior to surgery

When opening the blue-wrapped Item, the nurse should a) inspect the wrap integrity for holes and tears b) open the top flap toward the body c) allows side flap to hang loose d) open the last flap towards the scrub person

a) inspect the wrap integrity for holes and tears

Which of the following is a benefit of robotic surgery a) instruments may have more flexibility then the human wrist b) heavier robotic arms can impede precise instrument movement c) instrument changes are slowed by the robotic arm release connection d) technology cannot prevent instrument movements during the procedure

a) instruments may have more flexibility then the human wrist

One of the physiological effects of the trendelenburg position is a) intracranial hypertension b) even distribution of lung ventilation c) increased cardiac output d) venous pooling in lower extremities

a) intracranial hypertension

an accountable care organization a) is a voluntary, coordinated effort across health care specialties b) is a mandated, coordinated effort across health care specialties c) provides an educational-based program for surgical candidates d) provides an educational-based program for facility medical and nursing intern candidates

a) is a voluntary, coordinated effort across health care specialties

Phases of post op care are a) levels of patient care b) locations of patient care c) pre determined when pt signs consent form d) determined by unit staffing

a) levels of patient care

From the options provided, which describes a portal of entry for infection agent? a) mucus membranes b) dirty surfaces and equipment c) aerosis d) an individual receiving health care

a) mucus membranes

The purpose of the surgical drapes is to a) reduce the risk of hospital acquired infections b) cover furniture for use by non-sterile personnel c) allow the passage of microbes between unsterile and sterile Items d) provide a two sided sterile barrier

a) reduce the risk of hospital acquired infections

Which is an accurate statement regarding shelf-life? a) shelf life is event related b) shelf life is time related c) shelf life is not affected by handling d) shelf life is not affected by storage temperature

a) shelf life is event related

Of the following which is NOT a type of closed drainage system? a) t-tube b) negative wound therapy c) hemovac d) chest tube

a) t-tube

Which of the following is not correct regarding the handling and use of cleaning product a) use a spray bottle to dispense solutions b) label secondary containers when a product is poured from original container c) cleaning equipment should not be shared between restricted and semi-restricted areas d) cleaning with a wet mop reduced the spread of contamination

a) use a spray bottle to dispense solutions

Fall prevention in the OR includes a) using an OR bed that is rated for the patients weight b) leaving the patient unattended while gathering supplies outside of the OR c) placing the safety strap 3" above the patients knees d) unlocking the stretcher before patient transfer to the OR bed

a) using an OR bed that is rated for the patients weight

The ET or laryngeal mask airway is removed a) when the patient is able to maintain the airway b) when the patient is fully awake c) after an IV injection of sugamadex d) after the narcotic reversal agent is administered

a) when the patient is able to maintain the airway

Instrument sets must not weigh more than a) 20lb b) 25lb c) 30lb d) 35lb

b) 25lb

Which of the following is the correct product for the OR cleaning after procedure? a) alcohol b) EPA-registered product c) high-level disinfectant d) liquid chemical sterilant

b) EPA-registered product

the definition of a health disparity is a) adherence to the standard of care for every individual b) a higher burden of decrease for some populations c) the equal distribution of health care resources across the population d) all of the above

b) a higher burden of decrease for some populations

When a count discrepancy occurs a) the surgical assistant attempts to locate the missing item on back table b) a recount of that item is conducted after the missing Item is found c) the RN circulator immediately call radiology for xray d) the surgeon stops surgery

b) a recount of that item is conducted after the missing Item is found

Which of the following should be a part of the surgical count process? a) RN circulator is solely responsible for count process b) all counted Items are kept in the OR until all counts have been completed c) the count should only be accessible on the count sheet d) count starts with sponges that have been thrown into the kick bucket

b) all counted Items are kept in the OR until all counts have been completed

The most specific early indicator of a malignant hyperthermia crisis is a) a change in the ECG b) an increase in end tidal CO2 c) hyperkalemia d) tachypnea

b) an increase in end tidal CO2

When is terminal cleaning performed? a) between surgical procedures b) at the end of the day c) at the end of the week d) at the end of the month

b) at the end of the day

Damp dusting of horizontal surfaces in the surgical or procedural suite should be performed a) before every surgical procedure set-up b) beginning with the highest and moving to the lowest c) using a disposable cloth moistened with isopropyl d) when the OR suite has been vacant for 24 hours

b) beginning with the highest and moving to the lowest

One action to promote safe gas insufflation is to a) flush the insufflator tubing with sterile water b) check that the alarms are on and audible c) remove the filter on the insufflator tubing d) maintain the pneumoperitoneum at the highest level possible

b) check that the alarms are on and audible

Why is water temperature an important consideration when cleaning instruments? a) cool water makes It harder to remove soil from instrument crevices b) cool water prevents blood coagulation c) hot water makes blood removal easier d) how water is preferred by all cleaning solution manufacturers

b) cool water prevents blood coagulation

A principle of covering or uncovering a sterile field includes a) covering multiple sterile filed to allow for quick turnovers b) covering a portion of a sterile field with one uncuffed drape c) covering a sterile field with one cuffed drape d) removing a cover by lifting the drape from below the sterile field

b) covering a portion of a sterile field with one uncuffed drape

The patients health record is a legal document. Which of the following is a strategy to reduce the risk of involvement in a malpractice lawsuit? a) accept all assignments b) document all patient care provided c) rely on nursing school instruction d) depend on the managers explanation of the job description

b) document all patient care provided

Which of the following is NOT a symptom of anaphylaxis? a) tachycardia b) hypertension c) abdominal pain d) stridor

b) hypertension

surgical fires can occur on or in the patient. in which element of the fire triangle does a laser or electrosurgical device belong? a) fuel source b) ignition source c) oxidant source d) chemical source

b) ignition source

Fast-tracking a) does not require nursing hand off b) is the patient transfer to phase II postanesthesia care c) requires a 1:1 nurse patient ratio d) does not include patient and family education

b) is the patient transfer to phase II postanesthesia care

Which of the following describes the administration of sedatives by an anesthesia provider with additional medications and medical services as needed? a) moderate sedation b) monitored anesthesia care c) local anesthesia injection d) general anesthesia

b) monitored anesthesia care

A culture of safety focuses on a) the individual healthcare provider b) organizational care delivery c) patient safety regulatory requirements d) medical staff goals

b) organizational care delivery

Specimen management errors can result in a) a lower incidence of morbidity b) potential ligation c) increase in community trust d) faster diagnostic results

b) potential ligation

Instruments are inspected at multiple points of use and during the sterilization process. Which step is a preventative measure? a) point of use instrument lubrication of a requested instrument b) scheduled inspection of instrument sets c) use of cracked insulated instrument during an emergency surgery d) use of a misaligned instrument for grasping tough tissue

b) scheduled inspection of instrument sets

An area of painful skin that is abraded, blistered, or has shallow craters would be classified as which stage of pressure injury? a) stage 1 b) stage 2 c) stage 3 d) stage 4

b) stage 2

Disposable dispersive pads are a) multi-use b) stamped with an expiration date c) opened and adhered tot he electrosurgical unit cart handle during set up d) cut to size for pediatric patients

b) stamped with an expiration date

Areas of the sterile gown that are considered sterile are a) the neck to below the waist b) the chest to the level of the sterile field c) the shoulder to the proximal edge of the cuff d) 2 inches above the elbow to the distal end of the cuff

b) the chest to the level of the sterile field

The preoperative to intraoperative hand-over documentation would NOT include a) diagnostic test results b) the performed procedure c) patient mobility issues d) family contact information

b) the performed procedure

Which of the following options concerning minimally invasive surgery that is performed via a robot is NOT correct? a) robotic instruments are similar to laparoscopic instruments b) the robotic arms are part of the surgeons console c) the video cart contains equipment such as the camera monitor and light source d) the operating surgeon has control of the robotic instruments, camera and scope

b) the robotic arms are part of the surgeons console

Healthcare professionals have an ethical and legal obligation to maintain and protect their patients confidentiality and privacy. Which of the following statements is FALSE? a) a law in the US, the health insurance portability and accountability act outlines which may or may not be done with the patients personal information b) using personal devices to capture images of patients of their personal information is appropriate for documentation purposes c) discussion about a patients lifestyle is inappropriate d) team members must prevent unnecessary exposure of the patient

b) using personal devices to capture images of patients of their personal information is appropriate for documentation purposes

skin antisepsis products can be flammable. Which of the following measures is NOT a recommended practice? a) use towels to absorb solution accumulation during application b) warm the product before use c) allow the skin antiseptic to dry completely before draping d) clip hair at the surgical site before product application

b) warm the product before use

Which of the following methods of estimating blood loss is the responsibility of the RN circulator? a) estimating blood in surgical sponges b) weighing surgical sponges c) ordering lab values d) requesting the use of a cell saver

b) weighing surgical sponges

A brachial plexus is not likely to occur a) with lateral head and neck rotation b) when the head and neck are in neutral position c) when the patient is positioned int eh lateral position with an axillary roll d) during intra-operative repositioning of the patient

b) when the head and neck are in neutral position

Which nursing message was NOT part of the report the future of nursing: leading change, advancing health? a) strive for higher levels of education b) engage in practice that reflects the achieved educational level c) accept healthcare system redesign d) lead research projects that inform policy creation

c) accept healthcare system redesign

Which of the following is NOT a safe practice for energy generating devices a) us of an insulation canning device b) use of conductive trocar systems c) activation of the foot pedal by the assistant d) use of the lowest possible power setting

c) activation of the foot pedal by the assistant

choose the correct statement about general preoperative skin antisepsis application measures a) dilute prep solutions to avoid chemical burns b) allow positioning equipments to absorb excess prep solution c) apply the antiseptic to an area larger than the intended incisional site d) begin the prep while the patient is being positioned

c) apply the antiseptic to an area larger than the intended incisional site

What action should be taken when transferring a specimen off of the sterile field? a) wait until the end of the case to transfer the specimen into a container b) deposit the specimen into the smallest container that can be closed c) confirm the type of test that is being requisitioned with the surgeon d) Immerse the specimen into preservative until further instruction

c) confirm the type of test that is being requisitioned with the surgeon

Before a central venous catheter insertion, the provider should a) use an area-specific plastic drape b) don a long sleeved jacket c) don a sterile gown and gloves d) wipe the area with alcohol

c) don a sterile gown and gloves

Which of the following is NOT an appropriate action for specimen handling on the sterile field? a) cover the specimen or place in a specimen container b) label the covered or contained specimen c) ensure that the specimen stays dry until transfer off of the sterile field d) handle the specimen as little as possible

c) ensure that the specimen stays dry until transfer off of the sterile field

A factor that would negatively affect the sterility of an instrument is a) regulated humidity and temperature b) use of approved packing materials c) exposure to moisture d) transport outside of the surgical suite with a protective cover

c) exposure to moisture

Which option is NOT an effective method for correct instrument handling and care? a) transport instruments to the decontamination area in a closed cart or container b) instruments are organized on the sterile field c) flush cannulas and wipe debris from instruments with sterile saline d) choose instruments for use according to their design

c) flush cannulas and wipe debris from instruments with sterile saline

of the following which is NOT a characteristic of patient and family-centered care? a) alliance between health care practitioners, the patient and patients support system b) focus on communication with all involved in patients care c) health care decisions provided to patient and family d) patient and family participation in care

c) health care decisions provided to patient and family

Which of the following is associated with medication errors? a) decreased healthcare costs b) decreased threats to patient safety c) increased chance of human factor mistakes d) increased patient confidence

c) increased chance of human factor mistakes

Extravastation can lead to a) hyponatremia b) pulmonary complications c) intraabdominal compartment syndrome d) hypervolemia

c) intraabdominal compartment syndrome

Failure to follow instructions for use of a health care product or device a) adheres to the equipments warranty b) prevents patient injury c) may result in the hospitals accrediting body issuing citations d) ensures correct device storage

c) may result in the hospitals accrediting body issuing citations

Which is not a key component of ERAS? a) patient and family education b) multimodal analgesia c) patient fasting 12 hours before surgery d) return to normal diet on the day of surgery

c) patient fasting 12 hours before surgery

What is a consideration for the abdominoperineal skin antisepsis? a) the bladder is drained before the vaginal prep b) three or more prep kits necessary c) positioning devices should be ready for use prior to positioning d) the three areas that are prepped are the abdomen, vagina, and thighs

c) positioning devices should be ready for use prior to positioning

Which of the following legal terms describes the actions of a reasonable and prudent professional in the same or similar circumstance a) tort b) respondent superior c) standard of care d) liability

c) standard of care

a mechanical method of achieving surgical hemostasis includes the use of a) vasopressors b) electrosurgical devices c) sutures, staples, clips d) vessel-sealing device

c) sutures, staples, clips

Which is NOT a gas cylinder safety consideration? a) the correct key opens the cylinder b) a second full cylinder is immediately available c) the cylinder is in the closed position before use d) the cylinder label is checked before use

c) the cylinder is in the closed position before use

LAST is a patient medical emergency that occurs when a) a sedative bolus is injected intravenously b) the airway is occluded c) the local anesthetic blood threshold is exceeded d) an unintended hypothermic event occurs

c) the local anesthetic blood threshold is exceeded

Which statement on draping the sterile field is incorrect? a) scrubbed personnel remove and replace their top gloves after draping b) there is an increased risk for contamination of the sterile team members gowns and gloves when draping the sterile field c) the unscrubbed team member apply the sterile drapes to create a sterile field d) the draping procedure is closely monitored by team members

c) the unscrubbed team member apply the sterile drapes to create a sterile field

When is It appropriate for the perioperative nurse to release cricoid pressure? a) as the anesthesia provider starts to intubate the patient b) after the trachea is occluded c) when the ET tuber cuff is inflated d) when the ET tube stylet is removed

c) when the ET tuber cuff is inflated

Most post op complications occur within a) 8 hours b) 24 hours c) 12 hours d) 48 hours

d) 48 hours

Considerations for the patient in the prone position include a) keeping the pt in the prone position for the shortest time possible b) maintaining 5 degrees to 10 degrees of reveres trendelenburg to reduce orbital venous congestion and pressure c) using positioning devices or beds that allow for chest and abdominal expansion d) all of the above

d) all of the above

During the perioperative phase interview, the RN should ask the patient about use of any herbal preparations and/or botanical products. Why is this a critical component of the assessment? a) these products can affect bleeding time b) anesthetic effects can be prolonged c) liver toxicity can be potentiated d) all of the above

d) all of the above

Preoperative assessment is a critical nursing element when considering surgical positioning. Which of the following may increase a patients risk for injury? a) pre-existing medical conditions b) BMI c) age d) all of the above

d) all of the above

Which of the following social determinants of health relates to high lead levels in water and pediatric health? a) public safety b) health food availability c) access to health services d) an environment free of life-threatening toxins

d) an environment free of life-threatening toxins

Which of the following statements describes the term revenue?

d) an organizations earnings made by services rendered

Which of the following is NOT applicable to the RN working in PACU? a) typically holds ACLS b) is competent in age specific care c) relies on facility quick response team for unit emergencies d) can provide regional anesthesia

d) can provide regional anesthesia

Which of the following is a traffic rule that the scrubbed person should observe? a) turn the back to the sterile field to get an instrument b) maintain a distance from the sterile field c) cross arms and put hands in the axila d) change positions with another scrubbed person either face-to-face or back-to-back

d) change positions with another scrubbed person either face-to-face or back-to-back

Which of the following is NOT a complication of surgical bleeding? a) receiving a blood transfusion b) longer operating time c) hypothermia d) decreased infection risk

d) decreased infection risk

Use of verbal orders should be reserved only for clinical necessity. Which of the following should be done regarding a verbal order? a) verify the surgeons verbal oder with scrub person b) enter the order just prior to the patients transport to PACU c) ask the PA to sign the order d) document the order as close as possible to the time the order was communicated

d) document the order as close as possible to the time the order was communicated

Risk factors for the surgical patient who uses/abuses alcohol include a) shortened bleeding time b) normal cardiac function c) strengthened immune function d) exaggerated physiological stress response

d) exaggerated physiological stress response

Which option is NOT a radiation exposure safety measure? a) time b) distance c) shielding d) exposure

d) exposure

An important step of the preoperative skin antisepsis is the documentation. Which element is recorded after surgery? a) pre existing skin conditions b) area prepped c) skin antiseptic used d) hypersensitivity

d) hypersensitivity

Which of the following sterile towels is considered a drape? a) disposable cloth towel b) reusable cloth towel c) skin prep d) impervious towel

d) impervious towel

Monopolar electrosurgery intervention for the patient with an implanted electronic device is a) placement of the dispersive pad as close as possible to IED b) use of the ESU at the highest power setting c) verification that the IED and Its leads are between the ESU and the dispersive pad d) inactivation of the IED when possible

d) inactivation of the IED when possible

the 1999 report of ERR is human; building safer health system, began a cultural shift within heath care. Which of the following is NOT an element of systems error study? a) communication tools b) standardized checklists c) standardized processes d) individual blame

d) individual blame

Which preoperative assessment option is not correct? a) discuss the presences of abrasions or lesions with the surgeon b) identify the most appropriate skin prep for the patient with the surgeon c) check that the surgical site marking is visible d) instruct the patient not to remove jewelry prior to surgery

d) instruct the patient not to remove jewelry prior to surgery

to prevent wrong site, wrong side and wrong patient event, who is responsible for marking the site? a) patient or family member b) preoperative nurs c) intraoperative nurse d) licensed practitioner performing procedure

d) licensed practitioner performing procedure

Retrieval of bullets and other metal objects for forensic study requires a) rinsing, washing and wiping the Items clean of blood and other body fluids b) retrieving the Item with a metal instrument c) an open procedure rather than an endoscopic procedure d) metal instrument tip protective devices

d) metal instrument tip protective devices

Which of the following is the best action for the nurse to take when preparing for medication administration? a) use the multi-dose vial when available b) when provided the option, draw up a medication rather than using a pre filled syringe c) remove medications for multiple patients at one time d) prepare medications for one patient at a time

d) prepare medications for one patient at a time

The specimen transport container should a) display the patient's information for ease of specimen hand over b) have a biohazard label for fresh or frozen specimens only c) be stored in the operating room until the specimen can be transported to the pathology department d) protect the integrity of the specimen

d) protect the integrity of the specimen

A consideration that would NOT be taken into account for instrument set assembly is a) patient population b) type of surgery c) tray weight d) scheduling conflicts

d) scheduling conflicts

Personnel establishing the chain of custody for forensic evidence must do all EXCEPT the following? a) adhere to regulatory requirements for evidence admission into a court of law b) detail who collected the specimen and how It was handled c) Have accompanying documentation when the evidence is released to a law officer d) store evidence in a personal locker until It can be handed over to a law officer

d) store evidence in a personal locker until It can be handed over to a law officer

Which statement regarding delegation of nursing activities is FALSE? a) the RN who delegates a task is accountable for that task b) the delegating RN must be familiar with the state boards and the facility protocol on delegation to UAP c) the RN evaluates the patient outcomes of the delegated task d) the delegating RN provides a basic description of the task, referring questions or instructions to the charge nurse

d) the delegating RN provides a basic description of the task, referring questions or instructions to the charge nurse

For sterile field medications a) the vials rubber stopper is removed before transfer to sterile field b) the sterile container is not labeled when there is only one med c) the time the medication Is retrieved from storage is notated d) the medication is verified by both the RN and the scrub person

d) the medication is verified by both the RN and the scrub person

Which of the following is a particular consideration for postoperative care of the patient who is a regular user of cannabis products? a) euphoria b) galactorrhea c) bispectal index elevation d) unknown tolerance to analgesics

d) unknown tolerance to analgesics