Peri- Operative quiz 219 1

1. The scrub nurse has to unwrap a sterile linen pack c. Circulating nurse shows the vial of medication 8. The surgeon passed the specimen to the scrub
on the back table in preparation for an exploratory to the nurse so she can read the label nurse. Which of the following is the correct action of
laparotomy. Which of the following is the correct d. Scrub nurse receives medication in a medicine the scrub nurse?
technique of unwrapping the sterile linen pack? glass a. Place the specimen in a basin moistened with
A. Unfold layers gently towards the other side of 5. When circulating nurse was about to open a sterile saline solution
the stable. suture pack, it slipped from her hand and fell to the b. Wipe specimen with sponge
B. Handle only the edge of the linen floor, which of the following is the correct action of c. Wrap specimen with surgical sponge OS
C. Place the sterile linen pack on the edge of the the circulating nurse? d. Pass the specimen to the circulating nurse
table close to the person opening the pack a. Return it to the cabinet, and give another 9. The surgeon ask for the suture to close the
D. Layers are always pulled from the person suture pack to the scrub nurse peritoneum, which of the following should have
opening the pack b. Disinfect the suture pack, open and flip it to been done by the scrub nurse before suture is
2. When the scrub nurse gowns another, which of the sterile back table handed to the surgeon ?
following instructions should be avoided? c. Discard the suture pack and open another a. Specimen passed to the circulating nurse
A. Holding the gown at the shoulder, cuff your sterile suture pack to the scrub nurse b. Needle holder passed to the surgeon
hand under the shoulder d. Pickup the suture pack, peel apart and c. Needle mounted to the needle holder
B. As the surgeon places arms in the sleeve, slide exposed to the scrub nurse d. Surgical count completed
the gown up to the mid upper arms. 6. The scrub nurse ensures that aseptic technique is 10. The surgeon tell the scrub nurse that the procedure
C. Grasp the gown so the outside faces towards maintained throughout the procedure. When she done was total abdominal hysterectomy with
you serves the right gloves to the surgeon which of the bilateral salphingo-Oophorectomy. The scrub nurse
D. Pull the gown up fixing the shoulder and trying following is the correct technique to be followed by understand that the specimen she received would
it. the scrub nurse? consist which of the following organs ?
3. During surgical procedure, the circulating nurse a. Keep thumbs away from the cuff a. Right and left ovaries, uterus, and fallopian
poured sterile saline solution into the basin and b. Pickup gloves and place the palm towards you tube
accidentally spilled the solution into the sterile table c. Maintain fingers of the gloves facing you b. Uterus, fallopian tube , ovary and urinary
drape. Identify the appropriate action of the scrub d. Slide the gloves by holding under the gloves bladder
nurse cuff and spread to create wide opening c. Uterus, right and left fallopian tube and
a. Pat dry the wet portion of the table drape 7. The surgeon uses electrosurgical equipment to ovaries
b. Ignore the wet drape cauterized blood vessels. Which of the following d. Uterus, urinary bladder, two ovaries, right and
c. Discard the saline solution nursing activity should have been done by the left fallopian tubes
d. Cover the wet drape with sterile towel circulating nurse to ensure safety ? 11. The operating room nurse endorsed the ongoing
4. The surgeon ask for a medication. Which of the a. Correctly drape electrocautery cable and cord intravenous infusion of dextrose 5% Ringers Lactate
following steps of the procedure indicates that the b. Electrocautery equipment is placed 500 mL running at 40 per hour at level of 300mL.
scrub nurse understood the amount of drug being appropriately at the back of the surgeon the nurse who received the client in the PACU at
received c. Grounding pad is connected to grounding cable 1500H, would expect the present infusion to be
a. A scrub nurse recites aloud the name of the properly placed under patient buttocks consumed at.
drug, amount, and dosage d. Electrocautery pencils is made easily available a. 2400H
b. Scrubs nurse reads the vial of the medication each time the surgeon uses it. b. 0100H
to the circulating nurse the second time c. 2200H
d. 0300H
 Peri- Operative quiz 219 2

12. The purpose of pre-anesthetic medication is one d. Moved d. Enhance the effectiveness of Demerol
vital information given by nurse prior to any 16. You are circulating in an Exploratory laparotomy for 20. Which of the following would be considered normal
surgery. Client should be made to understand that a ruptured appendicitis. The scrub nurse ask for for the first day postoperatively after upper
this medication will: normal saline solution wash. You immediately open abdominal surgery
a. Enhance client resistance against infection one liter of NSS and began to pour to the sterile a. Dyspnea
b. Facilitate induction of anesthesia basin of the scrub nurse. Before you can empty the b. Pain over incision site when coughing
c. Facilitate surgical recovery NSS container the scrub nurse signal u enough what c. Yellow green drainage from incision
d. Facilitate surgery is your appropriate action with remaining NSS? d. Frequency and burning after urination
13. Once a scrubbed personnel dons a sterile gown and a. Discarded the remaining NSS
gloves. She/he is considered sterile this can notes b. Pour the remaining NSS to another sterile basin
that she / he can in the back table
a. Assist in positioning the client for surgery c. Cover the remaining NSS bottle aseptically
b. Touch sterile instrument on the sterile field right away
c. Hand suture as needed to the scrub nurse d. Transfer the remaining NSS to smaller sterile
d. Prep the surgical site container
14. The assistant surgeon accidentally contaminated his 17. Immediately before opening and presenting any
gloves while adjusting the retractor. As a sterile item to the sterile field, the circulating nurse
perioperative nurse you know that there are two should inspect for which of the following indicators
method that the surgeon can choose from what are a. Package integrity
the methods? b. Date when manufactured
a. Change the contaminated gloves by close glove c. Sterilization indicator
technique d. Expiration date
b. Change the contaminated gloves by using open e. Purchase price
gloves technique f. Device specification
c. One member of the surgical sterile team is to A. 1,2,3,5
glove the assistant surgeon B. All of the above
d. The circulating nurse serves the sterile gloves C. 1,3,4 only
to the assistant surgeon D. 1,2,3,6
A. 3 and 4 18. Which of the surgical clients is most likely to
B. 1 and 2 developed dehydration postoperatively?
C. 1 and 3 a. Adolescent
D. 2 and 3 b. Client with history of melanoma
15. The scrub nurse aids the assistant surgeon apply c. Client with history of hypothyroidism
sterile drape. The scrub nurse understand that once d. Elderly client
the drape are positioned over the prepared incision 19. The purpose of giving atropine preoperatively is to:
site, the drape must not be a. Provide general muscle relaxation
a. Marked b. Cause a decrease in pulse and respiration
b. Folded c. Produce a decrease in oral and respiratory
c. Aligned secretion