Intraoperative Quiz Questions And Answers

41 Questions | By Justin82 | Updated: Mar 22, 2022 | Attempts: 21599

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With the help of our intraoperative quiz with questions and answers, find out more about the intraoperative phase extends from the time the client is admitted to the operating room, to the time of anesthesia administration, the performance of the surgical procedure, and until the client is transported to the recovery room or postanesthesia care unit (PACU). While taking the quiz, consider each question carefully before answering. All the best!

Questions and Answers

1.

1. The nursing student is preparing an elderly patient for surgery. The patient is scheduled for a general anesthetic. Which side effect should the nurse monitor the patient for?
- A.
  
  A) Hypothermia
- B.
  
  B) Pulmonary edema
- C.
  
  C) Cerebral ischemia
- D.
  
  D) Increased ability to resist stress
2.

2. You are the circulating nurse. Which task are you solely responsible for?
- A.
  
  A) Monitoring the patient and documents
- B.
  
  B) Estimating the patient's blood loss
- C.
  
  C) Setting up the sterile tables
- D.
  
  D) Keeping track of drains and sponges
3.

3. A 21-year-old patient is positioned on the OR bed prior to knee surgery. The anesthesiologist administers the anesthetic. What is the next step in the care of this patient?
- A.
  
  Grounding
- B.
  
  B) Hanging IV fluids
- C.
  
  C) Giving blood
- D.
  
  D) Intubating
4.

4. You are the circulating nurse in an operating room that has several surgeries scheduled. You would know to monitor which patient during the intraoperative period because he or she is at increased risk for hypothermia?
- A.
  
  A) A 72-year-old woman
- B.
  
  B) A 17-year-old boy
- C.
  
  C) A 45-year-old woman
- D.
  
  D) A 12-year-old girl
5.

5. The anesthetist is coming to the unit to see a patient prior to surgery that is scheduled for tomorrow morning. What information, obtained during the admission assessment, should be given to the anesthetist during the visit?
- A.
  
  A) Last bowel movement
- B.
  
  B) Latex allergy
- C.
  
  C) Number of pregnancies
- D.
  
  D) Difficulty falling asleep
6.

6. Surgical asepsis is a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the operating room?
- A.
  
  A) Reusable shoe covers
- B.
  
  B) Mask covering the nose and mouth
- C.
  
  C) Goggles
- D.
  
  D) Gloves
7.

7. As an OR nurse, you have an increased awareness regarding asepsis. You know that a basic guideline for maintaining surgical asepsis is what?
- A.
  
  A) Sterile surfaces or articles may touch other sterile surfaces.
- B.
  
  B) Sterile supplies can be used on another patient if the packages are intact.
- C.
  
  C) The outer lip of a sterile solution is considered sterile.
- D.
  
  D) The scrub nurse may pour a sterile solution from a nonsterile bottle.
8.

8. Your patient is a 35-year-old female who has been administered general anesthesia. The patient is in stage II (the excitement stage) of anesthesia. Which intervention might you need to implement during this stage?
- A.
  
  A) Rub the patient's back
- B.
  
  B) Restrain the patient
- C.
  
  C) Encourage the patient to express feelings
- D.
  
  D) Stroke the patient's hand
9.

9. What is the best rationale for intubation during a surgical procedure?
- A.
  
  A) The tube provides an airway for ventilation.
- B.
  
  B) The tube protects the esophagus.
- C.
  
  C) The patient may receive an anti-emetic through the tube.
- D.
  
  D) The patient's heart rate can be monitored with the tube.
10.

10. You are the circulating nurse in an outpatient surgery center. Your patient is scheduled to receive moderate sedation. You know that a patient receiving this form of anesthesia should what?
- A.
  
  A) Never be left unattended by the nurse
- B.
  
  B) Receive an anti-emetic
- C.
  
  C) Remember most of the procedure
- D.
  
  D) Be able to maintain his or her own airway
11.

11. A nurse is caring for a patient following surgery under a spinal anesthetic. What interventions can the nurse implement to prevent a spinal headache?
- A.
  
  A) Have the patient sit in a chair
- B.
  
  B) Ambulate the patient
- C.
  
  C) Limit fluids
- D.
  
  D) Keep the patient lying flat
12.

12. You are the nurse caring for a patient who will receive a transsacral block. In what surgeries would a transsacral block be useful for pain control?
- A.
  
  A) Thoracotomy
- B.
  
  B) Inguinal hernia repair
- C.
  
  C) Breast reduction
- D.
  
  D) Closed reduction of a right humerus
13.

13. You are the circulating nurse caring for a 78-year-old patient who is scheduled for a total hip replacement. Which of the factors should you consider during the preparation of the patient in the operating room?
- A.
  
  A) The patient should be placed in Trendelenburg position.
- B.
  
  B) The patient must be firmly restrained at all times.
- C.
  
  C) Pressure points should be assessed and well padded.
- D.
  
  D) The preoperative shave should be done by the circulating nurse.
14.

14. The operating room nurse is taking the patient into the OR when the patient informs the operating nurse that his grandmother spiked a 104°F temperature in the operating room and nearly died 15 years ago. What relevance does this information have regarding your patient?
- A.
  
  A) The patient may be nervous.
- B.
  
  B) The patient may be at risk for developing malignant hyperthermia.
- C.
  
  C) The grandmother's surgery has no relevance to the patient's surgery.
- D.
  
  D) The patient may be at risk for hypothermia.
15.

15. You note a colleague making an inappropriate remark about the patient's weight. The patient is unconscious at the time. What should you do?
- A.
  
  A) Ignore the comment because the patient is unconscious.
- B.
  
  B) Discourage the comments.
- C.
  
  C) Report the comment to the supervisor.
- D.
  
  D) Realize humor is needed in the workplace.
16.

16. You are caring for a male patient who has had spinal anesthesia. The patient is under a physician's order to lie flat postoperatively. When the patient asks to go to the bathroom, you encourage him to comply with the physician's order. What is the rationale for complying with this order?
- A.
  
  A) Hypotension
- B.
  
  B) Respiratory depression
- C.
  
  C) A headache
- D.
  
  D) Pain at the lumbar injection site
17.

17. You are packing a patient's abdominal wound with sterile, half-inch Iodoform gauze. You drop some of the gauze onto the patient's abdomen 2 inches (5 cm) away from the wound. What should you do?
- A.
  
  A) Apply povidone-iodine (Betadine) to that section of the gauze and continue packing the wound.
- B.
  
  B) Pick up the gauze and continue packing the wound after irrigating the abdominal wound with Betadine solution.
- C.
  
  C) Continue packing the wound and inform the physician that an antibiotic is needed.
- D.
  
  D) Discard the gauze packing and repack the wound with new Iodoform gauze.
18.

18. You are the nurse performing wound care on a 68-year-old male patient. Which of the following practices violates surgical asepsis?
- A.
  
  A) Holding sterile objects above the waist
- B.
  
  B) Considering a 1 inch (2.5 cm) edge around the sterile field as being contaminated
- C.
  
  C) Pouring solution onto a sterile field cloth
- D.
  
  D) Opening the outermost flap of a sterile package away from the body
19.

19. A patient is scheduled for surgery the next day. What is the best approach to this surgery?
- A.
  
  A) A surgical approach
- B.
  
  B) A medical approach
- C.
  
  C) An interdisciplinary approach
- D.
  
  D) A nursing approach
20.

20. What is the basis of the collaboration of the surgical team that results in the best outcome for the patient?
- A.
  
  A) Historical precedence
- B.
  
  B) Patient request
- C.
  
  C) Physician need
- D.
  
  D) Evidence-based practice
21.

21. Which of the following events subjects the surgical patient to possible injury in the intraoperative phase of the surgical experience? (Mark all that apply.)
- A.
  
  A) Reflexes
- B.
  
  B) Ability to communicate
- C.
  
  C) Loss of pain sense
- D.
  
  D) Consciousness
- E.
  
  E) Normal vital signs
22.

22. You are a circulating nurse in the day surgery center. You know that each patient has the potential for complications intraoperatively. What are these complications? (Mark all that apply.)
- A.
  
  A) Malignant hypothermia
- B.
  
  B) Pain
- C.
  
  C) Hypothermia
- D.
  
  D) Anaphylaxis
- E.
  
  E) Nausea
23.

23. You are preparing to take your patient into the operating room. As the circulating nurse, one of your responsibilities is to review the patient's record. What are you reviewing the record for?
- A.
  
  A) Progress notes
- B.
  
  B) History and physical
- C.
  
  C) Admission papers signed by patient
- D.
  
  D) Intake and output record
24.

24. You are the circulating nurse for several surgeries today. What would be one of your major goals for each of these patients?
- A.
  
  A) Latex-allergy symptoms treated rapidly
- B.
  
  B) Surgery unsuccessful
- C.
  
  C) Maintenance of the patient's dignity
- D.
  
  D) Complications treated rapidly
25.

25. The circulating nurse meets the patient in a warm and friendly manner. The nurse discusses what the patient can expect in surgery. What basic communication skills does the nurse use?
- A.
  
  A) Talk slowly and softly
- B.
  
  B) Use medically acceptable terms
- C.
  
  C) Give pre-operative medications first
- D.
  
  D) Touch