lOMoARcPSD|38458754
Perioperative Nursing Post Test
nursing (Our Lady of Sorrows Academy)
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lOMoARcPSD|38458754
4/4/24, 10:43 AM
Perioperative Nursing Post Test
Perioperative Nursing Post Test
1. According to Aseptic Technique, the sterile
nurse or sterile personnel touch only sterile
supplies and instruments. When there is a need
for sterile supply which is not in the sterile field,
who hands out of these items by opening its
outer cover?
 Circulating nurse
 Surgeon
 Scrub nurse
 Anaesthesiologist
2. According to Aseptic Technique, the sterile
nurse or sterile personnel touch only sterile
supplies and instruments. When there is a need
for sterile supply which is not in the sterile field,
who hands out of these items by opening its
outer cover?
 Circulating nurse
 Surgeon
 Scrub nurse
 Anaesthesiologist
3. Joint replacement is a key treatment of pain for
clients with Rheumatoid Arthritis. Aside from
the usual surgical team, who else has to be
present when a client undergoes Total Knee
Replacement?
 Information technician
 Electrician
 Biomedical technician
 Laboratory technician
4. In the OR, there are safety protocols that should
be followed. The OR nurse should be well
versed with all these to safeguard the safety
and quality of patient delivery outcome. A client
with Diabetes Mellitus will undergo I and D
(incision and drainage) and debridement of a
non healing wound. The OR scheduling nurse
will prioritize this case as?
 Last case
 According to availability of
anesthesiologist
 In between cases
 According to the surgeon’s preference
5. A vital nursing responsibility of a circulating
nurse in the induction of general anesthesia to
prevent regurgitation is:
 position the patient
about:blank
 do the Sellick’s maneuver
 pre-procedural time-out
 check baseline vital signs
6. In the Post Anaesthesia Care Unit (PACU), a
most common post surgical complication that
the nurse should anticipate should be:
 postoperative anxiety and stress
 postoperative pain management
 postoperative respiratory function
 postoperative gastrointestinal motility
7. After an abdominal surgery, the circulating and
scrub nurses have critical responsibility about
sponge and instrument count.
When is the first sponge/instrument count of
the case reported?
 Before the start of procedure
 Before closing the skin
 Before peritoneum is closed
 Before the fascia is sutured
8. What major supportive layer of the abdominal
wall must be sutured by the surgeon to prevent
evisceration of abdominal viscera?
 Fascia
 Peritoneum
 Muscle
 Skin
9. If you are the scrub nurse, what suture would
you prepare to close the subcutaneous layer?
 Plain Gut suture
 Chromic suture
 Nylon suture
 Cotton suture
10. Like any nursing interventions, counts should be
documented. To whom does the scrub nurse
report any discrepancy of count so that
immediate and appropriate action is instituted?
 Anaesthesiologist
 OR nurse supervisor
 Surgeon
 Circulating nurse
11. Voluntary and written informed consent from
the patient is necessary before non-emergent
surgery can be performed
In which of the following situations is the
informed consent valid?
 The client signed the informed consent
after receiving a dose of sedative.
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Perioperative Nursing Post Test
The nurse asked the client to sign the
consent form after she explained what
will happen to the client during the
surgery.
 The nurse witnessed the patient’s
signature after ensuring that the client
understood the information provided
by the surgeon and the anesthetist.
 The consent was signed before
providing the client with appropriate
information.
12. Who among the following patients is not legally
allowed to give their consent to a surgery?
 A sixteen year old married male
 A twenty year old female who is
independently earning her own living
 The parents of a seven year old female
 A twenty five year old male given
Demerol for preoperative pain
13. In the OR, on the draped back table, only
 the table front and surface are sterile
 the area from two inches below the
table surface and up is sterile
 the circulating nurse counts and
positions instruments on the surface
 the surface is considered sterile
14. One of the post-operative skills that you need
to teach the client is how to get out of the bed.
If the client’s incision will be on the left side of
the chest or abdomen, on which side of the bed
will you tell him/her to turn to and get out of?
 Left-side of the bed
 Foot of the bed
 Right side of the bed
 It doesn’t matter
15. Moving and turning in bed can add strain to the
suture. What skill or exercise will you teach the
client to pre-vent the additional strain on the
suture when moving?
 Moving in slow motion
 Splinting
 Deep-breathing exercises
 Leg exercises
16. Which of the following potential post-operative
problems due to undue strain on the suture site
pertains to the extrusion of internal organs and
tissues through the incision?
 Wound dehiscence

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 Wound infection
 Wound evisceration
 Postoperative ileus
17. Even healthy members of the surgical team are
considered reservoirs of microorganisms.
Microorganisms may come from the surgical
team member’s oral and respiratory tracts and
skin. One way to ensure that these do not get
transmitted to the clients is to wear OR attire
properly.
How should shirts and waist drawstrings placed
or worn?
 Tuck the shirt, and cut the waist
drawstrings short enough so that it will
not be longer than your actual waist
circumference
 Tuck both the shirt and the drawstring
 Untuck the shirt and just let the
drawstring hang loose from the pants
so that you won’t have to touch these
possible breeding sites of
microorganisms.
 Leave the shirt untucked so that you
won’t have to touch this possible
breeding sites of microorganisms, and
cut the drawstrings short enough so
that it will not be longer than your
actual waist circumference.
18. Another major aspect of nursing care during the
intra-operative phase is the proper positioning
of the client to prevent injuries.
When is surgical positioning done?
 Before inducing anesthesia and before
surgical draping
 After inducting anesthesia and before
surgical draping
 Before inducing anesthesia and after
surgical draping
 After inducing anesthesia and after
surgical draping
19. How should the client be placed into his or her
position?
 By pushing
 By lifting
 By pulling
 All of the above
20. Which of the following is not a major
consideration in choosing the client’s position?
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Perioperative Nursing Post Test
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Perioperative Nursing Post Test
29. Which among the following general anesthethic
agents can be given via inhalation?
 Ketamine, Halothane
 Na Pentothal and Nitrous oxide
 Forane and Bupivacaine
 Halothane and Forane
30. Which among the following concepts about
sutures is correct?
 Vicryl is a violet synthetic absorbable
suture that is absorbed within 110
days.
 Chromic is a brown non-synthetic nonabsorbable suture.
 Cotton is a light pink suture that cannot
be wet before serving it to the surgeon.
 none of the above
31. Which among the principles of sterile technique
is incorrect?
 The circulating nurse opens a sterile
package from the outside only and uses
sterile transfer forceps when opening
the inside part of the package.
 The scrub nurse drapes an unsterile
table nearest her first then she moves
around on the other side of the table
to pull the other half of the sterile
drape.
 The height of the sterile mayo table can
be adjusted only upward during
surgery.
 None of the above
32. Which among the following concepts on
surgical scrubbing is correct?
 Using the brush-stroke method 2nd
round, the nurse brushes each side of
her arm 6 times and no brushing is
needed on the elbows.
 In time method 3rd round, the nurse
allots 1/2 minute in brushing each of
her hand and no brushing is needed in
arms and elbows.
 Betadine 10% is used in surgical
brushing.
 None of the above
33. Which of the following client preparation is
done a day before the scheduled surgery?
 Shaving
 Pre-op visit
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 Administration of enema
 Administration of Pre-op meds
34. The type of anesthesia used in forcep delivery
is:
 General anesthesia
 Spinal anesthesia
 Epidural anesthesia
 Local anesthesia
35. How long are you going to soak an instrument
using an activated Cidex to achieve high level
disinfection?
 1 hr
 30 mins
 15 mins
 5 mins
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