Question 1

Which member of the surgical team is primarily responsible for coordinating patient care, managing specimens, and documenting intraoperative events?

Accepted Answer

Circulating nurse

Question 2

A 70-year-old patient with chronic obstructive pulmonary disease (COPD) is scheduled for surgery and becomes agitated with difficulty breathing while lying flat. What is the most immediate nursing action?

Accepted Answer

Raise the head of the bed and provide supplemental oxygen

Question 3

Which of the following is a key responsibility of the scrub nurse during surgery?

Accepted Answer

Counting needles, sponges, and instruments

Question 4

A patient is at increased risk for perioperative hypothermia. Which of the following interventions is most appropriate to prevent this complication?

Accepted Answer

Using forced air warming blankets during surgery

Question 5

Which of the following is a major risk factor for developing surgical site infections (SSIs) in the operating room?

Accepted Answer

Breaks in aseptic technique

Question 6

A fire risk assessment tool is used preoperatively. Which combination of factors most increases the risk of an operating room fire?

Accepted Answer

Use of alcohol-based skin prep, open oxygen, and electrosurgical unit

Question 7

Which of the following is a distinguishing feature of general anesthesia Stage III (surgical anesthesia)?

Accepted Answer

Regular respirations and normal pulse

Question 8

A patient develops tachycardia, muscle rigidity, and a rapid rise in body temperature during surgery. What is the most likely diagnosis?

Accepted Answer

Malignant hyperthermia

Question 9

Which of the following is the most effective way to prevent retained surgical items during an operation?

Accepted Answer

Counting all items at the beginning and end of surgery

Question 10

Which type of anesthesia involves injecting a local anesthetic into the epidural space, blocking sensory, motor, and autonomic functions?

Accepted Answer

Epidural anesthesia

Question 11

A patient is scheduled for a procedure requiring moderate sedation. Which statement best describes the expected patient response?

Accepted Answer

The patient will maintain their airway and respond to verbal stimuli

Question 12

Which of the following is a recommended practice to reduce exposure to surgical smoke in the operating room?

Accepted Answer

Using N95 respirator masks and smoke evacuators

Question 13

A patient with a known latex allergy is scheduled for surgery. Which of the following is the most appropriate nursing intervention?

Accepted Answer

Use latex-free gloves and products throughout the perioperative period

Question 14

Which of the following is a primary responsibility of the Registered Nurse First Assistant (RNFA) during surgery?

Accepted Answer

Handling tissue and maintaining hemostasis

Question 15

A patient receiving local anesthesia suddenly develops a metallic taste, oral numbness, and auditory changes. What is the most likely complication?

Accepted Answer

Local Anesthetic Systemic Toxicity (LAST)

Question 16

Which of the following is a critical step in the surgical safety checklist before starting a procedure?

Accepted Answer

Verification of correct patient, site, and procedure

Question 17

Which of the following is a key nursing intervention to reduce patient anxiety before surgery?

Accepted Answer

Providing education about the surgical process

Question 18

Which of the following is a distinguishing feature of spinal anesthesia compared to epidural anesthesia?

Accepted Answer

Injected into the subarachnoid space

Question 19

Which of the following is a recommended practice for laser safety in the operating room?

Accepted Answer

Wearing appropriate laser goggles for the beam type

Question 20

A patient is undergoing a procedure with an electrosurgical unit and open oxygen administration. According to the fire prevention assessment tool, what is the most important action?

Accepted Answer

Conduct a fire risk assessment and communicate risk to the surgical team

Intraoperative Nursing Management: Study Notes for Introduction to Psychology (Biopsychology and Health Contexts)

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