LORMA COLLEGES

City of San Fernando, La Union

College of Nursing
SY 2012- 2013
Related Learning Experience (Operating Room)
QUIZ
Situation 1: 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 to
patient delivery outcome.
1. Which of the following should be given highest priority
when receiving patient in the OR?
A. Assess level of consciousness
B. Verify patient identifcation and informed
consent
C. Assess vital signs
D. Check for jewelry, gown, manicure and
dentures
2. OR nurses should be aware that maintaining the
client's safety is the overall goal of nursing care during
the intraoperative phase. As the circulating nurse, you
make certain that throughout the procedure
A. the surgeon greets his client before induction
of anesthesia
B. the surgeon and anesthesiologist are in
tandem
C. strap made of strong non-abrasive material
are fastened securely around the joints of the
and ankles and around the 2 hands around an
arm board
D. client is monitored throughout the surgery by
the assistant anesthesiologist
3. Some diferent habits and hobbies afect postoperative
respiratory function. If your client smokes 3 packs of
cigarettes a day for the past 10 years, you will anticipate
increased risk for
A. perioperative anxiety and stress
B. delayed coagulation time
C. delayed wound healing
D. postoperative respiratory function
Situation 2: Nurses hold a variety of roles when
providing care to a perioperative patient.
4. Which of the following role would be the responsibility
of the scrub nurse?
A. Assess the readiness of the client prior to
surgery
B. Ensure that the airway is adequate
C. Account for the number of sponges, needles,
supplies, Used during the surgical procedure
D. Evaluate the type of anesthesia appropriate
for the surgical client
5. As a perioperative nurse, how can you best meet the
safety need of the client after administering preoperative
narcotic?
A. Put side rails up and ask client not to get out
of bed
B. Send the client to ORD with the family
C. Allow client to get up to go to the comfort
room
D. Obtain consent form
Situation 3: Team eforts is best demonstrated in the
OR
6. If you are the nurse in charge for scheduling surgical
cases, what important information do you need to ask
the surgeon?
A. Who is your internist?
B. Who are your assistant and anesthesiologist,
and what is your preferred time and type of
surgery?
C. Who are your anesthesiologist, internist, and
assistant?
D. Who is your anesthesiologist?
7. While team efort is needed in the OR for efcient and
quality patient care delivery, we should limit the number
of people in the room for infection control. Who comprise
this team?
A. Surgeon, anesthesiologist, scrub nurse,
radiologist, orderly
B. Surgeon, assistants, scrub nurse, circulating
nurse, anesthesiologist
C. Surgeon, assistant surgeon, anesthesiologist,
scrub nurse, pathologist
D. Surgeon, assistant surgeon, anesthesiologist,
intern, scrub nurse
8. When surgery is on-going, who coordinates the
activities outside, including the family?
A. Orderly/clerk
B. Nurse Supervisor
C. Circulating nurse
D. Anesthesiologist
9. As a nurse you know you can improve on accuracy of
patient's identifcation by 2 patient identifers, EXCEPT
A. identify the client by his/her wrist tag and
verify with family members
B. identify client by his/her wrist tag and call
his/her by name
C. call the client by his/her case and bed
number
D. call the patient by his/her name and bed
number
10. When is the frst sponge/instrument count reported?
A. Before closing the subcutaneous layer
B. Before peritoneum is closed
C. Before dosing the skin
D. Before the fascia is sutured
SITUATION 4: Albert Martinez, who is 5, is admitted to
a hospital for a tonsillectomy and adenoidectomy.
11. On the morning of the surgery, the nurse obtains
Alberto vital signs. Which of the following should the
nurse report immediately to the nurse in charge or the
physician?
A. Blood pressure, 96/60 mm Hg
B.Temperature, 101F (38.3C)
C.Respiratory rate, 20 per minute
D.Pulse rate, 110 per minute
Situation 5: Alberts surgery completed, and he is to
have a clear liquid diet postoperative.
12. The nurse should check Albertos meal tray to ensure
that the prescribed diet is provided. Which of the
following items is included in a clear liquid diet?
A. Sherbet
B. Ice cream
C. Clear broth
D. Milk shake
13. The nurse should report postoperative
observations to the nurse in charge immediately
when it is noted that Albert is
A. vomiting a small amount of dark red
blood.
B.swallowing frequently.
C.asking for fuids when awakening
D.breathing at a rate of 30 respirations per
minute.
14.The nurse enters the room of a client who has
just returned from the operating room after
undergoing an incisional cholecystectomy. Which of
the following assessment fndings would require
prompt action by the nurse?
A. The clients abdominal dressing has a 2
2-inch area of serous-sanguineous
drainage.
B.The clients IV solution is infusing at
100 mL/hour and has 75 mL of fuid
remaining.
C.The clients knee gatch is elevated on the
bed.
D.The clients Foley catheter is taped to
her inner thigh.
Situation 6: Tiyo Paeng is a 65 year old retired engineer
who lives with his wife in a suburban condominium. Two
years ago, he had a transurethral bladder resection and
fulguration for a small malignant tumor of the bladder.
Since that time, he has had a semiannual cystoscopy
performed by his urologist. The most recent cystoscopy
revealed a recurrence of the malignancy. He is admitted
to the hospital for a cystectomy and an ileal conduit.
15. The most common symptom of cancer of the
bladder is
A. urinary tenesmus
B.burning on urination
C.urinary retention
D.painless hematuria
16. Preoperatively, Mr. Martinez asks the nurse if he
will be allowed to drink fuids after surgery. The
nurses response should be that.
A. no fuids are allowed until edema of the
stoma subsides
B.fuid intake is restricted to decreased
the work load of the kidneys
C.fuids are encouraged to fush out the
conduit
D.fuid intake is not related to urinary
diversions
17. Postoperatively, the nurse notes the presence of mucus in the urinary drainage. The nurse should
A. recognize that this is a normal occurrence
B.notify the physician
C.collect a urine specimen for culture and sensitivity
D.measure the specifc gravity of the urine.
18. The nursing orders state observe for edema of the stoma. The presence of this condition can be
determined by
A. smoky, brown colored urine
B.decreased urinary output
C.foul smelling urine
D.an elevated temperature
19. About 8 days postoperatively, Tiyo Paeng states Look how bloody that urine is, The nurse should
A. notify the physician, because hematuria is not an expected outcome
B.tell the client that this is normal for 1 week after surgery
C.assure the client that as long as there are no blood clots, the blood is from old bleeding
D.irrigate the stoma with 100 milliliters of normal saline to remove the old blood.
20. Mrs. Roberts states, Im really confused. I didnt know that my husband would have to wear a
drainage bag. Which of the following is the best response by the nurse?
A. The drainage bag will only be used until the swelling of the stoma subsides
B.In approximately 12 months, the ureters can be reattached so that your husband can
void normally
C.Because the bladder was removed, a drainage bag is necessary for collecting urine
D.A piece of ileum will eventually act as reservoir, and the drainage be will not be necessary.