Test Taking Strategies Quiz Test Taking Strategies The optimum patient position during the operative procedure is best described as a position that provides:* A- access and exposure, maintains circulatory and respiratory functions, and does not compromise neuromuscular structures. B- optimum access and exposure to surgical site, with no permanent compromise to neuromuscular structures. C- access for the surgeon, does not compromise the neuromuscular structures, and maintains an adequate airway for the anesthetist. D- sustained circulatory and respiratory functions, does not compromise neuromuscular structures, and maintains body alignment. A patient who is 8 months pregnant is to undergo an emergency laparotomy. In planning nursing care for this patient, the perioperative nurse should have available a wedge cushion or pillow to place under the patient's:* A- knees. B- left side. C-right side. D- shoulders. The ER notifies you that it has an 18-yr-old patient who was in a sledding accident and who is accompanied by his parents. The patient is alert, oriented, in pain, has a blood pressure of 80/60, pulse of 120, and RR of 24. The abdomen is distended and tender. After being transferred to the OR bed, the patient is very apprehensive and complains of being cold. The nurse should confirm the patient's name, allergies, and operative procedure by:* A- speaking with the patient and reading the patient's chart. B- telephone conversation with the ER nurse. C- use of the ER record provided D- telephone conversation with a parent of the patient. Improper deflation of a pneumatic antishock garment (PASG) could result in:* A- septic shock. B- hypovolemic shock. C- hypervolemia. D- pulmonary edema. Due to an emergency, the perioperative nurse is unable to conduct the sponge, sharps, and instrument counts. At the conclusion of the surgery, the nurse should:* A- ask the surgeon to sign the count. B- immediately notify the OR supervisor C- document the absence of counts. D- refuse to sign the sponge count record. During the induction of anesthesia, the perioperative nurse may notice fasciculation as a response to which of the following depolarizing muscle relaxants?* A- Tubocurarine chloride (curare) B- Succinylcholine chloride (Anectine) C- Atracurium besylate (Tracrium) D- Pancuronium bromide (Pavulon) The circulating nurse reports that the needle count is incorrect. The surgeon continues to close the wound stating"I know it's not in the wound and I am not going to stop to look for it." the best plan of action is to:* A- accept the surgeon's response without comment and fill out an incident report. B- inform the surgeon of hospital policy and document subsequent actions. C- order X-rays regardless of the surgeon's wishes. D- notify the OR supervisor and ask for advice. A new employee unknowingly dispensed an unsterile solution to the sterile field. The following day, the supervisor learns of the incident. The supervisor's first action would be to:* A- initiate an incident report. B- instruct the employee on the technique of reading labels. C- counsel the employee verbally. D- notify the surgeon of the break in technique. During a procedure under local anesthesia, the patient complains of circumoral numbness, blurred vision, and dizziness . What should the immediate action of the perioperative nurce monitoring the patient?* A- Obtain a 6-second ECG Strip B- Ensure an airway C- Set the IV line to full flow D- Administer 50 mg of diazepam The nurse's initial response to a patient who develops signs of cyanosis during the preoperative assessment is to:* A- administer O2 and start an IV line. B- begin CPR. C- read the history and physical to determine health status. D- assess for breath sounds and airway obstruction.
