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Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
A nursing student is reviewing information about the roles within the surgical team. What statement demonstrates an accurate understanding of the role of the surgeon in the operating room?
  1. The surgeon primarily manages the sterile field and passes instruments to the scrub nurse.
  2. The surgeon is responsible for coordinating activities, obtaining necessary supplies, and ensuring aseptic conditions in the operating room.
  3. The surgeon leads the surgical team, makes decisions during the surgery, and is responsible for the overall success of the procedure.
  4. The surgeon administers anesthesia to the patient, monitors vital signs, and ensures the patient’s comfort and safety.
2 .
A nursing student is studying communication within the operating room (OR) team. What statement best reflects the importance of effective communication among the surgical team members during a procedure?
  1. Communication in the OR is optional, as everyone knows their role and responsibilities.
  2. Effective communication in the OR is essential to ensure a positive work environment but has minimal impact on patient outcomes.
  3. Communication in the OR is critical for ensuring patient safety, coordinating activities, and responding promptly to changes in the surgical environment.
  4. Communication among the surgical team is primarily the responsibility of the circulating nurse, as they coordinate activities in the operating room.
3 .
During the intraoperative phase, what is the primary responsibility of the circulating nurse?
  1. assisting the surgeon with the surgical procedure
  2. monitoring the patient’s vital signs and anesthesia administration
  3. managing the sterile field and passing instruments to the surgeon
  4. advocating for the patient’s safety and coordinating activities in the operating room
4 .
A patient is scheduled for a surgical procedure to remove their gallbladder due to the presence of gallstones. What suffix would be the proper ending for surgical removal?
  1. -otomy
  2. -ectomy
  3. -plasty
  4. -scopy
5 .
What surgical setting would be appropriate for a patient needing a tonsillectomy?
  1. inpatient
  2. ambulatory
  3. clinic
  4. trauma hospital
6 .
The nurse is caring for a patient who has been diagnosed with acute appendicitis, with potential rupture. What surgical category would this patient fall under?
  1. emergency
  2. urgent
  3. elective
  4. none of the above
7 .
A nurse is preparing to participate in a surgical time-out procedure before a scheduled surgery. What is an example of a statement that accurately reflects the purpose and components of a surgical time-out?
  1. The surgical time-out is an optional break for the surgical team to relax before the procedure.
  2. It is a moment for the circulating nurse to review the patient’s medical history with the team.
  3. The time-out involves a review of important details by the surgical team to ensure patient safety before the surgery begins.
  4. It is a mandatory waiting period for the patient to reconsider and provide consent for the surgery.
8 .
A nurse is preparing a patient for surgery and is reviewing the plan of anesthesia with the anesthesiologist. The nurse knows that what type of anesthesia involves the injection of a local anesthetic into the subarachnoid space, resulting in a reversible loss of sensation and motor function below the level of injection?
  1. local anesthesia
  2. general anesthesia
  3. epidural anesthesia
  4. spinal anesthesia
9 .
A nurse is preparing a patient for surgery and is responsible for ensuring appropriate positioning in the operating room. Why is proper patient positioning crucial during surgery? Select all that apply.
  1. to make the patient more comfortable
  2. to facilitate communication with the surgical team
  3. to optimize exposure of the surgical site and access for the surgical team
  4. to prevent the patient from seeing the surgical instruments
10 .
A nurse is monitoring a patient in the operating room who is positioned for surgery. What potential complications could be linked to improper positioning?
  1. enhanced surgical exposure
  2. facilitated communication with the surgical team
  3. increased risk of nerve damage or pressure injuries
  4. improved visual access for the anesthesia provider
11 .
An intraoperative nurse is caring for a patient who exhibits signs of malignant hyperthermia, including increased temperature and muscle rigidity. What is the priority nursing intervention in managing malignant hyperthermia? Select all that apply.
  1. administer antipyretic medications
  2. provide a cooling blanket and monitor vital signs
  3. continue airway management and administer dantrolene
  4. discontinue triggering agents
12 .
A nurse is caring for a patient with a history of cardiac complications who is scheduled for surgery requiring anesthesia. What is the nurse’s primary role in collaborating with the anesthesia care team for this patient?
  1. administer prescribed anticoagulants to prevent clot formation
  2. monitor the patient’s blood pressure and heart rate during the surgery
  3. educate the patient on the risks and benefits of anesthesia
  4. communicate the patient’s history and relevant information to the anesthesia team
13 .
Utilizing the analyze step of the CJMM, what is a medical treatment that would be avoided for a patient who is a Jehovah’s Witness?
  1. blood or blood products
  2. antinausea medications
  3. male surgical team members
  4. surgery performed on sabbath
14 .
During your intraoperative interview and assessment, you discover new information. What is a situation that would be contraindicated and indicate the need to contact the surgeon?
  1. Patient is anxious and fearful about the procedure.
  2. Patient did not use the entire bottle of surgical wash the night before.
  3. Patient did not stop taking anticoagulants seven days prior as instructed.
  4. Patient’s wife forgot to pack additional contact lenses.
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