Question 1

The registered nurse first assistant (RNFA) scrubs with a long-acting, powerful antimicrobial sponge for before the surgical procedure. What is the required time frame for this surgical scrub?

Accepted Answer

B

Question 2

A patient in the operating room develops malignant hyperthermia. The nurse prepares which medication for administration to treat this medical emergency?

Accepted Answer

Dantrolene is the medication of choice for treating malignant hyperthermia, a life-threatening condition often triggered by certain anesthetics.

Question 3

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is not expected to survive without the planned surgical procedure?

Accepted Answer

The American Society of Anesthesiologists (ASA) classification for a patient who is not expected to survive without the planned surgical procedure is ASA Class 5. This classification indicates a moribund patient who has little chance of survival without the surgery.

Question 4

Which member of the intraoperative nursing team is considered sterile?

Accepted Answer

The Registered Nurse First Assistant (RNFA) is considered a sterile member of the intraoperative team because they work directly in the sterile field, assisting the surgeon during the operation.

Question 5

Which action does the circulating nurse anticipate during the emergence phase of general anesthesia?

Accepted Answer

During the emergence phase of general anesthesia, the patient is waking up and may have increased secretions or risk of vomiting, so suctioning is anticipated to prevent aspiration.

Question 6

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease?

Accepted Answer

The American Society of Anesthesiologists (ASA) Physical Status Classification System classifies a patient with a severe systemic disease as ASA 3. This classification helps in assessing the preoperative health of patients.

Question 7

Which action does the circulating nurse anticipate during the induction of general anesthesia?

Accepted Answer

The circulating nurse assists in administering oxygen by face mask during the induction of general anesthesia to ensure the patient is adequately oxygenated.

Question 8

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of succinylcholine, which terminology does the nurse use?

Accepted Answer

Succinylcholine is classified as a depolarizing muscle relaxant, which is used to induce muscle relaxation and facilitate tracheal intubation during surgery. It works by mimicking the action of acetylcholine at the neuromuscular junction, causing muscle paralysis.

Question 9

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of propofol, which terminology does the nurse use?

Accepted Answer

Propofol is classified as an intravenous anesthetic, commonly used to induce and maintain anesthesia or sedation. It does not fall into the categories of narcotic analgesic, depolarizing, or nondepolarizing muscle relaxant.

Question 10

The nurse is caring for a patient who had a total hip replacement today. In reviewing the operating record, the nurse correlates which medication administered for its amnestic effects?

Accepted Answer

Diazepam (Valium) is known for its amnestic effects, which means it can cause short-term memory loss, making it useful in procedures to reduce the recall of the event.

Question 11

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?

Accepted Answer

The American Society of Anesthesiologists (ASA) classification for a patient with a severe systemic disease that is a constant threat to life is ASA Class 4. This classification helps in assessing the preoperative risk related to anesthesia.

Question 12

In caring for a patient scheduled for a hip replacement surgical procedure, the nurse recognizes this procedure is an example of which surgical category?

Accepted Answer

Hip replacement surgery is considered restorative because its primary goal is to restore joint function and improve the patient's mobility and quality of life.

Question 13

The patient is transferred to the operating table. Which dimension of the operative period is the patient currently experiencing?

Accepted Answer

The intraoperative period refers to the phase during surgery, from when the patient is transferred to the operating table until the completion of the surgery and transfer to the recovery area.

Question 14

The post-anesthesia care unit (PACU) nurse is caring for a patient who just arrived from the operating room after a colon resection. The patient is complaining of severe pain and becoming increasingly restless and tachycardic. Who does the nurse consult regarding this patient's condition?

Accepted Answer

The anesthesiologist is responsible for managing the patient's pain and sedation during and after surgery.

Question 15

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of cisatracurium, which terminology does the nurse use?

Accepted Answer

Cisatracurium is classified as a nondepolarizing muscle relaxant, which works by blocking the transmission of nerve impulses to the muscles, leading to muscle relaxation. It is commonly used during surgical procedures to facilitate intubation and relax skeletal muscles.

Question 16

Which classification does the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a mild systemic disease?

Accepted Answer

The American Society of Anesthesiologists (ASA) classification system is used to assess the fitness of patients before surgery. ASA 2 is for a patient with a mild systemic disease that does not limit activity.

Question 17

Which task is inappropriate for the nurse to delegate to the unlicensed assistive personnel (UAP) during the intraoperative period of care?

Accepted Answer

Identifying the patient before the procedure is a task that requires clinical judgment and knowledge, which is beyond the scope of practice for unlicensed assistive personnel (UAP). This responsibility typically falls to licensed personnel, such as nurses, who are trained to perform patient identification and assessment tasks to ensure patient safety.

Question 18

Which drug does the nurse prepare for the anesthesiologist to reverse the effects of cisatracurium during a surgical procedure?

Accepted Answer

Neostigmine is used to reverse the effects of muscle relaxants such as cisatracurium by inhibiting the breakdown of acetylcholine, thereby increasing its availability and reversing muscle relaxation.

Question 19

Which action does the circulating nurse anticipate when the patient is intubated with the administration of general anesthesia?

Accepted Answer

The circulating nurse anticipates securing the patient's airway as a critical step after intubation to ensure proper ventilation and prevent complications.

Question 20

Which American Society of Anesthesiologists' classification does the circulating nurse document for a patient who has been declared brain-dead and whose organs are being procured for donation?

Accepted Answer

The American Society of Anesthesiologists (ASA) classification for a patient who has been declared brain-dead and whose organs are being procured for donation is ASA 6. This classification specifically indicates a brain-dead patient whose organs are being removed for donor purposes.

Quiz 16: Priorities for the Intraoperative Patient