CMSRN FREE CMSRN Perioperative Questions and Answers 3

Question 1

A preoperative nurse is completing a surgical safety checklist. Which element is essential to verify during the 'time-out' immediately before incision?

Accepted Answer

Correct patient identity, procedure, and surgical site marking

Answer

The patient's insurance information

Answer

The availability of postoperative rehabilitation services

Answer

The patient's dietary preferences for recovery

Question 2

A postoperative patient develops a temperature of 102.4°F on the third day after abdominal surgery. Which cause should the nurse suspect first?

Accepted Answer

Urinary tract infection or respiratory infection

Answer

Medication reaction from preoperative antibiotics

Answer

Transfusion reaction from intraoperative blood products

Answer

Normal inflammatory response to surgery

Question 3

Which nursing intervention is most important for preventing deep vein thrombosis in a patient who underwent a total hip replacement?

Accepted Answer

Initiating sequential compression devices and early ambulation

Answer

Applying warm compresses to the lower extremities

Answer

Elevating the head of the bed to 90 degrees

Answer

Restricting fluid intake to decrease edema

Question 4

A patient in the preoperative holding area reports that they ate a granola bar two hours ago despite NPO instructions. What should the nurse do?

Accepted Answer

Notify the anesthesiologist immediately about the NPO violation

Answer

Proceed with surgery since two hours is sufficient fasting time

Answer

Administer a proton pump inhibitor and proceed

Answer

Induce vomiting to empty the stomach before surgery

Question 5

A nurse is monitoring a patient who received spinal anesthesia for a lower extremity procedure. Which finding requires immediate intervention?

Accepted Answer

Blood pressure drops from 128/78 to 86/52 mmHg

Answer

The patient reports inability to wiggle their toes

Answer

The patient reports a tingling sensation in the legs

Answer

The patient feels pressure but no pain at the surgical site

Question 6

During postoperative assessment, a nurse notes serosanguineous drainage saturating the surgical dressing. The patient's heart rate is 110 bpm and blood pressure is 94/60 mmHg. What is the priority action?

Accepted Answer

Notify the surgeon immediately and prepare for possible return to the OR

Answer

Reinforce the dressing and continue monitoring

Answer

Apply an abdominal binder to reduce drainage

Answer

Administer an oral analgesic to reduce the patient's anxiety