FREE CMSRN Perioperative Questions and Answers

Question 1

In the operating room (OR), the circulating nurse sets up the sterile field.
After fifteen minutes, the nurse gets word that the surgeon is working at another hospital, thus the procedure will be delayed by twenty minutes.
What would be the best course of action for the nurse?

Accepted Answer

Monitor the sterile field while awaiting the surgeon.

Answer

Close and tape the OR doors so that no one may enter.

Answer

Cover the sterile field with a sterile drape until the surgery is about to begin.

Answer

Tear down the sterile field until the surgeon arrives in the OR.

Question 2

Which test result would necessitate the nurse's quick attention for the patient who was supposed to have surgery?

Accepted Answer

Potassium 2.4 mEq/L.

Answer

Calcium 9.2 mg/dL.

Answer

Hemoglobin 15 g/dL.

Answer

Bleeding time 2 minutes.

Question 3

The patient being cared for by the nurse is experiencing sinus tachycardia following surgery. Which intervention from the list below ought to be carried out by the nurse?

Accepted Answer

Manage the client’s anxiety

Answer

Apply warmed blankets

Answer

Administer atropine sulfate

Answer

Position the client in a left lateral position

Question 4

A disparity in the number of sponges is discovered by the scrub tech and the circulating nurse. Which task ought to be completed by the circulating nurse first?

Accepted Answer

Re-count all sponges.

Answer

Contact the surgical manager.

Answer

Notify the client’s surgeon.

Answer

Complete an occurrence report.

Question 5

When a client needs fluids, the nurse gets ready to place a peripheral intravascular catheter. Which antiseptic is best for cleaning the skin before the catheter is inserted?

Accepted Answer

Chlorhexadine

Answer

Iodophor

Answer

Alcohol

Answer

Acetone

Question 6

In the early postoperative phase, a client feels confused. Which of the following evaluations is necessary to identify the confusion's cause?

Accepted Answer

Airway status

Answer

Level of consciousness

Answer

Level of anxiety

Answer

Cardiac rhythm

Question 7

Following surgery, your patient's vital signs are within normal ranges and they are semicomatose. Which position would be ideal for this patient, as the nurse?

Accepted Answer

Side positioning preferably on the left side

Answer

Low-Fowlers

Answer

Semi-Fowlers

Answer

Prone

Question 8

The patient, who underwent surgery 24 hours ago, is being observed by the nurse. Which finding calls for action?

Accepted Answer

24-hour urine output of 300 ml

Answer

Pain rating of 4 on 1-10 scale

Answer

BP 100/80

Answer

Temperature of 99.3' F

Question 9

What is a potential postoperative concern regarding a patient who has already resumed a solid diet?

Accepted Answer

Failure to pass stool within 48 hours of eating solid foods

Answer

Passage of excessive flatus

Answer

Patient reports a decreased appetite

Answer

Failure to pass stool within 12 hours of eating solid foods

Question 10

A nurse is creating a post-operative care plan for a patient who is susceptible to pneumonia. Out of the following, which one is not a suitable nursing intervention?

Accepted Answer

Repositioning every 3-4 hours

Answer

Encourage patient to use the incentive spirometer device 10 times every 1-2 hours while awake

Answer

Encourage patient intake of 3000 ml/day of fluids if not contraindicated

Answer

Encourage early ambulation and patient to eat meals in beside chair