Question 1

Which is an example of iatrogenic injury that can occur in the OR setting?

Accepted Answer

A) Allergic reaction to penicillin 
B) Malignant hyperthermia 
C) Elevated blood potassium level 
D) Hyperabduction of arm on armboard 
A) Allergic reaction to penicillin 
B) Malignant hyperthermia 
C) Elevated blood potassium level 
D) Hyperabduction of arm on armboard

Question 2

Allogeneic blood is a patient's own blood and requires no typing or crossmatching.

Accepted Answer

A) True 
 B)False

Question 3

Cricoid pressure is used during endotracheal tube placement to close off the esophagus to prevent reflux and aspiration for trauma patients.

Accepted Answer

A) True 
 B)False

Question 4

If Avitene has been used for hemostasis during a surgical procedure,the blood collected from the wound cannot be used for autotransfusion.

Accepted Answer

A) True 
 B)False

Question 5

What disturbance is characterized by dry skin,dry mucous membranes,low blood pressure,and deep rapid respirations?

Accepted Answer

A) Hypovolemia 
B) Hypervolemia 
C) Radiation enteritis 
D) Oliguria 
A) Hypovolemia 
B) Hypervolemia 
C) Radiation enteritis 
D) Oliguria

Question 6

Which is considered the most serious cardiac dysrhythmia?

Accepted Answer

A) Ventricular tachycardia 
B) Atrial fibrillation 
C) Atrial flutter 
D) Bundle branch block 
A) Ventricular tachycardia 
B) Atrial fibrillation 
C) Atrial flutter 
D) Bundle branch block

Question 7

Which is a way to prevent hypothermia in the OR environment?

Accepted Answer

A) Encourage patients to eat hot and spicy food the day before surgery. 
B) Place UV lamps over patients in the preoperative holding area. 
C) Encourage the patient to wear a coat and cold weather items such as hats and gloves while in the preoperative area. 
D) Apply warmed blankets to patients as they arrive in the OR. 
A) Encourage patients to eat hot and spicy food the day before surgery. 
B) Place UV lamps over patients in the preoperative holding area. 
C) Encourage the patient to wear a coat and cold weather items such as hats and gloves while in the preoperative area. 
D) Apply warmed blankets to patients as they arrive in the OR.

Question 8

What is the term for abnormal accumulation of water in extravascular portions of the lungs?

Accepted Answer

A) Atelectasis 
B) Intercostal muscle spasm 
C) Pneumothorax 
D) Pulmonary edema 
A) Atelectasis 
B) Intercostal muscle spasm 
C) Pneumothorax 
D) Pulmonary edema

Question 9

During a cardiac arrest in the OR,the scrub person must always remain sterile.

Accepted Answer

A) True 
 B)False

Question 10

Which antidysrhythmic drug is used to suppress the PVCs and recurrent tachycardia?

Accepted Answer

A) Adenosine 
B) Bretylium 
C) Atropine 
D) Lidocaine 
A) Adenosine 
B) Bretylium 
C) Atropine 
D) Lidocaine

Question 11

Which is a treatment used to reverse hypotension?

Accepted Answer

A) Increased use of anesthetics 
B) Elevation of legs 
C) Increased positive airway pressure 
D) Beta-blocker drugs 
A) Increased use of anesthetics 
B) Elevation of legs 
C) Increased positive airway pressure 
D) Beta-blocker drugs

Question 12

What drug plays an important part in restoring circulation in asystole?

Accepted Answer

A) Dobutrex 
B) Epinephrine (Adrenaline) 
C) Lidocaine 
D) Verapamil 
A) Dobutrex 
B) Epinephrine (Adrenaline) 
C) Lidocaine 
D) Verapamil

Question 13

How does the body compensate for mild hypoxia?

Accepted Answer

A) Decreased heart rate and increased respiratory rate 
B) Increased heart rate and increased respiratory rate 
C) Decreased heart rate and decreased respiratory rate 
D) Increased heart rate and decreased blood pressure 
A) Decreased heart rate and increased respiratory rate 
B) Increased heart rate and increased respiratory rate 
C) Decreased heart rate and decreased respiratory rate 
D) Increased heart rate and decreased blood pressure

Question 14

What type of shock is a result of increased capillary permeability with loss of blood volume into the tissues?

Accepted Answer

A) Vasogenic shock 
B) Neurogenic shock 
C) Hypovolemic shock 
D) Traumatic shock 
A) Vasogenic shock 
B) Neurogenic shock 
C) Hypovolemic shock 
D) Traumatic shock

Question 15

While a patient is under general anesthesia,it is a good practice to keep the patient's eyes open to prevent a corneal tear or abrasion.

Accepted Answer

A) True 
 B)False

Question 16

What is the recommended IV dose of dantrolene to be given in a malignant hyperthermia (MH)crisis?

Accepted Answer

A) 1 mg/kg every minute until temperature is within normal limits 
B) 2 to 3 mg/kg in an initial IV bolus and repeat every 5 to 10 minutes 
C) 10 mg/kg initially and every 5 minutes until muscles relax 
D) 10 to 20 mg/kg every 5 minutes until temperature stabilizes 
A) 1 mg/kg every minute until temperature is within normal limits 
B) 2 to 3 mg/kg in an initial IV bolus and repeat every 5 to 10 minutes 
C) 10 mg/kg initially and every 5 minutes until muscles relax 
D) 10 to 20 mg/kg every 5 minutes until temperature stabilizes

Question 17

Which is an intraoperative factor that can increase a patient's risk of developing a respiratory complication?

Accepted Answer

A) Type of preoperative medication 
B) Blood type 
C) ASA classification 
D) Braden score 
A) Type of preoperative medication 
B) Blood type 
C) ASA classification 
D) Braden score

Question 18

Why is potassium an important electrolyte?

Accepted Answer

A) It prevents muscle twitching. 
B) It needs to be in the extracellular fluid. 
C) It is essential for electrochemical reactions. 
D) It is nutritionally needed. 
A) It prevents muscle twitching. 
B) It needs to be in the extracellular fluid. 
C) It is essential for electrochemical reactions. 
D) It is nutritionally needed.

Question 19

What may develop postoperatively if a patient cannot mobilize their secretions?

Accepted Answer

A) Acute respiratory distress syndrome (ARDS) 
B) Tuberculosis 
C) COPD 
D) Extreme pain 
A) Acute respiratory distress syndrome (ARDS) 
B) Tuberculosis 
C) COPD 
D) Extreme pain

Question 20

A neurogenic shock involves the loss of tone in the peripheral blood vessels.

Accepted Answer

A) True 
 B)False

Exam 31: Potential Perioperative Complications

Which is an example of iatrogenic injury that can occur in the OR setting?

Allogeneic blood is a patient's own blood and requires no typing or crossmatching.

Cricoid pressure is used during endotracheal tube placement to close off the esophagus to prevent reflux and aspiration for trauma patients.

If Avitene has been used for hemostasis during a surgical procedure,the blood collected from the wound cannot be used for autotransfusion.

What disturbance is characterized by dry skin,dry mucous membranes,low blood pressure,and deep rapid respirations?

Which is considered the most serious cardiac dysrhythmia?

Which is a way to prevent hypothermia in the OR environment?

What is the term for abnormal accumulation of water in extravascular portions of the lungs?

During a cardiac arrest in the OR,the scrub person must always remain sterile.

Which antidysrhythmic drug is used to suppress the PVCs and recurrent tachycardia?

Which is a treatment used to reverse hypotension?

What drug plays an important part in restoring circulation in asystole?

How does the body compensate for mild hypoxia?

What type of shock is a result of increased capillary permeability with loss of blood volume into the tissues?

While a patient is under general anesthesia,it is a good practice to keep the patient's eyes open to prevent a corneal tear or abrasion.

What is the recommended IV dose of dantrolene to be given in a malignant hyperthermia (MH)crisis?

Which is an intraoperative factor that can increase a patient's risk of developing a respiratory complication?

Why is potassium an important electrolyte?

What may develop postoperatively if a patient cannot mobilize their secretions?

A neurogenic shock involves the loss of tone in the peripheral blood vessels.

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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