SHIFTING EXAM

SHIFTING EXAM
Name:____________________________________________ Date:______________
Section:___________________________________________ Score:_____________
Test I. Multiple Choice: Encircle the correct answer.
1. What is the physical environment of a surgery suite primarily designed to promote?

a. Electrical safety
b. Medical and surgical asepsis
c. Comfort and privacy of the patient
d. Communication among the surgical team
2. What is the primary goal of the circulating nurse during preparation of the operating room,
transferring and positioning the patient, and assisting the anesthesia team?
a. Avoiding any type of injury to the patient
b. Maintaining a clean environment for the patient
c. Providing for patient comfort and sense of well-being
d. Preventing breaks in aseptic technique by the sterile members of the team
3. A break in sterile technique occurs during surgery when the scrub nurse touches
a. the mask with sterile gloved hands.
b. sterile gloved hands to the gown at chest level.
c. the drape at the incision site with sterile gloved hands.
d. the lower arm to the instruments on the instrument tray
4. During surgery, a patient has a nursing diagnosis of risk for perioperative positioning injury.
What is a common risk factor for this nursing diagnosis?
a. Skin lesions
b. Break in sterile technique
c. Musculoskeletal deformities
d. Electrical or mechanical equipment failure
5. At the end of the surgical procedure, the perioperative nurse evaluates the patient's response to
the nursing care delivered during the perioperative period. What reflects a positive outcome
related to the patient's physical status?
a. The patient's right to privacy is maintained throughout the procedure.
b. The patient's care is consistent with the preplanned perioperative plan of care.
c. The patient receives consistent and comparable care regardless of the surgical setting.
d. The patient's respiratory function is consistent with or improved from baseline levels
established preoperatively.
6. What condition should the nurse anticipate that may occur during epidural and spinal
anesthesia?
a. Spinal headache
b. Hypotension and bradycardia
c. Loss of consciousness and seizures
d. Downward extension of nerve block
7. During a preoperative review of systems, the patient reveals a history of renal disease. This
finding suggests the need for which preoperative diagnostic studies?
a. ECG and chest x-ray
b. Serum glucose and CBC
c. ABGs and coagulation tests
d. BUN, serum creatinine, and electrolytes
8. The nurse asks a preoperative patient to sign a surgical consent form as specified by the
surgeon and then signs the form after the patient does so. By this action, what is the nurse doing?
a. Witnessing the patient's signature
b. Obtaining informed consent from the patient for the surgery
c. Verifying that the consent for surgery is truly voluntary and informed
d. Ensuring that the patient is mentally competent to sign the consent form
9. What is the rationale for using preoperative checklists on the day of surgery?
a. The patient is correctly identified and preoperative medications administered.
b. All preoperative orders and procedures have been carried out and documented.
c. Voiding is the last procedure before the patient is transported to the operating room.
d. Patients' families have been informed as to where they can accompany and wait for patients.
10. The nurse is reviewing the laboratory results for a preoperative patient. Which study result
should be brought to the attention of the surgeon immediately?
a. Serum K+ of 3.8 mEq/L
b. Hemoglobin of 15 g/dL
c. Blood glucose of 100 mg/dL
d. White blood cell (WBC) count of 18,500/µL
11. What does progression of patients through various phases of care in a postanesthesia care
unit (PACU) primarily depend on?
a. Condition of patient
b. Type of anesthesia used
c. Preference of surgeon
d. Type of surgical procedure
12. Upon admission of a patient to the PACU, the nurse's priority assessment is
a. vital signs.
b. surgical site.
c. respiratory adequacy.
d. level of consciousness.
13. To prevent agitation during the patient's recovery from anesthesia, when should the nurse
begin orientation explanations?
a. When the patient is awake
b. When the patient first arrives in the PACU
c. When the patient becomes agitated or frightened
d. When the patient can be aroused and recognizes where he or she is
14. To prevent airway obstruction in the postoperative patient who is unconscious or

semiconscious, what will the nurse do?
a. Encourage deep breathing.
b. Elevate the head of the bed.
c. Administer oxygen per mask.
d. Position the patient in a side-lying position.
15. Thirty-six hours postoperatively, a patient has a temperature of 100° F (37.8° C).What is the
most likely cause of this temperature elevation?
a. Dehydration
b. Wound infection
c. Lung congestion and atelectasis
d. Normal surgical stress response
16. What should be included in the instructions given to the postoperative patient before
discharge?
a. Need for follow-up care with home care nurses
b. Directions for maintaining routine postoperative diet
c. Written information about self-care during recuperation
d. Need to restrict all activity until surgical healing is complete
Test II. Numbers 17-25. Identify the following Surgical Instruments.
17.
__________________________________
18.
____________________________________
19.
__________________________________
20.
_________________________________
21.
_________________________________
22.
_________________________________
23.
_________________________________
24.
________________________________
25.
__________________________________

SHIFTING EXAM - Surgery Rotation

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Test I. Multiple Choice: Encircle the correct answer.

1. What is the physical environment of a surgery suite primarily designed to promote?

14. To prevent airway obstruction in the postoperative patient who is unconscious or

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