Nsg 331 - Summer/Fall 2025 CH 18 EAQ Intraoperative
Care and Anesthesia Questions With Complete Solutions
A certified registered nurse anesthetist would be responsible for
which functions related to surgery? Select all that apply.
a. Passing instruments to surgeons and assistants
b. Managing a patient's airway and pulmonary status
c. Preparing the operating room and the instrument table
d. Selecting and initiating the planned anesthetic technique
e. Monitoring the patient's emergence and recovery from the
anesthesia Correct Answers ANS: B D E
A certified registered nurse anesthetist is responsible for
maintaining a patient's airway and pulmonary status, managing
the emergence and recovery from anesthesia, and selecting and
initiating the planned anesthetic technique. Passing instruments
to the surgeon and preparing the instrument table are
responsibilities of the scrub nurse.
A child is brought to the emergency room for the surgical
reduction of a displaced shoulder. The parents ask the nurse if
the child will undergo anesthesia. Which is the most appropriate
response by the nurse?
a. "Your child will most likely be moderately sedated for the
procedure."
,b. "There is no need for anesthesia because the reduction does
not involve an incision."
c. "Due to your child's age, your child will likely be given a
general anesthetic before reduction."
d. "The primary care provider will most likely use an epidural or
spinal block to numb the area for the procedure." Correct
Answers ANS: A
Moderate to deep sedation (previously referred to as conscious
sedation) is generally used for minor therapeutic procedures
such as fractures in the emergency room. General anesthetics are
usually neither necessary nor appropriate in this situation.
Despite the lack of an incision, the child will need some type of
sedation for the procedure, which can be painful. An epidural or
spinal block would not provide the necessary numbness needed
in this situation.
A circulating nurse is preparing to scrub the skin of a patient
who is scheduled for an appendectomy. What technique is
appropriate for the nurse to use to ensure proper cleansing?
a. Use a zigzag motion from the area distal to the incision to the
site of incision.
b. Use a zigzag motion from the site of the incision to the site
distal to the incision.
,c. Use a circular motion from the site of the incision to the area
distal to the incision.
d. Use a circular motion from the area distal to the incision to
the site of the incision. Correct Answers ANS: C
It is important to scrub the skin appropriately in the process of
skin preparation. It is done by a circulating nurse. The principle
used here is to scrub a liberal area of skin using a circular
motion from the clean area (i.e., the site of the incision) to the
dirty area (i.e., the site distal to the incision) with an
antimicrobial agent. This should be done in this way to reduce
the microorganism migration to the surgical wound. Using a
zigzag motion from the site of the incision to the area distal to
the incision is not appropriate. Using a zigzag motion from the
area distal to the incision to the site of the incision may
contaminate the incision site. Using a circular motion from the
area distal to the incision to the site of the incision may
contaminate the incision site.
A nurse anesthetist is giving information about the different
adjuncts to general anesthesia. To prevent respiratory depression
caused by a drug interaction with midazolam, the nurse should
avoid administering what medication?
a. Methadone
b. Vecuronium
c. Ondansetron
, d. Metoclopramide Correct Answers ANS: A
Benzodiazepines and opioids have a synergistic effect; therefore,
they should not be used together because they may cause
respiratory depression. Administration of methadone is avoided
to prevent respiratory depression caused by drug interaction.
Midazolam is a benzodiazepine and methadone is an opioid;
hence, they should not be given together. Vecuronium is a
neuromuscular blocking agent, whereas, ondansetron and
metoclopramide are antiemetics.
A nurse educator discusses career options with a group of
nursing students and describes the intraoperative activities of the
perioperative nurses. What are the duties of a scrub nurse?
Select all that apply.
a. Monitor the draping procedure.
b. Assist in the draping procedure.
c. Assist in induction of anesthesia.
d. Assist in preparing the operating room.
e. Provide a hand-off report to the postanesthesia care unit
(PACU) nurse. Correct Answers ANS: B D
A scrub nurse always remains in a sterile environment. The
scrub nurse has many duties, some of which include assisting in
the draping procedure, assisting in preparing the operating room,
and passing instruments to surgeons and assistants by
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