RN A v2: Prophecy- Core Mandatory (Nursing) Exam 2022.
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Course
Prophecy- Core Mandatory
Institution
University Of Maryland - University College
Prophecy- Core Mandatory (Nursing) Exam 2022. What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. Th...
what type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side lying position you are the ci
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University Of Maryland - University College
Prophecy- Core Mandatory
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What type of support would you place to alleviate pressure on the brachial plexus nerve
when a patient is in a side-lying position
- Axillary Roll
You are the circulating nurse confirming consent with a patient scheduled for an
exploratory laparotomy with colostomy. The patient states they do not want a colostomy.
What should you do?
- Do not take the patient to the operating room and consult the surgeon
immediately
What equipment is most important for a patient undergoing an emergency trauma
surgery who declines a donated blood transfusion
- Cell Saver
-
You have been asked to take a specimen from an OR during a bronchoscopy and
immediately take it to the lab. What must you do first
- Confirm the specimen label and patient name
You suspect long-term substance abuse during the pre-op interview with your patient.
Which of the following assessment findings would support this suspicion
- nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers
and lips
After applying an alcohol-based skin preparations for a laser procedure, what should
you do next
- assess for pooling or moisture from the prep
What medication should be administered to a patient who has received moderate
sedation with midazolam who has unexpected respiratory depression
- romazicon (flumazenil)
After starting a blood transfusion, you observe that a patient undergoing moderate
sedation has a temperature increase from 98.2 to 101.3 and coarse breath sounds.
What is the first thing you should do
- Stop the transfusion and notify the surgeon
What is the minimum distance unscrubbed personnel should remain from the sterile
field
- 12 inches
You are preparing a patient for a laparotomy. What instrument do you anticipate seeing
on the back table
- Malleable
Which of the following medications is contraindicated for a patient with a family history
of malignant hyperthermia
, Quelicin (succinylcholine)
You are caring for a patient who is infected with Methicillin- Resistant Staphylococcus
Aureus (MRSA). What infection control practice must you implement after transferring
the patient
- Clean and disinfect all patient care equipment
Upon opening a sterile major tray, you discover the chemical indicators are missing.
What should you do?
- Remove and replace the major tray
As a circulator, where do you stand during induction
- at the head of the bed
You are the perioperative nurse who is doing the preoperative skin preparation on a
clean abdominal case. Where should you start the skin preparation
- site of incision and move to the periphery
A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane,
nitrous oxide, and oxygen. One minute after intubation their heart rate increased from
160 to 195 b/m. Soon the patient's end tital carbon dioxide concentration was increased
from 35 to 65 mmHg. Also, the patient's oral temperature increased to 38.9 within 5
minutes after induction. What is the patient experiencing
- Malignant Hyperthermia
After draping the left side of the patient, how should you drape the right side
- Walk around the operating room table
What is the safest location for sharps during a surgical procedure
- in knife holder/needle board on back table
You review the patient's chart and discover that the patient has an allergy to penicillin.
What medication order should you be worried about
- Ancef
Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first
action
- Apply positive pressure ventilation
When should a surgical "Time Out" be performed
- When all team members are in the room, the patient is prepped and draped and
prior to initial incision
Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of
transmission based precaution is needed
- Airborne
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