Nokea
Which member of the surgical team is the primary patient advocate?
- A. The scrub nurse
- B. The surgeon
- C. The anesthesiologist
- D. The circulating nurse
- E. The assistant surgeon
- F. The certified registered nurse anesthetist (CRNA)
Correct Answer: D
Rationale: The circulating nurse oversees patient safety and advocacy during surgery, ensuring all needs are met.
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There are several advantages to having laparoscopic surgery rather than the traditional opening of the operative area with a large incision. Which of the following is not an advantage?
- A. Reduction in risk for infection
- B. Less postoperative pain
- C. Easier-to-perform procedure
- D. Shorter recovery time
Correct Answer: C
Rationale: Laparoscopic surgery is not necessarily easier to perform; it requires specialized skills and equipment.
There are various purposes for which preoperative medications may be given. Which of the following purposes serve as a legitimate reason to administer a preoperative medication?
- A. Provide relief of apprehension and anxiety
- B. Provide sedation
- C. Shorten surgery time
- D. Reduce risk for pneumonia
- E. Decrease gastric volume and acidity
- F. Prevent nausea and vomiting
- G. Dry secretions and prevent aspiration
Correct Answer: A,B,E,F,G
Rationale: Preoperative medications address anxiety, sedation, gastric issues, nausea, and secretions, but do not shorten surgery or prevent pneumonia.
Reconstruction of severed ligament in the knee
- A. Corrective, elective
- B. Cosmetic, elective
- C. Palliative, urgent
- D. Exploratory, emergent
Correct Answer: A
Rationale: This surgery repairs a functional issue (ligament damage) and is typically planned, making it corrective and elective.
A patient must be intubated for which type of anesthesia?
- A. Local anesthesia
- B. Regional anesthesia
- C. Conscious sedation
- D. General anesthesia
Correct Answer: D
Rationale: General anesthesia requires intubation to maintain an open airway due to the patient's unconscious state.
Another name for a recovery room is
- A. post-anesthesia care unit (PACU)
- B. intensive care unit (ICU)
- C. operating room (OR)
- D. surgical ward
Correct Answer: A
Rationale: The post-anesthesia care unit (PACU) is where patients recover immediately after surgery under close monitoring.