MSNCB Perioperative Nursing 2

Question 1

A patient scheduled for surgery reports taking warfarin daily. Which preoperative action is most appropriate?

Accepted Answer

Notify the surgeon and anesthesiologist immediately

Answer

Warfarin increases bleeding risk and the surgical team must be informed so they can decide whether to delay, reverse anticoagulation, or adjust the plan.

Question 2

Which assessment finding would most concern the perioperative nurse during a patient's preoperative evaluation?

Accepted Answer

Serum potassium of 2.9 mEq/L

Answer

Hypokalemia (K+ < 3.5 mEq/L) increases the risk of intraoperative dysrhythmias and should be corrected before elective surgery.

Question 3

The scrub nurse passes an instrument to the surgeon during an open abdominal procedure. What technique should be used?

Accepted Answer

Hand it directly handle-first so the surgeon can grasp it safely

Answer

Instruments are passed handle-first so the surgeon can grasp them safely without risk of injury from sharp tips.

Question 4

A patient in the PACU has a respiratory rate of 8 breaths per minute and is difficult to arouse. What is the priority nursing action?

Accepted Answer

Stimulate the patient and prepare to administer naloxone

Answer

Signs of opioid-induced respiratory depression require immediate stimulation and readiness to administer naloxone to reverse the effect.

Question 5

Which action best prevents surgical site infection (SSI) in the perioperative setting?

Accepted Answer

Administering prophylactic antibiotics within 60 minutes before incision

Answer

Evidence-based guidelines recommend prophylactic antibiotic administration within 60 minutes prior to skin incision to reduce SSI risk.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Perioperative Nursing 2