MSNCB Perioperative Nursing 5

Question 1

A scrub nurse accidentally contaminates a glove during surgery. What is the correct immediate response?

Accepted Answer

Request a glove change and re-establish sterility before continuing

Answer

Any break in sterile technique requires immediate correction by changing the contaminated glove to prevent introducing microorganisms to the surgical field.

Question 2

Which laboratory result would most likely require postponement of an elective surgical procedure?

Accepted Answer

INR of 3.8

Answer

An INR of 3.8 indicates excessive anticoagulation, significantly increasing intraoperative hemorrhage risk and requiring correction before elective surgery.

Question 3

During the surgical time-out, the team discovers the consent form lists the left knee but the surgical site is marked on the right knee. What should happen?

Accepted Answer

Halt the procedure and reconcile the discrepancy with the patient and surgeon before proceeding

Answer

Any discrepancy identified during the time-out must be resolved before surgery begins to prevent wrong-site surgery.

Question 4

A patient returns to the surgical unit from PACU with a urinary catheter. Which postoperative assessment finding requires the most urgent action?

Accepted Answer

Urine output of 15 mL over the past two hours

Answer

Urine output less than 0.5 mL/kg/hr (approximately 30 mL/hr for average adult) over two hours indicates oliguria and possible acute kidney injury requiring urgent intervention.

Question 5

Which statement best describes the primary role of the circulating nurse during a surgical procedure?

Accepted Answer

Managing the unsterile environment, coordinating care, and advocating for patient safety

Answer

The circulating nurse works outside the sterile field to manage the OR environment, coordinate the team, document care, and serve as the patient's advocate.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Perioperative Nursing 5