Tiêu đề WORKBOOK - PERIOP (KEY) ✅

COMPREHENSIVE PHASE WORKBOOK PERIOPERATIVE NURSING NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. The intern in charge did the skin preparation and catheterization of the client. The circulating nurse noticed that the intern withdrew the catheter from the vaginal orifice instead of the urinary meatus and is about to re insert the same catheter. What is your PRIORITY action? A. Stop the intern and do the catheterization yourself B. Alcoholize the tip of the catheter before reinserting the catheter again C. Offer to change the catheter D. Stop the intern from reinserting the catheter by tapping his shoulder 2. When the intern in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdraws the catheter from the vagina. What is your APPROPRIATE and IMMEDIATE action? A. Hold the hand of the intern to stop him from reinserting the catheter B. Alcoholize the tip of the catheter before reinserting the catheter C. Offer to change the catheter D. Stop the intern and do the catheterization yourself 3. The surgeon asked for a suture to close the peritoneum. Which of the following should have been done by the scrub nurse before suture is handed to the surgeon? A. Specimen passed to the circulating nurse B. Needle holder passed to the surgeon C. Needle mounted on the needle holder D. Surgical count completed. 4. When the surgeon asked for suture to close the abdomen, sponge count has not been completed. Which of the following is the APPROPRIATE action of the scrub nurse? A. Continues to count the sponges B. Request the surgeons to recheck the abdomen for sponges if any. C. Informs the surgeon that sponge count has not been completed. D. Hands obligingly the suture for closure to the surgeon. 5. Nurse Abby is setting up for an emergency Caesarean Section. The sterile linen packs were damp. The MOST appropriate action is to: A. allow the sterile linen packs to dry before opening B. discard the sterile linen packs C. open the sterile linen packs in front of an electric fan D. bring the sterile linen packs back to the sterilizer 6. Nurse Mary is setting up for an emergency Cesarean Section. The linen packs were damp although these were just taken from the sterilizer. The nurse’s APPROPRIATE action is: A. bring the linen packs back to the Central Supply Section for quality control B. change the damp linen pack C. open the linen pack and allow to dry D. do not use the damp linen 7. After a ten minute surgical hand scrub, the assistant surgeon came into the OR suite swinging her hands casually. The scrub nurse would do which of the following APPROPRIATE action? A. Offer a sterile towel to dry hands B. Oblige the assistant surgeon to scrub again C. Instruct the circulating nurse to pour alcohol 70% to the assistant surgeon’s hands D. Serve the assistant surgeon the sterile gown and gloves as usual 8. The nurse welcomes a preoperative client as she enters the operating room suite. The nurse shall interpret that the client appreciated her presence if the client: A. Clasped the nurse’s hands B. Put her blanket all the way to cover her face C. Turned to the opposite direction from the nurse D. Closed her eyes as though asleep 9. After the last stitch the surgeon is ready to apply dressings on the incision wound. Which of the following does the nurse expects the surgeon to do? A. Tape the dressings and remove gloves B. Apply the dressings and tape, then remove his gloves C. Put the dressings, remove his gloves to apply the tape D. Remove his gloves and apply the dressings 10. After the surgeon finished doing the surgical hand scrub, she came in to the OR suite swinging her hands casually. The scrub nurse would do which of the following APPROPRIATE action? A. Tell the circulating nurse to pour alcohol 70% to the surgeon’s hands B. Serve the surgeon her sterile gown and gloves as usual C. Remind the surgeon to scrub again D. Offer a sterile towel to dry her hands 11. During a surgical procedure, the circulating nurse poured sterile saline solution into the basin and accidentally spilled the solution into the sterile table drape. Identify the APPROPRIATE action of the scrub nurse. A. Pat dry the wet portion of the table drape B. Ignore the wet drape C. Discard the saline solution D. Cover the wet table drape with sterile towel 12. A life saving instruction on the purposes of withholding food and water intake prior to surgery is a must to all surgical clients. This necessitates that nurses should ensure that children for surgery should be scheduled as: A. upon patient’s preference B. first case C. alternate D. last case 13 The surgeon of a client for Dilatation and Curettage (D & C) who is on triple Anti TB drugs complained why his case is scheduled “last” for the day. The OR nurse offers which of the following BEST reason? A. “Foremost, we considered the safety of others clients.” B. “Your anesthesiologist preferred the time slot.” C. “The case is relatively short and easy.” D. “There is no emergent need to do the case ahead of the other schedule”. 14. Immediately before opening and presenting any sterile item to the sterile field. The circulating nurse should inspect for which of the following indicators? TOP RANK REVIEW ACADEMY, INC. Page 1 | 4