1) Which of the following is NOT one of the six QSEN competencies? a) a) Patient-centered care b) b) Evidence-based practice c) c) Resource allocation d) d) Informatics 2) Which competency emphasizes the use of current evidence to make decisions about patient care? a) a) Teamwork and collaboration b) b) Quality improvement c) c) Evidence-based practice d) d) Safety 3) The primary goal of the QSEN initiative is to: a) Enhance nurses’ clinical skills. b) b) Improve patient safety and quality of care. c) c) Increase healthcare access. d) d) Reduce healthcare costs. 4) Which of the following behaviors demonstrates professionalism in perioperative nursing? a) a) Frequently arriving late to shifts. b) b) Adhering to evidence-based practices in patient care. c) c) Ignoring a patient's concerns during pre-op assessments. d) d) Failing to maintain patient confidentiality. 5) The scope of professional nursing practice is primarily defined by: a) a) Hospital policies. b) b) Personal experience. c) c) The Nurse Practice Act in each state. d) d) The number of years in practice. 6) Which of the following is a key characteristic of a professional perioperative nurse? a) a) Inflexibility in adapting to new procedures b) b) Prioritizing personal convenience over patient needs c) c) Commitment to continuous learning and skill development d) d) Avoiding leadership responsibilities 7) Which of the following organizational factors can directly affect patient outcomes in perioperative care? a) a) Staffing levels b) b) Equipment maintenance c) c) Hospital policies and procedures d) d) All of the above 8) A strong safety culture within an organization is demonstrated by: a) a) Blaming individuals for mistakes. b) b) Encouraging open communication about safety concerns. c) c) Ignoring staff feedback on patient safety. d) d) Prioritizing speed over safety in procedures. 9) What is the role of nurse leadership in improving patient outcomes? a) a) Delegating all tasks to other staff members b) b) Setting a strong example and promoting a culture of safety c) c) Minimizing involvement in patient care d) d) Focusing solely on administrative tasks 10) The Universal Protocol aims to prevent: a) a) Falls in the operating room. b) b) Wrong-site, wrong-procedure, and wrong-person surgeries. c) c) Postoperative infections. d) d) Delays in starting surgeries. 11) Which of the following practices enhances patient safety during surgery? a) a) Skipping the surgical timeout to save time b) b) Confirming the patient’s identity before administering anesthesia c) c) Using unsterilized instruments in emergencies d) d) Allowing interruptions during critical tasks 12) A "near miss" in patient safety refers to: a) a) A patient almost missing their surgery. b) b) An event that could have caused harm but did not, either by chance or timely intervention. c) c) A minor injury that does not require documentation. d) d) A surgeon not showing up on time for a procedure. 13) Which method of sterilization is commonly used for heat-sensitive surgical instruments? a) a) Steam sterilization b) b) Ethylene oxide gas sterilization c) c) Dry heat sterilization d) d) Ultrasonic cleaning 14) In the sterilization process, a biological indicator is used to: a) a) Verify that surgical instruments are functioning correctly. b) b) Confirm the effectiveness of the sterilization process. c) c) Indicate the expiration date of sterilized items. d) d) Track the usage of instruments. 15) Which step in the sterilization process involves cleaning instruments to remove blood, tissue, and other contaminants? a) a) Disinfection b) b) Pre-cleaning c) c) Packaging d) d) Storage 16) The primary function of forceps in surgery is to: a) a) Cut tissue. b) b) Grasp or hold tissue. c) c) Remove sutures. d) d) Make incisions. 17) What is the most common material used to manufacture surgical instruments? a) a) Plastic b) b) Titanium c) c) Stainless steel d) d) Aluminum 18) Instruments designed for cutting or dissecting include: a) a) Scissors and scalpels. b) b) Clamps and retractors. c) c) Needle holders and forceps. d) d) Sponges and dressings. 19) Which of the following is most important to promote psychosocial safety in the perioperative environment? a) a) Ensuring patients have financial support b) b) Creating a culture of open communication and support c) c) Assigning patients to random surgical teams d) d) Limiting patient interaction with the surgical team 20) Psychosocial safety in perioperative practice primarily focuses on: a) a) Reducing hospital readmissions. b) b) Addressing emotional, social, and mental health needs of patients and staff. c) c) Preventing medical errors. d) d) Optimizing surgical efficiency. 21) The most effective perioperative teams: a) a) Follow strict protocols without considering team input. b) b) Encourage all team members to actively participate and share concerns. c) c) Avoid feedback to prevent conflict. d) d) Work independently to avoid distractions. 22) Breakdowns in team communication in the operating room can lead to: a) a) Faster surgical times. b) b) Enhanced patient outcomes. c) c) Increased risk of errors and compromised patient safety. d) d) Greater teamwork efficiency. 23) What is the primary goal of sterilizing reusable medical devices? a) a) Extending the lifespan of instruments. b) b) Preventing the transmission of infections. c) c) Improving the aesthetic appearance of devices. d) d) Ensuring cost-efficiency in healthcare. 24) Inadequate sterilization of reusable medical devices may result in: a) a) Increased surgical precision. b) b) Higher risk of healthcare-associated infections (HAIs). c) c) Reduced need for surgical instruments. d) d) Faster turnaround times between surgeries. 25) Patients' concerns about surgery often go beyond the physical procedure itself and include: a) a) Fear of anesthesia and postoperative pain. b) b) Their interest in learning surgical techniques. c) c) Concerns about the surgeon’s personal life. d) d) Deciding the type of instruments used. 26) Addressing patients' emotional concerns prior to surgery can lead to: a) a) Longer recovery times. b) b) Increased patient anxiety. c) c) Better patient cooperation and improved outcomes. d) d) Reduced need for postoperative care. 27) The perioperative environment of care primarily focuses on: a) a) Ensuring that all staff members work independently. b) b) Maintaining a sterile, safe, and patient-centered space for surgery. c) c) Designing the operating room for aesthetic purposes. d) d) Limiting the number of medical devices in the room. 28) Which of the following is a critical component of the perioperative environment of care? a) a) Loud and distracting background music during surgery. b) b) Proper room ventilation to prevent airborne contamination. c) c) Removing all safety checklists to streamline the process. d) d) Allowing untrained personnel to assist during procedures. 29) Which of the following is an example of promoting a culture of safety? a) a) Not speaking up when noticing a patient safety issue b) b) Being able to discuss and question events without fear of recriminations c) c) Being disruptive during a surgical time-out d) d) Blaming an individual for a medical error 30) What does the term respondeat superior mean in a nursing context? a) a) Nurses are held to the same standard of care as physicians b) b) Patients can file lawsuits for inadequate care c) c) Employers are responsible for employee actions if they occurred within the nurse's scope of practice and were in the employer’s best interest d) d) Nurses must follow strict guidelines when delegating tasks 31) For which type of patients might the operating room temperature be increased according to hospital policy? a) a) Pediatrics b) b) Elderly c) c) Patients who have difficulty maintaining body temperature d) d) All of the above 32) Who is responsible for marking the surgical site before surgery? a) a) The patient b) b) The patient’s family member c) c) The surgeon or physician performing the procedure d) d) The RN Circulator 33) When prepping a patient with Duraprep, which fire prevention intervention should be implemented first? a) a) Store the active electrode in a safety holster when not in use b) b) Allow the skin prep solution to dry completely before draping the patient c) c) Keep the active electrode tip clean d) d) Place the light source in standby mode when not in use 34) During surgery, the anesthesia professional states, "The patient is in ventricular fibrillation, get the code cart!" The patient is prone, and the incision is open. What is the team's first step? a) a) Start chest compressions b) b) Position the patient in the supine position c) c) Cover/pack the wound d) d) Defibrillate the patient 35) What is the main focus of pre-hospital care for a patient preparing for surgery? a) a) Ensuring financial arrangements are in place b) b) Improving the patient’s nutritional status, physical strength, and encouraging smoking cessation c) c) Minimizing the time spent in the hospital d) d) Reducing post-surgical pain through medication 36) Which of the following is NOT a key advantage of the ERAS protocol for patients? a) a) Faster recovery b) b) Minimal fasting before surgery c) c) Shortened hospital stay d) d) Reduced risk of anesthesia complications 37) Which of the following is a key element confirmed during a preoperative time-out? a) a) OR number b) b) Correct patient, site, and procedure c) c) Patient’s family consent d) d) Availability of an interpreter 38) Which of the following Social Determinants of Health (SDOH) can impact an individual’s ability to access healthcare? a) a) Transportation options b) b) Internet availability c) c) Sports participation d) d) Personal hobbies 39) What does "gender expression" refer to? a) a) A person’s physical characteristics b) b) How someone conveys their gender through behavior or appearance c) c) Their chromosomal make-up d) d) The alignment of their biological sex and gender identity 40) Why is the preoperative nursing assessment important? a) a) The nurse can anticipate positioning needs b) b) The patient may have undiscussed allergies c) c) The patient may have physical limitations unrelated to the surgery d) d) All of the above

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