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Surgical Education Learners Forum/Perioperative Nursing/Final Counts and Count Reconciliation Quiz

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▼This page is a part of the Perioperative Nursing Curriculum by ECSACONM and SELFPlease see the Intuitive Foundation Terms of Use and do not edit without permission.

Use the quiz below to check your understanding of the material.

Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

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1

During wound closure, the surgeon asks to continue closing while the nurses are still completing the final count. What is the safest response?

Continue closing and complete the count after the dressing is applied
Ask the circulating nurse to complete the count alone to avoid delaying the surgeon
Communicate that the final count is still in progress and must be completed before closure is finished
Document that the surgeon requested closure before the count was complete

2

Which action is part of count reconciliation?

Comparing the physical count with the documented count to confirm that they agree
Opening additional instruments before skin closure
Organizing instruments into functional groups
Performing the baseline count before the first incision

3

During the final count, the scrub nurse and circulating nurse disagree about whether one needle was already counted. What should happen first?

Accept the circulating nurse’s count because it is documented
Accept the scrub nurse’s count because the scrub nurse handles the sterile field
Stop and repeat the affected sharps count together
Wait until the procedure is complete to reconcile the needle

4

Which location should be included during the final count?

Only the instrument table
Only the operative field
Only the sharps counter
All designated locations where countable items may be present, including the sterile field, instrument trays, sharps counters, sponge holders, and designated waste receptacles

5

The final count is correct, but the surgeon does not acknowledge the count status before closure is completed. What should the circulating nurse do?

Assume the surgeon heard the count because it was stated aloud?
Perform another intraoperative count
Document the count as correct and avoid interrupting the team
Use closed-loop communication to repeat the final count status until acknowledged

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Page data
Part of Setting Up the Operating Room - ECSACONM
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Ian-laurel
License CC-BY-SA-4.0
Organizations ECSACONM, SELF
Language English (en)
Related 0 subpages, 1 pages link here
Views 9 page views (analytics)
Created July 13, 2026 by 2600:387:C:6A1B:0:0:0:4
Last edit August 17, 2026 by 128.220.159.182
Cite as "SELF/Perioperative Nursing/Final Counts and Count Reconciliation Quiz". Appropedia. 2026. Retrieved August 24, 2026.
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