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SELF/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 the final count, all sponges, sharps, and instruments have been physically counted, but the documented count does not match the physical count. What should the surgical team conclude?

The final count is complete because every item has been physically reviewed
The discrepancy can be documented after wound closure
Count reconciliation has not been achieved and the discrepancy must be investigated
The surgeon should complete wound closure before repeating the count

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 a final count, the scrub nurse notices that all counts reconcile correctly. What should happen next?

The circulating nurse discards the count sheet
The scrub nurse and circulating nurse communicate the correct final count status to the surgeon before completion of wound closure
The procedure ends without further documentation
Another baseline count is performed

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 scrub nurse and circulating nurse complete the final count and verbally confirm that all counts are correct. What is the next responsibility of the circulating nurse?

Remove all documentation from the operating room
Perform another intraoperative count
Ask the surgeon to verify the documentation
Document the final count status and any additional actions in the patient's surgical record

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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 0 page views (analytics)
Created July 13, 2026 by 2600:387:C:6A1B:0:0:0:4
Last edit July 13, 2026 by StandardWikitext bot
Cite as "SELF/Perioperative Nursing/Final Counts and Count Reconciliation Quiz". Appropedia. 2026. Retrieved July 15, 2026.
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