Top 30 Operating Room Nurse Interview Questions and Answers [Updated 2025]
Andre Mendes
•
March 30, 2025
Preparing for an interview as an Operating Room Nurse can be daunting, but having a clear understanding of what to expect can make all the difference. In this post, we cover the most common interview questions for this critical role, offering insightful example answers and practical tips to help you respond effectively. Get ready to ace your interview with confidence and poise by exploring these essential questions.
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List of Operating Room Nurse Interview Questions
Behavioral Interview Questions
Describe a time when you had to work closely with a surgical team under pressure. How did you ensure effective communication and teamwork?
How to Answer
- 1
Identify a specific situation where you faced pressure in the operating room.
- 2
Highlight your role in the surgical team and the tasks you were responsible for.
- 3
Emphasize communication techniques you used, such as clear instructions and active listening.
- 4
Mention how you supported team members and maintained a positive atmosphere.
- 5
Conclude with the outcome of the situation and what you learned from it.
Example Answers
During a complex surgery, we faced unexpected bleeding. I quickly communicated with the surgeons about the situation, using clear and concise language to relay vital information. I ensured everyone was focused and helped maintain calm by checking in with team members. Ultimately, we managed to stabilize the patient.
How have you maintained and expanded your skills and knowledge as an operating room nurse?
How to Answer
- 1
Regularly attend workshops and refresher courses relevant to OR nursing.
- 2
Stay updated with current best practices by reading professional journals.
- 3
Actively participate in interdisciplinary team meetings to learn from others.
- 4
Engage in simulation training to practice and enhance surgical skills.
- 5
Pursue certification in specialized areas of OR nursing to deepen knowledge.
Example Answers
I maintain my skills by attending annual workshops focused on the latest surgical techniques and participating in online courses that cover new procedures and technologies. I also read nursing journals to stay informed about evidence-based practices.
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Can you give an example of a conflict you had with a colleague in the operating room? How was it resolved?
How to Answer
- 1
Identify a specific conflict situation that was resolved positively
- 2
Focus on your role and actions in resolving the conflict
- 3
Highlight communication as a key part of the resolution
- 4
Mention a positive outcome or lesson learned from the experience
- 5
Keep your tone professional and avoid blaming anyone
Example Answers
In one instance, I disagreed with a colleague about the best approach for a surgical procedure. I suggested we take a moment to discuss our perspectives. We ended up reviewing the patient's history together and found a compromise that worked for us both, ultimately leading to a successful outcome.
Tell me about a time you had to adapt to a sudden change during an operation. How did you handle it?
How to Answer
- 1
Choose a specific situation from your experience.
- 2
Describe the change clearly and concisely.
- 3
Explain the steps you took to adapt to the change.
- 4
Highlight the outcome and any lessons learned.
- 5
Keep your answer focused and relevant to the role.
Example Answers
During a routine appendectomy, we discovered the patient had an unexpected perforation. I quickly communicated with the surgeon, prepared extra supplies, and assisted in the necessary adjustments to the procedure. This led to a successful outcome and reinforced my ability to stay calm under pressure.
Give me an example of how you ensured patient safety during a complex procedure.
How to Answer
- 1
Start with a specific procedure you were involved in.
- 2
Highlight your role and responsibilities during the procedure.
- 3
Explain the safety protocols you followed.
- 4
Mention a specific action you took to mitigate risk.
- 5
Conclude with the positive outcome for the patient.
Example Answers
During a complex cardiac surgery, I was the circulating nurse. I ensured patient safety by verifying the patient's identity and confirming the procedure. I meticulously followed the surgical checklist, and my thorough pre-op assessment identified a potential allergic reaction to a medication, which we addressed before starting. The procedure was successful and the patient recovered well.
Describe a situation where you had to make a quick decision without immediate guidance during surgery.
How to Answer
- 1
Think of a specific surgical scenario where you faced a challenge.
- 2
Describe what the situation was and why a quick decision was needed.
- 3
Explain the decision you made and the rationale behind it.
- 4
Share the outcome of your decision and what you learned.
- 5
Highlight your ability to remain calm and prioritize patient safety.
Example Answers
During a surgery, we encountered unexpected bleeding. I quickly assessed the situation and decided to apply manual pressure while calling for assistance. This helped stabilize the patient until the surgeon could take over. The situation taught me the importance of quick thinking and teamwork.
Describe a situation where you had to take charge in the operating room. What actions did you take?
How to Answer
- 1
Choose a specific example from your experience.
- 2
Highlight the urgency of the situation and your response.
- 3
Explain how you communicated with the team.
- 4
Describe the results of your actions.
- 5
Reflect on what you learned from the experience.
Example Answers
During a complex surgery, I noticed that the surgeon was running behind on time. I took charge by coordinating with the surgical techs to ensure we had all necessary instruments ready. I communicated directly with the anesthesia team to keep them informed. This streamlined the process, and we completed the surgery on time, which improved the flow for the rest of the operations that day.
How do you prioritize tasks in a fast-paced operating room environment?
How to Answer
- 1
Assess the urgency and importance of each task immediately upon entering the OR.
- 2
Communicate with the surgical team to understand their priorities and needs.
- 3
Utilize checklists to ensure that critical tasks are not overlooked.
- 4
Stay flexible and be prepared to adjust priorities as the situation changes.
- 5
Continuously monitor the patient's status and respond to any immediate needs.
Example Answers
In a fast-paced OR, I prioritize tasks by first assessing the surgical team’s immediate needs and using a checklist to verify essential equipment is ready. This helps ensure that nothing crucial is overlooked during the procedure.
Can you provide an example of an initiative you took to improve processes in the operating room?
How to Answer
- 1
Identify a specific problem you noticed in the operating room.
- 2
Describe the initiative you introduced to address that problem.
- 3
Explain the outcome of your initiative and how it improved efficiency or safety.
- 4
Highlight any collaboration with team members to implement the change.
- 5
Use metrics or feedback to demonstrate the success of your initiative.
Example Answers
In my previous role, I noticed that instrument sterilization delays were affecting surgery start times. I initiated a checklist for pre-surgical setup that included instrument preparation, which reduced delays by 30%.
Tell me about a time you provided emotional support to a patient's family in a difficult situation.
How to Answer
- 1
Describe a specific situation clearly and concisely.
- 2
Focus on the emotions of the family and how you recognized their needs.
- 3
Explain the actions you took to provide support.
- 4
Reflect on the impact of your actions on the family.
- 5
Conclude with what you learned from that experience.
Example Answers
I recall a situation where a patient's family was distressed after surgery. I noticed they were anxious and sitting alone. I approached them, introduced myself, and offered them a quiet space to talk about their concerns. I listened attentively and reassured them about their loved one's recovery. They expressed gratitude later, and it taught me the importance of being present for families during tough times.
Don't Just Read Operating Room Nurse Questions - Practice Answering Them!
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Technical Interview Questions
What is your process for ensuring that all surgical instruments are properly sterilized and accounted for before a procedure?
How to Answer
- 1
Review the sterilization protocols before each procedure
- 2
Conduct a thorough count of instruments with the surgical team
- 3
Double-check the packaging for indicators of sterilization
- 4
Utilize a checklist to track the instruments throughout the process
- 5
Communicate clearly with the team about any discrepancies or concerns
Example Answers
I start by reviewing the sterilization protocols to ensure compliance. Before the procedure, I lead a count of all instruments with the surgical team, double checking that they are all sterilized and properly packaged. I use a checklist to cross-reference everything and keep communication open about any missing items.
What steps do you take to ensure safe and accurate blood transfusion during surgery?
How to Answer
- 1
Confirm patient identity using two identifiers before starting the transfusion
- 2
Check blood compatibility, reviewing the blood type and crossmatch results
- 3
Inspect the blood bag for any leaks or abnormalities before administration
- 4
Administer blood products gently and monitor the patient closely for reactions
- 5
Document the transfusion details in the patient's records immediately after administration.
Example Answers
I always verify the patient’s identity using two identifiers, check the compatibility of the blood with the patient's type, and inspect the blood bag for any issues before starting the transfusion. Once begun, I monitor for any adverse reactions closely.
Don't Just Read Operating Room Nurse Questions - Practice Answering Them!
Reading helps, but actual practice is what gets you hired. Our AI feedback system helps you improve your Operating Room Nurse interview answers in real-time.
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How do you coordinate with the anesthesiologist to ensure the patient is properly monitored during surgery?
How to Answer
- 1
Establish clear communication before the surgery starts
- 2
Discuss the specific monitoring equipment to be used
- 3
Confirm the patient's baseline vitals and any concerns
- 4
Monitor patient status actively and alert the anesthesiologist of any changes
- 5
Maintain a collaborative approach throughout the procedure
Example Answers
Before the surgery, I coordinate with the anesthesiologist to review the patient’s history and establish how we will use the monitoring equipment. During the operation, I continuously monitor the patient’s vitals and keep the anesthesiologist informed of any changes.
What vital signs do you monitor during surgery and how do you respond to changes?
How to Answer
- 1
List key vital signs: heart rate, blood pressure, oxygen saturation, temperature.
- 2
Explain the significance of each vital sign during surgery.
- 3
Describe the tools used for monitoring these signs.
- 4
Discuss your immediate response to any abnormal readings.
- 5
Emphasize teamwork and communication with the surgical team.
Example Answers
During surgery, I monitor heart rate, blood pressure, oxygen saturation, and temperature. Heart rate indicates the patient's cardiac response to anesthesia, while blood pressure helps assess perfusion. I use a multi-parameter monitor to track these signs and if I notice a drop in blood pressure, I quickly inform the surgeon and prepare to administer fluids.
What is your experience with administering medications in the operating room? How do you ensure accuracy?
How to Answer
- 1
Describe your relevant experience with medication administration in the OR.
- 2
Explain the protocols you follow to ensure accuracy when giving medications.
- 3
Mention specific tools or systems you use, like medication charts or electronic systems.
- 4
Highlight the importance of communication with the surgical team about medications.
- 5
Provide an example of a time you ensured accuracy in a challenging situation.
Example Answers
In my previous role, I administered medications during over 100 surgeries, consistently following the five rights of medication administration. I double-check each medication against the MAR and communicate with the anesthesiologist about any changes.
What factors do you consider when transitioning a patient from surgery to post-operative care?
How to Answer
- 1
Assess the patient's vital signs and stability.
- 2
Check the type and extent of surgery performed.
- 3
Evaluate anesthesia recovery and potential complications.
- 4
Communicate with the surgical team about specific patient needs.
- 5
Prepare a post-operative care plan that includes pain management.
Example Answers
I consider the patient's vital signs to ensure they are stable before transferring. It's crucial to know the type of surgery and any expected complications so that we can manage their care effectively.
What are the key steps you take to prevent infection in the operating room?
How to Answer
- 1
Emphasize strict adherence to hand hygiene protocols.
- 2
Discuss the importance of proper sterilization of instruments.
- 3
Mention the use of appropriate surgical attire and personal protective equipment.
- 4
Highlight the role of controlling the operating room environment, including airflow and temperature.
- 5
Talk about conducting thorough pre-operative checks and patient screening.
Example Answers
I ensure strict hand hygiene by washing and sanitizing hands before and after every patient interaction. I also make sure instruments are properly sterilized following established protocols.
Can you walk us through the preparation steps you take before a cardiac surgery?
How to Answer
- 1
Start by reviewing the patient's medical history and surgical checklist.
- 2
Ensure all necessary equipment is sterile and ready for use.
- 3
Confirm the surgical team members and their roles.
- 4
Communicate with the anesthesiologist regarding the patient’s condition and anesthesia plan.
- 5
Check and verify all medications and blood products that will be needed during the surgery.
Example Answers
Before a cardiac surgery, I review the patient's medical history and ensure all documents are in order. I also check that all surgical tools are sterile and laid out. I confirm with the surgical team and ensure clear roles are assigned to each member.
What is your process for documenting surgical procedures and any incidents that occur?
How to Answer
- 1
Use a standardized form for documentation to ensure consistency
- 2
Document in real-time to capture accurate details
- 3
Include all relevant information such as time, events, and personnel involved
- 4
Be clear and concise to maintain readability and understanding
- 5
Review documentation for completeness before the end of the shift
Example Answers
I follow a standardized documentation protocol that allows me to capture all the essential details in real-time during the procedure, ensuring accuracy. This includes noting the time of the procedure, the specific tasks completed, any incidents that occurred, and the team members present. Before my shift ends, I also review my notes for completeness and clarity.
Can you outline the protocol you follow during a code blue in the operating room?
How to Answer
- 1
Stay calm and assess the situation quickly
- 2
Notify the surgical team and call for help
- 3
Ensure the patient's safety and secure the area
- 4
Prepare necessary equipment and medications
- 5
Participate actively in the resuscitation efforts as assigned
Example Answers
In a code blue, I first assess the patient's condition, then immediately notify the surgical team and call for help. I make sure the area is safe and clear, and I prepare the necessary equipment like the crash cart and medications. I focus on my assigned role, whether it's assisting with compressions or readying the airway.
Don't Just Read Operating Room Nurse Questions - Practice Answering Them!
Reading helps, but actual practice is what gets you hired. Our AI feedback system helps you improve your Operating Room Nurse interview answers in real-time.
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Situational Interview Questions
A surgery results in an unexpected outcome. How do you communicate this with the surgical team and family?
How to Answer
- 1
Stay calm and composed while delivering the message
- 2
Use clear and straightforward language to avoid misunderstandings
- 3
Address the surgical team first to discuss the outcome together
- 4
Provide factual information and avoid speculation
- 5
Invite questions from the family and be prepared to listen and support them emotionally
Example Answers
After the unexpected outcome, I first gathered the surgical team to discuss what happened clearly and factually, ensuring everyone was on the same page before speaking to the family. Then, I approached the family, explained the situation using simple language, and let them know we were here to support them and answer any questions they might have.
You need to coordinate with various departments for a complex surgery. How would you ensure effective communication?
How to Answer
- 1
Identify key departments involved in the surgery: scheduling, anesthesia, and the surgical team.
- 2
Establish a communication plan that includes regular updates and check-ins.
- 3
Use clear and concise language to avoid misunderstandings.
- 4
Utilize tools like shared digital platforms or whiteboards to keep everyone informed.
- 5
Encourage feedback and ensure there is a point of contact in each department.
Example Answers
I would first identify all departments involved in the surgery and create a communication plan that includes regular updates via a shared digital platform. This way, everyone can track progress and raise any issues as needed.
Don't Just Read Operating Room Nurse Questions - Practice Answering Them!
Reading helps, but actual practice is what gets you hired. Our AI feedback system helps you improve your Operating Room Nurse interview answers in real-time.
Personalized feedback
Unlimited practice
Used by hundreds of successful candidates
A patient suddenly shows signs of distress during surgery. What steps would you take to assist the surgeon and ensure the patient's safety?
How to Answer
- 1
Stay calm and assess the situation quickly.
- 2
Communicate clearly with the surgeon and the surgical team.
- 3
Monitor the patient's vital signs and provide necessary support.
- 4
Prepare emergency tools or medications as needed.
- 5
Document the incident and actions taken for the medical record.
Example Answers
First, I would remain calm and assess the patient's vital signs while informing the surgeon of any significant changes. I would provide necessary assistance such as handing over instruments or medications to stabilize the patient.
What would you do if a critical piece of equipment failed during an operation?
How to Answer
- 1
Stay calm and assess the situation quickly
- 2
Communicate the issue to the surgical team immediately
- 3
Follow the established protocols for equipment failure
- 4
Prepare to use backup equipment if available
- 5
Document the incident for future reference
Example Answers
If a critical piece of equipment fails, I would first remain calm and assess what specifically isn't working. I would immediately inform the surgeon and the rest of the team so they are aware. Then, I'd follow our protocol for such situations, which might involve switching to backup equipment or adjusting our approach to continue safely. I would document what happened to ensure that we can address it later.
During a high-stress procedure, a surgeon's instructions are unclear. How do you handle this to ensure patient safety?
How to Answer
- 1
Stay calm and focused to maintain a clear mind.
- 2
Politely ask the surgeon to clarify their instructions while ensuring the procedure continues safely.
- 3
Repeat back what you understood to confirm and avoid miscommunication.
- 4
Suggest a brief pause if necessary to clarify the situation, prioritizing patient safety.
- 5
Keep communication open with the entire surgical team to ensure everyone is on the same page.
Example Answers
I would remain calm and quickly ask the surgeon to clarify their instructions, repeating back what I understood to ensure we are aligned. If necessary, I would suggest a brief pause to focus on clarity without compromising patient safety.
You observe another nurse compromising on sterile techniques. What would you do in this situation?
How to Answer
- 1
Assess the situation quickly and ensure patient safety is not at risk.
- 2
Address the issue immediately if safe to do so, using a calm and respectful approach.
- 3
Discuss the sterile technique directly with the nurse involved, emphasizing the importance of compliance.
- 4
If the behavior persists, report the incident to a supervisor or manager as per protocol.
- 5
Reflect on the entire process to learn for future incidents and improve team communication.
Example Answers
I would first ensure that patient safety is not compromised and then address the nurse directly in a respectful way, pointing out the specific sterile technique that was overlooked.
You've been asked to take on the role of scrub nurse for a procedure you're not familiar with. How would you prepare?
How to Answer
- 1
Research the specific procedure beforehand to understand its steps and requirements
- 2
Review the surgeon's preferences and the instruments typically used
- 3
Talk to experienced scrub nurses or surgical teams for tips and insights
- 4
Practice setting up the sterile field with the necessary instruments and supplies
- 5
Stay organized and calm, ready to ask questions if unsure during the procedure.
Example Answers
I would start by researching the procedure to understand the key steps and instruments involved. Additionally, I would reach out to a colleague who has experience with the surgery to ask for tips and the surgeon's specific preferences.
How would you handle a situation where you believe the patient's best interests are not being considered?
How to Answer
- 1
Assess the situation carefully and gather relevant information.
- 2
Communicate your concerns clearly to the appropriate team member.
- 3
Advocate for the patient by voicing their needs and preferences.
- 4
Document your concerns and any actions taken.
- 5
Follow up to ensure the issue is addressed and the patient's best interests are prioritized.
Example Answers
If I notice that a patient's concerns are overlooked, I would first gather all relevant information about the case. Then, I would communicate my concerns to the head nurse and discuss the patient's wishes. It's essential to ensure the patient's voice is heard and respected.
How would you handle a situation where there is a disagreement between a surgeon and another member of the surgical team during a procedure?
How to Answer
- 1
Stay calm and listen to both parties' concerns without taking sides.
- 2
Intervene only if necessary and ensure patient safety is the priority.
- 3
Encourage open communication in a respectful manner.
- 4
Suggest a quick pause to allow all team members to express their views.
- 5
If the disagreement continues, seek the input of a senior surgeon or supervisor discreetly.
Example Answers
In such a situation, I would first listen to both the surgeon and the other team member to understand their perspectives. If I notice the disagreement is affecting the procedure, I would suggest a brief pause to clarify the issues, always keeping patient safety as the top priority.
Describe how you would handle a situation where multiple surgeries are running behind schedule.
How to Answer
- 1
Assess the situation quickly to understand the reasons for the delays
- 2
Communicate openly with the surgical team and other departments involved
- 3
Prioritize urgent surgeries based on patient needs and clinical urgency
- 4
Keep patients informed about their surgery schedules and any delays
- 5
Implement strategies for improving efficiency in future surgeries
Example Answers
In this situation, I would quickly assess the reasons for the delays, such as equipment issues or staffing shortages. Then, I would communicate with the surgical team to prioritize surgeries based on urgency, ensuring the most critical cases are handled first. I would also keep patients updated on their expected wait times to manage their expectations.
Don't Just Read Operating Room Nurse Questions - Practice Answering Them!
Reading helps, but actual practice is what gets you hired. Our AI feedback system helps you improve your Operating Room Nurse interview answers in real-time.
Personalized feedback
Unlimited practice
Used by hundreds of successful candidates
Operating Room Nurse Position Details
Salary Information
Average Salary
$59,850
Source: Indeed
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Aya Healthcare
www.ayahealthcare.com/nursing-jobs/or-nurse-jobs/CareerBuilder
www.careerbuilder.com/jobs-operating-room-nurseZipRecruiter
www.ziprecruiter.com/Jobs/Operating-Room-Nurse/These job boards are ranked by relevance for this position.
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