Top 20 Interview Questions & Answers for Operating Room Nurses – 2025

Are you preparing for an interview for an operating room nurse position? Look no further. This guide provides a list of 20 essential questions and answers that will help you showcase your skills, experience, and alignment with the company's values. From behavioral questions to situational questions, technical questions, and cultural fit questions, this comprehensive list covers all areas that a hiring manager may want to assess.

General Questions

• 1. Tell me about your experience working as an operating room nurse.
  A: I have been working as an operating room nurse for the past five years. During this time, I have worked in a variety of settings, including hospitals and ambulatory surgery centers, and have assisted in a range of surgical procedures. My experience has allowed me to develop strong critical thinking, problem-solving, and communication skills that are crucial in the operating room setting.
• 2. How do you stay updated on the latest medical advancements and procedures?
  A: As a nurse, I understand the importance of staying updated on the latest medical advancements and procedures. I regularly attend conferences, seminars, and workshops related to my field, and I also keep up with medical journals and publications. Additionally, I am fortunate to work with a team of highly skilled surgeons and nurses who are always open to sharing their knowledge and experience.
• 3. Why do you want to work in our organization?
  A: I have thoroughly researched your organization and have been impressed by its reputation for providing high-quality patient care. I am also drawn to your commitment to continuous learning and professional development, which aligns with my personal values. I am eager to contribute my skills and experiences to such a reputable and dynamic organization.
• 4. How do you handle the stress and pressure of working in a fast-paced environment?
  A: In my experience, working in a fast-paced environment requires effective time management, prioritization, and the ability to remain calm under pressure. I utilize these skills in my daily practice and have found that maintaining open communication with my team and taking breaks when needed also helps me manage stress levels effectively.
• 5. How do you handle conflicts with colleagues or other healthcare professionals?
  A: I believe that effective communication and mutual respect are crucial for resolving conflicts. If a conflict arises, I would listen to the other person's perspective and try to understand their point of view. I would then communicate my concerns calmly and work towards finding a mutually beneficial solution. In my experience, open and respectful communication can often de-escalate conflicts and promote a positive working environment.

Technical Skills & Experience

• 6. What are the key elements of a successful pre-op assessment?
  A: A successful pre-op assessment involves reviewing the patient's medical history, identifying any potential risks, and ensuring that the patient is well-informed and in a stable condition before surgery. It also includes communicating with the patient about their expectations and any concerns they may have.
• 7. How do you ensure proper infection control in the operating room?
  A: Infection control is a top priority in the operating room. I follow strict protocols, such as proper hand hygiene, wearing personal protective equipment, and maintaining a clean and sterile environment. I also educate my patients about the importance of infection control and encourage them to practice good hygiene to prevent post-surgical infections.
• 8. How do you handle emergency situations in the operating room?
  A: In emergency situations, I remain calm and follow the established protocols for handling emergencies. This usually involves calling for additional help, communicating with the surgeon, and taking immediate action to stabilize the patient's condition. I have experience handling various emergency situations and am confident in my ability to act quickly and effectively.
• 9. Can you walk me through the process of preparing an operating room for surgery?
  A: The process of preparing an operating room involves cleaning and sterilizing the room, setting up the necessary equipment and instruments, and ensuring that all supplies are readily available. I also confirm the patient's information, such as their medical history and type of surgery to be performed, and go over the surgical plan with the surgical team.
• 10. How do you ensure patient safety during surgery?
  A: Patient safety during surgery is of utmost importance. I follow strict protocols, such as verifying the patient's identity, ensuring that all surgical instruments and equipment are properly sterilized, and monitoring the patient's vital signs throughout the procedure. I also maintain clear and open communication with the surgical team to ensure that everyone is on the same page throughout the surgery.

Behavioral Questions

• 11. Tell me about a time when you had to think on your feet during a surgery.
  A: During a surgery, the patient's blood pressure suddenly dropped, and their oxygen levels began to decrease rapidly. In that moment, I quickly assessed the situation, communicated with the surgeon, and administered oxygen while the surgeon worked to stabilize the patient's blood pressure. My quick thinking and problem-solving skills helped prevent a potentially serious complication.
• 12. Can you describe a difficult interaction you had with a patient, and how you managed it?
  A: I had a patient who was frightened and anxious about their upcoming surgery. They were uncooperative and refused to follow pre-op instructions. I took the time to listen to their concerns, answer their questions, and provide reassurance, which helped alleviate their anxiety and allowed us to proceed with the surgery smoothly.
• 13. How do you prioritize and delegate tasks during a busy day in the operating room?
  A: Prioritization and delegation are important skills in the operating room. During a busy day, I first assess the urgency and complexity of each task and prioritize accordingly. I also communicate effectively with my team to delegate tasks to the appropriate individuals, keeping in mind everyone's strengths and workload.
• 14. Can you tell me about a mistake you made in the operating room, and how you handled it?
  A: We encountered a complication during a surgery where a surgical instrument was accidentally misplaced in the patient's abdomen. I immediately communicated with the surgeon, and together, we safely removed the instrument. I then reported the incident to my supervisor and participated in a team debrief to identify areas for improvement.

Situational Questions

• 15. How would you handle a patient who is experiencing excessive bleeding during surgery?
  A: In the event of excessive bleeding during surgery, I would immediately alert the surgeon, and together, we would assess the situation, stop the bleeding, and stabilize the patient's condition. If necessary, I would also communicate with the anesthesiologist and other surgical team members to ensure the patient's safety.
• 16. You notice that a surgical instrument is missing during a surgery. What do you do?
  A: In this situation, I would stop the surgery and immediately communicate with the surgeon. I would then conduct a thorough search of the operating room and ensure that all instruments are accounted for before proceeding with the surgery.
• 17. How would you respond if a surgeon became angry and verbally abusive towards you during a surgery?
  A: While it is not acceptable for anyone to behave abusively, I would remain calm and try to defuse the situation by acknowledging the surgeon's concerns and offering solutions. If the situation escalates, I would remove myself from the environment and report the incident to my supervisor.
• 18. What would you do if you noticed a fellow nurse making a medical error in the operating room?
  A: In this situation, I would first communicate with the nurse and offer assistance if needed. If the error is serious and the nurse appears to be flustered, I would calmly alert the surgeon and take appropriate steps to remedy the situation while prioritizing patient safety.

Cultural Fit Questions

• 19. What motivates you to excel in your role as an operating room nurse?
  A: As an operating room nurse, knowing that I am making a positive impact on someone's life is what motivates me. I find fulfillment in helping patients through difficult and vulnerable situations and contributing to the overall success of a surgical procedure.
• 20. How do you maintain a positive and collaborative relationship with your team in a high-pressure environment?
  A: In a high-pressure environment, I prioritize effective communication and collaboration with my team. I make an effort to listen actively, offer support where needed, and recognize and appreciate the contributions of my team members. I also believe in fostering a positive and respectful work culture, where we can learn from each other and grow together.