Top 20 Interview Questions & Answers for Operating Room Registered Nurse – 2025

Preparing for an operating room registered nurse (OR RN) job interview? This guide provides a list of essential questions and answers that will help you showcase your clinical skills, critical thinking abilities, and experience working in a fast-paced surgical environment. Whether you’re applying for a role as an OR RN, scrub nurse, or circulator, these questions cover all key areas of the job.

General Questions

• 1. Tell us about your experience as an OR RN.
  As an OR RN, I have been responsible for preparing patients for surgeries, assisting surgeons during procedures, and monitoring patient vital signs and condition throughout the operation. I have worked in both outpatient and inpatient settings, and have experience with various surgical specialties including orthopedics, general surgery, and neurosurgery.
• 2. How do you prioritize tasks in a fast-paced surgical environment?
  In an OR, time management is crucial. I prioritize tasks based on the urgency of patient needs, the length of the surgical procedure, and the availability of resources. I also communicate with the surgical team to ensure everyone is on the same page and working efficiently.
• 3. How do you handle a difficult or challenging patient?
  I remain calm and professional in challenging situations and try to understand the root cause of the patient's behavior. I use effective communication techniques and utilize my conflict resolution skills to de-escalate the situation and provide the necessary care to the patient.

Behavioral Questions

• 4. Tell us about a time when you had to make a difficult decision in the operating room.
  During a complex neurosurgery, one of the pieces of equipment malfunctioned, and we had to decide whether to pause the surgery and wait for a replacement or continue using a backup instrument. I consulted with the surgeon and other team members and made the decision to continue the surgery with the backup instrument, which ultimately resulted in a successful outcome for the patient.
• 5. Give an example of a time when you had to work under pressure in the OR.
  During an emergency surgery, the patient's condition deteriorated rapidly, and we had to act quickly to stabilize them. I remained calm and focused, following proper protocols and communicating with the team. We were able to successfully stabilize the patient and complete the surgery without any complications.

Situational Questions

• 6. How would you handle a situation where a surgical team member was not following proper infection control protocols?
  I would approach the team member privately and respectfully remind them of the importance of infection control protocols in ensuring patient safety. If the behavior continued, I would escalate the issue to the appropriate authority, as patient safety is our top priority in the OR.
• 7. What would you do if a surgeon unexpectedly changed the surgical plan during a procedure?
  I would remain calm and communicate with the surgical team to ensure everyone is aware of the change and understands their role. I would also provide support to the surgeon and adapt to the new plan, while also keeping a close eye on the patient's vital signs and condition.

Technical Questions

• 8. What experience do you have with sterile techniques?
  I am familiar with the principles of sterile technique and have experience maintaining a sterile field during surgeries. I have also received training in proper handwashing, gowning, and gloving techniques to prevent the introduction of bacteria into the surgical environment.
• 9. Describe your experience with administering anesthesia in the OR.
  As an OR RN, I have assisted with the administration of both general and local anesthesia for various surgical procedures. I am familiar with the equipment and safety protocols involved, and have experience monitoring patients during anesthesia and assisting with recovery afterwards.

Cultural Fit Questions

• 10. What values do you prioritize in your nursing practice?
  I prioritize patient safety, empathy, and teamwork in my nursing practice. I believe in treating every patient with dignity and respect, and working collaboratively with the entire healthcare team to provide the best possible care.
• 11. How do you handle conflicts with colleagues?
  I believe in open and honest communication to resolve conflicts in a professional manner. I also value the opinions and perspectives of my colleagues, and am always willing to listen and find a mutually beneficial solution.

Technical Skills & Experience

• 12. How do you handle a surgical equipment malfunction during a procedure?
  If possible, I would troubleshoot the issue and quickly find a solution to get the equipment functioning again. If not feasible, I would communicate with the surgical team and pause the procedure while waiting for a backup equipment or alternative solution.
• 13. How do you prepare patients for surgery in terms of physical and psychological comfort?
  I ensure that patients are well-informed about the procedure and have all their questions answered. I also provide emotional support and reassurance, and make sure physical needs such as pain management and sanitation are addressed before surgery.
• 14. How do you handle post-operative patient care?
  I monitor patients closely for any signs of complications, and provide necessary interventions such as medication administration and wound care. I also educate patients on post-operative self-care and follow up with them to monitor their recovery.
• 15. What measures do you take to prevent surgical site infections?
  I follow proper infection control protocols, such as wearing appropriate personal protective equipment, maintaining a sterile field, and adequately disinfecting surgical equipment. I also educate patients on how to reduce the risk of infection post-surgery.

Behavioral Questions

• 16. Give an example of a time when you had to communicate important information to a patient's family member.
  A patient's family member was anxious about their loved one's surgery and wanted frequent updates. I stayed in regular communication with the family member, providing updates and answering their questions calmly and reassuringly. This helped ease their anxiety and build trust with them.
• 17. Tell us about a time when you had to advocate for a patient's rights in the OR.
  During a surgery, the patient was not receiving proper pain management, and the surgeon was reluctant to increase the dosage. I advocated for the patient's rights and consulted with the anesthesiologist to administer the appropriate pain medication. The patient's pain was relieved, and the surgery was completed successfully.

Situational Questions

• 18. How would you handle a situation where a patient is experiencing a severe adverse reaction to anesthesia?
  I would follow emergency protocols and communicate with the anesthesiologist and other team members. I would also monitor the patient's vital signs closely and provide supportive care until the reaction subsides.
• 19. What would you do if a surgeon was not following proper patient safety protocols in the OR?
  I would respectfully remind the surgeon of the importance of following protocols for the safety of the patient. If the behavior persists, I would escalate the issue to the appropriate authority and ensure the necessary steps are taken to ensure patient safety.

Cultural Fit Questions

• 20. What motivated you to become an OR RN?
  I have always been interested in the fast-paced and challenging environment of the OR. I am passionate about helping patients through their surgical journey and ensuring their safety and comfort during this vulnerable time. I am also constantly learning and honing my skills as a nurse, which makes this role fulfilling for me.