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A 36-year-old male presents to the operating room for repair of a fractured right medial
malleolus. He weighs 85 kg, does not smoke, and does not take any medications at home.
Which of the following characteristics increases the patient's risk of developing venous
thromboembolism (VTE)?
A. His age
B. His injury
C. His weight
D. His smoking status
B. His injury
Procedure-related VTE risk factors include ankle fracture. The patient is less than 40-years,
does not smoke, and is not obese.
A 47-year-old Spanish-speaking male presents with abdominal pain. He does not speak or
understand English. How should the nurse communicate with the patient?
A. Use a family member to interpret
B. Use a trained medical interpreter
C. Speak loudly and slowly to the patient
D. Ask a bystander to interpret
B. Use a trained medical interpreter
Using a trained medical interpreter decreases errors and misunderstanding of the explanation
of care. Using a family member may cause either the family member or patient to not be
truthful to the care provider due to embarrassment. Using a bystander to interpret is a
violation of HIPAA.
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The Agency for Healthcare Research and Quality (AHRQ) is one of the 12 agencies within the
Department of Health and Human Services (DHHS). They are committed to safety and quality,
effectiveness, and:
A. Equality
B. Culture
C. Public information
D. Efficiency
D. Efficiency
The overall focus of AHRQ activities is: safety and quality, effectiveness, and efficiency. Safety
and quality reduces the risk of harm. Effectiveness improves healthcare outcomes with the use
of research. Efficiency then transforms research into practice.
Aseptic technique is also known as:
A. Clean technique
B. Sterile technique
C. Sterilization
D. Decontamination
A. Clean technique
Aseptic technique refers to clean methods of containing microbial contamination in the
environment. The environment cannot be sterilized.
At the end of the case, loaned instruments should be:
A. Disassembled, cleaned, decontaminated, inspected, and returned to the lending facility
B. Disassembled, cleaned, decontaminated, inspected, sterilized, and returned to the lending
facility
C. Disassembled, decontaminated, sterilized, inspected, reassembled, and returned to the
lending facility
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D. Placed in a biohazard plastic container, sealed, labeled, and returned to the lending facility
A. Disassembled, cleaned, decontaminated, inspected, and returned to the lending facility
Loaned instruments should be disassembled, cleaned, decontaminated, and inspected before
they are returned to the vendor or lending facility. The instruments do not have to be sterilized
as they will have to undergo sterilization at the lending facility.
Autologous bone grafts should be stored at a temperature of:
A. 68F (20C)
B. 32F (0C)
C. -4F (-20C)
D. -112F (-80C)
C. -4F (-20C)
Maintaining storage temperatures within recommended parameters of -4F (-20C) helps ensure
that autografts are maintained in optimal conditions for successful replantation.
Before the patient's discharge and transfer to the surgical unit, the nurse completes a final:
A. Assessment
B. Evaluation
C. Hand-off/hand-over report
D. Standardized scoring
A. Assessment
Before a patient can be discharged, the registered nurse completes a final assessment to verify
patient status for discharge to the next level of care.
The biggest risk associated with the supine position for obese patients is:
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A. Respiratory distress
B. Spinal pressure
C. Foot drop
D. Shearing
A. Respiratory distress
Obese patients have a decreased respiratory reserve and are at an increased risk for rapid
respiratory distress in the supine position.
A body mass index (BMI) equal to or above _______ kg/m is considered obese.
A. 22 kg/m
B. 28 kg/m
C. 30 kg/m
D. 40 kg/m
C. 30 kg/m
A patient is not clinically obese until the BMI is over 30 kg/m. BMI equal to or above 40 kg/m is
considered extremely obese.
Central nervous system (CNS) signs and symptoms of local anesthetic systemic toxicity (LAST)
include:
A. Hypertension
B. Numbness of lips and tongue
C. Respiratory depression
D. Elevated temperature
B. Numbness of lips and tongue
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