In preparing for a regulatory survey, your quality consultant questions you about the re-
stricted zone in your OR suite. The following statements are true: - ANSWER A. Air flow in
the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degrees
When applying the concept of surgical conscience which of the following statement should
be considered? Select all that apply. - ANSWER A. It involves mental discipline & the abil-
ity to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
The Joint Commission Universal Protocol consists of: Select all that apply. - ANSWER A.
Preoperative verification
B. Surgical site marking
C. Time Out
You are assigned to relieve a surgical technologist for lunch. You will need: - ANSWER A. A
sterile gown and gloves opened on a table (other than the main instrument table) for closed
gloving.
Which of the following procedures reflects best practice for transferring a medication vial to
the sterile field? - ANSWER D. Use a sterile transfer device
1
,Which of the following practices is recommended for handling of natural absorbable suture?
- ANSWER C. Open the package carefully over a small basin to prevent splashing of the
packaging solution
What is the correct definition of incisional biopsy? - ANSWER D. A small portion of tissue
is incised and sent for examination.
Recommended sponge count procedures include all of the following EXCEPT? - ANSWER
B. Counting silently so it doesn't distract other personnel.
Which of the following methods listed below may prevent mishap, event, or fire from occur-
ring when handling electrosurgical equipment? Select all that apply. - ANSWER A. Allow
enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being
"blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments before
use.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer
include: Select all that apply. - ANSWER A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
What is the best drape to use for an umbilical hernia repair? - ANSWER B. Laparotomy
Which of the following statements reflect the concept of critical thinking? Select all that ap-
ply. - ANSWER C. Informed practice
D. Holistic thinking
E. Unbiased thinking
2
,F. Reasoned application of a step by step process
Which of the following statements correctly describes recommendations for preoperative
patient skin antisepsis? - ANSWER D. Prep should start at the site of the incision and
move outwards.
What are the 3 main factors to consider when assessing the patient for allergies? - AN-
SWER C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. - ANSWER A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where acci-
dental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4 stages of gen-
eral anesthesia affecting the patient? - ANSWER A. Administration, excitement, intrasur-
gery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Se-
lect all that apply. - ANSWER A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant hy-
perthermia should the nurse anticipate and prepare for? - ANSWER B. Provide 100% oxy-
gen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical procedures is
that MIS: - ANSWER A. Can be performed through smaller incisions.
3
, While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of
systemic toxicity related to which of the following patient complaints? Select all that apply. -
ANSWER B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following practices is in-
dicated? - ANSWER B. Position knees over the break in the procedure bed to allow for
knee flexion.
The first step in the sterilization process of surgical instruments that have been used in case
is: - ANSWER A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. - ANSWER C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the following
primary goals EXCEPT? - ANSWER A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? - ANSWER A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - AN-
SWER A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
4
stricted zone in your OR suite. The following statements are true: - ANSWER A. Air flow in
the OR rooms should be cleaned by HEPA filters.
C. Mask are required when open sterile supplies are present.
E. Temperature is maintained between 68 and 75 degrees
When applying the concept of surgical conscience which of the following statement should
be considered? Select all that apply. - ANSWER A. It involves mental discipline & the abil-
ity to speak out
B. It is essential to the delivery of optimal care and prevent harm.
D. Surgical conscience allows for no compromise in the principles of aseptic technique.
The Joint Commission Universal Protocol consists of: Select all that apply. - ANSWER A.
Preoperative verification
B. Surgical site marking
C. Time Out
You are assigned to relieve a surgical technologist for lunch. You will need: - ANSWER A. A
sterile gown and gloves opened on a table (other than the main instrument table) for closed
gloving.
Which of the following procedures reflects best practice for transferring a medication vial to
the sterile field? - ANSWER D. Use a sterile transfer device
1
,Which of the following practices is recommended for handling of natural absorbable suture?
- ANSWER C. Open the package carefully over a small basin to prevent splashing of the
packaging solution
What is the correct definition of incisional biopsy? - ANSWER D. A small portion of tissue
is incised and sent for examination.
Recommended sponge count procedures include all of the following EXCEPT? - ANSWER
B. Counting silently so it doesn't distract other personnel.
Which of the following methods listed below may prevent mishap, event, or fire from occur-
ring when handling electrosurgical equipment? Select all that apply. - ANSWER A. Allow
enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being
"blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments before
use.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer
include: Select all that apply. - ANSWER A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
What is the best drape to use for an umbilical hernia repair? - ANSWER B. Laparotomy
Which of the following statements reflect the concept of critical thinking? Select all that ap-
ply. - ANSWER C. Informed practice
D. Holistic thinking
E. Unbiased thinking
2
,F. Reasoned application of a step by step process
Which of the following statements correctly describes recommendations for preoperative
patient skin antisepsis? - ANSWER D. Prep should start at the site of the incision and
move outwards.
What are the 3 main factors to consider when assessing the patient for allergies? - AN-
SWER C. Prior reaction, heredity, type of reaction
The following steps can be used to reduce personnel exposure to specimen fixatives such as
formalin. Select all that apply. - ANSWER A. Avoid splashing while pouring
C. When pouring wear gloves and a mask.
D. Use absorbent material and then triple rinse with water any area or surface where acci-
dental formalin spillage occurs.
E. Store fixatives securely so they are inaccessible to persons unfamiliar with their use.
After initial administration, which statement below the proper order of the 4 stages of gen-
eral anesthesia affecting the patient? - ANSWER A. Administration, excitement, intrasur-
gery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Se-
lect all that apply. - ANSWER A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
In addition to giving Dantrolene, which of the following treatment options for malignant hy-
perthermia should the nurse anticipate and prepare for? - ANSWER B. Provide 100% oxy-
gen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical procedures is
that MIS: - ANSWER A. Can be performed through smaller incisions.
3
, While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of
systemic toxicity related to which of the following patient complaints? Select all that apply. -
ANSWER B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following practices is in-
dicated? - ANSWER B. Position knees over the break in the procedure bed to allow for
knee flexion.
The first step in the sterilization process of surgical instruments that have been used in case
is: - ANSWER A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. - ANSWER C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the following
primary goals EXCEPT? - ANSWER A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? - ANSWER A. MS
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: - AN-
SWER A. Call the patient's family to make them aware of the situation.
B. Document the "Time Out" discrepancy
C. Notify the manager or administrator
D. Stop the procedure from beginning until the discrepancy is resolved
4
