1.
During a laparoscopic appendectomy, the appendix is perforated, and contents begin spilling into the
abdomen. Which of the following should the surgical technologist anticipate as the NEXT step?
A.
Suction the fluid from the abdomen.
B.
Continue removing the appendix as planned.
C.
Place a Kelly clamp over the perforation.
D.
Close the wound and terminate the procedure. - answercorrect answer A
EXPLANATIONS:
A. Suctioning the fluid from the abdomen as soon as possible will help limit postoperative complications
such as infection or peritonitis.
B. Continuing with the operation as planned will cause an increase in the possibility of postoperative
complications.
C. Placing a Kelly clamp over the perforation is a step that could only be performed during an open
procedure. It is not possible to do this during a laparoscopic procedure.
D. Closing the wound would not be an option because the appendix still needs to be removed and
termination of the procedure is not necessary due to perforation alone.
,REFERENCE(S):
Surgical Technology: Principles and Practice, 2018, 7th Edition, Joanna Kotcher Fuller: pg. 532
2.
A carotid endarterectomy has just been finished and the dressing is on. The surgical technologist begins
removing all sharps and non-disposables from the drapes before pushing everything back. According to
best practice, which of the following should be the NEXT step?
A.
Push the back table, mayo, and basin back and tear it down.
B.
Pull the drapes off and put them on the back table in case they are needed again.
C.
Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU.
D.
Leave the back table, mayo, and basin close to patient in case they are needed again. - answercorrect
answer C
EXPLANATIONS:
A. Set up should not be torn down until the vascular patient leaves the room.
B. The back table must remain sterile until the vascular patient leaves the room. This would contaminate
the table.
C. The back table must remain sterile until the vascular patient leaves the room.
,D. Set up should be moved away from the patient to prevent contamination.
REFERENCE(S):
Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017, 5th Ed: pg. 375
3.
Which of the following should be prepared for a mastoid dressing?
A.
several squared gauze sponges
B.
rolled gauze and an abdominal pad
C.
several fluffed sponges and rolled gauze
D.
gauze sponges and a Velcro strap - answercorrect answer C
EXPLANATIONS:
A. Using only squared gauze sponges is not bulky or compatible for this area of the body.
B. Rolled gauze is used however, an abdominal pad is primarily for pressure dressings to eliminate dead
space.
C. Complex ear procedures require the use of a mastoid dressing, the surgical technologist will prepare
several fluffed sponges along with Kerlix and/or Kling (rolled gauze).
, D. Gauzed sponges would need to be fluffed and a Velcro strap is used for a Glasscock but not necessary
for the mastoid dressing.
REFERENCE(S):
Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017, 5th Ed: pg. 632
Surgical Technology: Principles and Practice, 2018, 7th Edition, Joanna Kotcher Fuller: pg. 674
4.
Which of the following is the FIRST step in applying the pneumatic tourniquet?
A.
wrapping the limb sequentially with an Esmarch bandage from distal to proximal
B.
applying the pneumatic tourniquet to the limb and immediately inflating it
C.
prepping the limb with ChloraPrep, including the determined location of the tourniquet
D.
padding the limb where the tourniquet is to be wrapped with Webril - answercorrect answer D
EXPLANATIONS:
A. The Esmarch bandage is not applied until the Webril and tourniquet have been placed in the
appropriate positions, as well as completion of prep.
B. The tourniquet cannot be placed on the limb until Webril or another soft bandaging material is
applied. Inflation of the tourniquet must wait until the Esmarch bandage has been applied for
exsanguination.
During a laparoscopic appendectomy, the appendix is perforated, and contents begin spilling into the
abdomen. Which of the following should the surgical technologist anticipate as the NEXT step?
A.
Suction the fluid from the abdomen.
B.
Continue removing the appendix as planned.
C.
Place a Kelly clamp over the perforation.
D.
Close the wound and terminate the procedure. - answercorrect answer A
EXPLANATIONS:
A. Suctioning the fluid from the abdomen as soon as possible will help limit postoperative complications
such as infection or peritonitis.
B. Continuing with the operation as planned will cause an increase in the possibility of postoperative
complications.
C. Placing a Kelly clamp over the perforation is a step that could only be performed during an open
procedure. It is not possible to do this during a laparoscopic procedure.
D. Closing the wound would not be an option because the appendix still needs to be removed and
termination of the procedure is not necessary due to perforation alone.
,REFERENCE(S):
Surgical Technology: Principles and Practice, 2018, 7th Edition, Joanna Kotcher Fuller: pg. 532
2.
A carotid endarterectomy has just been finished and the dressing is on. The surgical technologist begins
removing all sharps and non-disposables from the drapes before pushing everything back. According to
best practice, which of the following should be the NEXT step?
A.
Push the back table, mayo, and basin back and tear it down.
B.
Pull the drapes off and put them on the back table in case they are needed again.
C.
Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU.
D.
Leave the back table, mayo, and basin close to patient in case they are needed again. - answercorrect
answer C
EXPLANATIONS:
A. Set up should not be torn down until the vascular patient leaves the room.
B. The back table must remain sterile until the vascular patient leaves the room. This would contaminate
the table.
C. The back table must remain sterile until the vascular patient leaves the room.
,D. Set up should be moved away from the patient to prevent contamination.
REFERENCE(S):
Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017, 5th Ed: pg. 375
3.
Which of the following should be prepared for a mastoid dressing?
A.
several squared gauze sponges
B.
rolled gauze and an abdominal pad
C.
several fluffed sponges and rolled gauze
D.
gauze sponges and a Velcro strap - answercorrect answer C
EXPLANATIONS:
A. Using only squared gauze sponges is not bulky or compatible for this area of the body.
B. Rolled gauze is used however, an abdominal pad is primarily for pressure dressings to eliminate dead
space.
C. Complex ear procedures require the use of a mastoid dressing, the surgical technologist will prepare
several fluffed sponges along with Kerlix and/or Kling (rolled gauze).
, D. Gauzed sponges would need to be fluffed and a Velcro strap is used for a Glasscock but not necessary
for the mastoid dressing.
REFERENCE(S):
Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017, 5th Ed: pg. 632
Surgical Technology: Principles and Practice, 2018, 7th Edition, Joanna Kotcher Fuller: pg. 674
4.
Which of the following is the FIRST step in applying the pneumatic tourniquet?
A.
wrapping the limb sequentially with an Esmarch bandage from distal to proximal
B.
applying the pneumatic tourniquet to the limb and immediately inflating it
C.
prepping the limb with ChloraPrep, including the determined location of the tourniquet
D.
padding the limb where the tourniquet is to be wrapped with Webril - answercorrect answer D
EXPLANATIONS:
A. The Esmarch bandage is not applied until the Webril and tourniquet have been placed in the
appropriate positions, as well as completion of prep.
B. The tourniquet cannot be placed on the limb until Webril or another soft bandaging material is
applied. Inflation of the tourniquet must wait until the Esmarch bandage has been applied for
exsanguination.
