When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply. *** A. It involves mental discipline & the ability 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.
In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in
your OR suite. The following statements are true: *** 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 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: *** A. A sterile gown and
gloves opened on a table (other than the main instrument table) for closed gloving.
The Joint Commission Universal Protocol consists of: Select all that apply. *** A. Preoperative
verification
B. Surgical site marking
C. Time Out
Which of the following procedures reflects best practice for transferring a medication vial to the sterile
field? *** Use a sterile transfer device
Recommended sponge count procedures include all of the following EXCEPT? *** Counting silently so it
doesn't distract other personnel.
What is the best drape to use for an umbilical hernia repair? *** Laparotomy
,Which of the following statements correctly describes recommendations for preoperative patient skin
antisepsis? *** D. Prep should start at the site of the incision and move outwards.
The following steps can be used to reduce personnel exposure to specimen fixatives such as formalin.
Select all that apply. *** 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 accidental
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 general
anesthesia affecting the patient? *** A. Administration, excitement, intrasurgery, respiratory failure
What responsibilities do OR staff members have in maintaining a safe OR environment? Select all that
apply. *** A. Adhering to facility policies related to safety
B. Consistently applying OR specific safety practices
D. Monitor, identify and report safety hazards.
An important difference between minimally invasive (MIS) and open surgical procedures is that MIS: ***
A. Can be performed through smaller incisions.
The first step in the sterilization process of surgical instruments that have been used in case is: *** A.
Cleaning
The preoperative team implements aseptic technique practices to meet all of the following primary
goals EXCEPT? *** A. Improve patient satisfaction
, When a "Time Out" discrepancy occurs, the nurse's priority action should be to: *** 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
Which of the following statements about the immediate use steam sterilization is the recommended
practice? *** D. Instruments may be immediate use steam sterilized only when there is insufficient time
to process by the preferred wrapped or container method.
What are the perioperative nurses responsibilities for the informed consent process? Select all that
apply. *** B. Act as a witness attesting to the authenticity of the patient's signature; the voluntary
nature of the patient's consent, and that the patient is competent to give consent.
D. Ensure that the surgeon has discussed the proposed intervention and the risks involved with the
patient and the patient has signed the consent.
A __________ is a designated area on the sterile field where the scrub person and the surgeon place all
sharp instruments. *** A. Neutral zone
Which of the following is the best definition of sterile technique? Sterile technique is: *** D.
Implemeted during surgical procedures to prevent microbial contamination
When setting up insufflation equipment for an abdominal endoscopic procedure the preoperative nurse
should: Select all that apply. *** A. Have a backup tank available
C. Verify that the CO2 pressure and supply alarms are on and functioning
Which type of human factor is responsible for an error that occurs when a preoperative nurse is trying
to attend to several tasks at once? *** C. Situational