Test Bank Differentiating Surgical Instruments, 4th Edition by Colleen J. Rutherford | Complete Chapters (Ch 1 to 13)
Chapter 1: Instruments, Care of Instruments, and Setup Guidelines
Multiple Choice
1. Which part of the instrument that determines the overall length of the instrument?
a. Screw joint
b. Blade
c. Shank
d. Tip
ANS: c
DIF: Medium
2. Another name for the box lock is:
a. Hinge joint
b. Screw joint
c. Shank
d. Finger ring
ANS: a
DIF: Medium
3. A camera would fall into which classification of instruments?
a. Retracting and exposing
b. Accessory
c. Probing and dilating
d. Viewing
ANS: d
DIF: Easy
4. Most surgical instruments are made of:
a. Bronze
b. Titanium
c. Stainless steel
d. Aluminum
ANS: c
DIFF: Easy
5. A black finish on an instrument makes it safer to use with a(n):
a. laser.
b. electrocautery pencil.
c. endoscope.
d. camera.
ANS: a
DIFF: Medium
6. Instruments that are used to remove fluid, blood and debris from the surgical site are classified
as:
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
,a. Probing and dilating
b. Clamping and occluding
c. Retracting and exposing
d. Suctioning and aspirating
ANS: d
DIFF: Easy
7. During the case, instruments should be wiped clean or placed in a soaking basin containing:
a. Saline
b. Tap water
c. Sterile water
d. Hydrogen peroxide
ANS: c
DIF: Medium
8. Cold or chemical sterilization is not recommended for instruments with:
a. Tungsten carbide tips
b. Stainless steel shanks
c. Stainless steel tips
d. Supercut blades
ANS: a
DIF: Hard
9. Tissue, blood, or debris on instruments is referred to as:
a. Biomolecules
b. Bioburden
c. Biodegradeable
d. Biomess
ANS: b
DIFF: Medium
10. You are setting up a case and notice the blades on the Metzenbaum scissors are slightly
misaligned. What do you do?
a. Keep setting up and hope no one notices, as time is of the essence.
b. Remove them from the field and ask for a new one.
c. Say nothing; it is only a “slight” misalignment.
d. Toss them on the floor and tell the Circulator you need a new one.
ANS: b
DIF: Easy
11. When cleaning up after a case, heavy instruments should never be placed:
a. On the bottom of the tray
b. Beside other heavy instruments
c. On top of more delicate instruments
d. In their special containers (if they have one)
ANS: c
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
,DIF: Medium
12. The most common method of sterilization is:
a. Steam under pressure
b. Immediate use
c. Cold chemical
d. Radiation
ANS: a
DIF: Easy
13. A Dynamic Air Removal sterilizer is more commonly known as a:
a. Flash sterilizer
b. Prevacuum sterilizer
c. Gravity displacement sterilizer
d. Immediate use sterilizer
ANS: b
DIF: Hard
14. When using glutaraldehyde to sterilize an instrument, the instrument must soak in it for
______________ to be deemed sterile.
a. 20 minutes
b. 60 minutes
c. 4 hours
d. 10 hours
ANS: d
DIF: Hard
15. You are scrubbed on a total hip and one of the implants get contaminated. The circulator
goes out to look for another one and comes back saying that is the last one of that size that they
have available in the OR. What do you do?
a. Tell the surgeon to cancel the surgery and start picking up your instruments.
b. Sterilize it using immediate use sterilization with an indicator tape in the pan.
c. Sterilize it using immediate use sterilization with a biological monitoring device in the pan.
d. Tell the surgeon to use another size implant.
ANS: c
DIF: Medium
16. You are assigned to scrub a laparoscopic cholecystectomy. When should you begin to set up
your sterile field?
a. 2 hours prior to the case
b. As close to the start of the case as possible
c. 3 hours prior to the case
d. 2 hours prior to the case and cover it with a sterile sheet
ANS: b
DIF: Medium
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
, 17. You are scrubbed on an exploratory laparotomy. When should you ask for your dressing
material?
a. At the beginning of the case
b. In the middle of the case
c. At the end of the case
d. While you are setting up
ANS: c
DIF: Medium
18. You are scrubbed on a laparoscopic appendectomy. Which instrument would NOT be placed
on your Mayo stand to begin the case, due to limited space?
a. Scalpel handle with blade
b. Superficial retractor
c. Trocars
d. Deep retractor
ANS: d
DIF: Easy
19. When setting up your sterile field, where should you place the basins and medicine cups ?
a. Near the middle of the back table
b. Near the back of the table, away from the circulator
c. Near the edge of the table so the circulator can pour without reaching over the table
d. In the middle of the Mayo stand
ANS: c
DIF: Easy
20. Forceps consist of __________ parts.
a. 3
b. 4
c. 5
d. 6
ANS: c
DIF: Hard
Short Answer
21. Name two categories which contain ringed instruments.
ANS: clamping and occluding, grasping and holding, suturing
DIF: Medium
22. List four parts of a ringed instrument.
ANS: tips, jaws, box lock, shank, ratchet, finger rings
DIF: Medium
23. What is the function of the joint on a forceps?
ANS: Holding the forceps open until they are compressed
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
Chapter 1: Instruments, Care of Instruments, and Setup Guidelines
Multiple Choice
1. Which part of the instrument that determines the overall length of the instrument?
a. Screw joint
b. Blade
c. Shank
d. Tip
ANS: c
DIF: Medium
2. Another name for the box lock is:
a. Hinge joint
b. Screw joint
c. Shank
d. Finger ring
ANS: a
DIF: Medium
3. A camera would fall into which classification of instruments?
a. Retracting and exposing
b. Accessory
c. Probing and dilating
d. Viewing
ANS: d
DIF: Easy
4. Most surgical instruments are made of:
a. Bronze
b. Titanium
c. Stainless steel
d. Aluminum
ANS: c
DIFF: Easy
5. A black finish on an instrument makes it safer to use with a(n):
a. laser.
b. electrocautery pencil.
c. endoscope.
d. camera.
ANS: a
DIFF: Medium
6. Instruments that are used to remove fluid, blood and debris from the surgical site are classified
as:
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
,a. Probing and dilating
b. Clamping and occluding
c. Retracting and exposing
d. Suctioning and aspirating
ANS: d
DIFF: Easy
7. During the case, instruments should be wiped clean or placed in a soaking basin containing:
a. Saline
b. Tap water
c. Sterile water
d. Hydrogen peroxide
ANS: c
DIF: Medium
8. Cold or chemical sterilization is not recommended for instruments with:
a. Tungsten carbide tips
b. Stainless steel shanks
c. Stainless steel tips
d. Supercut blades
ANS: a
DIF: Hard
9. Tissue, blood, or debris on instruments is referred to as:
a. Biomolecules
b. Bioburden
c. Biodegradeable
d. Biomess
ANS: b
DIFF: Medium
10. You are setting up a case and notice the blades on the Metzenbaum scissors are slightly
misaligned. What do you do?
a. Keep setting up and hope no one notices, as time is of the essence.
b. Remove them from the field and ask for a new one.
c. Say nothing; it is only a “slight” misalignment.
d. Toss them on the floor and tell the Circulator you need a new one.
ANS: b
DIF: Easy
11. When cleaning up after a case, heavy instruments should never be placed:
a. On the bottom of the tray
b. Beside other heavy instruments
c. On top of more delicate instruments
d. In their special containers (if they have one)
ANS: c
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
,DIF: Medium
12. The most common method of sterilization is:
a. Steam under pressure
b. Immediate use
c. Cold chemical
d. Radiation
ANS: a
DIF: Easy
13. A Dynamic Air Removal sterilizer is more commonly known as a:
a. Flash sterilizer
b. Prevacuum sterilizer
c. Gravity displacement sterilizer
d. Immediate use sterilizer
ANS: b
DIF: Hard
14. When using glutaraldehyde to sterilize an instrument, the instrument must soak in it for
______________ to be deemed sterile.
a. 20 minutes
b. 60 minutes
c. 4 hours
d. 10 hours
ANS: d
DIF: Hard
15. You are scrubbed on a total hip and one of the implants get contaminated. The circulator
goes out to look for another one and comes back saying that is the last one of that size that they
have available in the OR. What do you do?
a. Tell the surgeon to cancel the surgery and start picking up your instruments.
b. Sterilize it using immediate use sterilization with an indicator tape in the pan.
c. Sterilize it using immediate use sterilization with a biological monitoring device in the pan.
d. Tell the surgeon to use another size implant.
ANS: c
DIF: Medium
16. You are assigned to scrub a laparoscopic cholecystectomy. When should you begin to set up
your sterile field?
a. 2 hours prior to the case
b. As close to the start of the case as possible
c. 3 hours prior to the case
d. 2 hours prior to the case and cover it with a sterile sheet
ANS: b
DIF: Medium
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
, 17. You are scrubbed on an exploratory laparotomy. When should you ask for your dressing
material?
a. At the beginning of the case
b. In the middle of the case
c. At the end of the case
d. While you are setting up
ANS: c
DIF: Medium
18. You are scrubbed on a laparoscopic appendectomy. Which instrument would NOT be placed
on your Mayo stand to begin the case, due to limited space?
a. Scalpel handle with blade
b. Superficial retractor
c. Trocars
d. Deep retractor
ANS: d
DIF: Easy
19. When setting up your sterile field, where should you place the basins and medicine cups ?
a. Near the middle of the back table
b. Near the back of the table, away from the circulator
c. Near the edge of the table so the circulator can pour without reaching over the table
d. In the middle of the Mayo stand
ANS: c
DIF: Easy
20. Forceps consist of __________ parts.
a. 3
b. 4
c. 5
d. 6
ANS: c
DIF: Hard
Short Answer
21. Name two categories which contain ringed instruments.
ANS: clamping and occluding, grasping and holding, suturing
DIF: Medium
22. List four parts of a ringed instrument.
ANS: tips, jaws, box lock, shank, ratchet, finger rings
DIF: Medium
23. What is the function of the joint on a forceps?
ANS: Holding the forceps open until they are compressed
Copyright © 2026 by F.A. Davis Company. All rights reserved. This material is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Use of this
content outside your academic institution is expressly prohibited and enforceable by law.
