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When applying the concept of surgical conscience which of the following statement should be
considered? Select all that apply. ✔Correct Answer-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: ✔Correct 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 degree
F.
You are assigned to relieve a surgical technologist for lunch. You will need: ✔Correct Answer-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. ✔Correct Answer-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? ✔Correct Answer-Use a sterile transfer device
Recommended sponge count procedures include all of the following EXCEPT? ✔Correct Answer-
Counting silently so it doesn't distract other personnel.
What is the best drape to use for an umbilical hernia repair? ✔Correct Answer-Laparotomy
Which of the following statements correctly describes recommendations for preoperative patient
skin antisepsis? ✔Correct Answer-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. ✔Correct 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 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? ✔Correct Answer-A. Administration, excitement, intrasurgery,
respiratory failure
, What responsibilities do OR staff members have in maintaining a safe OR environment? Select all
that apply. ✔Correct Answer-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:
✔Correct Answer-A. Can be performed through smaller incisions.
The first step in the sterilization process of surgical instruments that have been used in case is:
✔Correct Answer-A. Cleaning
The preoperative team implements aseptic technique practices to meet all of the following primary
goals EXCEPT? ✔Correct Answer-A. Improve patient satisfaction
When a "Time Out" discrepancy occurs, the nurse's priority action should be to: ✔Correct Answer-
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? ✔Correct Answer-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. ✔Correct Answer-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. ✔Correct Answer-A. Neutral zone
Which of the following is the best definition of sterile technique? Sterile technique is: ✔Correct
Answer-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. ✔Correct Answer-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? ✔Correct Answer-C. Situational
Put the following steps in order when opening a wrapped sterile package: ✔Correct Answer-1.
Open the farthest wrapper flap
2. Open side flaps
3. Open the nearest wrapper flap