SURGICAL FIRST ASSIST TEST 2 QUESTIONS AND ANSWERS 100% SOLVED

SURGICAL FIRST ASSIST TEST 2 QUESTIONS AND ANSWERS 100% SOLVED Q. The type of review that is a critical examination of a patient's movement toward desired alterations in health status and patient care management while patient care and treatment are in progress is known as which of the following? - answerA. concurrent review Explanation: Two types of reviews are used to evaluate the quality of care for a patient: retrospective review and concurrent review. Concurrent review is a critical examination of a patient's movement toward desired alterations in health status and patient care management while patient care and treatment are in progress. It involves chart audits, interviews, observation, and inspection of the patient as the usual sources of data. Q. Which of the following is not an element of comprehensive planning? - answerA. pre- operative planning Explanation: This is not an element of comprehensive planning. The three elements are initial planning done on admission; ongoing planning done by shift nurses on an ongoing basis; and discharge planning which takes place from admission to discharge. Q. If an unsterile person is in the operating room, they should not do which of the following? - answerA. Walk between two sterile areas Explanation: The unsterile person should keep a distance of a least a foot from any sterile field. They should not walk between two sterile areas. The circulating nurse should restrict the activity near the sterile fields to a minimum. Q. During discussions, a post-operative nurse says to a patient, "So you sound enthusiastic about the idea of being able to resume working." What is type of active listening response is this an example of? - answerA. Reflection Explanation: Active response has 5 stages: paraphrase, reflection, clarification/probe, summary, and confrontation. In reflection the listener, reflects the emotions of the speakers words, for instance "You seem enthusiastic..." Q. The types of biologic grafts could include which of the following? - answerA. Composite graft, allograft, xenograft. Explanation: These types includes: Composite grafts Allografts Xenografts Autograft Split-thickness skin graft Full-thickness skin graft Q. What is NOT the responsibility of the nurse to advocate? - answerA. Intervention Explanation: Nurses have an obligation to advocate for the safety of their patients. They also need to advocate for patient dignity, privacy, comfort, and rights. Intervention is not advocacy. Q. Which of the following would indicate that a person is in a pre-diabetic stage? - answerA. fasting blood glucose is 110 mg/dL Explanation: Prediabetes can occur when the fasting blood glucose is greater than 100 mg/dL and less than 126 mg/dL or when postprandial blood glucose is greater than 140 mg/dL and less than 200 mg/dL. Fasting blood glucose of 110 mg/dL is therefore pre-diabetic. Q. Allergic contact dermatitis is cause by which of the following? - answerA. Exposure to a product that causes an inflammatory reaction Explanation: Patients can experience irritant contact dermatitis as well as allergic contract dermatitis as an adverse outcome for administration of skin medications. Allergic contact dermatitis is due to exposure to a product that causes an inflammatory reaction. Q. Glands located near the hair follicles that secrete the oils which help to keep skin and hair soft and moist would be considered? - answerA. Sebaceous glands Explanation: The sebaceous glands release oils when necessary which helps to keep skin and hair soft and moist. These glands are located in the dermis layer of the skin. Q. A patient begins crying during a routine history. What assessment would you begin? - answerA. Psychosocial Explanation: The patient is obviously in emotional turmoil. A psychosocial assessment will be useful in determining the cause of the upset. It will also provide a more complete diagnosis. Q. Of the following, which would be the most commonly used type of scalpel? - answerA. A reusable handle with a disposable blade Explanation: The typical scalpel handle is made of brass and is reusable. The typical blade is made of carbon steel and is disposable. The reusable handle and disposable blade are the most commonly used ones today. There are scalpels that are totally disposable. Q. When positioning the surgical patient, the arm is extended on an armboard. Which of the following could be utilized instead of a shoulder brace to help stabilize the patient? - answerA. Ankle strap Explanation: When the patient's arm is extended and a should brace is used, it has the potential to cause nerve compression. In this case, ankle straps are sometimes used to help stabilize the patient. Q. The objectives of aseptic technique could include all of the following except? - answerA. Conceptions Explanation: These objectives help to prevent contamination of the sterile field. These objectives could include: Containment Confinement Reduction Elimination of microorganisms Q. Ophthalmic surgery requires a significant amount of specialized equipment and instruments. Which of the following equipment is used specifically in the ophthalmic operating suite? - answerA. Phacoemulsification unit Explanation: Nerves stimulators are used to identify and check nerve response during neurosurgery. Fracture tables and arthroscopes are used during orthopedic surgery. The phacoemulsification unit is used during ophthalmic surgery. Q. What is an advantage of polyester and polypropylene sutures? - answerA. They cause minimal inflammation Synthetic sutures such as polyester and polypropylene sutures are used because they retain their strength longer and have higher tensile strength than natural fibers, but not as high as metal sutures. They also cause less irritation than silk or natural fiber sutures. Q. Which condition will not contribute to volume overhead? - answerA. Diverticulitis Explanation: Volume overload can be caused by excessive fluid or sodium levels. Moreover, it can caused by diseases affecting the fluid volume such as congestive heart failure, renal failure, liver failure, operative stress, or Cushing's disease. It can also be caused by corticosteroid therapy.