NBSTSA administrative & personnel
A 15-year-old girl with anemia will be undergoing an exploratory procedure and a blood
transfusion will be necessary. the parents are Jehovah's Witnesses and will not consent
to a blood transfusion, but the patient states that she wants the transfusion. The OR staff
reports this to the nurse manager. What is the BEST course of action now? - ANS The
physician or nurse manager should contact the hospital's administration to request that
legal counsel becomes involved
\A patient has arrived in the operating room for a bilateral mastectomy. She is crying
inconsolably. The surgical technologist can BEST console her by saying what: - ANS we
are going to give you the best care possible
\A surgical technologist has been asked to serve as a preceptor to a new employee in the
OR. if the surgeon becomes irritated or anxious because of the new employee's lack of
experience, what actions should be taken? - ANS Quietly coach the new employee in the
background
\A surgical technologist has selected the sutures for a procedure based on the surgeon's
preference card. The surgeon states he would like additional sutures and his preference
card is outdated. What is the ST's BEST course of action? - ANS ask the surgeon if he
would like to have his preference card updated and proceed accordingly
\A surgical technologist is assigned to a room where the patient happens to be his
neighbor. To protect patient confidentiality, the technologist should indicate that he
knows the patient and: - ANS request to be removed from the room
\A surgical technologist is explaining the steps of the ESU circuit to a student. The ST
should explain that the electric current is channeled back to the generator through the: -
ANS dispersive (inactive) electrode
\A surgical technologist sees a neighbor being admitted. How should the ST respond? -
ANS Do not acknowledge the neighbor unless greeted first
\An RN has just asked a surgical technologist to complete a task that is within the ST's
scope of practice, but the ST does not feel comfortable completing the task
independently. What is the ST's BEST course of action? - ANS request that the RN
provides the appropriate level of supervision during the task to ensure safety
\If a Kelly clamp is left in a patient who underwent a cholecystectomy, what legal concept
applies? - ANS res ipsa loquitur
\If an adult patient refuses a blood transfusion, the surgical staff should: - ANS not
administer blood to the patient
\If the parents of a dependent minor requiring emergency surgery cannot be located, the
operative consent form for surgery may be signed by: - ANS two consulting physicians
\On the way into the OR, a terminally ill patient tells the nurse, "No matter what happens,
it will be okay." Which of the Five Stages of Grief is patient MOST likely in? - ANS
acceptance
\The monopolar current of an ESU travels: - ANS from the generator to the active
electrode
A 15-year-old girl with anemia will be undergoing an exploratory procedure and a blood
transfusion will be necessary. the parents are Jehovah's Witnesses and will not consent
to a blood transfusion, but the patient states that she wants the transfusion. The OR staff
reports this to the nurse manager. What is the BEST course of action now? - ANS The
physician or nurse manager should contact the hospital's administration to request that
legal counsel becomes involved
\A patient has arrived in the operating room for a bilateral mastectomy. She is crying
inconsolably. The surgical technologist can BEST console her by saying what: - ANS we
are going to give you the best care possible
\A surgical technologist has been asked to serve as a preceptor to a new employee in the
OR. if the surgeon becomes irritated or anxious because of the new employee's lack of
experience, what actions should be taken? - ANS Quietly coach the new employee in the
background
\A surgical technologist has selected the sutures for a procedure based on the surgeon's
preference card. The surgeon states he would like additional sutures and his preference
card is outdated. What is the ST's BEST course of action? - ANS ask the surgeon if he
would like to have his preference card updated and proceed accordingly
\A surgical technologist is assigned to a room where the patient happens to be his
neighbor. To protect patient confidentiality, the technologist should indicate that he
knows the patient and: - ANS request to be removed from the room
\A surgical technologist is explaining the steps of the ESU circuit to a student. The ST
should explain that the electric current is channeled back to the generator through the: -
ANS dispersive (inactive) electrode
\A surgical technologist sees a neighbor being admitted. How should the ST respond? -
ANS Do not acknowledge the neighbor unless greeted first
\An RN has just asked a surgical technologist to complete a task that is within the ST's
scope of practice, but the ST does not feel comfortable completing the task
independently. What is the ST's BEST course of action? - ANS request that the RN
provides the appropriate level of supervision during the task to ensure safety
\If a Kelly clamp is left in a patient who underwent a cholecystectomy, what legal concept
applies? - ANS res ipsa loquitur
\If an adult patient refuses a blood transfusion, the surgical staff should: - ANS not
administer blood to the patient
\If the parents of a dependent minor requiring emergency surgery cannot be located, the
operative consent form for surgery may be signed by: - ANS two consulting physicians
\On the way into the OR, a terminally ill patient tells the nurse, "No matter what happens,
it will be okay." Which of the Five Stages of Grief is patient MOST likely in? - ANS
acceptance
\The monopolar current of an ESU travels: - ANS from the generator to the active
electrode
