Questions And Answers
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-D. Use a sterile transfer device
,Which of the following practices is recommended for handling of natural absorbable suture? -
Correct Answer-C. Open the package carefully over a small basin to prevent splashing of the
packaging solution
Recommended sponge count procedures include all of the following EXCEPT? - Correct Answer-
B. Counting silently so it doesn't distract other personnel.
What is the correct definition of incisional biopsy? - Correct Answer-D. A small portion of tissue
is incised and sent for examination.
Which of the following methods listed below may prevent mishap, event, or fire from occurring
when handling electrosurgical equipment? Select all that apply. - Correct Answer-A. Allow
enough time for alcohol based skin preparations to completely dry.
B. Do not use in an oxygen-enriched environment, such as the trachea when oxygen is being
"blown over" the patient.
D. Visually check the integrity and insulation of all cords and coagulation instruments before
use.
Intrinsic and extrinsic factors that may lead to development of preoperative pressure ulcer
include: Select all that apply. - Correct Answer-A. Duration of the procedure
B. Exaggerated positions
C. Circulatory disorders
D. Malnutrition
Which of the following statements reflect the concept of critical thinking? Select all that apply. -
Correct Answer-C. Informed practice
D. Holistic thinking
E. Unbiased thinking
,F. Reasoned application of a step by step process
What is the best drape to use for an umbilical hernia repair? - Correct Answer-B. 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.
What are the 3 main factors to consider when assessing the patient for allergies? - Correct
Answer-C. Prior reaction, heredity, type of reaction
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.
, In addition to giving Dantrolene, which of the following treatment options for malignant
hyperthermia should the nurse anticipate and prepare for? - Correct Answer-B. Provide 100%
oxygen, used iced saline to cool patient.
An important difference between minimally invasive (MIS) and open surgical procedures is that
MIS: - Correct Answer-A. Can be performed through smaller incisions.
While monitoring a patient undergoing local anesthesia, the nurse should be suspicious of
systemic toxicity related to which of the following patient complaints? Select all that apply. -
Correct Answer-B. Metallic taste
C. Numbness of the lips
D. Tinnitus
E. Visual Disturbances
To place a patient safely in TRENDELENBURG position, which of the following practices is
indicated? - Correct Answer-B. Position knees over the break in the procedure bed to allow for
knee flexion.
The first step in the sterilization process of surgical instruments that have been used in case is: -
Correct Answer-A. Cleaning
By using a high radio frequency electrical current, surgeons routinely use electrosurgery to
_________ the tissue. - Correct Answer-C. Cut and coagulate
The preoperative team implements aseptic technique practices to meet all of the following
primary goals EXCEPT? - Correct Answer-A. Improve patient satisfaction
Which of the following examples is included on the "Joint Commission" list of DO-NOT-USE
abbreviations, Acronyms and Symbols? - Correct Answer-A. MS