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Section 1: Surgical Conscience & Aseptic Technique
1. Which of the following is the best definition of "surgical conscience"?
A) The ability to perform a surgical procedure without making errors.
B) The ethical commitment to adhere to strict sterile technique, report
breaks in technique immediately, and correct them, even if no one else
saw them occur.
C) The knowledge of surgical instruments and their specific uses.
D) The willingness to work long hours in the operating room without
complaint.
Answer: B
2. How far from the edge of a sterile field is considered the sterile
margin?
A) 1 inch
B) 2 inches
C) 2.5 cm (1 inch) from the edges and 1 inch from the top edge
D) 3 inches
Answer: C (The outer 1 inch margin (2.5 cm) of a sterile field is
considered unsterile. If a sterile drape is draped over a table, the part
hanging over the edge is considered unsterile).
,3. If a sterile package falls to the floor, what is the correct action?
A) Open it quickly and use the contents if they look clean.
B) Discard the package completely as it is considered unsterile.
C) Wipe the package with alcohol before opening.
D) Use the contents only for non-sterile procedures.
Answer: B
4. When performing a surgical hand scrub, which of the following areas
requires the most attention and scrubbing time?
A) The forearms
B) The elbows
C) The nails, cuticles, and hands
D) The wrists
Answer: C
5. What is the recommended duration for a traditional surgical hand
scrub using chlorhexidine gluconate (CHG) or povidone-iodine?
A) 1 minute
B) 2 to 3 minutes
C) 5 minutes
D) 10 minutes
,Answer: C (AORN recommends a 2-5 minute scrub depending on the
agent, but traditionally 5 minutes for CHG/Povidone is standard unless
the manufacturer specifies otherwise. However, the key is nails and
hands get the most time).
6. Which of the following is an acceptable practice when wearing sterile
gloves?
A) Keeping hands clasped above the waist and below the chest.
B) Placing hands on the sterile field to rest them.
C) Dropping hands below the waist to adjust shoe covers.
D) Touching the outside of the gown with bare hands.
Answer: A
7. If a circulating nurse bumps into the sterile field with their bare arm,
what must happen?
A) The scrub person changes their gown and gloves.
B) The circulating nurse washes their arm.
C) The sterile field must be broken down and re-established.
D) The contaminated area is covered with a sterile towel.
Answer: C
8. What is the purpose of the "time-out" performed before the surgical
incision?
, A) To count the instruments.
B) To verify the correct patient, correct procedure, correct site, and
correct surgical team.
C) To allow the anesthesia provider a break.
D) To clean the surgical site.
Answer: B
9. Who is responsible for leading the time-out?
A) The circulating nurse
B) The scrub person
C) The surgeon
D) The anesthesia provider
Answer: C (While anyone can initiate it, the surgeon or proceduralist
typically leads the active verification phase).
10. When opening a sterile wrapper, how should the first flap be
opened?
A) Away from the sterile field
B) Toward the sterile field
C) To the left side
D) To the right side
Answer: A