Surgical First Assist Test 3

Surgical First Assist Test 3 Q. In terms of health promotion and disease prevention theoretical models, the theory that people learn not only through their own experiences, but also by observing the actions of others and the results of those actions is which of the following? - CORRECT ANSWER-A. social cognitive theory Explanation:The social cognitive theory (SCT) holds that people learn not only through their own experiences, but also by observing the actions of others and the results of those actions. The environment shapes, maintains, and constrains behavior; and people can create and change their environments. Q. Sexual harassment is illegal and prosecutable by which law(s)? - CORRECT ANSWER-A. Civil Rights Act of 1964, Title VII Explanation: Sexual harassment can occur in the workplace, even among caregivers. All members of the perioperative team have a right to work in a environment free of harassment. The Civil Rights Act of 1964, Title VII and the Equal Employment Opportunity Commission, 1980 mandate that sexual harassment in the workplace is illegal and prosecutable Q. General anesthetics are given in which circumstance? - CORRECT ANSWER-A. Right-sided colectomy Explanation: General anesthesia produces the loss of consciousness. It is administered in major surgery, such as a hemicolectomy (right-sided colectomy). Local anesthetic would be administered for gastrointestinal endoscopy, cardiac catherization, and labor and delivery. Q. Occlusions can result in damage to the cerebral tissues. This could be referred to as which of the following? - CORRECT ANSWER-A. Ischemic stroke Explanation: Occlusions can result in damage to the cerebral tissues known as an ischemic stroke. This occlusion affects whatever system that particular region controls. This often leaves a permanent residual deficit even if the cause of the ischemia is resolved. Q. Once the surgical patient is in PACU and all the devices are attached, the circulating nurse does a "hand-off" to the PACU nurse. Which of the following would typically not be included in this "hand-off?" - CORRECT ANSWER-A. The patient's insurance information Explanation: The patient's insurance information is typically not reported in "hand-off." Some of the information that might be included in a "hand-off" would include: An estimated blood loss A brief patient history The surgery performed Length of time the patient was under anesthesia. Condition of the patient's wound. ASA score Any complications Information regarding family members Q. The organization that maintains the nation's organ transplant waiting list is which of the following? - CORRECT ANSWER-A. United Network for Organ Sharing Explanation: The United Network for Organ Sharing (UNOS) maintains the nation's organ transplant waiting list. This is done under contract with the Health Resources and Services Administration of the U.S. Department of Health and Human Services (DHHS). UNOS's organ-sharing policy, Required Request, increases the probability of a successful transplant. Q. When a local anesthetic is being administered, the scrub technician dispenses it to the surgeon. Which of the following would be considered a responsibility of the scrub technician at this time? - CORRECT ANSWER-A. The scrub technician shares the responsibility to ensure that the maximum dosage of the medication is not exceeded and the scrub technician should confirm the maximum dosage of the medication with the anesthesia care provider prior to the case starting. Explanation: The scrub technician should confirm the maximum dosage of the medication with the anesthesia care provider prior to the case starting. Documentation of the maximum dosage along with the increment amounts should be documented in real time by the nurse circulator. Q. A noncrushing clamp would be temporarily used for which of the following? - CORRECT ANSWER-A. To occlude bowel and to occlude major blood vessels. Explanation: The noncrushing clamps are used to occlude bowel and to occlude major blood vessels. These are effective in these cases because they minimize the trauma to the tissues. Q. The main organisms that cause sepsis that may lead to septic shock are which of the following? - CORRECT ANSWER-A. gram-negative and gram-positive bacteria Explanation: The main organisms that cause sepsis are gram-negative and grampositive bacteria. Parasites, fungi, and viruses canalso lead to the development of sepsis and septic shock. Q. An indication that the patient has a knowledge deficit is which of the following? - CORRECT ANSWER-A. Inaccurate follow-through with previous instructions Explanation: The patient who has difficulty following through on instructions may have a knowledge deficit. When giving instructions, the perioperative nurse will want ensure the patient understands terminology and recommendations Q. Cellulitis is inflammation of what? - CORRECT ANSWER-A. Subcutaneous, loose connective tissue Explanation: Cellulitis is inflammation of the tissue beneath the dermal layer, the subcutaneous, loose connective tissue. Inflammation of this tissue at the wound site is a sign of infection. Q. Of the following, which would be the correct term for the study of drugs? - CORRECT ANSWER-A. Pharmacology Explanation: An antagonists would be a drug that blocks a receptor mediated response. An antibiotic is a drug that inhibits the growth of or kills a bacteria. The study of drugs is considered pharmacology. Q. Supply cabinets or carts in the operating rooms can consist of which of the following types? - CORRECT ANSWER-A. A pass through cabinet, surgical carts and glass shelves with sliding doors in the operating room. Explanation: There are different types of supply carts or shelves in different facilities. These can include the cabinets which can be made of stainless steel, glass or wire shelving to help minimize the dust accumulation. A pass-through cabinet entry allows for the transfer of supplies from outside the OR and yet circulates clean air through them. Some facilities use stock carts for different procedures which can be brought into the room. Q. A heart beating cadaver would be considered which of the following related to organ donations. - CORRECT ANSWER-A. A term used for a cadaver that is being maintained on a cardiopulmonary support so that their tissue is perfused, making it viable for organ donation. Explanation: A heart-beating cadaver would be considered when a person dies, but they are being maintained on a cardiopulmonary support. This allows perfusion of their tissues to make them viable for organ donation. Q. Any response a individual makes to change is known as which of the following? - CORRECT ANSWER-A. Adaptation Explanation: Any response to change is an adaptation. Some adaptations are positive and some are negative. Families as well as individuals adapt to change. Q. Which of the following is a component of blood? - CORRECT ANSWER-A. Red blood cells, liquid plasma and platelets. Explanation: Blood is made up of: Red blood cells White blood cells Platelets Liquid plasma Q. Which is true about general anesthetics? They: - CORRECT ANSWER-A. Prevent perception of pain by the sensory cortex Explanation: General anesthetics interfere with the perception of pain by the sensory cortex. General anesthetics alter the processing of sensory information. Q. Heparin resistance can result all of the following, EXCEPT - CORRECT ANSWER-A. Arrhythmias Explanation: Heparin resistance can occur due to early stage thrombophlebitis, peritonitis, fever, pleurisy, fever, peritonitis, cancer or any condition resulting in the body depositing large amounts of fibrin. Arrhythmias are a symptom and can accompany vascular conditions where heparin might be required. Q. A communication technique which is marked by cross-complaining and the use of "yes, but" statements to deflect the other person's message is known as which of the following? - CORRECT ANSWER-A. Defensiveness Explanation: Defensiveness is often seen in conflict situations. It involves cross-complaining and use of "yes, but" statements to deflect the other person's messages. Do not use this method in communicating with patients, and be attuned to it when you see it happening in patient or family interactions. Q. Parenteral administration means the drug is induced how? - CORRECT ANSWER-A. Intravenously Explanation: Parenterally means a drug is induced intravenously. Many general anesthetics are induced this route. Q. Which of the classifications of lasers are typically surgical lasers? - CORRECT ANSWER-A.Class 4 Explanation: The class 4 lasers can cause permanent damage if they are directly viewed or indirectly viewed by reflection. The class 4 lasers are typically the surgical lasers Q. All but which of the following are asked about in the sociocultural assessment? - CORRECT ANSWER-A. What the patient's religious beliefs are Explanation: The sociocultural assessment explores the patient's family life, including his or her role in the family. Questions about diversional activities, the home environment, major sources of support, and overall health are also part of this assessment. Questions about religion are better suited for the spiritual assessment. Q. The skeletal system is responsible for all of the following except? - CORRECT ANSWER-A. Motor balance and control Explanation: A person's brain controls their motor balance and control, not the skeletal system. The skeletal system provides: Providing a framework for the muscles Directing internal pressure Storing and producing blood cells in the bone marrow Q. A patient is being discharged from the hospital after fracturing her ankle. What resource would the nurse MOST likely offer to help the patient continue her care? - CORRECT ANSWER-A. Outpatient physical therapy. Explanation: Outpatient physical therapy is usually offered to a patient on an appointment basis and schedules regular sessions to help strengthen the body after an