SURGICAL FIRST ASSIST TEST 23 QUESTIONS AND ANSWERS 100% SOLVED

SURGICAL FIRST ASSIST TEST 23 QUESTIONS AND ANSWERS 100% SOLVED Q. Halothane provides little analgesia and is often combined with which other drugs during surgery? - answerA. Muscle relaxants Halogenated anesthetics do not relax skeletal muscles or provide analgesia. Therefore, they are often combined with nitrous oxide, opioids, muscle relaxants. This treatment is called balanced anesthesia. Q. Which of the following statements about therapeutic communication is least accurate? - answerA. Therapeutic communication is psychosocial only and cannot help the nurse identify health problems. This is the least accurate statement. Therapeutic communication can help the nurse identify health problems, such as substance abuse, and it promotes cooperation with nursing interventions. It can also reduce misunderstandings and facilitate the design of an individual care plan. Q. The development of cultural competence involves all of the following EXCEPT: - answerA. adapting the patient's culture to be congruent with your care Cultural competence would not involve adapting the patient's culture to be congruent with your care. The care should be adapted to be congruent with the patient's culture. Q. Which of the following statements about licensing is least accurate? - answerA. A licensed nurse has an unlimited property right to her license. This is the least accurate statement. A licensed nurse has a limited property right to her license. The license may be revoked, suspended, have conditions placed upon it, or may be surrendered. Q. Nurses are held accountable as both continued learners and caregivers. What can lack of accountability for nursing behavior in the perioperative environment lead to? - answerA. Injury or medical errors Accountability and professional obligation are important issues in healthcare. Nursing accountability helps to prevent injury to patients and the nurses themselves. Nurses are accountable to patients, employers, the education institutions providing their training, the nurse profession, other team members, and themselves. Besides injury, accountability also helps prevent general medical error and promotes teamwork and overall positive patient outcomes. Q. A natural disease process which developed or was incubating prior to a patient's admission to the hospital would be referred to as which of the following sources of infection? - answerA. Community-Acquired Community-acquired infections would be considered disease processes which developed or were incubating prior to a patients' admission to the hospital. These sources of infections would be considered preexisting infections. Q. Prophylactic antibiotics are often used during which procedure? - answerA. Cardiac Prophylactic antibiotics are often used during cardiac surgery to prevent endocarditis. They used during peripheral vascular surgery, orthopedic surgery and emergency cesarean section or hysterectomy. Q. Non-English speaking patients may require nursing staff to use special communication skills. A nurse is attempting to communicate about with a 54 year-old Spanish-speaking patient who does not understand English well and will require surgery. He has an 11 year-old family member present in the room, what should the nurse do? - answerA. Seek another nurse who can communicate in Spanish or an staff interpreter In this case, the nurse should follow hospital policy and seek another professional to communicate with the patient. In some cases the nurse may be communicate through the child but not in this situation. It would be better to have a medical staff explain to the patient the procedures and ensure the patient receives the highest quality of care. Q. The meninges consists of which of the following layers? - answerA. Dura matter and Emulsion matter The meninges consist of three layers called the dura matter, arachnoid matter, and pia matter. These layers get smaller and thinner as they get closer to the brain and spinal cord. The dura matter is outside layer and is the thickest. The arachnoid matter is next followed by the pia matter which is very thin and delicate. Q. When there is an accumulation of blood and serum, it would be considered _____________ fluid? - answerA. Serosanguineous Fluid in a surgical wound can delay the healing process and can even cause infection. A wound drain is sometimes inserted in selected surgical cases prior to the closure. If there is an accumulation of blood and serum, it is considered to be serosanguineous fluid. Q. To prevent injury to the brachial plexus, the patient's arms should not be abducted more than: - answerA. 90 degrees To prevent injury to the patient's arms, the arms should be positioned on armboards. In no event, should the patient's arms be abducted more than 90 degrees. Q. Precautions must be established to maintain the sterility of a field. When required to enter an area with a sterile field, how should unscrubbed personnel move around the sterile field? - answerA. Keep a safe distance from sterile fields When an unscrubbed staff member needs to enter a room where there is a sterile field, precautions must be taken to maintain the sterility of the field. Staff should keep a safe distance from the sterile field to prevent contamination. Q. When choosing a new Evidence Based Nursing topic, it is important for the team to - answerA. Work closely together Choosing a topic for Evidence Based Nursing requires time and research. The team choosing the topic should work together closely and collaborate to come up with the best topic. Q. The principle digestive enzyme in the stomach would be _______? - answerA. Pepsin Pepsin is the primary digestive enzyme in the stomach. Pepsin is activated by hydrochloric acid and begins the cleavage stages which begin to break down the complex protein molecules. Q. Which of the following is NOT involved in the planning stage of the nursing process? - answerA. providing actual care The planning stage of the nursing process includes: determining expected outcomes, setting priorities, establishing goals, selecting appropriate interventions, and documenting care. It does not involve actual care of the patient which is part of the implementation phase. Q. Advising a dying patient to choose hospice care with an ANP is a(n) _______. - answerA. Cost effective option ANP nurses reduce the cost of hospice care. This may be a cost effective option for a patient facing end of life care. Q. Personal protective equipment (PPE) would be used as an essential part of infection control. Of the following which would be considered PPE? - answerA. Gloves, gowns and respirators Personal protective equipment would