surgical examination Test1 pre-op Flashcards


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1

1-———a is a way of making decisions and acting on proven methods. It uses rational decision-making rather than opinion or past practice

a. Aseptic technique

b. Evidence -based practice

c. Surgeons

d. Surgical assistants

b.

2

2- ——is used in the health care setting for routine hand hygiene.

a. Avaguard

b. Alcohol foam

c. Antiseptic liquid soap

d. Living tissue

c.

3

3- Hand washing is the simplest and most important preventive measure for reducing infection in the operating room (OR). Hand washing is_________

a .time related

b. event-related

c. not necessary if gloves are worn

d. only necessary if you come into contact with blood or bodily fluids

d.

4

4- When supplies and instruments are opened for a case, for safety reasons ________should be passed directly to the surgical technologist or placed in an area on the sterile field where they are clearly visible.

a. sponges

b. medications

c. scalpel blades and other sharps

d. delicate instruments

c.

5

5-Nonsterile team members _________ lean over or reach over a sterile surface to distribute sterile goods to the field.

a. sometimes

b. never

c. Always

d. under certain conditions

b.

6

6-Tables draped with sterile drapes are considered sterile a.

2 inches below the top

b. only at table height

c. 2 inches from the lower edge of the drape.

d. only in the center

b.

7

7- When water is exposed to a sterile drape or gown, it can cause which occur when moisture from either side of the drape serves as a vehicle for bacteria to infiltrate the drape from the nonsterile surface.

a. resident flora

b. transient flora

c. airborne contamination

d. strike- through contamination

d.

8

8-Sterile personnel must pass other sterile personnel

a. face to face or back-to-back

b. right side to right

c. side left side to left side

d. right side to left side

a.

9

9- Sterile gowns are considered sterile

a. on the entire outside

b. in the entire front

c. until they get blood or bodily fluids on them

d. in the front of a sterile gown from the chest to the level of the sterile field

d.

10

10-Protective goggles , masks, or face shields are required during any procedure in which there is

a. a risk that blood, other body fluids , or particles of tissue could splash on the face

b . a nonsterile team member present

c. a sign indicating , they must be worn

d. difficulty in the procedure

a.

11

11-Jewelry of any kind is a potential source of pathogens. The current recommendation is to

a . keep jewelry covered

b. only wear earrings and necklaces

c. remove all jewelry

d. wear only clean jewelry

c.

12

12-The basis of is the concept of barriers between contaminated and sterile surfaces. Sterile objects or surfaces are contained or confined to prevent contact with nonsterile objects

a. cross-contamination

b. aseptic technique

c. continuing education

d. teamwork

b.

13

13-. If water is found in a basin when the sterile wrapper is opened, the basin is considered.

a. sterile

b. contaminated

c. infectious

d. contained

b.

14

14-All nonsterile surfaces are considered potentially contaminated with ________ microorganisms.

a. strike-through contamination

b. pathogenic

c. sterile

d. chemical

b.

15

15 ________ infection is a postoperative infection of the surgical wound

a. Surgical-site

b. Community -acquired

c. Chemical barrier

d. Physical barrier

a.

16

16- provide a barrier between a nonsterile surface and the working area of the sterile field.

A. Sterile drapes

b. Sterilization containers

c. Mayo stands

d. Antiseptics

a.

17

17-What OR furniture should the procedure pack be placed on before opening?

a. Ring stand

b. Mayo stand

c. Back table

d. Prep stand

c.

18

18-The position is a modification of prone position in which the patient lies on his or her abdomen with the middle section of the table is flexed at a slight angle.

a. Fowler

b. prone

c. jackknife or Kraske

d. dorsal recumbent

c.

19

19-To assist the patient when falling______________________

a. try to hold the patient up

b. keep your feet close together and knees straight.

c. ease the patient to the floor, while protecting his or her head

d. once the patient is on the floor, seek help

c.

20

20-. _______________must be lower than the patient's body at all times.

a. Bed rails

b. The head of the bed

c. The extension boot on an orthopedic table

d. Drainage collecting units

d.

21

21. _______________________must be higher than the patient's body

a. Drainage bags

b. intravenous (IV ) lines and fluid

c. The room temperature

d. Intravenous (IV) lines, fluid, and the room temperature

b.

22

22-When passing through manually operated doors while transporting a patient

a. push the foot of the stretcher forward against the door to open it

b. open the doors first and secure them open

c. always wait for someone to come through the door to help you

d. shout for someone to help you

b.

23

23-Caregivers may accompany___________ a(n) patient to the surgical suite and stay through anesthesia induction.

a. combative

b. trauma

c. unresponsive

d. pediatric

d.

24

24-The use of a footboard for the patient in the reverse Trendelenburg position may prevent the patient from sliding downward, which can cause__________

a. shearing injury

b. vascular shift

c. compartmental syndrome

d. hypotension

a.

25

25-The surgical team may begin positioning the patient only after the______ gives his or her permission

a. anesthesia provider

b. surgeon

c. surgical technologist

d. perioperative nurse

a.

26

26-The position, or foot-down position, is used when the surgeon requires unobstructed access to the upper abdominal cavity and lower esophagus.

a. reverse Trendelenburg

b. Trendelenburg

c. Fowler's

d. semi-Fowler's .

a.

27

27-A sitting position used for breast, shoulder, posterior cranium, and posterior spine procedures is called the position.

a. Fowler

b. semi-Fowler

c. Trendelenberg

d. reverse Trendelenberg

a.

28

28-A safety strap should be placed _____________________between the patient and the strap.

a. directly on the patient's skin with two finger's space

b. on top of a blanket or sheet with three finger's space

c. directly on the patient's skin with three finger's space

d. on top of the blanket or sheet with four finger's space

b.

29

29-The_______________________ drape is used for procedures of the face, nose and throat.

a. lithotomy

b. extremity

c. head

d. incise a

c.

30

30-Surgeons use__________________ to hold the towels in place when draping the patient.

a. nonpenetrating towel clamps

b. surgical tape

c. penetrating towel clamps

d. Esmarch bandages

a.

31

31-When prepping the abdomen for surgery, what should you do first?

a. Prep the incision site.

b. Start at the nipple line and work downward

c. Square the abdomen with sterile towels.

d. Clean the umbilicus with swabs, and then begin at the incision site.

c.

32

32-A (n) requires a preparation boundary that encompasses the neck, shoulder of the affected side, thorax to the operating table surface, and mid- pelvic region.

a. appendectomy

b. radical mastectomy

c. pelvic laparoscopy

d. shoulder procedure

d.

33

33-In cardiac cases, the saphenous vein is often removed and used to replace the coronary vessel. How is the patient prepped for this procedure?

a. The leg and thorax are prepped at the same time.

b. It depends on the prep solution used.

c. A complete body prep is necessary including the full circumference of the legs bilaterally.

d. Only the thorax is prepped.

c.

34

34-the purpose of draping is to_________around the surgical site

a. exposure

b. a wide sterile area

c. a protective barrier

d. warmth for the patient

b.

35

35-The most common prep solution for ophthalmic procedures is

a. chlorhexidine

b. duraprep

c. dilute povidone-iodine

d. alcohol

c.

36

36-Urinary catheterization is a sterile procedure. Contaminants introduced by catheterization increase the risk of _______________

a. urinary retention

b. urinary tract infection

c. bladder distension

d. mucosal abrasions

b.

37

37-__________________is/are generally not removed from the surgical patient but will require a surgeon's order if it needs to be done.

a. Body piercings

b. Hair

c. Makeup

d. Medical alert bracelets

b.

38

38-___________________is the body's primary defense against infection.

a. Skin

b. Immune system

c. Hair

d. Hygien

a.

39

39-Before surgery, the skin must be washed or painted with a(n)_____________to reduce the number of transient and normal microorganisms to an absolute minimum.

a. disinfectant

b. antiseptic solution

c. sterile solution

d. hand soap

b.

40

40-_________________must never be shaved because of the failure to regrow or abnormal regrowth.

a. Eyebrows

b. Facial hair

c. Arm hair

d. Pubic hair

a.

41

41- When the skin is prepped correctly the area is antiseptically cleansed in what manner?

a. Incision site to periphery

b. Periphery to incision site

c. Top of incision to bottom of incision line

d. Bottom of incision line to top of incision line

a.

42

42- Only _________are approved for use on skin and may be used for the surgical skin prep

a. antiseptics

b. disinfectants

c. sterile solutions

d. betadine solution

a.

43

43-If an area of the drape is suspected of being contaminated, the area may be ______________

a. covered with another impervious drape

b. removed by the sterile person

c. ignored if 1/2 inch away from incision site

d. removed by a nonsterile person

a.

44

44-Uncontrolled or unmonitored systems create a risk of __________________

a. allergies

b.chemical burn

c. fire

d. thermal burn

d.

45

45-Surgical prep agents can cause skin irritation , rash, or other____________________

a. allergies

b. chemical

c. fire

d. thermal burn

a.

46

46-Alcohol and alcohol -based prep solutions are volatile and flammable. When alcohol solution or volatile fumes come in contact with heat sources , they can easily cause_________

a. allergies

b. chemical

c. fire

d. thermal burn

c.

47

47-Serious ___________can occur when prep solutions are allowed to pool under the patient during surgery

a. allergies

b. chemical burns

c. fires

d. thermal burns

b.

48

48-. During the cleansing process, the surgeon removes all material and away devitalized tissue called

a. trauma

b. cardiovascular

c. autograft

d. debridement

d.

49

49-Selection of the correct catheter is based on the patient's ___________________

a. age, mental development, and sexual preference

b. age, size, and the type of procedure

c. age size, and gender.

d. size, grade in school, and gender position

c.

50

50- catheterization of a female surgical patient requires the__________ position.

a. supine

b. prone

c. lithotomy

d. knees slightly flexed

d.