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surgical examination Test1 pre-op

front 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

back 1

b.

front 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

back 2

c.

front 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

back 3

d.

front 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

back 4

c.

front 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

back 5

b.

front 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

back 6

b.

front 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

back 7

d.

front 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

back 8

a.

front 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

back 9

d.

front 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

back 10

a.

front 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

back 11

c.

front 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

back 12

b.

front 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

back 13

b.

front 14

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

a. strike-through contamination

b. pathogenic

c. sterile

d. chemical

back 14

b.

front 15

15 ________ infection is a postoperative infection of the surgical wound

a. Surgical-site

b. Community -acquired

c. Chemical barrier

d. Physical barrier

back 15

a.

front 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

back 16

a.

front 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

back 17

c.

front 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

back 18

c.

front 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

back 19

c.

front 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

back 20

d.

front 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

back 21

b.

front 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

back 22

b.

front 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

back 23

d.

front 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

back 24

a.

front 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

back 25

a.

front 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 .

back 26

a.

front 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

back 27

a.

front 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

back 28

b.

front 29

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

a. lithotomy

b. extremity

c. head

d. incise a

back 29

c.

front 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

back 30

a.

front 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.

back 31

c.

front 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

back 32

d.

front 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.

back 33

c.

front 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

back 34

b.

front 35

35-The most common prep solution for ophthalmic procedures is

a. chlorhexidine

b. duraprep

c. dilute povidone-iodine

d. alcohol

back 35

c.

front 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

back 36

b.

front 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

back 37

b.

front 38

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

a. Skin

b. Immune system

c. Hair

d. Hygien

back 38

a.

front 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

back 39

b.

front 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

back 40

a.

front 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

back 41

a.

front 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

back 42

a.

front 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

back 43

a.

front 44

44-Uncontrolled or unmonitored systems create a risk of __________________

a. allergies

b.chemical burn

c. fire

d. thermal burn

back 44

d.

front 45

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

a. allergies

b. chemical

c. fire

d. thermal burn

back 45

a.

front 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

back 46

c.

front 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

back 47

b.

front 48

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

a. trauma

b. cardiovascular

c. autograft

d. debridement

back 48

d.

front 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

back 49

c.

front 50

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

a. supine

b. prone

c. lithotomy

d. knees slightly flexed

back 50

d.