Surgical Aseptic Ness & Technique
Contamination Risks & Infection Control
Critical Moments & Quick Decisions in the OR
Care of Surgical Instruments
Mixed Challenge (All Topics)
100

What is the primary purpose of surgical asepsis?

A- Reduce costs

B- Prevent infection

C- Improve comfort

D- Shorten surgery

B- Prevent infection

100

Which department sterilizes surgical instruments?

A- Pharmacy

B- Laboratory

C- CSSD

D- Radiology

C- CSSD

100

Which checklist is performed before incision?

A- Admission checklist

B- Surgical Safety Checklist

C- Inventory checklist

D- Discharge checklist

B- Surgical Safety Checklist

100

Instruments should be cleaned:

A- Weekly

B- Monthly

C- Immediately after use

D- Before surgery only

C- Immediately after use

100

The purpose of the Time-Out is to verify:

A- Instrument count

B- Correct patient, procedure, and site

C- Sterility only

D- Equipment only

B- Correct patient, procedure, and site

200

Surgical hand antisepsis is performed to:

A- Remove dirt only

B- Reduce microorganisms

C- Warm hands

D- Moisturize skin

B- Reduce microorganisms

200

Frequent OR door opening increases:

A- Air quality

B- Contamination risk

C- Sterility

D- Lighting

B- Contamination risk

200

Closed-loop communication means:

A- Silence

B- Repeating instructions back

C- Hand signals

D- One-way communication

B- Repeating instructions back

200

Hinged instruments should be processed:

A- Locked

B- Open

C- Closed

D- Wrapped tightly

B- Open

200

Damaged surgical instruments should be:

A- Used carefully

B- Removed from service

C- Re-sterilized

D- Repaired during surgery

B- Removed from service

300

A sterile field should always be kept:

A- Below waist

B- Above waist and in constant view

C- Near the door

D- Covered

B- Above waist and in constant view

300

A wet sterile package is considered:

A- Sterile

B- Safe

C- Contaminated

D- Reusable

C- Contaminated

300

Situational awareness means:

A- Ignoring distractions

B- Understanding what is happening and anticipating next steps

C- Watching only the surgeon

D- Working independently

B- Understanding what is happening and anticipating next steps

300

Instrument inspection includes checking:

A- Color

B- Weight

C- Function, cleanliness, and damage

D- Brand

C- Function, cleanliness, and damage

300

Which statement reflects a strong patient safety culture?

A- The surgeon is solely responsible

B- Every team member is encouraged to speak up about safety concerns

C- Speed is more important than safety

D- Only nurses identify contamination

B- Every team member is encouraged to speak up about safety concerns

400

If sterility is questioned, the item should be considered:

A- Safe

B- Sterile

C- Contaminated

D- Reusable

C- Contaminated

400

Who is responsible for preventing infection in the OR?

A- Surgeon only

B- Nurse only

C- CSSD only

D- Entire surgical team

D- Entire surgical team

400

During an OR fire, the immediate priority is:

A- Continue surgery

B- Protect the patient and extinguish the fire

C- Documentation

D- Instrument count

B- Protect the patient and extinguish the fire

400

Point-of-use cleaning prevents:

A- Rust only

B- Soil from drying before decontamination

C- Sterilization

D- Instrument counts

B- Soil from drying before decontamination

400

The collaboration between the OR and CSSD primarily ensures:

A- Faster surgeries

B- Lower costs

C- Safe, sterile instruments and infection prevention

D- Fewer staff members

C- Safe, sterile instruments and infection prevention

500

Which principle best maintains sterility during surgery?

A- Work quickly

B- Continuously monitor the sterile field for contamination

C- Minimize talking

D- Wear two masks

B- Continuously monitor the sterile field for contamination

500

What is the first action after identifying contamination?

A- Ignore it

B- Finish surgery

C- Replace the contaminated item immediately

D- Document only

C- Replace the contaminated item immediately

500

Which human factor most contributes to intraoperative errors?

A- Experience

B- Poor communication

C- Bright lights

D- Instrument design

B- Poor communication

500

Proper instrument maintenance directly improves:

A- Costs

B- Patient safety and instrument lifespan

C- Surgery duration

D- OR temperature

B- Patient safety and instrument lifespan

500

Name of inspection points for surgical instruments before sterilization.

A- Alignment

B- Cleanliness

C- Rust/corrosion

D- Cracks

E- Sharpness

F- Box-lock function

G- Ratchet function

H- ALL OF ABOVE

H- ALL OF ABOVE

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