When should hair removal take place?
a. One to two days before surgery.
b. In the operating room.
c. At least a day before surgery.
d. Immediately before surgery in a pre-op room
d. Immediately before surgery in a pre-op room
Alvis fixation forcep.
a. Lid speculum.
b. Calipers.
c. Eye shield.
a. Lid speculum.
The factors that should be considered when positioning a patient for surgery would not include?
a. Weight
b. The experience of the scrub nurse
c. The procedure being performed
d. Any pre-existing disease conditions
b. The experience of the scrub nurse
When a person finds him or herself occupying multiple roles and unable to meet all the expectations, he or she is experiencing which of the following?
a. Role overload.
b. Role stress.
c. Role strain.
d. Role ambiguity.
a. Role overload.
A nosocomial infection is acquired where or when?
a. Prior to being admitted for treatment.
b. After the patient is discharged.
c. In a public place such as a restaurant or school.
d. In the hospital.
d. In the hospital.
Each surgeon has a preference card/list in the operating room. Of the following, which would more than likely be included on this card/list?
(check all answers that apply)
a. Glove size
b. Sutures preferred for the case
c. Patient's insurance plan/benefits
d. Instruments and Sponges
a. Glove size
b. Sutures preferred for the case
d. Instruments and Sponges
Using a padded rail for a patient at risk of a seizure addresses which priority?
a. Life threatening.
b. Safety.
c. Patient.
d. Nursing.
b. Safety.
The surgical team communicates with patients/families of different cultures. Which of the following might this require?
a. Rudeness
b. Not being sensitive to other cultures needs
c. Body language
d. Not being open minded
c. Body language
A nurse is about to prepare the patient's surgical site for hair removal. The area has a large number of moles. What should she be MOST concerned with?
a. Making the hair removal as close the skin as possible.
b. Causing bleeding and bruising of the site.
c. Being able to completely remove all the hair.
d. Traumatizing the moles and introducing pathogens to the surgical site.
d. Traumatizing the moles and introducing pathogens to the surgical site.
Emotional discomfort that results due to the demands and expectations of a role in the family is known as which?
a. Role stress.
b. conflict.
c. Overloading.
d. Role strain.
d. Role strain.
Of the following, which skin prep would not be considered highly flammable?
a. Duraprep
b. Betadine
c. Chloroprep
d. Alcohol
b. Betadine
When does the maturation stage of surgical wound healing occur?
a. 2 - 7 days.
b. 2 - 21 days.
c. 2 -22 days.
d. 21 days to 2 years.
d. 21 days to 2 years.
Of the following, which would best describe an allograft?
a. A surgical transplantation from one part of an individual's body to another part.
b. A transplantation of a graft that is made of synthetic material which would be compatible with the body tissue.
c. A tissue graft between the recipient and donor that are of the same species.
d. A synthetic graft which is not compatible with the person's body tissue.
c. A tissue graft between the recipient and donor that are of the same species.
Which of the following factors would have an affect on a disinfecant’s activity?
(check all answers that apply)
a. The low-level infiltration
b. The immersion of the concentration
c. Presence or absence or organic matter on the item
d. Concentration of the solution
e. The cavitation effect
b. The immersion of the concentration
c. Presence or absence or organic matter on the item
d. Concentration of the solution
During surgery, which could be removed by manual or mechanical suctioning?
(check all answers that apply)
During surgery, which could be removed by manual or mechanical suctioning?
(check all answers that apply)
a. Tissue
b. Body fluids
c. Bone
d. Irrigating solutions
e. Cartilage
a. Tissue
b. Body fluids
d. Irrigating solutions
Which antibiotic most commonly produces allergic reactions?
a. Cefazolin.
b. Penicillin.
c. Tetracycline.
d. Neomycin.
b. Penicillin.
A patient begins bleeding from an IV anticoagulant. What medication should you be prepared to administer?
a. Heparin.
b. Alpha blockers
c. Protamine sulfate.
d. None.
c. Protamine sulfate.
When labeling a specimen that is going to pathology, which of the following would be considered the information that would be needed on the label?
(check all answers that apply)
a. Origin of the specimen
b. Coding for the specimen
c. Clinical diagnosis of the patient
d. The type of tissue
e. At least 2 identifications of the patient
a. Origin of the specimen
c. Clinical diagnosis of the patient
d. The type of tissue
e. At least 2 identifications of the patient
What is polypharmacy?
a. The use of a single medication.
b. The use of multiple medications.
c. The change of medications.
d. None of the above.
b. The use of multiple medications.
Which of the following is most related to controlling the liability of health-care institutions and their staffs?
a. case management
b. evidence-based practice
c. risk management
d. performance improvement
c. risk management
How are slow healing or persistent seromas treated?
a. hemostasis.
b. Surgical removal.
c. Needle aspiration/drainage.
d. Cleaning and dressing.
c. Needle aspiration/drainage.
The surgical team would be considered responsible for which of the following when collecing patient specimens?
check all answers that apply
a. To let the specimen set in the operating room suite until the end of the day prior to sending it to the appropriate area
b. To properly identify and label the specimen
c. To document on the medical record
d. To properly care for the specimen
e. To bill for the processing of the specimen
b. To properly identify and label the specimen
c. To document on the medical record
d. To properly care for the specimen
Which of the following is NOT an appropriate question to ask during a spiritual assessment?
a. “Do you have a regular spiritual practice?
b. ”“Do you think your life would be more meaningful if you had a regular spiritual practice?”
c. “Can you tell me a little bit about your religious beliefs?”
d. “Do you believe in a higher power or God?”
b. ”“Do you think your life would be more meaningful if you had a regular spiritual practice?”
Of the following, which might help the surgical staff to contribute to a professional and safe working environment?
a. Education
b. Seniority
c. Level of nurse
d. Emotional maturity
d. emotional maturity
**Emotional Maturity:** Emotional maturity refers to the ability of an individual to handle situations with an appropriate emotional response. In the high-pressure environment of surgery, where decisions often need to be made quickly and under stressful conditions, emotional maturity allows surgical staff to remain calm, focused, and efficient. This trait helps in managing personal emotions and behaviors effectively, ensuring that personal feelings or conflicts do not interfere with the operational procedures or team dynamics.
Emotional maturity also fosters a respectful and supportive atmosphere. When staff manage their emotions well, they are more likely to communicate clearly and respectfully, reducing misunderstandings and conflicts among the team. This enhances cooperation and collaboration, which are essential for a seamless surgical procedure. Moreover, emotionally mature individuals are typically better at empathy, which is crucial in understanding and responding to the needs of patients, thereby improving patient care.
**Self-Control:** Linked closely with emotional maturity, self-control is the ability to regulate one’s actions, emotions, and thoughts in the face of temptations and impulses. In the surgical environment, self-control plays a critical role in maintaining safety standards and adherence to protocols. For instance, a surgeon must be able to maintain composure and focus, refraining from any impulsive actions that might compromise the surgical procedure or patient safety.
Self-control extends beyond handling surgical instruments and technical procedures; it also involves adhering to ethical guidelines, such as maintaining patient confidentiality, obtaining informed consent, and respecting the rights and dignity of patients and colleagues. This discipline ensures that all actions taken in the operating room are judicious and considerate of legal and ethical standards.
**Professional Education and Training:** While not explicitly mentioned as much as emotional traits, continuous professional education and training are fundamental for maintaining a professional and safe working environment. Education ensures that all surgical staff are up-to-date with the latest surgical techniques, technologies, and safety protocols. Regular training sessions not only refresh essential skills but also help inculcate teamwork and communication skills among the staff, which are vital for preventing and efficiently managing any adversities during surgeries.
What is a pitfall associated with setting priorities?
a. Failing to accept the priorities of others.
b. Accept the priorities of other people.
c. Making your own assessment.
d. Change priorities with patient status.
b. Accepting the priorities of other people.
One pitfall associated with setting priorities is the risk of solely adopting the priorities of others without performing a personal and thorough assessment. When priorities are set based on someone else's analysis and conclusions, there is a potential for overlooking critical factors that are specific to your own situation or project. This can lead to ineffective or inappropriate prioritization, which might not align well with the actual needs or goals of your endeavor.