The anesthetist is coming to see a patient prior to surgery. What information, obtained during the admission assessment, should be given to the anesthetist during the visit?
A) Last bowel movement
B) Latex allergy
C) Number of pregnancies
D) Difficulty falling asleep
B Latex allergy
100
You are performing wound care on a 68-year-old male patient. Which of the following practices violates surgical asepsis?
A. Holding sterile objects above the waist
B. Considering a 1 inch (2.5 cm) edge around the sterile field as being contaminated
C. Pouring solution onto a sterile field cloth
D. Opening the outermost flap of a sterile package away from the body
C. Pouring solution onto a sterile field cloth
100
1.The patient position most likely to compromise the respiratory system is:
A. reverse Trendelenburg
B. lateral decubitus
C. Trendelenburg
D. sitting
C. Trendelenburg
100
1.Counting must be performed and visualized by (number of people and their positions)?
2 people, one must be an RN
100
1.This type of skin stitch is removed 8 to 10 days after the wound is healed?
Nylon
200
You note a colleague making an inappropriate remark about the patient's weight. The patient is unconscious at the time. What should you do?
A. Ignore the comment because the patient is unconscious.
B. Discourage the comments.
C. Report the comment to the supervisor.
D. Realize humor is needed in the workplace.
B. Discourage the comments.
200
When working with a patient on Contact Isolation precautions, what 2 items must be worn?
Gown and Gloves
200
1.Which of the following positions and positioning devices are associated with causing injury to the common peroneal nerves?
A. Lithotomy position and the use of stirrups
B. Supine position and the use of a shoulder brace
C. Trendelenburg position and the use of a footboard
D. Modified Fowler position and the use of a headrest
A. Lithotomy position and the use of stirrups
200
1.When sponge packs are 'put together' at a factory they are weighed not counted? True or False
True
200
A _____________ is a strand of suture material used to tie off (Seal) blood vessels to prevent hemorrhage and simple bleeding or to isolate a mass of tissue to be excised?
Ligature
300
You are the nurse caring for a patient who will receive a transsacral block. In what surgeries would a transsacral block be useful for pain control?
A) Thoracotomy
B) Inguinal hernia repair
C) Breast reduction
D) Closed reduction of a right humerus
B) Inguinal hernia repair
300
What is the minimum temperature for steam sterilization?
270 degrees
300
This nerve bundle runs through the shoulder and supplies nerves to the lower shoulder, arm and hand?
Brachial Plexus
300
All sponges discarded from the sterile field should be placed where?
in a sponge counting bag
300
This suture is made of a polypropylene polymer. It is monofilament, is extremely inert in tissue and can be used in the presence of infection?
Prolene
400
A nurse is caring for a patient following surgery under a spinal anesthetic. What interventions can the nurse implement to prevent a spinal headache?
A. Have the patient sit in a chair
B. Ambulate the patient
C. Limit fluids
D. Keep the patient lying flat
D. Keep the patient lying flat
400
Each OR should have a minimum of how many air exchanges per hour?
15
400
1.You are caring for a 78-year-old patient who is scheduled for a total hip replacement. Which of the factors should you consider during the preparation of the patient in the operating room?
A. The patient should be placed in Trendelenburg position.
B. The patient must be firmly restrained at all times.
C. Pressure points should be assessed and well padded.
D. The preoperative shave should be done by the circulating nurse
C. Pressure points should be assessed and well padded.
400
1.Name the 3 types of surgical cases that we do not need to count sponges?
hand, foot, skin lesions
400
1.The incision used for an open appendectomy is called?
A. McBurney's
B. Pfannenstiel
C. Paramedian
D. Quadrant oblique
A. McBurney's
500
Your patient is scheduled to receive moderate sedation. You know that a patient receiving this form of anesthesia should what?
A) Never be left unattended by the nurse
B) Receive an anti-emetic
C) Remember most of the procedure
D) Be able to maintain his or her own airway
A) Never be left unattended by the nurse
500
Name the 2 most common types of chemical sterilization?
ethylene oxide and peracetic acid
500
1.A patient has been intubated and is to be moved from the supine position on the stretcher to the prone position on the OR bed. To ensure adequate ventilation, chest rolls must be placed:
A. perpendicular to the patient's spine across the nipple line and from iliac crest to iliac crest.
B. lengthwise from the clavicle to the iliac crest.
C. along the patient's lateral chest wall from the nipple line to mid-thigh
D. from the rib cage to the greater trochanter
B. lengthwise from the clavicle to the iliac crest.
500
1.Besides the initial count before the case, How many times do we count during a c-section, at what point, and what are you counting?
You count 3 times.
1. Uterus- Sponges
2. Peritoneum- everything
3. skin- sponges and sharps.
500
1.Surgical gut suture removed from the package and allowed to dry out should be?
A. remoistened with alcohol
B. submerged saline for a few minutes prior to usage
C. used dry in ophthalmic surgeries
D. rinsed briefly before use in sterile water.