Surgical instruments
The weight of an instrument tray should not exceed
a. 15 pounds
B. 20 pounds
C. 25 pounds
D. 30 pounds
25 pounds
What is the most consistent indicator of malignant hyperthermia during a surgical intervention?
A. Increased end title co2
B. Sustained muscle contraction
C. Tachycardia
D. Elevated temperature
A. Increased end title co2
Before opening a packaged item, the item is inspected for _____.
A. Package integrityB. Package tracking
C. Package isolation
D. Package transportation
A. Package integrity
In addition to sutures, the skin can be closed by using ______.
A. staples
B. adhesive
C. wound strips
D. all the above
D. all the above
A. administrative controls
B. hazard elimination
C. engineering controls
D. hazard replacement
A. administrative controls
Which major instrument category includes hemostats?
A. Clamping and occluding
B. Retracting and exposing
C. Dissecting and cutting
D. Grasping and holding
A. Clamping and occluding
The ____ is a post anesthesia scoring system to establish postoperative discharge criteria
A. OSA scaleB. ASA scale
C. Phase 1 scale
D. Aldrete scale
D. Aldrete scale
When should the sterile field be prepared?
A. While the OR is being cleanedB. After induction of anesthesia
C. As close to the time of surgery as possible
D. One hour before the scheduled procedure
C. As close to the time of surgery as possible
A stitch that is separate and tied independently of other stitches is called a(an) _____.
A. retention stitch
B. purse-string stitch
C. interrupted stitch
D. running stitch
C. interrupted stitch
Raising the patient's legs into lithotomy position shifts blood from the legs into the central circulation and ____.
A. decrease cardiac output and venous return
B. increase perfusion to the legs
C. increase cardiac output and venous return
D. decrease pressure on the diaphragm
C. increase cardiac output and venous return
Which is a description of the kocher clamp?
A. Smooth tips for holding delicate tissue
B. Small, short, tooth tips to minimize tissue crushing
C. Tooth tip to hold tough tissue
D. None of the above
C. Tooth tip to hold tough tissue
Which drug is used to reverse Valium and midazolam?
A. Succinylcholine
B. Flumazenil
C. Neostigmine
D. Pancuronium
B. Flumazenil
A. helping expose the team member's hands before they are gloved
B. handing the sterile gloves to the team member to self glove
C. releasing the gown and stepping away after the team member's arms are in the gown
D. facing the inside of the gown towards yourself
C. releasing the gown and stepping away after the team member's arms are in the gown
Which of the following features is common to delayed primary closure?
A. the wound is cleaned, debrided, and packed for eventual skin approximation
B. scar formation and contracture may require scar revision
C. there is no wound edge separation and minimal postoperative swelling
D. delayed healing may result in weak tissue approximation and herniation
A. the wound is cleaned, debrided, and packed for eventual skin approximation
Examples of this kind of external indicator are tape and labels.
A. chemical indicator
B. biological indicator
C. physical indicator
D. ultrasonic indicator
A. chemical indicator
Which is the preferred sterile solution to use on the sterile field to remove debris from instruments?
A. Betadine
B. Hydrogen peroxide
C. Water
D. Saline
C. Water
During which phase of care does the perianathesia nurse focus on preparing the patient for care at home?
A. Phase I
B. Phase II
C. Phase III
D. Phase IV
B. Phase II
Which measure should be included as part of an extremity prep?
A. cover the distal edge of the tourniquet with an impervious drape to prevent patient injury
B. apply the tourniquet after the skin prep has been completed
C. prep the legs circumferentially from the tourniquet to the knee
D. prep only the anterior portion of the leg for any knee surgery
A. cover the distal edge of the tourniquet with an impervious drape to prevent patient injury
Which of the following options describes a Class II surgical wound?
A. the respiratory, gastrointestinal tract, or genitourinary tract is entered under controlled circumstances
B. there is visible gastrointestinal spillage or inflammation is present
C. the wound is infected or there is a perforated organ
D. it is the result of non-penetrating trauma
A. the respiratory, gastrointestinal tract, or genitourinary tract is entered under controlled circumstances
Which of the following is an example of a skill based error?
A. the RN applied steps from an old policy and procedure when reconciling a surgical count
B. the RN forgets to retrieve a unit of blood when called to do a sponge count
C. the RN failed to properly assess the patient
D. the RN assumes an adult medication dosage applied but the patient is a child
B. the RN forgets to retrieve a unit of blood when called to do a sponge count
Which type of alloy finish on an instrument eliminates glare and is often used during laser surgery?
A. Plastic
B. Reflective
C. Ebony
D. Mirror
C. Ebony
Your patient has a BMI of 55 and is a type 1 diabetic. What ASA classification should you anticipate?
A. ASA 1B. ASA 2
C. ASA 3
D. ASA 4
C. ASA 3
Which of the following is TRUE regarding abdominoperineal prep?
A. a single prep kit is used for both the abdomen and vaginal preps
B. the bladder is emptied after the vaginal prep is completed
C. the patient's abdomen is always prepped first, followed by the vaginal prep
D. all of the above
B. the bladder is emptied after the vaginal prep is completed
Coefficient of friction is an element of which suture material characteristic?
A. handling
B. tissue retraction
C. physical
D. needle configuration
A. handling
When a specimen is removed from the body, which of the following is the next best step?
A. cover it with water
B. place it in a dry container
C. cover it with a sterile towel
D. pass it off the sterile field
D. pass it off the sterile field