Sterility/ Sterile Technique
What action should the scrub nurse preform when gowning and gloving?
a. wearing gloves that are extra loose
b. changing gloves every 60-150 minutes or after contact with bone cement
c. waving hands when drying hands after surgical scrub
b. changing gloves every 60-150 minutes or after contact with bone cement
what are the risks factors for a surgical patient who uses Alcohol?
a. exaggerated physiological stress response
b. normal cardiac function
c. shortened bleeding times
d. strengthening immune function
a. exaggerated physiological stress response
which Domain (SDOH) is concerned with employment, food, housing, and poverty?
a. social and community context
b. Neighborhood and built environment
c. health and health care
d. economic stability
d. economic stability
health disparity is_____
a. the equal distributions of health care resources
b. adherence to the standard of care for every person
c. a higher burden of some populations
c. a higher burden of some populations
which example is the correct way to document two milligrams of morphine sulfate?
a. MSO4 2 mg
b. Morphine Sulfate 2 mg
c. MS 2.0 mg
d. Morphine Sulfate 2.0 mg
b. Morphine Sulfate 2 mg
What would negatively affect the sterility of an instrument?
a. exposure to moisture
b. regulated humidity and temperature
c. transport outside of surgical suite with a protective cover
d. use of approved packaging materials
a. exposure to moisture
what element is recorded after surgery as part of the preoperative skin antisepsis documentation?
a. skin antiseptic used
b. hypersensitivity
c. area prepped
d. pre-existing skin conditions
b. hypersensitivity
Which statement is NOT correct about surgical attire?
a. hand and wrist jewelry do not need to be removed when performing hand hygiene.
b. beard covers are not required in unrestricted or restricted areas.
c. head coverings are required in unrestricted areas
a. hand and wrist jewelry do not need to be removed when performing hand hygiene.
Which is NOT a characteristic of patient and family centered care?
a. health care decisions provided to the patient and family
b. alliance between health care practitioners, the patient, and the patients support system
c. focus on communications with all involved in the patients care, the patient, and the patient's family
d. patient and family participation in care
a. health care decisions provided to the patient and family
what are the things that increase risk for perioperative hypothermia?
a. hypotension
b. elderly patients
c. hypothyroidism
d. low body weight
all answers are correct
Which sterile towel is considered a drape?
a. skin prep towel
b. disposable cloth towel
c. impervious towel
d. reusable cloth towel
c. impervious towel
which is considered a skill-based error for an RN?
a. Omits a section of the surgical safety checklist during the time out because of an interruption
b. misinterprets a lab test result
c. applies steps from an old policy and procedure when reconciling a surgical count
a. Omits a section of the surgical safety checklist during the time out because of an interruption
Phases of postoperative care are defined as
a. determined by the staff
b. determined by location of patient
c. levels of patient care
d. pre-determined when the patient signs the consent
c. levels of patient care
Accountable care organization ________
a. provides an education-based program for facility medical and nursing intern candidates
b. provides and education-based program for surgical candidates
c. is a voluntary, coordinated effort across health care specialties
c. is a voluntary, coordinated effort across health care specialties
the focus for a culture of safety is.
a. medical staff goals
b. the priority of safety within the organization
c. regulatory requirements
the health care provider
c. regulatory requirements
What is accurate regarding Shelf life?
a. shelf life is time related
b. is not affected by handling
c. Shelf life is event related
d. Shelf life is not affected by storage temperature
c. Shelf life is event related
what stage pressure injury presents with painful skin that is abraded, blisters, or has a shallow crater?
a. stage l
b. stage ll
c. stage lll
d. stage lV
b. stage ll
Fast tracking______
a. requires a 1:1 nurse to patient ratio
b. does not require a nursing hand off
c. bypasses phase 1 level of care so the patient goes directly to phase 2
d. does not include patient and family education
c. bypasses phase 1 level of care so the patient goes directly to phase 2
Which is NOT an element of systems error study?
a. standardized processes
b. individual blame
c. communication tools
d. standardized processes
b. individual blame
Which element of the fire triangle does a laser belong?
a. chemical
b. fuel
c. ignition
d. oxidant
c. ignition
Which is true related to biological indicator testing (BI)?
a. an unprocessed BI vial should produce a positive result after incubation
b. any BI type can be used for any sterilization method
c. two BI test vials are placed in the sterilizer together
d. A sterilizer quality test is performed at least every 6 months
a. an unprocessed BI vial should produce a positive result after incubation
The surgical site marking process must_____
a. occurs within 2 hours of the planned procedure
b. be consistent with throughout the organization
c. be performed in the OR
d. completed by the patient or guardian
b. be consistent with throughout the organization
when talking about hazardous chemicals in the operative setting, what are correct statements?
a. eye washing stations need to be easily accessible and located within 10 sec of use and storage locations
b. Formaldehyde is a carcinogenic agent
c. all hazards agents should be handled according to the manufacture's instructions
d. agents include anesthetic gases and cleaning agents
all answers are correct
Which statement is false when protecting patients confidentiality and privacy?
a. team members must prevent unnecessary exposure of the patient, protecting the patient's privacy at all times
b. The health insurance Portability and Accountability Act outlines what may or may not be done with the patients personal information
c. using personal devices to capture images of patients or their personal information is okay when using for documentation purposes
d. discussion about a patient's lifestyle, appearance, or medical issues by the health care team in a public setting is inappropriate
c. using personal devices to capture images of patients or their personal information is okay when using for documentation purposes
Which is NOT a component of ERAS (Enhanced Recovery After Surgery)?
a. return to normal diet on the day of surgery
b. patient and family education
c. multimodal analgesia
d. patient fasting 12 hours prior to surgery
d. patient fasting 12 hours prior to surgery