Misc.
In preparing a patient for surgery, which of the following should be removed to facilitate oxygen blood level assessment?
a. dentures
b. hearing aids
c. nail polish
d. makeup
c. nail polish
Which towel is placed first when squaring off the operative site?
a. inferior margin
b. superior margin
c. same side as person applying towels
d. opposite side from person applying towels
c. same side as person applying towels
Which component of personal protective equipment (PPE) has shown the ability to decrease disease transmission from needle punctures?
a. double gloving
b. full coverage system
c. lead aprons/shields
d. splash guard mask
a. double gloving
Which term describes the condition of a surgical technologist’s skin following skin scrub?
a. debrided
b. medically clean
c. surgically clean
d. sterile
c. surgically clean
During the process of setting up the sterile field, efficiency and economy of motion recommend that the surgical technologist (ST):
a. move items only once if possible
b. position back table close to door
c. place as many instruments on Mayo stand as possible
d. request that circulating RN open all supplies for case after ST is gowned and gloved
a. move items only once if possible
What is the term used when a surgical team member who is on standby must return to the facility to do a case?
a. called in
b. called up
c. pulled in
d. pulled up
a. called in
What is the temporary position for a female patient for placement of urinary catheter prior to abdominal hysterectomy?
a. frog-legged
b. jackknife
c. low lithotomy
d. semi-Fowler’s
a. frog-legged
. Which gloving method should be performed by the surgical technologist after donning a sterile gown and before setting up the back table?
a. assisted gloving
b. closed gloving
c. open gloving
d. triple gloving
b. closed gloving
Up to what area of the arms does a surgical technologist scrub?
a. 1 inch below the elbows
b. 2 inches below the elbows
c. 1 inch above the elbows
d. 2 inches above the elbows
d. 2 inches above the elbows
9. The main purpose of the surgical skin prep is to:
a. provide a visible area of paint where the incision will be made
b. reduce the microbial count on the skin to an irreducible minimum
c. remove all resident and transient flora from the planned incision site
d. sterilize the patient’s skin to prevent post-op surgical site infections
b. reduce the microbial count on the skin to an irreducible minimum
What is the purpose of a radiofrequency tracking system in the operating room?
a. Aid in chargeable items being input into system.
b. Assist CSPD personnel in locating instrument trays.
c. Prevent potential for patient misidentification.
d. Reduce possibility of retained foreign objects.
d. Reduce possibility of retained foreign objects.
. Where is the safety belt or strap placed on a patient in supine position on the OR table?
a. 2 inches proximal to the ankles
b. 2 inches distal to the knees
c. 2 inches proximal to the knees
d. 2 inches distal to the perineal region
c. 2 inches proximal to the knees
What should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing?
a. Open and toss gown and gloves into the basin set.
b. Open and toss gown and gloves onto the back table.
c. Open and toss gown and gloves onto unsterile Mayo stand.
d. Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown.
d. Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown.
The purpose of the preoperative skin prep is
a. to sterilize the patient’s skin to prevent surgical site infections
b. make sure the patient's skin is surgically clean to help prevent surgical site infections
c. to make sure the patient is clean incase they did not bathe before coming to the hospital for surgery
d. to kill all bacteria that may cause an SSI (Surgical Site Infection)
b. make sure the patient's skin is surgically clean to help prevent surgical site infections
During the surgical skin prep, areas that are considered contaminated should:
a. not be scrubbed at all
b. need no special attention
c. be scrubbed separately or last
d. be scrubbed vigorously and first
c. be scrubbed separately or last
Which of the following describes the configuration of a Mayo stand cover?
a. flat
b. rigid
c. cylindrical
d. wraparound
c. cylindrical
Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher?
a. Fowler’s
b. Kraske
c. lithotomy
d. Sims’
d. Sims’
What is the name of the common disposable surgical gown style?
a. cylindrical
b. turnaround
c. wraparound
d. circumferential
c. wraparound
. Which method of gloving is appropriate for placement of a urinary catheter as part of the skin prep?
a. closed gloving
b. open gloving
c. double gloving
d. unsterile gloving
b. open gloving
The patient undergoing laparotomy should be prepped:
a. in a side-to-side motion from bedside level to bedside level
b. in vertical strokes from superior prep margins to inferior prep margins
c. from the periphery inward toward the incision site in a circular motion
d. from the incision site outward toward the periphery in a circular motion
d. from the incision site outward toward the periphery in a circular motion
What is the appropriate method for delivering a sterile item to the back table from a peel package?
a. Open peel pack away from self, using top flap to cover hand and arm; open item over center of back table.
b. Open package laterally, and carefully slide item over glued edge onto top of back table.
c. Open package toward self; then project item into air, aiming for back table.
d. Open package laterally and completely; gently toss item without touching glued edge or going over back table.
d. Open package laterally and completely; gently toss item without touching glued edge or going over back table.
What would be the likely result of positioning the patient’s arms on armboards at a greater than 90° angle from the torso?
a. hyperextension nerve damage
b. foot drop
c. hamstring strain
d. restriction of respiratory freedom
a. hyperextension nerve damage
Which type of sterile gown uses battery-powered ventilation for the wearer?
a. reusable cloth
b. impervious backed
c. full coverage system
d. disposable fluid resistant
d. disposable fluid resistant
An assistant may be needed to properly perform which type of surgical skin prep?
a. circumferential extremity
b. midline vertical abdominal
c. two-step prep with scrub and paint
d. vaginal/perineal prep in lithotomy position
a. circumferential extremity
Which of the following statements regarding hair removal is INCORRECT?
a. Hair must be shaved from every incisional and ECG lead site.
b. Hair removal should be performed as close to the time of the procedure as possible.
c. Hair removal is dependent upon surgeon’s preference, patient factors, and surgical site.
d. Hair removal using a razor can result in microabrasions and increased microbial count.
a. Hair must be shaved from every incisional and ECG lead site.