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ST1 Final Review
ST1 Final Review
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1
The OR must at least have
Two suction outlets
Three suction outlets
Four suction outlets
One suction outlet
2
in a sterilized package, a chemical indicator is used to
verify the package was properly wrapped
show that moisture entered the package
confirm that the package was exposed to sterilization
guarantee the sterility of the package
3
The sterilization method that primarily uses gamma rays or beta particles to sterilize products
steam sterilization
steris
Ionizing radiation
ETO
4
Which department identifies patient hazards & develops solutions
risk management
maintenance and biomed
nursing care units
medical records
5
infection contracted within the health care setting is known as
preexisting
nosocomial
indirect contact
direct contact
6
what blood type is considered the universal recipient
O
AB
B
A
7
a normal range of humidity for the OR is
Below 50% and above 40%
Above 20% and below 60%
Consistent 65%
All of the above
8
13 year old girl is admitted for surgery, according to Erickson's psychosocial stages, she is what stage
Identity vs. role confusion
Industry vs. inferiority
Ego integrity vs. despair
Intimacy vs. isolation
9
Which entity accredits surgical technology programs:
ARC-STSA
DOE
NBSTSA
AST
10
When transferring an isolation patient from his room on the med surg. floor to the O.R, everyone must
wear gloves, gown
Wear sterile gloves, sterile gown, mask, face shield
Wear gloves, gown, mask, face shield
Wear gloves, mask
11
In infants, dehydration is the most common cause of ____; main treatment is quick fluid and blood replacement
Toxic Shock
Hypovolemic Shock
Septic Shock
A and B
12
a bacterial spore use to test ETO sterilizer is
E. coli
mycobacterium tuberculosis
G. stearothermophilus
bacillus atrophaeus
13
What produces an electrical current and is converted into thermal heat for cutting or coagulating tissue
ESU(Bovie)
Cryoization
Harmonic scalpel
Wolf
14
An inanimate object that harbors and transmits a disease is a
vector
arthropod
carrier
fomite
15
The common terms applied to the pediatric pop related to their age, for example, a neonate age range is
Birth to 18 months
Birth to 30 months
the first 28 days of life outside of the uterus
1 to 18 months
16
the steris sterilization system MOST commonly uses which of the following chemical solutions
peracetic acid
hydrogen peroxide
carbon dioxide
glutaraldehyde
17
In a steam autoclave set on pre-vacuum, the min temp that must be reached is
250 degrees
200 degrees
230 degrees
270 degrees
18
__ are ligatures attached to needles, used to tie off blood vessels
free ties
liga clips
stick ties
3-0 vicryl on a reel
19
_____ takes precedence over personal freedom in many instances
Persistence
Personality
Proprietary
Professionalism
20
Gravity displacement sterilizes function on the principle that
air is heavier than water
air is heavier than steam
water is heavier than air
steam is heavier than air
21
Which department provides preventive measures against infection
Risk management
administration
medical records
infection control
22
A woman comes to the hospital for an elective surgery and finds out she is pregnant, the surgery is delayed until
After delivery
Second trimester
Third trimester
A and B
23
After completing a procedure, the first item the ST in the scrub role should remove is
gown
gloves
mask
shoe covers
24
which of the following equipment uses high intensity sound waves to assist in cleaning instruments; called cavitation
ionizing radiation
ultrasonic cleaner
washer decontamination
washer sterilizer
25
The surgical specimen is passed to the surgical technologist during what phase of surgery:
Postoperative Phase
All of the above
Preoperative Phase
Intraoperative Phase
26
the amount of gross organic debris or the number of bacteria living on a surface of an instrument before sterilization
infection
biohazard
contamination
bioburden
27
Patient safety & hospital effectiveness are related to:
Clearer printing on all paperwork
The type of computer system in use
The size of the hospital
Consistent communicaton
28
All used gross instruments go to the
Dirty room
Decontamination room
scrub room
Sub-sterile room
29
"Time Out" is performed in which phase of surgery:
Postoperative
Intraoperative
All of the above
Preoperative
30
this intravascular coagulation occurs when blood clots throughout the body and eventually resulting in depleted factors
SCA
CHD
AED
DIC
31
Formalin is toxic to the liver and is used as a
preservative
Disinfectant
Sterilent
All of the above
32
how must basins be positioned for sterilization in the autoclave
right side up
tightly stacked
on their sides
upside down
33
a seizure with convulsions and loss of consciousness is called
psychomotor seizures
petit mal seizures
focal seizures
grand mal seizures
34
what would you do if the back side of your gown exposed the sterile back table before the procedure
do nothing, it didn't touch it that long
go tell your supervisor
cover it up with sterile towels
tear down your back table and start a new set up
35
which of the following is not true of aseptic technique
wrapped packages are sterilized in-house should contain a chemical strip
peel packs are considered sterile to inner edge of heat seal
envelope wrapped packages are considered sterile all the way to edge
unscrubbed person opens peel pack without tearing or letting things slide
36
the sterrad sterilization systems MOST commonly uses which of the following chemical solutions
glutaraldehyde
peracetic acid
hydrogen peroxide
carbon dioxide
37
Piece of furniture that extends above the patient's body and worked off of
Mayo Stand
all of the above
Ring Stand
Back Table
38
What piece of furniture in the OR is used to hold all sterile instruments and supplies
Back Table
Mayfield table
Mayo Stand
Prep table
39
Which Term describes the following coping mechanism "The patient does not want to accept the truth of what is occurring"
Regret
Repression
Regression
Denial
40
A chemical solution used to sterilize instruments by immersing them for at least 10 hrs.
Sodium hypochlorite
Activated glutaraldehyde
Aqueous Formaldehyde
Methyl phenol
41
which of the following should be min exposure time in a flash sterilizer for unwrapped instruments
7 min
5 min
1 min
3 min
42
Which of the following characteristics bacteria of the genes clostridium
aerobic
anaerobic
gram-negative
non-spore forming
43
what is it called when water comes in contact with a sterile surface
moisture
cleanliness
strike through
stains
44
The spore forming organism used to test the proper function of the steam sterilizer is
Mycobacterium tuberculosis
Bacillus subtilis
Clostridium perfringens
Bacillus stearothermophilus
45
What is the most common type of bone fracture that occurs during a traumatic childbirth
Head
Neck
Humorous
Clavicle
46
The CDC recommends that OR's are to be ventilated with ___ air exchange per hour
5
20
15
10
47
which of the following is correct regarding the compression to ventilation ratio during CPR
30-2 for all patients
10-2 for adults
5-2 for adults
15-2 for all patients
48
The number one cause of death in children ages 1-15 are
Accidents
Murder
All of the above
Suicide
49
Procedures on patients with diabetes should be treated
first
last part of the day
second
really does not matter
50
What federal agency is dedicated to protecting the health of workers, by standards that address safety in the workplace
CDC
OSHA
JACHO
HIPPS
51
The certification exam for surgical technologist is given by which entity
ARC-STSA
CAAHEP
AST
NBSTSA
52
A patient comes into surgery clinic with an elevation in liver enzymes, the surgeon requested a liver biopsy, is this:
Emergent
Elective
Urgent
Optional
53
The passing of instruments & equipment to the surgeon & surgical assistant as needed, is in which phase of the surgery:
Postoperative
Preoperative
All of the above
Intraoperative
54
The number one thing to do in case of fire is
contain the fire if possible
All of the above
protect the patient via removing them from the room
move the anesthesia equipment far away as possible
55
Professional organization dedicated to the improvement of surgical care by evaluating standards of surgical practice is:
OSHA
AAMI
American College of Surgeons
NIOSH
56
The sub sterile room consist of a
warmer for fluids and blankets
autoclave
scrub sink
all of the above
57
which microorganism is responsible for causing necrotizing faciitis
streptococcus pyogenes
steptococcus viridians
staphylococcus epidermidis
staphylococcus aures
58
Which of the following is MOST resistant to sterilization processes
Spores
Fungus
Virus
Spirochete
59
Obesity is when a patient body weight is __ greater than their ideal body weight
all of the above
100 pounds
50 pounds
80 pounds
60
In 1850, this pioneer developed the technique of antiseptic surgery:
Billroth
Versalius
Lister
Pasteur
61
Emergency outlets are designated to the
Red receptacles
White receptacles
All of the above
Green receptacles
62
Surgery for Latex allergy patients should be scheduled
Does not matter as long as you are notified before
Second
First
Last surgery of the day
63
which of the following organisms normally found on the skin can cause wound infection
staphylococcus aureus
diplococcus pneumonia
streptococcus pneumonia
bacillus botulinum
64
Type of sterilization uses a liquid that converts to a gas and the non used canisters have to be locked up
ETO sterilization
Peracytic acid sterilization
steam sterilization
cidex sterilization
65
The restricted areas of the OR when a surgery is in progress are
PACU
OR suite
sterile supply
dressing room
66
Which depart oversees the sterilization needs of the hospital
housekeeping
maintenance
Medical lab
Purchasing, SPD, & central processing
67
___ is the use of the patient's own blood
hemologous
all of the above
autologous
homologous
68
A division of the United Nations that promotes health activities worldwide:
World Health Organization
Social Security Administration
Medicare
Red Cross
69
Special attention should be concern when presented with a morbid obese patient; one of the most important concerns is to
All of the above
Make sure you use a bed to transport the patient
Make sure there is a big enough wheelchair
Make sure the weight limit on the bed is safe and acceptable
70
Which is an example of the interaction between personal and professional life:
The constant need for teamwork
The requirement to scrub your hands several times a day
The need for continuing education credits
The nature of the O.R results in some isolation from the general pop.
71
A normal range of temp for the OR is
70-80 degrees
60-65 degrees
68-73 degrees
all of the above
72
what is the appropriate time to keep a tourniquet inflated
1 1/2 hours
1 hour on arms and 1 1/2 on legs
2 hours
1 hour
73
According to Erickson's psychosocial stages; an infant starts with
Trust vs. mistrust
Initiative vs. guilt
Autonomy vs. shame and doubt
Identity vs. role confusion
74
Which of the following verifies that autoclave sterilization has occured
Biological indicator
Chemical indicator
Julian Date
Heat-sensitive tape
75
which of the following methods of sterilizations is highly mutagenic and carcinogenic and constitutes a safety hazard
Chlorine Dioxide Sterilization
Ionizing radiation sterilization
Ethylene Oxide sterilization
Peracetic acid sterilization
76
Which department repairs broken equipment:
Administration
Purchasing Central Services
Maintenance and Biomed
Diagnostic Imaging
77
Which of the following destroys bacterial spores
germicide
sterilant
antiseptic
fungicide
78
instrument prep begins after decontamination and involves the following steps in this order
sterilization, opening, use
Reassembly, inspection, preparation
inspection, reassembly, preparation
Sterilization, reassembly, inspection
79
When using proper ergonomics you should always include
all of the above
Keep weight as close to the body
keep feet shoulder width apart
Lift with legs and ABD muscles
80
which of the following is a cellulose pharmacological product and used in aiding hemostasis
avitene
gelfoam
silver nitrate
surgi-cel
81
The initial count of instruments & necessary items is done:
Intraoperatively
Postoperatively
All of the above
Preoperatively
82
Factors that have a direct effect on steam sterilization and are critical to the outcome of sterilization process are
Moisture, pressure, temp, and time
type of chemical, pressure, contact, and temp
Humidity, strength of sterilant, and temp
steam, strength of sterilant, temp, and time
83
the drug choice for treatment of severe anaphylactic reactions is
thrombin
succinylcholine
epinephrine
nitro
84
What type of monitoring involves live, non-pathogenic spore forming microorganisms used as a means to indicate sterility
biological
terminal
chemical
mechanical
85
when opening an envelope-folded, the non-sterile team member opens the first flap
laterally
onto the sterile field
toward himself or herself
away from himself or herself
86
The bowie-dick test must be run daily in which of the following types of sterilizers
gravity displacement
ethylene oxide gas
sterrad
prevacuum
87
Nonspecific response of the body to demand is known as:
Immune Reaction
Stress
Anemia
Self-Actualization
88
what device can be applied to the patients legs intra-op to avoid DVT
SCD's
tourniquet
esmarch
warm towels
89
congenital disorder causing a clotting deficiency
heparin
hemophilia
coumadin warfin
plavix
90
Hemostats, 3-0 silk on a SH needle, cottonoids, and bone was are examples of what hemostasis
mechanical
ligatures
phamacological
thermo
91
when a break in aseptic technique occurs, the ST in the scrub role should notify the
operating room supervisor
circulator
surgeon
person who broke technique
92
A patient who is considered to be at the geriatric stage is usually
bedbound
A double amputee
All of the above
over 65 years of age
93
harmonic scalpel uses what kind of hemostatis
high frequency alternating current
low frequency direct current
ultrasonic energy
plasma coagulation
94
the primary role of the STSR in any surgical emergency is to
maintain the sterile field
record events as they occur
perform chest compressions
all of the above
95
the gram stain differences between
plants
viruses
bacteria
protozoa
96
If an individual is concerned about an action that another individual is about to take, what manner should it be handled
State the concern in the form of a question to the individual
Ask the person to leave the room
Fill out an incident report
Bring the concern to the attention of management
97
According to Maslow's Hierarchy of needs & signs & symptoms what takes precedence first:
Belonging & Love Needs
Physiological Needs
Safety Needs
Prestige & Esteem Needs
98
During a procedure, the ST touches an unsterile item with a sterile glove. what should be done
break scrub and rescrub
ask the surgeon what to do
wait until closing to change the glove
change the glove at once