stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Mac Flashcards | StudBud
Explore
/
Mac
Mac
91 terms
·
StudBud Administration
·
38 plays
Imported from external platform
Flashcards
91 cards
F
Practice quiz
P
Host live
L
Questions
91
Answers
1
Which is not a key component of ERAS?
Multimodal analgesia
Pt fasting for 12 hours proper to surgery
Return to normal diet on the day of surgery
Patient and family education
2
Which of the following is not a sign or symptom of an allergic reaction?
Hypertension
Strider
Nausea
Tachycardia
3
LAST is a patient medical emergency that occurs when
An unintended hypothermic event occurs
The airway is occluded
A sedative bolts is injected intravenously
The local anesthetic blood threshold is exceeded
4
One action to promote safe gas insufflation
Flush insufflation tubing with Normal saline
Check the alarms are on and audible
Remove the filter from the tubing
Maintain the pneumoperitonium at the highest level possible
5
Which statement is incorrect about hazardous chemical agents in the periop setting?
Agents include anesthetic gases and cleaning agents
All hazardous agents should be handled according to manufacture IFU
Formaldehyde is carcinogenic
Eyewash station within 20 seconds of use and storage locations
6
Which example describes a situational based error?
Does not properly conduct a patient assessment
Does not adjust a medication dosage for a peds patient
Misinterprets a lab result
Juggling several patient care activities
7
Which gown would you use when there will be a lot of blood
Four
One
Two
Three
8
Instruments are inspected at multiple points of use. Which is preventative measure?
Scheduled inspection of instruments
Use of a cracked instrument during an emergency
Use of misaligned instruments for grabbing tissue
A point of use instrument lubrication
9
The definition of health disparity is
Equal distribution of healthcare resources across the populations
A higher burden of disease for some populations
Adherence to SOC for every individual
All of the above
10
Which statement was included in OSHA BLOODBORNE PATHOGENS STANDARD
Wash hands after touching blood, body fluids, or other infectious materials
Education on occupational exposure should be provided q2 years
Food is permissible in restricted and semi restricted areas
Semi and restricted area nurses should apply lip balm to avoid cracked lips
11
A potential complication of gas insufflation is
Increased blood flow to kidneys
Decreased diaphragmatic pressure
Hypercarbia
Increased cardiac output
12
Why is water temperature an important consideration when cleaning instruments?
Hot water makes blood removal easier
Cool water prevents blood coagulation
Cool water makes it harder to remove soil from instrument crevices
Hot water is preferred by all cleaning solution manufacturers
13
Which is not a radiation safety measure?
Time
Distance
Shielding
Exposure
14
An example of an open or passive drain is
Jackson Pratt
Penrose
Hemovac
Chest tube
15
Instrument sets must not weigh more than
20 lb
25 lb
30 lb
50 lb
16
Surgical fires can occur on or in the patient. A laser or ESU device belong to which element of fire triangle
Oxidant
Chemical
Fuel
Ignition
17
Extravasation can lead to
Intraandominal compartment syndrome
Hyponatremia
Hypervolemia
Pulmonary complications
18
5 domains of social determinants of health. Which one is related to the economy?
A neighborhood and built environment
Social and community context
Health and health care
Economic stability
19
Which of the following legal terms describes the actions of a reasonable and prudent professional in same scenario
Liability
Standard of care
Respondent superior
Tort
20
Fast tracking
Bypasses phase one and goes directly to phase 2
Requires 1:1 ratio
Does not require a nursing handoff
Does not include patient and family education
21
What action should be taken when transferring a specimen off the sterile field?
Immersing the specimen into preservative until further instructions
Wait til end of surgery to place specimen in container
Confirming test to be performed with the surgeon
Depositing the specimen into the smallest container
22
When opening a blue wrap item, the nurse should
Allow side flaps to hang loose
Open the top flap toward your body
Inspect the wrap integrity for holes and tears
Open the last flap towards the scrub person
23
When is the bladder drained when doing a vaginal prep
After the vaginal prep
Prep the abdomen first
Three or more prep kits are necessary
It’s ok to prep abd and vagina at the same time if you have help
24
Preoperative assessment is a critical nursing element when considering positioning. What increases pts risk
Age
Body mass index
All of the above
Preexisting medical condition
25
When is damp dusting performed
Before every surgical procedure
Beginning with the highest surfaces and moving to lowest
Using a cloth moistened with alcohol
When the OR suite has been empty for 24 hours
26
Consideration for the patient in prone position include
All of the above
Using positioning devices or beds to allow chest and abdominal expansion
Keeping the patient in Prone position shortest time possible
5-10 degree reverse trendelinburg to decrease orbital swelling
27
2. When is it appropriate for the perioperative nurse to release cricoid pressure?
C. When the ET tube cuff is inflated
B. After the trachea is occluded
When the ET tube stylet is removed I
A. As the anesthesia provider starts to intubate the patient
28
Which of the following social determinants of health relates to high lead levels in water affecting pediatric health
An environment free of life threatening toxins
Public safety
Access to health services
Healthy food availability
29
For sterile field medications
The time the med is retrieved from storage is noted
Rubber stopper is removed prior to placing on field
If there is only one med, it doesn’t have to be labeled
Medication is verified by scrub tech and nurse
30
The RN should ask the patient about use of any herbal preparations and botanical products. Why is this critical?
All of the above
Liver toxicity can be potentates
These products can affect bleeding times
Anesthetic effects can be prolonged
31
Which method is not an effective method of correct instrument care?
Wipe debris from instruments with sterile saline
Choose instruments for use according to their design
Transport instruments in a closed cart to decontam
Organize instruments on sterile field
32
4. The most specific early indicator of a malignant hyperthermia crisis is
Increase CO2 above 45
Arrhythmias
Temperature greater than 102
Dark urine
33
Which of the following interventions can help manage a gas embolism?
Continue has insifflation
Continue anesthesia and hyperventilate the patient with 100•\• O2
Place the patient in reverse trendelenberg on right side
Place the patient in trendelenburg and on left side
34
When is it appropriate to release cricoid pressure?
When the stylet is removed
When anesthesia starts intubation
After the trachea is occluded
When the ET CUFF IS INFLATED
35
An area of painful skin that is abraded, blistered, or has shallow craters would be what stage?
Stage 2
Stage 3
Stage 4
Stage 1
36
Which option describes a critical step the scrub tech takes prior to laparoscopic procedures
Determines length of tricots
Checks surface of instruments for tears and cracks
Identifies laparoscopic instruments
Measures the width of laparoscopic instruments
37
Which of the following is the best option for a nurse giving medication
Get medications for multiple patients at one time
Prepare medication for patients one at a time
When given a choice draw up meds instead of using a prefilled syringe
Use multi dose vial
38
Fall prevention measures in the OR
Leave pt unattended to get supples
Placing safety strap 3inches above the knee
Never leave patient unattended
Unlocking the stretcher prior to
39
Which of the following is NOT part of universal protocol?
Site marking
Time out
Pre-procedure verification
Clipping the surgical site
40
A consideration for instrument set creation would not include:
Type of surgery
Tray weight
Scheduling conflicts
Patient population
41
What is an example of clean contaminated wound
Laparotomy with spillage
An Incision and drainage
A total abdominal hysterectomy
Total knee arthroplasty
42
The ET OR LARYNGEAL MASK ARE REMOVED
When the patient is fully awake
When the patient can maintain their airway
After the narcotic reversal is administered.
After an IV injection of sugammadex
43
One of the physiological effects of the trendelenburg position
Venous pooling in the lower extremities
Increased cardiac output
Increased intraoccular pressure
Evenly distributed lug ventilation
44
What is the temp and humidity in the OR?
68-75 F temp 20-60 percent humidity
66-76 F with humidity 20-60 percent
Humidity 30-60 percent Room temp 72 F
65- 78 humidity temperature 20-60 degrees
45
Choose the correct statement about general skin antisepsis application measures
Apply antiseptic to area larger than the intended incisional site
Dilute prep solution
Begin the prep as the pt is being positioned
Allow positioning equipment to absorb excess skin prep
46
1999 report, To err is Human, started a culture shift. Which is NOT AN ELEMENT of SYSTEMS error study?
Individual blame
Standardized check list
Communication tools
Standardized process
47
A culture of safety focuses on
Medical staff goals
Individual healthcare provider
Organizational care delivery
Patient safety regulatory requirements
48
Which option best describes an interrupted stitch?
A suture that encircles the wound
A single stitch tied independently
A heavy suture that reinforces the primary suture line
A suture placed in the epidermal layer
49
Of the following which is NOT an example of patient centered care
Focus on communication with all involved in pt care, support system and pt.
Alliance between health care practictioners, patients and their support
Patient and family participation in care
Health care decisions provided to PT and family
50
Chain of custody for forensic evidence must do all the following except
Adhere to regulatory requirements
Have documentation when evidence is released to law officer
Store evidence in your locker until it can be handed over to law
Detail wh collected the specimen and how it was handled
51
Which of the following is true regarding surgical count
All counted items stay in the surgical suite until all counts are completed
Count starts with items thrown in kick bucket
Count should be acessable on the count sheet only
RN Circulator is solely responsible for the count
52
Disposable dispersive pads are
Multi use
Stamped with an expiration date that should be verified prior to use
Opened and stuck to ESU handle
Cut to fit the patient
53
Choose the term that describes the amt of virus that is found in an individuals blood
Viral replication
Viral transmission
Viral shedding
Viral load
54
Knowing instrument names help with
None of the above
Increasing time in the OR
The count process
Predicting the next step of the operation
55
Which statement related to biological indicator (BI) is True?
A sterilizer quality test is performed at least every 6 months
Any BI Type can be used for any sterilization method
An unprocessed BI is positive after incubation
Two BI test vials are placed in the sterilizer together
56
Which of the following is a safety measure for use of energy devices?
Inspecting insulation of endoscopic instruments after the procedure only
Use non-conductive trocar system
Use the highest setting possible
Having the person using the energy device operate the foot pedal
57
Which of the following statements is true regarding hand hygiene is INCORRECT?
Hand hygiene is the single most effective infection prevention
Personnel should follow policy and procedure regarding use of nail polish
Personal hand lotion should be used to maintain skin integrity
Fingernails should be kept short and clean
58
Skin antisepsis products can be flammmable. Which of the following is NOT recommended.
Allowing the skin antiseptic to dry completely prior to draping
Clipping hair at the surgical site before prep application
Warming the product prior to application
Using towels to absorb solution accumulation during application
59
A mono polar electrosurgery intervention for a pt with an IED IS
Inactivation of IED whenever possible
Verification of IED and leads are between the ESU pencil and the IED
Place dispersive pad as close to IED AS POSSIBLE
Use ESU at highest power for faster application
60
Which of the following is considered a drape?
Skin prep towel
Impervious towel
Disposable cloth towel
Reusable cloth towel
61
. The ET tube or laryngeal mask airway is removed
when the patient is able to maintain their airway.
after the narcotic reversal agent is administered.
when the patient is fully awake
after an IV injection of Sugammadex
62
Which of the following options concerning MIS that is performed by robot is not correct
The video art contains equipment such as monitor and camera
Robotic instruments are similar to laparoscopic instruments
The operating surgeon has control of robotic instruments, camera and scope
The robotic arms are part of the surgeons console
63
Which gowning and gloving action would a scrub tech perform
Changing gloves every 90-150 minutes
Wearing double gloves that are extra loose to avoid numbness
Drying arms and hands by waving them around
Gloving another team member only when Hands are exposed, the cuff at wrist
64
Which is a traffic rule scrub persons should observe?
Turn back to sterile field to get an instrument
Change positions with a sxcrubbed person face to face, back to back
Maintain a distance from the sterile field
Cross arms and put hands in acillary
65
Which element in the chain of infection describes a microorganisms route after exciting an infectious reservoir?
Susceptible host
Infectious agent
A mode of transmission
Portal of entry
66
What is a benefit of robotic surgery?
Technology cannot prevent instrument movements during procedure
Instruments have more flexibility than the human wrist
Heavier robotic arms can impede precise instrument movements
Instrument changes are slowed by the robotic release
67
Risk factors for a patient that uses/abuses alcohol
Exaggerated physiological stress response
Strengthened immune system
Normal cardiac function
Shortened bleeding times
68
From the options below which describes a portal of entry for an infectious agent?
Dirty surfaces and equipment
Aerosols
Mucous membranes
An individual receiving healthcare
69
1.Which of the following is associated with increased risk for perioperative hypothermia?
Males
The Female sex
B. Higher than normal body weight
Hyperthyroidism
70
Which of the following is not applicable to the RN working in PACU
Holds a certification in advanced cardiac support
Is competent in age specific care
Can provide regional anesthesia
Relies on facilities quick response team for unit emergencies
71
Which of the following results from medication errors?
Decrease chance of human factor mistakes
Decreased threats to patient safety
Increase in health care cost
Increased patient confidence
72
Which of the following statements regarding surgical attire is correct
Beard covers are required surgical attire only in the restricted area
Personnel remove all hand jewelry before performing hand hygiene
Masks are required in semi-restricted area
Personnel don a head covering prior entering the restricted area
73
The specimen transport container should
Display pt’s info for ease of specimen handover
Be stored in the operating room until it goes to pathology
Protect the integrity of the specimen
Have a biohazard sticker for fresh or frozen
74
Which of the following is the correct product for cleaning in the OR?
An EPA registered product
A liquid chemical sterilant
Alcohol
A high level disinfectant
75
Health care professionals protect patients confidentiality and privacy? Which of the following is False.
HIPA ACT determines what may or may not be done with information PTs
It’s ok to use personal devices to capture info and photos of PTs
Discussion about a patient in public setting is Inappropriate
Team members should protect patients privacy at all times
76
An accountable care organization is
Voluntary, coordinated effort across health care specialities
Mandated
Education based for surgical candidates
Provides education for facility medical and nursing
77
Failure to follow instructions for healthcare product or device
Ensures correct device storage
Prevents patient injury
Adheres to equipments warranty
May result in the hospitals accrediting body issuing citations
78
Which of the following is associated with increased risk for hypothermia
Higher than normal body weight
Hypertension
Hyperthyroidism
Elderly patients
79
Most postoperative complications occur within
8 hours
12 hours
24 hours
48 hours
80
A brachial plexus injury is most likely to occur
When the head and neck are in a neutral position
When the arms are extended less than 90 degrees
When the patient is in a lateral position with an acillary roll
When shoulder braces are used
81
Specimen management errors can result in
Faster diagnostic results
Increased community trust
Lower incidence of morbidity
Potential litigation
82
Which of the following is Not an appropriate action for specimen handling on the sterile field?
Labeling the covered or contained specimen
Covering the specimen or placing it in a sterile specimen container
Handling the specimen as little as possible
Ensuring that the specimen stays dry until it is transferred off back table
83
The pre operative to intraoperative hand over documentation would not include
A diagnostic test result
NPO status
Specimen documentation
Family contact information
84
When a count discrepancy occurs
Surgical assistant breaks scrub to help circulator
RN Circulator immediately calls radiology
The surgeon continues closing
A recount of that item is conducted after missing item is found
85
A mechanical method for achieving Hemostasis includes the use of
Sutures, staples, clips
Vasopressors
Vessel sealing devices
Electro surgical devices
86
ERAS protocols typically begin
Postoperatively
Before surgery
Intraoperatively
On the day of surgery
87
Which of the following is NOT a laser safety precaution?
The laser is kept in the active mode until the procedure is over
Windows are covered prior to Laser use
Appropriate wavelength eyeware placed at entry to OR
The laser is tested prior to use.
88
Patient and family education
Increases patient length of stay
Hinders the development of life changing behaviors
Should begin following the surgery
Improves patient outcome
89
Which statement is an accurate desc of negative pressure wound therapy?
Applies constant, positive wound pressure
Encourages edema
Increases bacterial load
Promotes wound contracture
90
Which of the following is NOT a type of a closed drainage system
Chest tube
Hemovac
T-Tube
Negative wound therapy
91
Which of the following describes revenue?
Costs related to employee salaries and hospital equipment
An organizations earnings made by services rendered
Cost related to services provided
Part time such as vacation, orientation and holidays
