Which option describes a critical step the scrub tech takes prior to laparoscopic procedures

Checks surface of instruments for tears and cracks

Choose the correct statement about general skin antisepsis application measures

Apply antiseptic to area larger than the intended incisional site

Disposable dispersive pads are

Stamped with an expiration date that should be verified prior to use

When opening a blue wrap item, the nurse should

Inspect the wrap integrity for holes and tears

Which of the following options concerning MIS that is performed by robot is not correct

The robotic arms are part of the surgeons console

Of the following which is NOT an example of patient centered care

Health care decisions provided to PT and family

LAST is a patient medical emergency that occurs when

The local anesthetic blood threshold is exceeded

What is a benefit of robotic surgery?

Instruments have more flexibility than the human wrist

Which statement was included in OSHA BLOODBORNE PATHOGENS STANDARD

Wash hands after touching blood, body fluids, or other infectious materials

Which of the following describes revenue?

An organizations earnings made by services rendered

The ET OR LARYNGEAL MASK ARE REMOVED

When the patient can maintain their airway

Which of the following is a safety measure for use of energy devices?

Having the person using the energy device operate the foot pedal

One action to promote safe gas insufflation

Check the alarms are on and audible

Extravasation can lead to

Intraandominal compartment syndrome

Chain of custody for forensic evidence must do all the following except

Store evidence in your locker until it can be handed over to law

An accountable care organization is

Voluntary, coordinated effort across health care specialities

. The ET tube or laryngeal mask airway is removed

when the patient is able to maintain their airway.

Which example describes a situational based error?

Juggling several patient care activities

Which method is not an effective method of correct instrument care?

Wipe debris from instruments with sterile saline

When a count discrepancy occurs

A recount of that item is conducted after missing item is found

Which statement is incorrect about hazardous chemical agents in the periop setting?

Eyewash station within 20 seconds of use and storage locations

Health care professionals protect patients confidentiality and privacy? Which of the following is False.

It’s ok to use personal devices to capture info and photos of PTs

Which of the following is not applicable to the RN working in PACU

Can provide regional anesthesia

2. When is it appropriate for the perioperative nurse to release cricoid pressure?

C. When the ET tube cuff is inflated

The specimen transport container should

Protect the integrity of the specimen

What is the temp and humidity in the OR?

68-75 F temp 20-60 percent humidity

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

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Questions 91

Answers

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

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91 termsStudBud Administration38 plays

Imported from external platform

Flashcards91 cardsFPractice quizPHost liveL

Questions 91

Answers

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