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CST Admin & Personnel Study Test Flashcards | StudBud
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CST Admin & Personnel Study Test
CST Admin & Personnel Study Test
100 terms
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StudBud Administration
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Administrative and Personnel
Flashcards
100 cards
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Practice quiz
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Questions
100
Answers
1
Slapping or punching a patient may be an example of?
Assault
Negligence
Bullying
Battery
2
Failing to observe or act in a situation that the individual should have known about & acted on is called?
Guilt
Abandonment
Negligence
Defamation
3
A triage patient wearing a black tag designates that they are in which category?
Delayed
Expectant
Minor
Intermediate
4
A hospital fire plan is based on four immediate actions remembered by the acronym:
PASS
CODE
RACE
OFSI
5
Able to get to the point means be able to communicate in a(n)?
Repeat the sentence over
Aggressive manner
Concise manner
Interrupt whenever it is necessary
6
Accreditation for surgical technology program is:
ARC/STSA
JACHO
AORN
CAAHEP
7
Ethnics is defined as:
Moral obligation that one person owes another person
Legal obligation that one person owes another person
Laws
What the patient requests
8
Which body organ is most susceptible to laser injury
Eye
Skin
Thyroid
Gonads
9
Which decontamination process requires the use of sodium hypochlorite?
Radiological decontamination
Atomic decontamination
Thermal decontamination
Chemical decontamination
10
The health insurance portability & accountability act (HIPPA):
Allows patients to see any physcician they chose
Gives patients the right to have elective surgery
Gives the patient the right to sue their doctor
Privacy standards to protect the patients medical records
11
To help prevent toxicity & vascular events in a pt where PMMA is used, which device should ST have available?
Smoke evacuator
Cement mixer w/ charcoal filter
Pulse lavage
Mask
12
A ST selects suture based on preference card. Surgeon states he wants other sutures, card is outdated. What should ST do
Open sutures that were collected & place on back table just in case
Update preference card to reflect sutures requested for this case
Return the sutures that are not needed to sterile supply & proceed w/ case
Ask surgeon if he would like preference card updated & proceed accordingly
13
An OR hazard that's been linked to increase risk of spontaneous abortion in female OR employees is exposure to?
X-ray control
Waste anesthetic gas
Radium
Sterilization agents
14
Ionizing radiation protection is afforded by the use of?
Lead
Zinc
Ebonized coating
Iron
15
The lead surgeon for organ procurement has cross-clamped the aorta. The CST should?
Pass the Metz scissors
Pass the silk suture to the surgeon
Watch the monitor
Pass the cannula that is connected to the cold cardioplegic solution
16
A document which a person gives instructions about their care in the event that the individual cannot speak is?
Advanced directive
Administrative law
Hospital policy
Ethical deposition
17
CST's should complete CE to demonstrate to peers, healthcare providers & public their commitment to?
Control the surgical environment
Impress the president of the hospital
Provide a high level of quality surgical patient care
Evaluate the surgeon's performance
18
When a negligence suit is filed against the hospital who is named?
The RN
The STSR
Every person that has played a part in that surgery
The surgeon
19
Surgeon finishes procedure & realized he forgot to give pain injection & asks CST to do it, why can't the CST do it?
Anesthesia will have to do it
It would be negligence
No consent has been issued to the CST
It would be malpractice
20
Patient expresses fear of not awakening from anesthesia when in OR. The surgical tech should?
Reassure the patient that that anesthetic is safe
Proceed w/ the transfer & disregard patient comments
Explain the action of the anesthetic agent
Have anesthesia care provider address the patients concerns
21
The code of ethics of the Association of Surgical Technologists include:
To report an unethical conduct or practice to proper authorities
To follow the principle of asepsis
All of the above
Respect & practice patient's legal & moral rights for quality patient care
22
What is the most severe systemic allergic reaction caused by a second exposure to triggering agent?
Anaphylaxis
Deep vein thrombosis
Laryngospasm
Bronchospasm
23
During surgery which of the following is an oxidizer?
Sevoflurane
Saline
Nitrogen gas
Oxygen
24
Which of the following statements is true in regard to adult learners?
Learning should be conducted in a threatening environment
They want situations they cannot control; hence, they perform better
Adults see themselves as achievers & want to be treated w/ respect
They want to be told what they can or cannot do
25
Excessive exposure to radiation can affect the:
Stomach
Brain
Integumentary system
Reproductive organs
26
The operative paperwork completed by the RN contains:
Medications given
sponges, sharps, and instrument counts
Specimens
All of the above
27
Why is home laundering of OR attire not recommended?
Pathogens can survive the wash cycle of a home laundry machine
The OR fabric can get damaged in home washers
The laundry service loses income
Home washers use less water than industrial washers
28
When an MRI is used, the primary risk to the patient is the presence of?
CO2
Metal
O2
None of the above
29
Liability is a legal rule that:
Applies only in criminal actions
Has no significance in malpractice suits
Holds the hospital responsible for it's personnel
Holds each individual responsible for his or her own acts
30
In a surg setting, which total quality management includes a strategic plan that integrates quality as core component?
Wound classification
Opening wrapped instruments
Back table setup
Flipping supplies to the back table
31
What does the "R" stand for in the acronym RACE in the event of a fire?
Retrieve
Run
Rescue
Repeat
32
When you pass the CST exam, the certification is described as:
Recognition by appropriate body that individual met predetermined standard
Legal right by government agency that authorizes the activity of profession
Perform according to the facility guidelines
Formal process by which qualified individuals are listed in registry
33
Who introduced the 5 stages of grief in a book called Death & Dying?
Elisabeth Kubler-Ross
Sister Callista Roy
Versalis
Joseph Lister
34
A patient was burned on the lip w/ a hot mouth gag. Which actions would have prevented this incident?
The circulator cooled the item in the sterilizer
The surgeon had checked the item before using it
The scrub nurse cooled the item in a basin with sterile water
The scrub nurse warned the surgeon that the item was hot
35
Bioterrorism uses biological agents to harm humans & the environment. They include:
Botulism
Anthrax
All of the above
Ebola
36
While using this mixture, a scavenging system is used to collect & exhaust or absorb it's vapors. It is called?
Halon
Polypropylene
Glutaraldehyde
Methyl Methacrylate
37
The fire triangle consists of ignition source, fuel source & oxidizer. Which items can become ignition source for fire?
Nitrous Oxide
Alchohol based skin prep agent
Surgical drapes
Laser
38
Performing an organ procurement of liver when cold perfusion is commenced, the CST should have what ready?
Cold saline ice slush ready
Back table ready
Tie on the passer ready
Suture scissors ready
39
A 3yr old in crib, left alone by OR staff, climbs over rail and breaks his arm. The staff person is charged with?
Cruelty
Battery
Assault
Abandonment
40
In a malpractice suit, patients claim may be based on principle of res ipsa loquitur which means?
The end does not justify the means
The thing speaks for itself
Necessity knows no law
The end justifies the means
41
The doctrine of respondeat superior refers to:
Employer liability for employee's negligent conduct
The legal term for assault and battery
Invasion of privacy
Professional misconduct
42
How many feet away from the disaster is the "warm zone"
1 mile
700ft
100ft
300ft
43
STSR should ______ to prevent buildup of heat created by friction.
Check all equipment before cases begin
Irrigate the active tip (high-speed drills)
Have suction available to remove smoke plume
Do not lay the fiber optic cord directly on the drape
44
For a class A fire, the following is used to extinguish
water
Halon
None of the above
CO2
45
Which of the following statements is true in regards to intraoperative fire in the OR?
Wait for the OR nurse mgr instruction
The most obvious and easiest method of fighting fires is prevention
During intraoperative fire, the ST should immediately shut off the oxygen
Place 3 layers of drape to prevent possibility of fire in OR
46
Patient has a language barrier but signs a permission for surgery w/o understanding. This could constitute a liability?
Lack of accountability
Invasion of privacy
Improper documentation
Assault and Battery
47
What should the ST preparing for organ procurement have available if the team will be harvesting a kidney?
Set up an additional back table for team to perform retrograde flushing
Inform the OR mgr you are not trained to perform this task
Have 3 setups for multiple organ procurement
Witness the consent
48
How is inhalation of the laser plume best prevented?
Mechanical smoke evacuator on field
Double mask worn by scrub team
Laser on standby whenever possible
Filter on suction
49
The AHA Patient's bill of rights was adopted in what year?
1990
1960
1985
1972
50
What does the "A" stand for in the acronym RACE
At ease
Aim
Assertive
Alarm
51
Harmful chemicals & biological by-product in vaporized tissue plume present the possibility of being
Carcinogenic
Less carcinogenic
Benign
Nonmutagenic
52
Fuel sources found at the surgical site include:
Prep solvents
All of the above
Endotracheal tube
Dry sponges and drapes
53
Sources of latex include:
All of the above
Wound drain
Catheters
Pneumatic tourniquet
54
Radiation exposure of the staff is monitored with?
film badges
a notation on each operative chart
A homing device
A holter monitor
55
Res ipsa loquitur is a Latin term concerning
patient rights
negligence
doing no harm
the AST motto
56
What stage of grief is when the patient begins to cope with the loss?
Denial
Acceptance
Bargaining
Depression
57
All apply to a dirty bomb EXEPT?
Nuclear fallout
Causes sickness and cancer
Damages land
Radioactive
58
All of the following are sentinel events that would result in an incident report except?
Drug error
Calling in sick
Improper handling of a specimen
Patient burn
59
Which of the following is a hysterectomy clamp?
Glover
Heaney
Satinsky
Glassman
60
A Richter scale measures
Height of a tidal wave
Both A and B
How powerful a earthquake is
Category of hurricane
61
The legal doctrine that mandates every professional to care out their duties according to national standards of care is?
Nurse practice act
Doctrine of respondeat superior
Doctrine of reasonable man
Doctrine of res ipsa loquitur
62
One of the 8 primary total quality management is "process centered" which relates to this element?
Patient
Role of the surgical technologist
Critical thinking
OR team members
63
The following are primary duties of a CST in event of a code blue intraoperatively except
Refuse help to administer chest compressions, no one to protect sterility
Maintain the sterility of the back table, mayo & surgical site
Assist by providing artifical respiration or admin chest compressions
Keep track of all instrument, sponges, needles & anticipate need of surgeon
64
An ST is a preceptor to new employee. The surgeon becomes irritated from new employees lack of experience, what do u do?
Perform the same task at the same time as the new employee
Quietly coach the new employee in the background
Introduce the new employee to surgical team after the procedure
When the new employee is struggling, take over the case
65
A criteria that identifies, measures, monitors and evaluates patient care is:
Audits
Quality control circles
Quality Assurance programs
Automated information systems
66
Chemical hazards include:
Formaldehyde
All of the above
Cidex
ETO
67
Another name for a "no hands" technique is:
Neutral Zone
Hasson
Retractable scalpel
Blunt trocars
68
The preferred type of fire extinguisher used in OR fires is
Oil based
CO2
Dry powder
Water based
69
When speaking to RN in preop, pt is crying excessively, pouting & acting childish. Which coping mechanism is displayed?
Rationalization
Repression
Regression
Denial
70
What is the rationale for lead aprons to be hung vertically rather than being folded on a table?
To avoid cracking
Hospital policy
For ease access
State regulation
71
One of the 8 primary elements of total quality management is "integrated system" which relates to which of the following
The critical thinking
The role of surgical technologist
Continuing education
Patient
72
What does the "C" stand for in the acronym RACE?
Confined
Contain
Content
Confused
73
Risk management objectives for a hospital include:
Collecting data to decrease harm to patients and staff
Control financial loss
All of the above
Minimize risks to patients & employees
74
A terminally ill pt on way to OR says "No matter what happens it will be ok" What stage of grief is the patient in?
Depression
Denial
Acceptance
Bargaining
75
What stage of grief is occurring when the patient is secretly trying to make a deal with God or other higher power?
Denial
Anger
Acceptance
Bargaining
76
As it pertains to a surgical technologist, an unintentional action that causes harm is?
Malpractice
Negligence
General Consent
Informed Consent
77
According to Maslow, physiological needs are?
needs that only apply to the most successful individuals
the highest level of needs
The most basic of needs
an intermediate level of needs
78
When using a mono ESU in surgery if patient needs repositioned what is best practice for the patient return electrode?
No changes are necessary
Ask the surgeon if they want to change the PRE
Remove and apply another PRE to the patient
Leave the PRE in the location where it is
79
Which of the following statements is true regarding serving as a preceptor for a ST student?
Create a hostile environment for adult learners
Create comfortable space where student learns in nonthreatening environment
Create environment with high obstatcles
Increase threat in the learning environment
80
A surgical technologist sees a neighbor being admitted. How should the ST respond?
Acknowledge the neighbor
Do not acknowledge the neighbor unless greeted first
Ingore the neighbor, even if greeted
Reassure the neighbor that everything will be fine
81
Attributes for success are being a good listener, good verbal & nonverbal skills, social awareness are examples of what?
Coping Mechanism
Communication
Empathy
Interpersonal skills
82
Incorrect labeling, loss or mishandling of specimen by a CST could result in a charge of?
Negligence
Abandonment
Larceny
Malpractice
83
"Let the master respond" is an example of the?
Doctrine of respondeat superior
Doctrine of informed consent
Doctrine of res ipsa loquitur
Standard of care
84
A potential safety hazard associated with laser surgery is?
Electrical shock
Eye injury
Carcinogenic activity
Ionizing radiation exposure
85
Events requiring an incident report include:
Bullying
Incorrect count
All of the above
Equipment Failure
86
A CST works 7a-3p. Her relief is late, she is scrubbed in on a procedure & leaves before relief, what is she liable for
Accountability
Malpractice
Abandonment
Negligence
87
Defamation means deliberate efforts to erode the reputation of another person. If actions are verbal it is called?
Slander
Battery
Libel
Harassment
88
Harmful toxins created during laser surgery & electrosurgery come in the form of:
None of the above
Smoke plume
Heat
Anesthesia
89
Natural disasters include:
Rockslide
All of the above
Winter storm
Avalanche
90
A ST is explaining the steps of ESU circuit to a student. ST explains the electric current is channel back to generator:
Through the patient
Through a power source
Dispersive electrode (inactive)
Through active electrode (ESU pencil)
91
To activate a fire extinguisher what is the correct order for the following: (1)sweep, (2)aim, (3)squeeze, (4)pull
4,2,3,1
4,3,2,1
1,2,3,4
3,2,1,4
92
The best measure for staff protection against HIV is:
Handling all needles and sharps carefully
Both A and B
Immunization of all staff with vaccine
Using barriers to avoid direct contact with blood and body fluids
93
The legal document signed by the patient before surgery is:
Safe medical act
Informed consent
Ethical policy
Operative report
94
Which of the stages of grief might a dying patient direct at staff or loved ones?
Bargaining
Denial
Anger
Acceptance
95
Maslow's hierarchy is based on the premise that?
A person can achieve self actualization even though basic needs are unmet
Love and belonging are at the top of the hierarchy
a person's basic needs must be fulfilled before other needs can be met
Love & belonging needs more important than biological needs
96
If a Kelly clamp is left in a patient who underwent surgery which legal concepts apply?
Intentional tort
Res ipsa loquitur
Extension Doctrine
Misdemeanor
97
Which organization has legal oversight for safety of healthcare providers in the workplace?
OSHA
NBSTSA
AAMI
AST
98
The Latin phrase "aeger primo" refers to:
Patient first
It speaks for itself
Breathe
Do no harm
99
As you are setting up for a posterolateral thoracotomy what retractor should be available?
Lebsche
Finochietto
Cooley
Bailey
100
Pt arrived in OR for bil mastectomy. She is crying inconsolably. The ST can best console her by saying?
We are going to give you the best care possible
Your surgeon is the best in the hospital
I am sure we will be able to remove all the cancer
Everything will be fine