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Mod 2 Mid term Review
Mod 2 Mid term Review
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#surgicaltech #timetoreview
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Answers
1
The surgical technologist serving in the traditional role is called the
sterile supply tech
scrub tech
circulator
anesthesia tech
2
A level III trauma center typically?
is a community or rural hospital
can treat seriously injured or ill patients
can meet all needs required for treating trauma patients
can provide advance trauma life support
3
Used to report an unusual event that has occurred & may have legal ramifications 4 staff or pt
summary of action report
history of events report
incident report
negligence report
4
What are the two common types of shock seen in all age groups?
acidotic, septic
acidotic, hypovolemic
hypovolemic, septic
clinical, surgical
5
Which department maintains and verifies all patient records?
Risk management
medical records
administration
maintenance and biomed
6
A child less than 6 months of age cannot shiver; therefore, the child is at risk for?
hypertension
cyanosis
tachycardia
hypothermia
7
Indirect patient care is provided by which department?
housekeeping
medical surgical unit
diagnostic imaging
operating room
8
The neutral zone should be established for the placement of
sponges
surgical specimen
sharps
medications
9
The term golden hour refers to
terminally ill patients last hours
controlling hemorrhage
postoperative care
given care to trauma victim within an hour
10
A nurse with several years' experience in critical nursing & specialty training in anesthesia?
RNFA
CNOR
CRNA
PA-C
11
Hospital philosophy and policy are usually determined by the
board of directors
chief of surgery
director of surgery
chief of staff
12
Permanent surgical specimens are usually sent to the pathologist in
formalin
a moist towel
a dry container
saline
13
What is the most common cause of hypovolemic shock in infants?
bradycardia
dehydration
low body temperature
high blood temperature
14
Informed consent may be given under specific circumstances, by any of the following
EXCEPT
the parent of legal guardian of a minor
an incompetent adult
the courts
the temporary guardian
15
What is a division of the United Nations that promotes health activities worldwide
Medicare
Red Cross
Social Security Administration
World Health Organization
16
Responsible for checking X-rays & CT scans to confirm proper area/side before incision is made?
anesthesia provider
radiologist
circulator
surgeon
17
Injury due to improper positioning can result in
ALL
members being sued for
negligence
indecision
abandonment
libel
18
The critical parameters for monitoring pediatric patients include all the following
EXCEPT
urine output
oxygenation
temperature
turgor
19
Patients body weight exceeds___ lbs. greater than ideal body weight, the patient is considered?
100
50
200
75
20
Consent may be given in either of two formats:
informed and expressed
implied and written
informed and implied
expressed and implied
21
Ethics is an attempt to define right & wrong based upon
consequence
common law
biological data
beliefs
22
A general description of the abilities needed to perform a job in known as a
competency
job description
reliability
profession
23
Accountability is defined as a(n)
threat
obligation
disclosure
evaluation
24
Which organization acts both as an insurer and a provider of medical services?
CEO
ADN
HMO
AORN
25
What is a term that refers to permission being given for an action?
Voluntary
Consent
Acceptance
Involuntary
26
Placing the obese patient in this position expands the total lung volume & aids in ventilation?
Trendelenburg
reverse Trendelenburg
semi-sitting
supine
27
Which health care organization requires a primary care physician for all referrals?
DON
CNOR
The Joint Commission
HMO
28
It is imperative that caregivers should deal with pediatric patient?
indifferently
truthfully
quickly
cautiously
29
What is the initial sign of a postoperative infection?
decreased urine output
hypotension
dehydration
fever
30
The___ is the number one organ injured in a motor vehicle accident
spleen
heart
liver
specialty grouping
31
Which of the following is
NOT
a physical hazard?
body fluids
noise
fire
electricity
32
What organization established universal precautions and body substance isolation rules?
CDC
AORN
OSHA
NIOSH
33
Which entity accredits surgical technology programs?
AST
DOE
ARC-ST
LCC-ST
34
What should take place immediately after the patient is moved from the stretcher to OR table?
adjust the IV pole
apply the safety strap
raise the side rails
lock the table down
35
A properly written, informed consent should contain the?
STSR signature
the time surgery began
name of the charge nurse
patients legal name
36
Which of the following reflects the basic values for health care practice?
guidelines
laws
all of the above
standards
37
Loss or mishandling of a specimen could be considered negligence & could result in?
all of the above
improper specimen analysis
another surgical procedure
improper specimen preparation
38
What situation would present difficulties in the intubation of a patient with AIDS?
hypovolemia
Kaposi's sarcoma lesions
pneumonia
dehydration
39
Surgical pathology threatening life or limb defines as which type of surgery?
elective
ambulatory
emergent
urgent
40
The certification examination for STs is given by which entity?
ARC-ST
AST
LCC-ST
The Joint Comission
41
the goal of the surgical consent is to
protect the patient
protect the hospital
protect the surgeon
inform pt of specifics ofprocedure, medical reasons, & risk
42
During birth, the most common bone fractured is of the
clavicle
fibula
skull
radius
43
Accreditation
is a term that applies to
community colleges
programs
program directors
individuals
44
The term neonate applies to the pediatric patient who is between the ages of?
24hrs and 28 days
birth and 14 days
6hrs and 14 days
birth and 28 days
45
The medical record of a surgical patient will typically include all of the following
EXCEPT
identification of the patient
treatment plan
health care providers involved in the patients care
family members' names
46
Typical physiological changes in the elderly patient include?
increased nephron function
decreased blood pressure
increased tolerance to pain
decreased rigidity in the chest wall
47
Septic shock is caused by
gram-negative bacteria
esophageal varices
respiratory failure
hemorrhage
48
Postoperative recovery time for the patient who is obese is increased because
metabolism is slower
adipose tissue retains anesthetic agents longer
of low body temp.
of lower expiratory levels
49
IV placement in the patient with AIDS may be difficult due to?
skin wrinkling
aggravating painful lesions
malaise
lack of a suitable vein
50
ST & surgical assistance scope of practice is determined by the decisions made by the?
circulating nurse
medical staff director
supervising surgeon
hospital CEO
51
Patients who are obese are at high risk for coronary artery disease because of
anesthesia complications
ventricular failure
hypertension
sleep apnea
52
Which of the following is
NOT
part of a proper job description?
Job title
vacation schedule
immediate supervisor
duties
53
Term used if a member of the surgical team leaves a pt who is dependent on his/her as caregiver
accountability
battery
abandonment
negligence
54
Which percentage must humidity remain higher than to avoid the transmission of sparks in the OR
55%
45%
60%
50%
55
Which task belongs to the medical records department?
Prepare the OR
Maintain & verify all patients records
perform clinical laboratory studies
Pre-Op paperwork preparation
56
With a pregnant patient placing a small rolled pad under the right hip, this will help?
take weight off of the vena cava
prevent preterm labor
make the patient more comfortable
shift the uterus to gain better access to abdominal contents
57
A scheduled knee arthroscopy is classified as which type of surgery?
emergent
urgent
elective
ambulatory
58
Org. dedicated 2 improvement of surgical care by evaluating standards of surgical education
AAMI
OSHA
American College Of Surgeons
NIOSH
59
Which OR team member opens sterile supplies onto the back table
during
surgical procedure?
anesthesiologist
surgeon
STSR
circulator
60
The first priority in a pediatric patient is to
control hemorrhage
stabilize broken bones
insert IV line
ensure patient airway
61
Whose responsibility is it to identify the surgical patient?
holding are nurse
all of the above
anesthesia provider
transportation personal
62
A patient is considered a pediatric patient who is between the ages of
birth and 12
2 and 12
2 and 13
birth and 10
63
When an electrical charge is in motion, it is referred to as a(n)____?
active current
closed current
electrical current
open current
64
Which department provides rehabilitation for the post-op patient?
physical therapy
nursing care unit
diagnostic imaging
PACU
65
Surgical technologists are employed most often in which area?
physician's office
emergency medical services
Surgical services department
labor and delivery unit
66
In comparison with adults, pediatric patients have little subcutaneous fat and therefore
poor thermal insulation
need more IV fluids
less protection of organs
need to have bony prominences padded
67
Who is responsible for verifying that the school attended by the ST meets national standards?
AORN
NBSTSA
CAAHEP
ARC-ST
68
What trimester is ideal time to perform abdominal surgery on pregnant patient?
not safe at all
3rd
2nd
1st
69
Negligence is a breach of duty and is defined as
tort
larceny
perjury
an omission
70
What program allows for a ST to ascend to positions of increased responsibility
clinical ladder
competency
retention
enhancement
71
Which department oversees the sterilization needs of the hospital?
medical laboratory
purchasing and central processing
maintenance and biomed
housekeeping
72
Hypodermic needles should___, to avoid needle stick injury
be immediately disposed after use
be recapped by the surgeon
never be recapped
be recapped using the one-handed method
73
Nonprofit Org. that develops standards & performance criteria for health care organizations is?
Association Of Surgical Technologists
Association of perioperative Registered nurses
The Joint Commission
American College Of Surgeons
74
What is the
MOST
effective way to keep an infants body temperature at an acceptable level?
wrap and cover extremites
warm water bottles
warm lap sponges
overhead radiant heater
75
Which of the following is not a type of credentialing?
diploma
registration
licensure
certification
76
What is used to create a pathway for electrical current to be returned from the pt back is ESU?
conducting gel
grounding pad
Bovie cord
ground wire
77
The area where patients wait within the department before entering the OR is called___?
same-day surgery
the postoperative holding
the anesthesia holding
the preoperative holding
78
Which department provides blood replacement services?
Medical laboratory
Pharmacy
Maintenance and biomed
diagnostic imaging
79
The Patients Bill of Rights establishes the patient as
dependent on health care provider
having limited health care rights
the secondary decision maker in care
the consumer goods
80
Why should cabinets and doors within the OR be recessed into the wall?
prevent dust accumulation
easy opening
cleaning purposes
prevent injuries
81
Hospital employees who commit negligent acts are typically covered by?
facility insurance
surgeons malpractice insurance
personal insurance
patients insurance
82
Special populations have unique _____ needs
physical and psychological
physical and social
psychological and psychosocial
social and psychological
83
What term is used broadly to refer to the placing of information into a patients medical record
diagram
documenting
remodeling
register
84
Which department provides preventive measures against infection?
infection control
administration
Medical records
nursing care unit
85
Hospitals are required to provide device manufacturers with info about patients with all
EXCEPT
life-supporting devices
life-sustaining devices
permanently implantable devices
medical device has caused death, serious injury, and illness
86
Risk management objectives for a hospital include all except to
avoid or control financial loss
monitor staff and faculty behavior
minimize risks to patients and hospital employees
implement programs, policies, procedure to reduce occurrence
87
Which department provides informed consent?
administration
medical records
infection control
nursing care unit
88
Which department identifies patient hazards and develops solutions?
infection control
Risk management
medical records
nursing care unit
89
What is
NOT
a factor to remember concerning the safety of the ST and ionizing radiation?
age
time
shielding
distance
90
Which disease is
NOT
an autoimmune disease?
lupus erythematosus
rheumatoid arthritis
multiple sclerosis
AIDS
91
The written instructions dealing with the right of an incapacitated pt to self-determination is
consent
Patient's Bill of Rights
doctrine of personal liablity
advanced directive
92
Malpractice and negligence fall under what kind of law?
intentional tort
intentional infliction of emotional distress
res ipsa loquitur
unintentional tort
93
PACU
post anesthesia care unit
preoperative ambulatory care unit
primary anesthesia care unit
post ambulatory care unit
94
Why are neonates and infants not usually catheterized?
high risk of trauma to the urethra
procedures do not last long enough
non-measurable amount of urine produced
bladder not fully developed
95
When taking hot surgical instruments from a steam autoclave, the ST cools the instrument with?
glutaraldeyde
alcohol
sterile saline
sterile water
96
A major concern in the OR for pediatric is insensible water loss. Why does this loss occur?
extremities are covered
overhead radiant heaters
temperature of OR
humidification of inspired gases
97
Department that contains sinks for gross decontamination of instruments?
decontamination
substerile
instrument
sterile storage
98
If a pediatric patient has a pneumothorax, there is an accumulation of air in the?
esophagus
bronchial tree
pleural cavity
abdomen
99
What standard does the ST used as a guide in the establishment of entry-level knowledge & skill
Core Curriculum for Surgical Technologist
AST code of ethics
continuing education guidelines
program accreditation standards
100
Which term defines the relationship among the ST, the patient, & the patient's family?
social
therapeutic
professional
medical
101
Whose responsibility is it to remove a patients personal items in the OR?
supervisor
circulator
charge nurse
transportation
102
Most surgical technologist programs are accredited through?
NBSTSA
DOE
CAAHEP
OSHA
103
The following are sharps safety techniques
EXCEPT
using a grasping instrument to position drains
loading needles just prior to use
always recapping hypodermic needles
using a small sharps container to store needles
104
The humidity of the OR should be no higher than____?
60%
55%
50%
65%
105
A CRNA is part of which operating room group?
housekeeping department
central supply department
anesthesia department
sterile surgical team
106
Implied consent may apply when
conditions are discovered during surgery
consulting physicians agree
the patient is an emancipated minor
the patient is conscious
107
What does not need to be counted before beginning an exploratory laparotomy?
suction
lap sponges
Kitners
instruments
108
Emergency procedures on geriatric patient are associated with?
higher mortality
better preoperative planning
trauma
failure to minimize post-Op stress of hypothermia/hypoxemia
109
Which term defines the relationship among coworker, surgeon, & other health care providers?
therapeutic
social
professional
medical
110
Bleeding in a pediatric trauma patient must be controlled to prevent
distension
severe hypovolemia
brachial plexus injury
infiltration
111
Knowledge & skills required for the profession to provide effective and reliable services is?
legal requirement
scope of practice
competencies
policy
112
Pre-Op diagnostic studies are performed by the
diagnostic imaging department
Medical laboratory
emergency department
pathology department
113
Which department repairs broken equipment?
diagnostic testing
Maintenance and biomed
administration
purchasing central services
114
A "time out" period should take place immediately before the procedure in order to verify:
correct side/site and procedure
patient, procedure, & when applicable, any implants
correct patient, side/site, and procedure
pt, procedure, side/site, implants, & all team members agree
115
What must be done to electrical devices in the OR to prevent the risk of burns to the patient?
A.) grounded properly
B.) tested frequently
both A and B
C.) turned off prior to use
116
Surgical pathology requiring within a relatively short period of time is known as?
elective
emergent
ambulatory
urgent
117
Patient who are obese are subject to increased postoperative
COPD
leg amputation
wound infections
pain