Question 1

What item should a member of the sterile team discard and put in the trash before leaving the surgical room?

Accepted Answer

A) Hair cover 
B) Eye protection 
C) Scrubs 
D) Shoe covers 
A) Hair cover 
B) Eye protection 
C) Scrubs 
D) Shoe covers D

Question 2

When is "terminal cleaning" done during the course of a day in the OR?

Accepted Answer

A) At the beginning of the day 
B) In between each case 
C) At the end of daily use 
D) Every 4 hours 
A) At the beginning of the day 
B) In between each case 
C) At the end of daily use 
D) Every 4 hours C

Question 3

Standardization is in the best interest of the patient and the personnel performing cleanup.

Accepted Answer

A) True 
 B)False  True

Question 4

Which organization has established standards and recommended practices for cleaning and maintaining cleanliness in the perioperative environment?

Accepted Answer

A) NAACP 
B) AORN 
C) WHO 
D) TJC 
A) NAACP 
B) AORN 
C) WHO 
D) TJC

Question 5

Patients with known respiratory-borne diseases are treated the same as all other patients.

Accepted Answer

A) True 
 B)False

Question 6

What areas of the sterile field are considered contaminated?

Accepted Answer

A) Just the areas with blood on them 
B) The area nearest to the incision 
C) The surrounding sterile field and all areas that are in contact with blood or bodily fluids 
D) The center of the surgical incision 
A) Just the areas with blood on them 
B) The area nearest to the incision 
C) The surrounding sterile field and all areas that are in contact with blood or bodily fluids 
D) The center of the surgical incision

Question 7

How should trash be handled at the end of a procedure?

Accepted Answer

A) All trash in the same bag 
B) In the recycle bin 
C) Separated into biohazard, noninfectious trash, and recyclable trash 
D) Red biohazard bags 
A) All trash in the same bag 
B) In the recycle bin 
C) Separated into biohazard, noninfectious trash, and recyclable trash 
D) Red biohazard bags

Question 8

If sterile supplies for a case were opened at 1:00 PM with the room under surveillance,and the case did not begin until 3:30 PM,the sterile items would be contaminated because of the 2-hour delay of the case.

Accepted Answer

A) True 
 B)False

Question 9

Which is a reason for preoperative staff to recycle surgical supplies in the OR?

Accepted Answer

A) To satisfy the environmental friendly staff members within the perioperative setting 
B) To save the patient money 
C) To reduce pollution 
D) To decrease the workload of the preoperative nursing staff 
A) To satisfy the environmental friendly staff members within the perioperative setting 
B) To save the patient money 
C) To reduce pollution 
D) To decrease the workload of the preoperative nursing staff

Question 10

Which activity is incorrect for the scrub person to perform?

Accepted Answer

A) Discarding contaminated waste 
B) Disposing of sharps safely 
C) Pulling drapes off patient 
D) Removing tissue and blood from instruments 
A) Discarding contaminated waste 
B) Disposing of sharps safely 
C) Pulling drapes off patient 
D) Removing tissue and blood from instruments

Question 11

How are solutions or fluids disposed of after a procedure?

Accepted Answer

A) Dump down the sink. 
B) Dump it on the floor and mop it up. 
C) Send it in a bucket in the case cart. 
D) Solidify the canister with powder, use the closed suction system. 
A) Dump down the sink. 
B) Dump it on the floor and mop it up. 
C) Send it in a bucket in the case cart. 
D) Solidify the canister with powder, use the closed suction system.

Question 12

As long as the instrument and prep tables are within the confines of the OR,it does not particularly matter where they are placed.

Accepted Answer

A) True 
 B)False

Question 13

Remove gloves first before taking off the gown,so as not to contaminate the front of the gown with dirty gloves.

Accepted Answer

A) True 
 B)False

Question 14

Name a type of transmissible disease that results in prions being found in neurologic tissue that can exist on surfaces in the OR.

Accepted Answer

A) Whooping cough 
B) Tuberculosis 
C) Influenza 
D) Creutzfeldt-Jakob 
A) Whooping cough 
B) Tuberculosis 
C) Influenza 
D) Creutzfeldt-Jakob

Question 15

The primary cause of accidental cuts and punctures is from the disposal of surgical sharps at the end of a case.When cleaning up instruments after a surgical procedure,place unloaded knife handles and other sharp items separate from other instruments so that processing personnel may identify them easily.

Accepted Answer

A) True 
 B)False

Question 16

The scrub person and table remain sterile if there is a question of patient stability until the patient is out of the room.

Accepted Answer

A) True 
 B)False

Question 17

If a patient is rolled into the OR and the case is canceled for some reason before the procedure has begun,the tables and supplies can be reused for another case or patient.

Accepted Answer

A) True 
 B)False

Question 18

Turnover time is the time it takes to complete the surgery schedule.

Accepted Answer

A) True 
 B)False

Question 19

Every patient is considered a potential contaminant.

Accepted Answer

A) True 
 B)False

Question 20

Before the first procedure of the day,what does the scrub person or circulator need to damp-dust in the OR before bringing supplies in for the first case of the day?

Accepted Answer

A) OR overhead lights and furniture 
B) OR scrub sinks 
C) Sterilizer interior wall surface 
D) Air filter grill cover 
A) OR overhead lights and furniture 
B) OR scrub sinks 
C) Sterilizer interior wall surface 
D) Air filter grill cover

Exam 12: Care of the Perioperative Environment

What item should a member of the sterile team discard and put in the trash before leaving the surgical room?

When is "terminal cleaning" done during the course of a day in the OR?

Standardization is in the best interest of the patient and the personnel performing cleanup.

Which organization has established standards and recommended practices for cleaning and maintaining cleanliness in the perioperative environment?

Patients with known respiratory-borne diseases are treated the same as all other patients.

What areas of the sterile field are considered contaminated?

How should trash be handled at the end of a procedure?

If sterile supplies for a case were opened at 1:00 PM with the room under surveillance,and the case did not begin until 3:30 PM,the sterile items would be contaminated because of the 2-hour delay of the case.

Which is a reason for preoperative staff to recycle surgical supplies in the OR?

Which activity is incorrect for the scrub person to perform?

How are solutions or fluids disposed of after a procedure?

As long as the instrument and prep tables are within the confines of the OR,it does not particularly matter where they are placed.

Remove gloves first before taking off the gown,so as not to contaminate the front of the gown with dirty gloves.

Name a type of transmissible disease that results in prions being found in neurologic tissue that can exist on surfaces in the OR.

The scrub person and table remain sterile if there is a question of patient stability until the patient is out of the room.

If a patient is rolled into the OR and the case is canceled for some reason before the procedure has begun,the tables and supplies can be reused for another case or patient.

Turnover time is the time it takes to complete the surgery schedule.

Every patient is considered a potential contaminant.

Before the first procedure of the day,what does the scrub person or circulator need to damp-dust in the OR before bringing supplies in for the first case of the day?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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