Question 1

Microinstruments are made of a shiny finish in order to visualize them better under the microscope.

Accepted Answer

A) True 
 B)False  False

Question 2

At the end of the surgical procedure,in what solution should the instruments be soaked?

Accepted Answer

A) Hydrogen peroxide 
B) Sterile distilled water 
C) Saline solution 
D) Tap water 
A) Hydrogen peroxide 
B) Sterile distilled water 
C) Saline solution 
D) Tap water B

Question 3

A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.

Accepted Answer

A) True 
 B)False  False

Question 4

Which is a responsibility of the circulating nurse before the start of a procedure?

Accepted Answer

A) Drape the Mayo stand and back table 
B) Inspect sterile instruments for imperfections and condition 
C) Count instruments 
D) Assemble the scalpel blade in the proper handle 
A) Drape the Mayo stand and back table 
B) Inspect sterile instruments for imperfections and condition 
C) Count instruments 
D) Assemble the scalpel blade in the proper handle

Question 5

Which is an example of a cutting instrument?

Accepted Answer

A) Kelly clamp, Allis forceps 
B) Jaw-tipped scissors, scalpel 
C) Forceps, hemostat 
D) Uterine sound, bayonet forceps 
A) Kelly clamp, Allis forceps 
B) Jaw-tipped scissors, scalpel 
C) Forceps, hemostat 
D) Uterine sound, bayonet forceps

Question 6

What type of needle holder has jaws eliminating,twisting,and turning of the suture?

Accepted Answer

A) Smooth jaws 
B) Crosshatched 
C) Webster 
D) Tungsten carbide 
A) Smooth jaws 
B) Crosshatched 
C) Webster 
D) Tungsten carbide

Question 7

Which instrument can be used to examine a cavity's interior?

Accepted Answer

A) Yankauer 
B) Speculum 
C) Tungsten needle holder 
D) Bayonet forceps 
A) Yankauer 
B) Speculum 
C) Tungsten needle holder 
D) Bayonet forceps

Question 8

If the surgeon or assistant is on the same side of the operating bed and to the right,which hand should the scrub pass with?

Accepted Answer

A) The right hand 
B) Let the surgeon take the instrument from the mayo stand 
C) Pass across the field 
D) Pass with your left hand 
A) The right hand 
B) Let the surgeon take the instrument from the mayo stand 
C) Pass across the field 
D) Pass with your left hand

Question 9

The maximum length of most microinstruments is 4 inches (100 mm).

Accepted Answer

A) True 
 B)False

Question 10

What type of suctioning is done using a syringe and needle?

Accepted Answer

A) Suctioning with a Yankauer 
B) Aspiration 
C) Autotransfusion 
D) Using a Poole suction device 
A) Suctioning with a Yankauer 
B) Aspiration 
C) Autotransfusion 
D) Using a Poole suction device

Question 11

Which is a type of dissector that might be used in an orthopedic surgical procedure?

Accepted Answer

A) Bone cutter 
B) Snare 
C) Curette 
D) Adson forceps 
A) Bone cutter 
B) Snare 
C) Curette 
D) Adson forceps

Question 12

When using an electrical instrument on the field,the scrub person needs to have available what item to cool the bone being worked on?

Accepted Answer

A) Ice packs 
B) Saline solution in a syringe 
C) Antibiotic soaked sponges 
D) Frozen 4 ´ 4 sponges 
A) Ice packs 
B) Saline solution in a syringe 
C) Antibiotic soaked sponges 
D) Frozen 4 ´ 4 sponges

Question 13

What is not a valid function of a clip applier?

Accepted Answer

A) Used as an end-to-end anastomosis connector 
B) Used to mark tissue 
C) To occlude blood vessels 
D) To close or occlude small lumens of tubes 
A) Used as an end-to-end anastomosis connector 
B) Used to mark tissue 
C) To occlude blood vessels 
D) To close or occlude small lumens of tubes

Question 14

A trocar is an assembly instrument used to cut through tissue for access to fluid or a body cavity.

Accepted Answer

A) True 
 B)False

Question 15

Which statement regarding handing instruments at the sterile field is correct?

Accepted Answer

A) Pass instruments around the incision. 
B) Lightly place the instrument into the surgeon's hand. 
C) Pass instruments directly over the incisional area. 
D) Anticipate the surgeon's needs before being asked for an instrument. 
A) Pass instruments around the incision. 
B) Lightly place the instrument into the surgeon's hand. 
C) Pass instruments directly over the incisional area. 
D) Anticipate the surgeon's needs before being asked for an instrument.

Question 16

Which is the most commonly used instrument to clamp blood vessels?

Accepted Answer

A) Lahey forceps 
B) Tenaculum 
C) Hemostat 
D) Rongeur 
A) Lahey forceps 
B) Tenaculum 
C) Hemostat 
D) Rongeur

Question 17

All power surgical instruments have complex assemblies of gears,shafts,and seals.Powered instruments decrease the fatigue from manual instruments.

Accepted Answer

A) True 
 B)False

Question 18

Manual retractors come in different shapes and sizes.They are held by the first or second assistant.

Accepted Answer

A) True 
 B)False

Question 19

When using any type of power equipment,what must be checked before handing up any instrument?

Accepted Answer

A) Make sure the instrument is in "on" mode and ready to be used. 
B) The instrument must be in "off" mode. 
C) Check to make sure the instrument is in the "safety" mode. 
D) Make sure the instrument is unassembled and in the "on" mode. 
A) Make sure the instrument is in "on" mode and ready to be used. 
B) The instrument must be in "off" mode. 
C) Check to make sure the instrument is in the "safety" mode. 
D) Make sure the instrument is unassembled and in the "on" mode.

Question 20

It is acceptable to use a hemostat to load a blade onto a knife handle.

Accepted Answer

A) True 
 B)False

Exam 19: Surgical Instrumentation

Microinstruments are made of a shiny finish in order to visualize them better under the microscope.

At the end of the surgical procedure,in what solution should the instruments be soaked?

A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.

Which is a responsibility of the circulating nurse before the start of a procedure?

Which is an example of a cutting instrument?

What type of needle holder has jaws eliminating,twisting,and turning of the suture?

Which instrument can be used to examine a cavity's interior?

If the surgeon or assistant is on the same side of the operating bed and to the right,which hand should the scrub pass with?

The maximum length of most microinstruments is 4 inches (100 mm).

What type of suctioning is done using a syringe and needle?

Which is a type of dissector that might be used in an orthopedic surgical procedure?

When using an electrical instrument on the field,the scrub person needs to have available what item to cool the bone being worked on?

What is not a valid function of a clip applier?

A trocar is an assembly instrument used to cut through tissue for access to fluid or a body cavity.

Which statement regarding handing instruments at the sterile field is correct?

Which is the most commonly used instrument to clamp blood vessels?

All power surgical instruments have complex assemblies of gears,shafts,and seals.Powered instruments decrease the fatigue from manual instruments.

Manual retractors come in different shapes and sizes.They are held by the first or second assistant.

When using any type of power equipment,what must be checked before handing up any instrument?

It is acceptable to use a hemostat to load a blade onto a knife handle.

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

Care of the Perioperative Environment

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

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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