Question 1

What is included in the verbal report given to the PACU nurse once the patient reaches the recovery area?

Accepted Answer

A) Type of insurance the patient has 
B) Type of procedure done 
C) Where the patient lives 
D) Employment status 
A) Type of insurance the patient has 
B) Type of procedure done 
C) Where the patient lives 
D) Employment status

Question 2

If a surgeon is working deep within the peritoneal cavity,what is the best choice of sponge to hand up?

Accepted Answer

A) A Ray-Tec sponge 
B) A laparotomy tape 
C) A pattie 
D) 2 ´ 2 gauze sponge 
A) A Ray-Tec sponge 
B) A laparotomy tape 
C) A pattie 
D) 2 ´ 2 gauze sponge

Question 3

Counted sharps must not be taken from the OR during the surgical procedure.

Accepted Answer

A) True 
 B)False

Question 4

The surgeon and assistants should never take their towels from the primary sterile field.

Accepted Answer

A) True 
 B)False

Question 5

Which of the following is not a type of dissecting sponge?

Accepted Answer

A) Peanut 
B) Swab, or gauze, sponge 
C) Tonsil 
D) Kittner 
A) Peanut 
B) Swab, or gauze, sponge 
C) Tonsil 
D) Kittner

Question 6

If a sterile towel is used to pack a wound during a case for use as a retractor,the circulating nurse does not have to be told because it is not radiographically detectable and it is not a countable item.

Accepted Answer

A) True 
 B)False

Question 7

The circulating nurse must remain at the patient's side during the induction of general anesthesia.

Accepted Answer

A) True 
 B)False

Question 8

Where should the safety belt be positioned on a patient?

Accepted Answer

A) Over the patient's chest 
B) Over the patient's abdomen 
C) Over the patient's thighs 
D) On the patient's knees 
A) Over the patient's chest 
B) Over the patient's abdomen 
C) Over the patient's thighs 
D) On the patient's knees

Question 9

When packs or sets have been wrapped with double wrappers,the outer wrap is considered the ____________________,and the inner wrap is considered the ____________________.

Accepted Answer

dust cover,sterile barrier
When opening

Question 10

What principle is not associated with motion economy?

Accepted Answer

A) Make each movement purposeful 
B) Work quietly and quickly 
C) Keep the work areas orderly 
D) Use asymmetric motions 
A) Make each movement purposeful 
B) Work quietly and quickly 
C) Keep the work areas orderly 
D) Use asymmetric motions

Question 11

When should sponges be removed from the room?

Accepted Answer

A) After they have been counted and bagged 
B) Not until the patient is out of the room 
C) After the first correct count 
D) When there becomes too many 
A) After they have been counted and bagged 
B) Not until the patient is out of the room 
C) After the first correct count 
D) When there becomes too many

Question 12

What instrument should be immediately handed up after a suture ligature is passed to the surgeon?

Accepted Answer

A) A Kelly clamp 
B) ESU pencil 
C) Scissors 
D) Mahoney dilator 
A) A Kelly clamp 
B) ESU pencil 
C) Scissors 
D) Mahoney dilator

Question 13

Which is a piece of standard equipment needed for a surgical procedure that must be monitored throughout the procedure?

Accepted Answer

A) Electrosurgical unit (ESU) 
B) Flat-screen computer 
C) Document shredder 
D) Steam sterilizer 
A) Electrosurgical unit (ESU) 
B) Flat-screen computer 
C) Document shredder 
D) Steam sterilizer

Question 14

Which is not an example of the economical use of supplies in the OR?

Accepted Answer

A) Combining contaminated trash with noncontaminated trash 
B) Turning off lights when not needed 
C) Opening sutures only as needed 
D) Pouring just enough antiseptic solution for the skin prep 
A) Combining contaminated trash with noncontaminated trash 
B) Turning off lights when not needed 
C) Opening sutures only as needed 
D) Pouring just enough antiseptic solution for the skin prep

Question 15

Which is an acceptable method of transferring sterile items to the sterile field?

Accepted Answer

A) Reaching over the sterile field 
B) Dropping large items on the sterile field 
C) Flipping small, rigid items onto the sterile field 
D) Shaking the item from its package 
A) Reaching over the sterile field 
B) Dropping large items on the sterile field 
C) Flipping small, rigid items onto the sterile field 
D) Shaking the item from its package

Question 16

Which is a reason the instrument table and Mayo stand must remain sterile until the patient has left the room?

Accepted Answer

A) To ensure instruments remain sterile in case of hemorrhage 
B) To increase turnover time 
C) To ensure instruments have adequate time to dry 
D) To adequately use the entire time allotted for the procedure 
A) To ensure instruments remain sterile in case of hemorrhage 
B) To increase turnover time 
C) To ensure instruments have adequate time to dry 
D) To adequately use the entire time allotted for the procedure

Question 17

Instrument counts are recommended for all surgical procedures.

Accepted Answer

A) True 
 B)False

Question 18

The _______________ help the scrub person and circulating nurse improve efficiency of the set-up procedure and case flow.

Accepted Answer

eight P's
The eight

Question 19

Which area is counted first during the first closing count?

Accepted Answer

A) Field 
B) Garbage 
C) Table 
D) Floor 
A) Field 
B) Garbage 
C) Table 
D) Floor

Question 20

The two best ways to load a knife blade onto a handle are by using a heavy needle holder or simply by hand.

Accepted Answer

A) True 
 B)False

Exam 25: Coordinated Roles of the Scrub Person and the Circulating Nurse

What is included in the verbal report given to the PACU nurse once the patient reaches the recovery area?

If a surgeon is working deep within the peritoneal cavity,what is the best choice of sponge to hand up?

Counted sharps must not be taken from the OR during the surgical procedure.

The surgeon and assistants should never take their towels from the primary sterile field.

Which of the following is not a type of dissecting sponge?

If a sterile towel is used to pack a wound during a case for use as a retractor,the circulating nurse does not have to be told because it is not radiographically detectable and it is not a countable item.

The circulating nurse must remain at the patient's side during the induction of general anesthesia.

Where should the safety belt be positioned on a patient?

When packs or sets have been wrapped with double wrappers,the outer wrap is considered the ____________________,and the inner wrap is considered the ____________________.

What principle is not associated with motion economy?

When should sponges be removed from the room?

What instrument should be immediately handed up after a suture ligature is passed to the surgeon?

Which is a piece of standard equipment needed for a surgical procedure that must be monitored throughout the procedure?

Which is not an example of the economical use of supplies in the OR?

Which is an acceptable method of transferring sterile items to the sterile field?

Which is a reason the instrument table and Mayo stand must remain sterile until the patient has left the room?

Instrument counts are recommended for all surgical procedures.

The _______________ help the scrub person and circulating nurse improve efficiency of the set-up procedure and case flow.

Which area is counted first during the first closing count?

The two best ways to load a knife blade onto a handle are by using a heavy needle holder or simply by hand.

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

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

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

Filters

When packs or sets have been wrapped with double wrappers,the outer wrap is considered the ,and the inner wrap is considered the .